|
ACOVE
Needs Assessment Results
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Certified
for 1 AMA PRA Category 1 Credit™
Co-Sponsored
by
the
University
of
Alabama
School
of Medicine
Division of Continuing Medical Education,
Division of Gerontology, Geriatrics, and Palliative Care, and
The Center for Aging
| Release
Date: January 7, 2007 |
Expiration
Date: January 7, 2010
|
| TARGET
AUDIENCE: |
| Primary
care physicians |
| OBJECTIVES: |
| Upon
completion of this CME activity,
physicians and other healthcare professionals
should be able to understand: |
- The
reported prevalence of older
patients among physicians.
- Conditions
faced by older adults that are
the most difficult to treat.
- Major
barriers to optimal care of older
adults at the community level.
- Common
barriers to older adult patients
maintaining proper health care.
- Treatment
options for chronic conditions
facing older adults,
such as urinary incontinence,
coronary artery disease and mobility
issues.
|
| Top of Page |
| SOURCE: |
| EDITOR
AND CONTRIBUTING AUTHORS: |
|
Angela
R. Curtis, PhD
Managing Editor
Assistant Professor, Geriatric Education
Manager
Ali
Ahmed, MD, MPH
Assistant Professor
Medical Director, UAB and VA Geriatric
Health Failure Clinics
Cynthia
J. Brown, MD
Assistant Professor
Medical Director, Fall Prevention
and Mobility Clinic, VAMC
Patricia
S. Goode, MD, MSN
Gwen McWhorter Professor of Geriatric
Medicine
Medical Director, UAB Continence
Program
Christine
Ritchie, MD, MSPH
Associate Professor
Director, Palliative Care Section
and Center for Palliative Care
Division
of Gerontology, Geriatrics and
Palliative Care
University of Alabama at Birmingham
Birmingham, Alabama
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| Top of Page |
| |
| DISCLOSURE: |
The
faculty has no commercial affiliations
to disclose.
Because of the nature of preliminary
studies, some products mentioned are
unlabeled and investigational. Dosages,
indications, and methods of use of
drugs mentioned in this publication
may reflect the experience of the authors,
clinical literature, or other resources.
Therefore, please see the full prescribing
information before using any licensed
product mentioned. |
| CME
PARTICIPATION: |
| To
participate in this online course
for CME credit, please review the
objectives before beginning the program.
Complete the course and the self-assessment
test before January 7, 2010 to receive
CME credit. Your certificate will
then be available online. This process
should take approximately 1 hour. |
| ACCREDITATION: |
|
The
University of Alabama School of
Medicine is accredited by the Accreditation
Council for Continuing Medical
Education to provide continuing
medical education for physicians.
The
University of Alabama School of
Medicine designates this educational
activity for a maximum of 1 AMA
PRA Category 1 Credit™.
Physicians should only claim credit
commensurate with the extent of
their participation in the activity.
The
boards of nursing in many states,
including Alabama, recognize Category
1 continuing medical education
courses as acceptable activities
for the renewal of license to practice
nursing.
|
| DISCLAIMER: |
| Dosages,
indications, and methods of use of
any drug referred to in this publication
may reflect the clinical experience
of the authors, clinical literature,
or other clinical resources. Therefore,
please see the full prescribing information
before using any product mentioned.
UAB is an equal opportunity/affirmative
action institution. |
| INTRODUCTION: |
|
In
Fall 2005, the Alabama Practice-Based
CME Network and the UAB Division
of Gerontology, Geriatrics and
Palliative Care conducted a needs
assessment to determine which conditions
health care providers identify
as the most difficult to treat
in their older adult patients.
The conditions listed in the needs
assessment came from the Assessing
Care of Vulnerable Elders (ACOVE)
project, a collaboration between
the RAND Corporation and Pfizer,
Inc., created to improve quality
of care for vulnerable older patients.
The ACOVE project defined vulnerable
elders as those community-dwelling
older adults, whose risk for death
or functional decline was increased
4-fold over a 2-year period. They
determined the medical conditions
that affect these older adults
the most, and developed evidence-based
quality-of-care indicators to systematically
address quality-of-care issues
related to these common conditions.
The ACOVE expert panel identified
medical issues commonly occurring
in older adults, that were measurable,
treatable, and/or preventable. The
initial 22 ACOVE topics are presented
in Table 1 below.
| Table
1 ACOVE TOPICS |
Continuity
and coordination of care
Dementia
Depression
Diabetes mellitus
End of life care
Falls and mobility problems
Hearing loss
Heart failure
Hospital care
Hypertension
Ischemic heart disease
|
Medication
management
Osteoarthritis
Osteoporosis
Pain management
Pneumonia
Pressure ulcers
Screening and prevention
Stroke and atrial fibrillation
Urinary incontinence
Vision care
Malnutrition |
Quality-of-care
process indicators were developed for
each of these topics covering the four
domains of care: Prevention, Diagnosis,
Treatment and Follow-up. Organizations
adopting these process indicators and
performing at a high level demonstrate
improved survival among the older adults
they serve relative to organizations
performing less well on these indicators.
These quality-of-care indicators have
now been adopted by the American Board
of Internal Medicine in their recertification
program.
This
CME newsletter reviews the findings
from our Fall 2005 needs assessment
and kicks-off our upcoming monthly
geriatric medicine CME offerings
addressing these ACOVE topics.
Beginning
in February 2007, the UAB Division
of Gerontology, Geriatrics and
Palliative Care and the UAB Division
of Continuing Medical Education
will dedicate a monthly web-based
CME offering to covering an ACOVE
topic identified by the Alabama
Practice-Based Network as most
salient
to their
practice.
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Continue
. . .
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