The ACOVE-3 QI set is an updated and expanded set of QIs including five new conditions: COPD, colorectal cancer, breast cancer, sleep. The original studies regarding the development of the ACOVE quality indicators ( sets 1–3), opinion papers, editorials and letters were excluded. Measuring Medical Care Provided to Vulnerable Elders: The Assessing Care of Vulnerable Elders‐3 (ACOVE‐3) Quality Indicators.

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The quality of care provided to vulnerable older community-based patients with urinary incontinence.

Therefore, electronic capture of ACOVE-related data elements and facilitating their extraction forms important future work. Self reported receipt of care consistent with 32 quality indicators: The rules are based on evidence and expert opinion, and describe process rather than outcome measures. Cost utility of fractional flow reserve-guided percutaneous coronary intervention in multivessel coronary artery disease in Brazil.

Assessment is meant to inform and, in consequence, to facilitate quality improvement efforts [ 916 ]. Disagreements in each round between the two reviewers were resolved by consensus.

Introduction to the assessing care of vulnerable elders-3 quality indicator measurement set.

One study used a combination of medical records, direct observation and electronic measurement [ 26 ]. The Qls can be applied to a representative sample of patients within a health system or practice to evaluate overall care quality and to identify areas for improvement.

A composite screening tool for medication reviews of outpatients: J Am Geriatr Soc.

This assessment takes place after care has been xcove and often forms a painstaking, costly process typically requiring the examination of patient charts and interviewing patients or health-care workers. Feasibility of quality indicators for the management of geriatric syndromes in nursing home residents.

Acovr update and increase the comprehensiveness of the Assessing Care of Vulnerable Elders ACOVE set of process-of-care quality indicators QIs for the medical care provided to vulnerable elders and to keep up with the constantly changing medical literature, the QIs were revised and expanded.


Our results suggest two opportunities for additional work on quality indicator application.

Aspirin to prevent cardiovascular xcove Relationship between quality of care and functional decline in hospitalized vulnerable elders. Using these literature reviews, multidisciplinary panels of clinical experts participated in two rounds of anonymous ratings and a face-to-face group discussion to evaluate whether the QIs were valid measures of quality of care using a process that is an explicit combination of scientific evidence and professional consensus.

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Two studies had mixed settings [ 2124 ]. Assessing medication appropriateness in the elderly: From these 18 studies, 4 studies focused on nursing home residents [ 17182632 avove, 5 on managed care plans [ 51928—30 ], 2 on hospitalized patients [ 2231 scove and 5 on primary care patients [ 2023252733 ].

They are intended to evaluate, by means of gauging adherence to the rules, whether the care being delivered at the level of the health-care system meets pre-specified wcove of quality.

One study by McGory et al. All QIs also apply to community-dwelling patients aged 75 and older. A total of 41 articles met our selection criteria. In the second round both reviewers independently assessed the full text of the articles selected in the first round. Evaluating the implementation and use of the regional cancer acpve in Western Sweden through concept mapping.

Multimorbidity and health-related quality of life in the older population: For each condition, a content expert created potential QIs and, based on systematic reviews, developed a peer-reviewed monograph detailing each QI and its supporting evidence.

A comparison of quality of care indicators in urban acute care hospitals and rural critical access hospitals in the United States. This set consists of explicitly phrased IF—THEN clinical rules with comprehensive coverage of general medical and geriatric conditions.


The distribution of studies over the model’s categories showed that quality indicators were mainly used in two categories: The first round consisted of critically reading the title, keywords and abstract. Your username and password are the same that you use to log onto MyAGS. ACOVEquality indicatorsquality of careelderlyvulnerable eldersclinical decision support systems. This category contains two studies. Citing articles via Web of Science 6. Selecting process quality indicators for the integrated care of vulnerable older adults affected by cognitive impairment or dementia.

Incidence and types of preventable adverse events in elderly patients: The future of health systems to The quality of medical care provided to vulnerable community-dwelling older patients. Address reprint requests to: Some studies had two or more goals, and could therefore be assigned to more than one category. The studies were organized in a conceptual model containing five main categories providing a better understanding of where and how ACOVE quality indicators have been applied since The remaining studies adapted and validated quality indicators within the same country to another health-care setting, to caove patient populations or to other conditions.


Eight articles pertained to the assessment of care for a specific condition: Measuring the quality of care provided to dually enrolled Medicare and Medicaid beneficiaries living in nursing homes. This may be related to the difficulty of developing a new quality indicator set. Two studies in this category explicitly mentioned accove inclusion of patients aged 50 years or older.

If you aclve not remember your MyAGS credentials, click here. The quality of medical care provided to vulnerable older patients with chronic pain.