Not Always Clear With Doctor in Charge/Lack of Care Co-Ordination

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
US National Health and Aging Trends Study
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Palliative Care

Defining Attributes

Definition

Not always clear with doctor in charge/lack of care co-ordination/ no clear decision maker among health care providers

Numerator

Number of proxies who indicated that it was not always clear with doctor in charge

Denominator

Number of proxy respondents

Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Other
Data Collection Methods

Proxy interview

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

No public reporting, but data can be requested by researchers

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Nakanishi, M., Ogawa, A., Sakai, M., Yoshii, H., Yamasaki, S., & Nishida, A. (2023). Quality of End-of-Life Care for Older Adults with Dementia during the COVID-19 Pandemic. Journal of the American Medical Directors Association. Harrison, K. L., Cenzer, I., Ankuda, C. K., Hunt, L. J., & Aldridge, M. D. (2022). Hospice Improves Care Quality For Older Adults With Dementia In Their Last Month Of Life. Health affairs (Project Hope), 41(6), 821-830. Bhagianadh, D., & Arora, K. (2023). Classifying End-of-Life Patterns: Evidence From the National Health and Aging Trends Study. The Gerontologist, 63(6), 1039–1048.

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025