Quality Indicators For The Screening And Care Of Urinary Incontinence In Vulnerable Elders

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UvA-DARE (Digital Academic Repository)

Studies pertaining to ACOVE quality indicators abstract Purpose: 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. Data sources: A systematic search of MEDLINE, EMBASE and CINAHL was conducted.

ORIGINAL ARTICLE Developing quality indicators for older

of evidence based indicators of care quality for older people published by RAND in the USA in October 2001. The Assessing the Care of Vulnerable Elders (ACOVE) project developed 236 quality indicators in 22 clinical areas for the health care of community dwelling people aged over 75 years.16 The ACOVE conditions were chosen according to

Come trattarela pazienteanziana

Multiple indicators to determine prognosis, risks and benefits associated with cancer in the elderly Time consuming to administer and evaluate Comorbidities & geriatric syndromes (e.g. dementia, delirium, falls, osteoporosis, urinary incontinence) Polypharmacy Psychological status: Geriatric Depression Scale (GDS)

Donald W. Reynolds Foundation, the Arizona Geriatric

disease. Syndromes include falls, chronic pain, urinary incontinence, cognitive impairment, depression, and poly-pharmacy. Table 2 outlines the intervals at which the AGS guidelines recommend screening for these syn-dromes, along with the recommended screening tool. As always in geriatrics, an individualized approach is the key to proper care.

Restructuring Primary Care Practices to Manage Geriatric

Assessing Care of Vulnerable Elderly Persons (ACOVE) project developed a definition of vulnerable elders and then developed and documented a set of process of care quality indicators covering 22 conditions important for older persons.3,4,6 In response to the deficiencies demonstrated in the care of geriatric conditions, the second phase of the

The Science of Measuring the Quality of Medical Care

Quality Indicators Guidelines Tools to help set individualized goals by providers and patients; should not be considered a maximum or minimum level of care. Quality Indicator Measurement tool that specifies patient eligibility and care (or outcome) that if not met nearly always indicates that the patient received inadequate

Assessing Care of Vulnerable EldersFAlzheimer s Disease: A

tice redesign intervention, Assessing Care of Vulnerable Elders-2 (ACOVE-2),8 did not improve dementia care, al-though it substantially improved the quality of care for falls and urinary incontinence.9 Examination of the deficiencies in these studies reveals that physicians performed better on themedical components (e.g., orderingtests

Supporting Independence in Hospitalized Elders in Acute Care

care of elders an important focus of care for nurses working in acute and critical care settings. Hospitalization for an acute or critical illness im-poses a degree of immobility on any patient, and decline can result quickly in the elderly patient [3]. Reducing deterioration in the hospitalized el-derly through focused strategies, such as increas-

Improving the Quality of Health Care for Older Adults

medical groups, 35 percent of vulnerable elders complained of urinary incontinence (a condition Abstract The Assessing Care of Vulnerable Elders (ACOVE) indicators were the fi rst set of health care quality indicators developed specifi cally for the elderly. Vulnerable elders receive on average only half of recommended care; for

Quality of Health Care for Medicare Beneficiaries: A Chartbook

1:18 Urinary Incontinence: Screening and Management 2000 2001 At-risk older patients of two medical groups (ages 75+) Medical records (Assessing Care of Vulnerable Elders study) 61 1:19 Treatment for Depression 1999 2001 Elderly v. near-elderly patients of 18 clinics (ages 60 64, 65 74, 75+) Patient interviews 63 1:20 Mental Health Care

TESTIMONY The Case for Keeping Quality on the Health Reform

quality of care for adults. We examined 439 indicators of quality for 30 clinical areas. We found that, 1 The opinions and conclusions expressed in this testimony are the author s alone and should not be interpreted as representing those of RAND or any of the sponsors of its research. This product is part of the RAND Corporation testimony series.

Comparative analysis of The Author(s) 2019 long-term care

Mar 10, 2019 Assessing care of vulnerable elders (ACOVE). In 1998, researchers from the RAND Corporation and the University of California, Los Angeles collectively con-ducted a community-based study to system-atically evaluate the quality of geriatric care for vulnerable older people based on evidence-based medicine, using widely-

Support RAND For More Information

A C O Methods for Developing Quality Indicators Figure. Assessing Care of Vulnerable Elders (ACOVE) method for developing quality indicators for vulnerable elders. 22 conditions for quality improvement Identify content expert(s) for each condition Develop draft Of quality indicators Send draft of quality indicators to peer review

Contrasting Effects of Geriatric Versus General Medical

SETTING: The Assessing Care of Vulnerable Elders-2 study. PARTICIPANTS: Older adults prospectively screened for falls, incontinence, and dementia (N = 644). MEASUREMENTS: Participant-level QOC in absolute percentage points calculated using 65 ambulatory care care-process quality indicators (QIs) for 13 general medical

Depression and Comorbid Illness in Elderly Primary Care

Aug 15, 2003 quality improvement intervention under real-world conditions.16 Each site used 2 methods to identify study participants. The fi rst method consisted of referrals from primary care providers, other staff, or patients them-selves in response to clinic promotions of the study. The second method consisted of systematic screening using

Assessing Care of Vulnerable Elders to the Rescue

Assessing Care of Vulnerable Elders to the Rescue T he Assessing Care of Vulnerable Elders (ACOVE) pro-ject was developed in the late 1990s in response to widespread national concerns about the quality of health care being delivered to older adults.1 Previous studies had documented that the percentage of people aged 65 and

Clinical Guideline for Assessment and Management of Urinary

The basic assessment has three purposes 1) to determine cause of the incontinence, 2) to detect related urinary tract and nervous system pathology and 3) to evaluate patient comprehensively.


indicators (QIs) for the work-up and management of urinary inconti-nence (UI). METHODS: An extensive literature review was performed to develop a set of 36 potential quality indicators for the management of urinary incontinence. QIs were modeled after those previously de-scribed in the Assessing the Care of Vulnerable Elders (ACOVE) project.

Multimorbidity Is Associated with Better Quality of Care

with better quality of care.1 In a prior analysis, we examined the relationship of patient characteristics with over-all quality of care among vulnerable (at increased risk for death and functional decline) older persons enrolled in the Assessing the Care of Vulnerable Elders (ACOVE) study.22 Contrary to our expectations, we found that having more

Optimizing Prevention and Healthcare Management for the

The Vulnerable Elders-13 Survey predicts 5-year functional decline and mortality outcomes among older ambulatory care patients. American Geriatrics Society Annual Meeting. J Am Geriatr Soc 2009; 57 (S1): S94. Min L, Reuben DB, Wenger NS. Better quality of care for urinary incontinence improves quality of life. American Geriatrics Society Annual

Self Reported Receipt of Care Consistent with 32 Quality

quality of care indicators for both publicly and privately provided care. Setting Private households across England. Participants 8688 participants in the English longitudinal study of ageing, of whom 4417 reported diagnoses of one or more of 13 conditions. Main outcome measures Percentage of indicated

Evaluation of the Quality Indicator Survey (QIS)

some that were previously tested and validated in the Assessing Care of Vulnerable Elders (ACOVE) project as well as some new indicators were combined to assess quality in five care areas: incontinence, nutrition, pressure ulcers, choice, and activities.

Inappropriate drug prescribing in older adults

Hospital care Hypertension Ischaemic heart disease Malnutrition Medication management Osteoarthritis Osteoporosis Pain management Pneumonia and influenza Pressure ulcers Screening and prevention Stroke and atrial fibrillation Urinary incontinence Vision impairment Domains of care taken

The 20-Minute Medicare Visit

Health care quality for vulnerable elderly Assessing Care of the Vulnerable Elderly (ACOVE) project identified elders at increased risk for death or functional decline, created quality indicators based on literature review and expert panel for 22 conditions

Providers and Community

quality care for people with dementia is a challenge urinary incontinence delirium vulnerable elders spend % of their time in the

Does Better Quality of Care for Falls and Urinary

Figure 1. Enrollment and quality-of-care measurement for falls and urinary incontinence in participants in the Assessing the Care of Vulnerable Elders Study (ACOVE-2). Participants with positive screens for urinary incontinence (UI) and falls were considered in both samples.

VACCINE DECREASES SHINGLES effect on health­related quality

To improve care for falls and urinary incontinence (UI), Wenger and colleagues, in collab­ oration with the American Col­ lege of Physicians, implemented the Assessing Care of Vulnerable ­ proved Medical Care for Elders (ACOVEprime) intervention at five geographically diverse pri­ mary care practices. The inter­ vention included screening of

An Interview with Neil Wenger - Joint Commission Journal

have developed the ACOVE set of quality indicators (QIs) to assess the quality of care for vulnerable older persons. The indi-cators are based on a comprehensive examination of data appli-cable to vulnerable elders and the clinical expertise of experienced clinicians. The first set of ACOVE QIs was pub-lished in 2000.

Establishing Benchmarks for Quality Care for an Aging

assessed: end-of-life care, urinary incontinence, falls, pres-sure ulcers, dementia, and depression. Overall, only 41% of quality indicators for acute geriatric care and 29% of quality indicators for chronic geriatric care were passed. These findings indicate that care of the most vulnera-ble subset of the older population, which accounts for a

International Group for Reducing Inappropriate Medication Use

ordinated global effort to provide medical care systems that better serve patients with multimorbidity. This transition requires a shift in medical education, research, and diagnostic frameworks, and reexamination of the measures used as quality indicators. This position statement from the International Group for Reducing Inappropriate

Falls Management

Quality Indicators for Assessing Care of Vulnerable Adults (ACOVE). Quality Indicators for the Management and Prevention of Falls and Mobility Problems in Vulnerable Elders

indicators: national population survey of adults aged 50 or

outcomes.15 Quality indicators for the conditions that had been assessed in the assessing care of vulnerable elders study using patient interviews were rated for validity in England by an expert panel of clinicians, using an adaptation of the RAND/University of California in Los Angeles appropriateness method for combining clinical evidence

ORIGINAL ARTICLE Developing quality indicators for older

of evidence based indicators of care quality for older people published by RAND in the USA in October 2001. The Assessing the Care of Vulnerable Elders (ACOVE) project developed 236 quality indicators in 22 clinical areas for the health care of community dwelling people aged over 75 years.16 The ACOVE conditions were chosen according to

Specialty Clinics Rotation / UW Urogynecology Clinic Description

Fung CH, Spencer B, Eslami M, Crandall C. Quality indicators for the screening and care of urinary incontinence in vulnerable elders. J Am Geriatr Soc 2007 55 Suppl 2:S443-49.

Quality of care of nurse-led and allied health personnel-led

Urinary Incontinence in Primary Care36 1. Health care practitioners should consider using a validated quality of life and incontinence severity questionnaire to evaluate and audit the impact of urinary symptoms and effectiveness of any management strategy. (Grade B) 2. Patients with urinary incontinence should be offered information and

Quality Indicators for the Screening and Care of Urinary

Quality Indicators for the Screening and Care of Urinary Incontinence in Vulnerable Elders Constance H. Fung, MD, MSHS, wz Benjamin Spencer, MD, MPH,§Michelle Eslami, MD,z and Carolyn Crandall, MD, MSz Key words: urinary incontinence; quality of health care; quality indicators; health care U rinary incontinence (UI) is a common condition that