{"id":"https://openalex.org/W2899782467","doi":"https://doi.org/10.1093/geroni/igy023.541","title":"WHAT MATTERS MOST: A PILOT STUDY TO DEVELOP QUALITY MEASURES FOR OLDER ADULTS WITH COMPLEX NEEDS","display_name":"WHAT MATTERS MOST: A PILOT STUDY TO DEVELOP QUALITY MEASURES FOR OLDER ADULTS WITH COMPLEX NEEDS","publication_year":2018,"publication_date":"2018-11-01","ids":{"openalex":"https://openalex.org/W2899782467","doi":"https://doi.org/10.1093/geroni/igy023.541","mag":"2899782467"},"language":"en","primary_location":{"id":"doi:10.1093/geroni/igy023.541","doi":"https://doi.org/10.1093/geroni/igy023.541","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igy023.541","pdf_url":null,"source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1093/geroni/igy023.541","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041047075","display_name":"E Giovannetti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180740530","display_name":"National Committee for Quality Assurance","ror":"https://ror.org/00sqdq844","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I180740530"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"E Giovannetti","raw_affiliation_strings":["National Committee for Quality Assurance (NCQA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Committee for Quality Assurance (NCQA)","institution_ids":["https://openalex.org/I180740530"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043022689","display_name":"Shana F. Sandberg","orcid":"https://orcid.org/0000-0001-9014-3635","observed_orcids":["https://orcid.org/0000-0001-9014-3635"]},"institutions":[{"id":"https://openalex.org/I180740530","display_name":"National Committee for Quality Assurance","ror":"https://ror.org/00sqdq844","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I180740530"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S Sandberg","raw_affiliation_strings":["National Committee for Quality Assurance (NCQA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Committee for Quality Assurance (NCQA)","institution_ids":["https://openalex.org/I180740530"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022486585","display_name":"Baby Angelia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180740530","display_name":"National Committee for Quality Assurance","ror":"https://ror.org/00sqdq844","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I180740530"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"B Angelia","raw_affiliation_strings":["National Committee for Quality Assurance (NCQA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Committee for Quality Assurance (NCQA)","institution_ids":["https://openalex.org/I180740530"]}]},{"author_position":"middle","author":{"id":null,"display_name":"S Baird","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180740530","display_name":"National Committee for Quality Assurance","ror":"https://ror.org/00sqdq844","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I180740530"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S Baird","raw_affiliation_strings":["National Committee for Quality Assurance (NCQA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Committee for Quality Assurance (NCQA)","institution_ids":["https://openalex.org/I180740530"]}]},{"author_position":"middle","author":{"id":null,"display_name":"C Clair","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180740530","display_name":"National Committee for Quality Assurance","ror":"https://ror.org/00sqdq844","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I180740530"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C Clair","raw_affiliation_strings":["National Committee for Quality Assurance (NCQA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Committee for Quality Assurance (NCQA)","institution_ids":["https://openalex.org/I180740530"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5004838854","display_name":"Sarah Hudson Scholle","orcid":"https://orcid.org/0000-0002-6270-1430","observed_orcids":["https://orcid.org/0000-0002-6270-1430"]},"institutions":[{"id":"https://openalex.org/I180740530","display_name":"National Committee for Quality Assurance","ror":"https://ror.org/00sqdq844","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I180740530"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S Scholle","raw_affiliation_strings":["National Committee for Quality Assurance (NCQA)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Committee for Quality Assurance (NCQA)","institution_ids":["https://openalex.org/I180740530"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I180740530"],"apc_list":{"value":3977,"currency":"USD","value_usd":3977},"apc_paid":{"value":3977,"currency":"USD","value_usd":3977},"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"2","issue":"suppl_1","first_page":"149","last_page":"149"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.40230000019073486,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.40230000019073486,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.16419999301433563,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.11980000138282776,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/quality-measures","display_name":"quality metrics","score":0.6690000295639038},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8420000076293945},{"id":"https://openalex.org/keywords/complex-needs","display_name":"complex needs","score":0.9449999928474426},{"id":"https://openalex.org/keywords/goal-attainment-scaling","display_name":"goal attainment scaling","score":0.8659999966621399},{"id":"https://openalex.org/keywords/personalized-goal-setting","display_name":"personalized goal setting","score":0.9340000152587891},{"id":"https://openalex.org/keywords/patient-centered-outcomes","display_name":"patient-centered outcomes","score":0.6579999923706055},{"id":"https://openalex.org/keywords/functional-limitations","display_name":"functional limitations","score":0.8080000281333923},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.8859999775886536},{"id":"https://openalex.org/keywords/quality-of-care-measurement","display_name":"quality of care measurement","score":0.46399998664855957}],"concepts":[{"id":"https://openalex.org/C2777364248","wikidata":"https://www.wikidata.org/wiki/Q1150737","display_name":"Prom","level":2,"score":0.8893693089485168},{"id":"https://openalex.org/C2780218827","wikidata":"https://www.wikidata.org/wiki/Q4199597","display_name":"Goal Attainment Scaling","level":3,"score":0.7564535140991211},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.7498237490653992},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.5896238088607788},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.5453401207923889},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5429750084877014},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.46532461047172546},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.45304444432258606},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4334310293197632},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4218320846557617},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3889334797859192},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.38796746730804443},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3866521716117859},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33258047699928284},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.17889297008514404},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.10631212592124939},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/geroni/igy023.541","doi":"https://doi.org/10.1093/geroni/igy023.541","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igy023.541","pdf_url":null,"source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5214432","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6230084","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6230084","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6230084","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innov Aging","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/geroni/igy023.541","doi":"https://doi.org/10.1093/geroni/igy023.541","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igy023.541","pdf_url":null,"source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3092374324","https://openalex.org/W4223520258","https://openalex.org/W2726354705","https://openalex.org/W1998466964","https://openalex.org/W2765606994","https://openalex.org/W3159348944","https://openalex.org/W4302773559","https://openalex.org/W4280538236","https://openalex.org/W4385186857","https://openalex.org/W2904287081"],"abstract_inverted_index":{"Healthcare":[0],"quality":[1,20,29,104,174,241],"measures":[2,30,105,128],"aim":[3],"to":[4,24,49,55,111,117,167,231],"evaluate":[5,44],"providers":[6,222],"and":[7,40,80,88,125,141,223],"health":[8,38],"plans":[9],"so":[10],"that":[11,21,46,82,93,106,157,179,215],"consumers":[12],"can":[13],"make":[14],"informed":[15],"decisions":[16],"on":[17,33,180],"aspects":[18],"of":[19,37,97,163,183,246],"matter":[22],"most":[23,27,110],"them.":[25],"Yet,":[26],"existing":[28],"are":[31,47],"based":[32],"a":[34,161],"narrow":[35],"set":[36],"outcomes":[39,45,165],"do":[41],"not":[42,170],"effectively":[43],"important":[48,166],"individuals":[50],"themselves.":[51],"This":[52,69],"\u201cone-size-fits-all\u201d":[53],"approach":[54,230],"measurement":[56,242],"is":[57],"particularly":[58],"misaligned":[59],"when":[60],"evaluating":[61],"care":[62],"for":[63,103,240],"older":[64,149,158,184,224],"adults":[65,150,159,185,225],"with":[66,72,147,189],"complex":[67],"needs.":[68],"population\u2014including":[70],"those":[71],"functional":[73],"limitations,":[74],"comorbidities,":[75],"or":[76],"both\u2014frequently":[77],"requires":[78],"services":[79],"supports":[81],"extend":[83],"beyond":[84],"traditional":[85],"medical":[86],"care,":[87],"choices":[89],"about":[90],"treatment":[91],"options":[92],"require":[94],"complicated":[95],"calculations":[96],"tradeoffs.":[98],"To":[99],"address":[100],"the":[101,145,187,192,217,227,232],"need":[102],"reflect":[107],"what":[108],"matters":[109],"individuals,":[112],"we":[113],"tested":[114],"two":[115],"approaches":[116,146],"personalized":[118,164,193],"goal":[119,121,194],"setting:":[120],"attainment":[122],"scaling":[123],"(GAS)":[124],"person-reported":[126],"outcome":[127],"(PROM).":[129],"Across":[130],"six":[131,199],"organizations,":[132],"34":[133],"clinicians":[134],"(including":[135],"physicians,":[136],"nurse":[137],"practitioners,":[138],"registered":[139],"nurses,":[140],"social":[142],"workers)":[143],"piloted":[144],"232":[148],"(GAS":[151],"n=184;":[152],"PROM":[153,235],"n=49).":[154],"Results":[155],"demonstrate":[156],"articulated":[160],"range":[162],"them":[168],"but":[169,201],"captured":[171],"through":[172],"current":[173],"measures.":[175],"Quantitative":[176],"analyses":[177],"show":[178],"average":[181],"73%":[182],"in":[186,205],"study":[188],"follow-up":[190],"achieved":[191],"they":[195],"had":[196],"selected":[197],"over":[198],"months,":[200],"also":[202],"revealed":[203],"variation":[204],"achievement":[206],"rates":[207],"across":[208,243],"organizations":[209],"(range:":[210],"56\u2013100%).":[211],"Qualitative":[212],"results":[213],"highlight":[214],"despite":[216],"greater":[218],"initial":[219],"perceived":[220],"workload,":[221],"preferred":[226],"individualized":[228],"GAS":[229,237],"more":[233],"structured":[234],"approach.":[236],"proved":[238],"feasible":[239],"diverse":[244],"settings":[245],"care.":[247]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2018-11-16T00:00:00"}