Quality indicators for hospitalization and surgery in vulnerable elders.

Assessing care of vulnerable elders-3 quality indicators.

Assessing Care of Vulnerable Elders (ACOVE) quality indicators (QIs) are implemented using medical records (unless specified) as follows. If it is documented that a patient refuses the specified care process or that there is a justification for not implementing the care process, the QI is considered to have been satisfied. If a care process is not indicated because of contraindications or other...

Assessing care of vulnerable elders: methods for developing quality indicators.

Quality of care can be measured by using either processes or outcomes. Each method has its strengths and limitations (1). With the concurrence of the Assessing Care of Vulnerable Elders (ACOVE) Policy Advisory Committee (2), we chose to assess the care of vulnerable elders by using processes rather than outcomes. We did so because 1) processes are a more efficient measure of quality; 2) for mos...

Assessing care of vulnerable elders: ACOVE project overview.

Civilization and modern medicine now allow an unprecedented number of people to survive to old age. Not only has the definition of “old” evolved, but the aims of medical care for the elderly have progressed far beyond survival to maximizing functional and cognitive status, improving quality of life, and preserving productivity. Although many health problems in older age can be prevented or post...

Quality indicators for screening and prevention in vulnerable elders.

Quality indicators for the care of dementia in vulnerable elders.

Dementia, defined as an acquired, persistent impairment in two or more cognitive areas (e.g., frontal executive function, language, memory) is a leading cause of disability in older adults. Alzheimer’s disease (AD) comprises 55% to 77% of all dementias, whereas vascular dementia (VaD) is the second most common dementia, comprising 15% to 25% of all dementias. Although the prevalence of AD is on...