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Logo of nihpaAbout Author manuscriptsSubmit a manuscriptNIH Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
J Am Geriatr Soc. Author manuscript; available in PMC Jun 3, 2008.
Published in final edited form as:
J Am Geriatr Soc. May 2007; 55(5): 780–791.
doi: 10.1111/j.1532-5415.2007.01156.x
Table 2
Examples of National Efforts to Translate Research into Practice and Policy*
Educational and Clinical Efforts
  • Clinical practice guidelines and clinical pathways through national organizations
  • Clinical guidelines for falls, delirium, incontinence, pressure ulcers
  • AGS Falls Practice Guidelines
  • Health care coalitions of national and local organizations
  • Falls free coalition (partnering of NCOA and others)
  • Provider education through certifying organizations
  • Vulnerable Elderly Practice Improvement Modules through ABIM
  • Web-based educational and clinical programs
  • Falls prevention website, Hospital Elder Life Program website
  • Outreach to seniors
  • AARP, local and regional efforts
Quality Improvement Approaches
  • ACOVE quality indicators for geriatric conditions
  • Quality indicators for assessing care of vulnerable elders have been developed for 22 key conditions, including dementia, depression, falls, hospital care, incontinence, pressure ulcers.
  • AHRQ National Quality Measures Clearinghouse
  • Quality measures for multiple conditions, including delirium, pressure ulcers, urinary incontinence
  • NCQA
  • Posts “report cards” and benchmark quality data for health plans, hospitals, and physicians
  • MedPAC—organization which advises congress about Medicare program and policies
  • Reports on Medicare quality of care yearly
  • Falls and wounds as quality improvement targets for home care
  • Patient safety initiatives
  • Regional initiatives, local hospitals
Accreditation Standards
  • Requires evidence of fall prevention program in many clinical settings
Reimbursement and Payment Policies
  • Establish new diagnosis codes for geriatric syndromes to facilitate reimbursement
  • Fall-specific ICD (V-code 15.88)
  • CMS Pay for Performance
  • CMS requested AMA Physician Consortium to examine performance improvement measures for falls
Legislative Policies
  • National and local legislative efforts to increase patient safety for older persons
  • Fall initiatives involving state legislature, state health departments, social services
*AGS=American Geriatrics Society; NCOA=National Council on Aging; ABIM=American Board of Internal Medicine; AARP=American Association for Retired Persons; ACOVE=Acute Care for Vulnerable Elders; AHRQ=Agency for Healthcare Research and Quality; NCQA=National Committee for Quality Assurance; MedPAC=Medicare Payment Advisory Commission; JCAHO=Joint Commission on Accreditation of Healthcare Organizations; ICD=International Classification of Diseases; CMS=Centers for Medicare and Medicaid Services; AMA=American Medical Association