Maintaining functional status, or the ability to perform daily activities, is central to older adults' quality of life, health, and ability to remain independent. Identifying functional impairments is essential for clinicians to provide optimal care to older adults, and on a population level, understanding function can help anticipate service needs. Yet uptake of standardized measurement of functional status into patient care has been slow and inconsistent due to the burden posed by current tools. The purpose of the proposed QUERI Partnered Evaluation Initiative is to implement and evaluate a patient-centered, low-burden intervention to improve measurement of functional status in VA primary care settings nationally. The investigators hypothesize that implementing this intervention will increase identification and improve management of functional impairment among older Veterans while providing key data to inform VHA strategic planning related to long-term services and supports.
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Change in reach
Timeframe: 9 months, 12 months, 15 months, 18 months, 24 months
Change in clinical effectiveness
Timeframe: 0 months, 9 months, 12 months, 15 months, 18 months, 24 months
Change in association of electronic health record frailty indices with functional status
Timeframe: 0 months, 9 months, 12 months, 15 months, 18 months, 24 months