@article{b3b41d75fdf740e28dce8b429f3f58d4,
title = "Development of Quality Indicators to Address Abuse and Neglect in Home-Based Primary Care and Palliative Care",
abstract = "Objectives: To develop candidate quality indicators (QIs) for the quality standard of “addressing abuse and neglect” in the setting of home-based medical care. Design: Systematic literature review of both the peer-reviewed and gray literature. Setting: Home-based primary and palliative care practices. Participants: Homebound community-dwelling older adults. Measurements: Articles were identified to inform the development of candidate indicators of the quality by which home-based primary and palliative care practices addressed abuse and neglect. The literature guided the development of patient-level QIs and practice-level quality standards. A technical expert panel (TEP) representing exemplary home-based primary care and palliative care providers then participated in a modified Delphi process to assess the validity and feasibility of each measure and identify candidate QIs suitable for testing in the field. Results: The literature review yielded 4,371 titles and abstracts that were reviewed; 25 publications met final inclusion criteria and informed development of nine candidate QIs. The TEP rated all but one of the nine candidate indicators as having high validity and feasibility. Conclusion: Translating the complex problem of addressing abuse and neglect into QIs may ultimately serve to improve care delivered to vulnerable home-limited adults who receive home-based medical care.",
keywords = "abuse, home-based palliative care, home-based primary care, neglect, quality indicators",
author = "Sheehan, {Orla C.} and Ritchie, {Christine S.} and Roya Fathi and Garrigues, {Sarah K.} and Debra Saliba and Bruce Leff",
note = "Funding Information: We would like to thank our clinical informationist, Ms. Carrie Price, for her invaluable advice and assistance with the literature search. This work was supported by the Commonwealth Fund. Conflict of Interest: The editor in chief has reviewed the conflict of interest checklist provided by the authors and has determined that the authors have no financial or any other kind of personal conflicts with this paper. Bruce Leff has received grants from the Commonwealth Fund Retirement Research Foundation and is a clinical advisory board member for Landmark Health and a board member for the American Academy of Home Care Medicine and the Alliance for Home Health Quality and Innovation. Christine S. Ritchie has received grants from the Commonwealth Fund Retirement Research Foundation and is a board member and president the American Academy of Hospice and Palliative Medicine. Author Contributions: Sheehan: study concept and design; acquisition, analysis, and interpretation of data; drafting and revision of manuscript. Ritchie, Leff: study concept and design, acquisition of subjects and data, analysis and interpretation of data, critical review of manuscript. Saliba, Garrigues, Fathi: study concept and design, critical review of manuscript. Sponsor's Role: None. Publisher Copyright: {\textcopyright} 2016, Copyright the Authors Journal compilation {\textcopyright} 2016, The American Geriatrics Society",
year = "2016",
month = dec,
day = "1",
doi = "10.1111/jgs.14365",
language = "English (US)",
volume = "64",
pages = "2577--2584",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "12",
}