Using Older Adults’ Goals of Care to Drive Performance Measurement
Year: 2017
Type: conference-abstract
Abstract: Care for older adults with complex needs should be aligned with their goals, values, and preferences. To create alignment, providers must elicit and document goals. Efforts are underway to make goal-directed care a reality. This qualitative descriptive study was conducted to build a taxonomy of older adults’ goals to be used for goals-based performance measurement. Community-dwelling older adults with one or more functional limitations participated in focus groups or semi-structured interviews at six sites in three regions. Researchers coded transcripts in a template modeled on a pre-existing taxonomy with the following domains: Accessing Services and Supports; Choice and Control; Advanced Illness; Medical Care; Physical Quality of Life; Social, Emotional and Cognitive Quality of Life; and Caregiver Support. New goals were added as needed. [JBF1] Among the 65 goal codes across domains, a plurality of goals articulated by participants were clustered in the Medical Care domain. While many of these goals were outcomes (e.g. lose weight, manage pain), the goals most often articulated were care processes, including “receive needed care,” “coordinated care,” and “providers who work with/listen to/hear me.” Goals were influenced by past and current health care experiences and were context-specific. More research is needed to address the complexity and heterogeneity of older adults’ care goals for care planning, goal-based care and performance measurement. These results will support future research efforts to align care goals with care provided and to identify outcome measures (e.g. patient-reported outcome measures) that are important to and driven by older adults. [JBF1]Redundant w/ next sentence
Source: Innovation in Aging
Authors: M. Henry, E. Giovannetti, E. Anderson, P. Lighter, S.H. Scholle, F.B. French
Institution: National Committee for Quality Assurance
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,977
OpenAlex ID: W2726354705