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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Measuring medical care provided to vulnerable elders: Twelve studies were classified into this category [ 19263148—56 ]. Studies have shown that elderly patients often do not receive care appropriate to their age and conditions [ 58 ].

Care for elderly patients is complex and not yet well understood [ 6 ]. 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. The association between quality of care and the following factors were studied: The effects of acoge, polypharmacy and the overall quality of care have been investigated [ 1—5 ].

All authors participated in the design of the paper, the regular discussions, and read and approved the final manuscript. Cost utility of fractional flow reserve-guided percutaneous coronary intervention in multivessel coronary artery disease in Brazil.

This could be due to the difficulty of identifying who is vulnerable the VES considers age, self-rated health, limitations in physical function and functional disabilities. The authors declare that they have no conflicts of interest.

Your username and password are the same that you use to log onto MyAGS. Aspirin to prevent cardiovascular disease: Twitter Facebook Linkedin Rss. Cat A, studies that develop a new set of quality indicators; Cat B, studies that adapt the original ACOVE quality indicator set to a new setting; Cat C, studies that assess the quality of care; Cat D, studies that examine the association between aocve quality of care and other factors such as health-care outcomes, patient opinion and patient characteristics ; and Cat E, studies that aim to influence the behavior of or educate health-care professionals.


The minimum data set pressure ulcer indicator: To identify and uniformly describe studies employing the Assessing Care Of Vulnerable Elders ACOVE quality indicators within a comprehensive thematic model that reflects how the indicators were used. All QIs also apply to community-dwelling patients aged 75 and older. Important future work consists of attempting to switch from using quality indicators solely as an assessment instrument, to using quality indicators as the basis for change of care delivery by providing timely and proactive feedback to the acoce givers.

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

Measuring the quality of care provided to dually enrolled Medicare and Medicaid beneficiaries living in nursing homes. Assessment is meant to inform and, in consequence, to facilitate quality improvement efforts [ 916 ]. The efforts to collect data in order to assess care are substantial and there is paucity, in studies addressing quality-of-care improvement.

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 In the cases when the reviewers were unable to reach consensus a third reviewer was involved to make a final decision.

To 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.

Second, in contrast to the abundance of studies that used the quality indicators for retrospective quality assessment by screening medical records, only two studies applied the quality indicators in a proactive manner to directly improve the delivered care [ 3346 ]. The objective was to identify and summarize all studies published after the introduction of the ACOVE quality indicator sets in the literature. The final study classified into this category reported the validation, and not the adaptation of a quality indicator set.

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

The vulnerable elders, defined as the group of persons 65 years of age or older who are at high risk of death or functional decline, form an important subgroup for investigation [ 9 ]. In recent years many studies have been dedicated to the care of elderly patients. They are intended to evaluate, by means of gauging adherence to the rules, whether the care xcove delivered at the level of the health-care system meets pre-specified standards of quality.


It furthers the University’s objective of excellence in research, acive, and education by publishing worldwide. Not only are elderly patients 33 excluded from clinical trials, but also due to their multimorbidity a multitude of possibly conflicting guidelines are contemporaneously applicable to them [ 7 ]. It should also be noted that the ACOVE-3 Qls are designed to reflect care at the level of the health system, plan, or medical group, and not at the individual practitioner level.

The minimum data set weight-loss quality indicator: Email alerts New issue alert. Oxford University Press is a department of the University of Oxford.

Address reprint requests to: 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. Overall, between 3 and quality indicators were used in the 18 studies.

This set consists of explicitly phrased IF—THEN clinical rules with comprehensive coverage of general medical and geriatric conditions.

This may be related to the difficulty of developing a new quality indicator set. Standardized quality-assessment system to evaluate pressure ulcer care in the nursing home. In most cases, the combination of medical record data and interviews with caregivers and patients was necessary for scoring the quality indicators [ 34—3639—42 ].

Simply translating and adapting the comprehensive ACOVE quality indicators may prove sufficient in the acoce patient group. Selecting process quality indicators for the integrated care of vulnerable older adults affected by cognitive impairment or dementia.