Care Consistency With Documented Care Preferences (This Same Measure Is Also Referred to in Other Sources as 'Treatment Preferences Followed')
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
If a vulnerable elder has specific treatment preferences (for example, a Do Not Resuscitate order, no tube feeding, or no hospital transfer) documented in a medical record, then these treatment preferences should be followed. These are community dwelling individuals age 65 years and older who are at greater risk of death or functional decline over a 2-year period.
Numerator
Denominator
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
The Assessing Care of Vulnerable Elders (ACOVE) project is a collaboration between RAND Health and Pfizer Inc. to develop a living set of quality indicators (QIs) for the medical care provided to vulnerable older persons. The ACOVE QIs aim to measure care for ill older patients, conceptualized as ''vulnerable elders.'' These are community dwelling individuals age 65 years and older who are at greater risk of death or functional decline over a 2-year period.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Dy SM et al. Measuring what matters: top-ranked quality indicators for hospice and palliative care from the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association. J Pain Symptom Manage. 2015 Apr;49(4):773-81. doi: 10.1016/j.jpainsymman.2015.01.012. Kamal AH, Bull J, Ritchie CS, et al. Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings. J Pain Symptom Manage 2016;51(3):497-503. doi: dx.doi.org/10.1016/j.jpainsymman.2015.12.313 American Academy of Hospice and Palliative Care [webpage]. Available here: aahpm.org/uploads/education/AAHPM15MWMHandoutClinicalFINAL.pdf. Date cited 10/10/2023.
Technical Specifications
Full Measuring What Matters technical specifications unable to be located. Some information available here: aahpm.org/uploads/education/AAHPM15MWMHandoutClinicalFINAL.pdf Table 2: pubmed.ncbi.nlm.nih.gov/25697097/
Link to Measurement Tools
Linked to Assessing Care of Vulnerable Elders (ACOVE) Palliative Care and End of Life set.