ACOVE 4: Continuity and ACOVE 4: Continuity and Coordination of Care in Coordination of Care in Vulnerable EldersVulnerable Elders

Continuity is ‘‘Continuity is ‘‘care over timecare over time by a by a single individual or team of single individual or team of healthcare professionals’’ includinghealthcare professionals’’ including‘‘effective and timely ‘‘effective and timely communicationcommunication of healthcare information.’’of healthcare information.’’ Institute of Medicine 1996Institute of Medicine 1996

ACOVE 4: Continuity of CareACOVE 4: Continuity of CareQuality IndicatorsQuality Indicators• Identification of Source of CareIdentification of Source of Care• Follow-Up on Medication in the Outpatient Follow-Up on Medication in the Outpatient

SettingSetting• Continuity of Medication Between Continuity of Medication Between

PhysiciansPhysicians• Communication Concerning ConsultationsCommunication Concerning Consultations• Follow-Up of Missed Periodic Outpatient Follow-Up of Missed Periodic Outpatient

Preventive CarePreventive Care• Follow-Up of Diagnostic Tests in the Follow-Up of Diagnostic Tests in the

Outpatient SettingOutpatient Setting

ACOVE 4: Continuity of CareACOVE 4: Continuity of CareQuality IndicatorsQuality Indicators• Continuity in the ED and at Hospital Continuity in the ED and at Hospital

AdmissionAdmission• Follow-Up After Hospital DischargeFollow-Up After Hospital Discharge• Follow-Up of Medication After Follow-Up of Medication After

Hospital DischargeHospital Discharge• Follow-Up of Pending Test Results Follow-Up of Pending Test Results

and Visits After Hospital Dischargeand Visits After Hospital Discharge• Medical Record ContinuityMedical Record Continuity• Care for Patients with Language Care for Patients with Language

BarriersBarriers