Standard set of health outcome measures for older persons

The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi...

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Bibliographic Details
Published in:	BMC geriatrics Vol. 18; no. 1; pp. 36 - 10
Main Authors:	Akpan, Asangaedem, Roberts, Charlotte, Bandeen-Roche, Karen, Batty, Barbara, Bausewein, Claudia, Bell, Diane, Bramley, David, Bynum, Julie, Cameron, Ian D, Chen, Liang-Kung, Ekdahl, Anne, Fertig, Arnold, Gentry, Tom, Harkes, Marleen, Haslehurst, Donna, Hope, Jonathon, Hurtado, Diana Rodriguez, Lyndon, Helen, Lynn, Joanne, Martin, Mike, Isden, Ruthe, Raso, Francesco Mattace, Shaibu, Sheila, Shand, Jenny, Sherrington, Cathie, Sinha, Samir, Turner, Gill, De Vries, Nienke, Yi, George Jia-Chyi, Young, John, Banerjee, Jay
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 02-02-2018 BioMed Central BMC
Subjects:	Activities of daily living Activities of Daily Living - psychology Age Aged Aged, 80 and over Aging Alzheimer's disease Analysis Autonomy Clinical decision making Consensus Decision making Delphi Technique Elderly Female Focus groups Focus Groups - methods Focus Groups - standards Frailty Geriatrics Health aspects Health care Health care reform Health outcomes Humans Literature reviews Male Management Medical care quality Medicin och hälsovetenskap Mobility Limitation Mood Older people Outcome Assessment, Health Care - methods Outcome Assessment, Health Care - standards Pain Patient care Patients Quality control Researchers Womens health Working groups United Kingdom > UK New York United States > US Health outcomes Older people
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Summary:	The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services. A modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions.To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group. The outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework. The first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.
ISSN:	1471-2318 1471-2318
DOI:	10.1186/s12877-017-0701-3