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Assessing Care of the Vulnerable Elderly (ACOVE)
Design:
1) identified elderly at risk for functional decline or death
2) created quality indicators based on literature review & expert panel for 22 conditions
- examined the process of care (by chart review & structured interview for each condition
Results:
1) overall, 55% of quality indicators passed
2) compliance for geriatric conditions was worse than general medical conditions (31% vs 42%)
3) care for specific conditions varies greatly
- stroke 82. end-of-life care 9%%
References
Reuben DB. In: Intensive Course in Geriatric Medicine &
Board Review, Marina Del Ray, CA, Sept 29-Oct 2, 2004