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Allison Moser Mays, Debra Saliba, Sid Feldman, Martin Smalbrugge, Cees M P M Hertogh, Tina L Booker, Kisa A Fulbright, Simone A Hendriks, Paul R Katz
The initiative described here aims to identify quality indicators (QIs) germane to the international practice of primary care providers (PCP) in post-acute and long-term care in order to demonstrate the added value of medical providers in nursing homes (NHs). A 7-member international team identified and adapted existing QIs to the AMDA competencies for medical providers. QI sources included the ACOVE 3 Quality Indicators (2007), NH Quality Indicators (2004), NH Residential Care Quality Indicators (2002), and AGS Choosing Wisely (2014)...
October 2018: Journal of the American Medical Directors Association
Paola H Ponte Márquez, Olga H Torres, Anonio San-José, Xavier Vidal, Antonia Agustí, Francesc Formiga, Alfonso López-Soto, Nieves Ramírez-Duque, Antonio Fernández-Moyano, Juana Garcia-Moreno, Juan A Arroyo, Domingo Ruiz
INTRODUCTION: Previous studies of antihypertensive treatment of older patients have focused on blood pressure control, cardiovascular risk or adherence, whereas data on inappropriate antihypertensive prescriptions to older patients are scarce. OBJECTIVES: The aim of the study was to assess inappropriate antihypertensive prescriptions to older patients. METHODS: An observational, prospective multicentric study was conducted to assess potentially inappropriate prescription of antihypertensive drugs, in patients aged 75 years and older with arterial hypertension (HTN), in the month prior to hospital admission, using four instruments: Beers, Screening Tool of Older Person's Prescriptions (STOPP), Screening Tool to Alert Doctors to the Right Treatment (START) and Assessing Care of Vulnerable Elders 3 (ACOVE-3)...
June 2017: Drugs & Aging
Lee A Jennings, Zaldy Tan, Neil S Wenger, Erin A Cook, Weijuan Han, Heather E McCreath, Katherine S Serrano, Carol P Roth, David B Reuben
Multiple studies have shown that quality of care for dementia in primary care is poor, with physician adherence to dementia quality indicators (QIs) ranging from 18% to 42%. In response, the University of California at Los Angeles (UCLA) Health System created the UCLA Alzheimer's and Dementia Care (ADC) Program, a quality improvement program that uses a comanagement model with nurse practitioner dementia care managers (DCM) working with primary care physicians and community-based organizations to provide comprehensive dementia care...
August 2016: Journal of the American Geriatrics Society
F Formiga, X Vidal, A Agustí, D Chivite, B Rosón, J Barbé, A López-Soto, O H Torres, A Fernández-Moyano, J García, N Ramírez-Duque, A San José
AIMS: To assess inappropriate prescribing in older people with diabetes mellitus during the month prior to a hospitalization, using tools on potentially inappropriate medicines (PIMs) and potential prescribing omissions (PPOs) and comparing inappropriate prescribing in patients with without diabetes. METHODS: In an observational, prospective multicentric study, we assessed inappropriate prescribing in 672 patients aged 75 years and older during hospital admission...
May 2016: Diabetic Medicine: a Journal of the British Diabetic Association
Robert A Jenders
BACKGROUND: Prior work has established that fuzzy logic is prevalent in clinical practice guidelines and that Arden Syntax is suitable for representing clinical quality measures (CQMs). Approved since then, Arden Syntax v2.9 (2012) has formal constructs for fuzzy logic even as new formalisms are proposed to represent quality logic. OBJECTIVES: Determine the prevalence of fuzzy logic in CQMs and assess the utility of a contemporary version of Arden Syntax for representing them...
2015: Studies in Health Technology and Informatics
T B Leal, T Holden, L Cavalcante, G O Allen, J R Schumacher, M A Smith, J M Weiss, H B Neuman, N K LoConte
BACKGROUND: There is concern that elders are not adequately evaluated prior to colon cancer surgery. We sought to determine adherence with ACOVE-3 (Assessing Care of Vulnerable Elders) quality indicators for pre-operative staging prior to colectomy for colon cancer utilizing the Surveillance, Epidemiology and End Results (SEER)-Medicare linked database (1992-2005). METHODS: We determined the proportion of patients aged 75 and older who had preoperative staging prior to colectomy for colon adenocarcinoma...
2014: Annals of Hematology & Oncology
Antonio San-José, Antonia Agustí, Xavier Vidal, Francesc Formiga, Mercedes Gómez-Hernández, Juana García, Alfonso López-Soto, Nieves Ramírez-Duque, Olga H Torres, José Barbé
BACKGROUND: Scientific evidence on treatments of chronic diseases in patients 85 years old or older is very limited, as is available information on inappropriate prescription (IP) and its associated factors. The study aimed to describe medicine prescription, potentially inappropriate medicines (PIM) and potentially prescribing omissions (PPO) and their associated factors on this population. METHODS: In the context of an observational, prospective and multicentric study carried out in elderly patients admitted to seven Spanish hospitals for a year, a sub-analysis of those aged 85 years and over was performed...
April 9, 2015: BMC Geriatrics
Marilyn N Bulloch, Jacqueline L Olin
OBJECTIVE: To describe primarily implicit instruments for assessing medication use in older adults. DATA SOURCES: Literature was identified via PubMed (1966-2014) and Google Scholar using the following search terms: geriatric/medication use, implicit criteria, inappropriate medication use, inappropriate prescribing, older adults/medication use, and polypharmacy. Reference citations from identified publications were also reviewed. STUDY SELECTION: All articles in English identified from data sources were evaluated...
September 2014: Journal of the American Pharmacists Association: JAPhA
Antonio San-José, Antonia Agustí, Xavier Vidal, Francesc Formiga, Alfonso López-Soto, Antonio Fernández-Moyano, Juana García, Nieves Ramírez-Duque, Olga H Torres, José Barbé
PURPOSE: This study aims to assess inappropriate prescribing (IP) to elderly patients during the month prior to hospitalization and to compare different IP criteria. METHODS: An observational, prospective and multicentric study was carried out in the internal medicine services of seven Spanish hospitals. Patients aged 75years and older were randomly selected after hospital admission for a year. To assess potentially inappropriate medicines (PIMs), the Beers and STOPP criteria were used and to assess potentially prescribing omissions (PPOs), the START criteria and ACOVE-3 medicine quality indicators were used...
October 2014: European Journal of Internal Medicine
Antonio San-José, Antonia Agustí, Xavier Vidal, José Barbé, Olga H Torres, Nieves Ramírez-Duque, Juana García, Antonio Fernández-Moyano, Alfonso López-Soto, Francesc Formiga
PURPOSE: There are limited tools to assess potential prescribing omissions (PPOs) or underprescribing in the elderly. The ACOVE project defines comprehensive quality care indicators for older people and some of these indicators focused on appropriate use of medicines. The aim of the present study was to assess the inter-rater reliability between observers using the ACOVE 3 prescribing indicated medications indicators and compare it with the inter-rater reliability obtained for the Screening Tool of Older Person's Prescriptions (STOPP)/Screening Tool to Alert Doctors to Right Treatment (START) criteria...
May 2014: Archives of Gerontology and Geriatrics
David B Reuben, David A Ganz, Carol P Roth, Heather E McCreath, Karina D Ramirez, Neil S Wenger
OBJECTIVES: To determine whether community-based primary care physician (PCP)-nurse practitioner (NP) comanagement implementing the Assessing Care of Vulnerable Elders (ACOVE)-2 model: (case finding, delegation of data collection, structured visit notes, physician and patient education, and linkage to community resources) can improve the quality of care for geriatric conditions. DESIGN: Case study. SETTING: Two community-based primary care practices...
June 2013: Journal of the American Geriatrics Society
David A Ganz, Brandon K Koretz, Julia K Bail, Heather E McCreath, Neil S Wenger, Carol P Roth, David B Reuben
OBJECTIVE: To determine whether nurse practitioner (NP) comanagement can improve the quality of care for 5 chronic conditions in an academic geriatrics practice. STUDY DESIGN AND METHODS: From September 2006 to September 2007, 18 primary care geriatricians were divided into an intervention group that could refer patients to an NP for comanagement of dementia, depression, falls, heart failure, and/or urinary incontinence, or a control group that indicated which patients would have been referred to the NP for these conditions...
2010: American Journal of Managed Care
David B Reuben, Carol P Roth, Janet C Frank, Susan H Hirsch, Diane Katz, Heather McCreath, Jon Younger, Marta Murawski, Elizabeth Edgerly, Joanne Maher, Katie Maslow, Neil S Wenger
OBJECTIVES: To determine whether a practice redesign intervention coupled with referral to local Alzheimer's Association chapters can improve the quality of dementia care. DESIGN: Pre-post intervention. SETTING: Two community-based physician practices. PARTICIPANTS: Five physicians in each practice and their patients aged 75 and older with dementia. INTERVENTION: Adaptation of the Assessing Care of Vulnerable Elders (ACOVE)-2 intervention (screening, efficient collection of clinical data, medical record prompts, patient education and empowerment materials, and physician decision support and education)...
February 2010: Journal of the American Geriatrics Society
Neil S Wenger, David H Solomon, Alpesh Amin, Richard K Besdine, Dan G Blazer, Harvey Cohen, Terry Fulmer, Patricia A Ganz, Mark Grunwald, William J Hall, Paul R Katz, Dalane W Kitzman, Rosanne M Leipzig, Ronnie A Rosenthal et al.
OBJECTIVES: To use a formal decision-making strategy to reach clinically appropriate, internally consistent decisions on the application of quality indicators (QIs) to vulnerable elders (VEs) with advanced dementia (AD) or poor prognosis (PP). DESIGN: Using a conceptual model that classifies QIs principally by aim and burden of the care process, 12 clinical experts rated whether each Assessing Care of Vulnerable Elders-3 (ACOVE-3) QI should be applied in evaluating quality of care for older persons with AD or PP...
October 2007: Journal of the American Geriatrics Society
Neil S Wenger, Carol P Roth, Paul Shekelle et al.
OBJECTIVES: 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. DESIGN: The ACOVE Clinical Committee expanded the number of measured conditions to 26 in the revised (ACOVE-3) set. 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...
October 2007: Journal of the American Geriatrics Society
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