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Elder Abuse and Its Prevention Workshop Summary (2014) / Chapter Skim
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II.6 Elder Abuse and Its Prevention: Screening and Detection--Tara McMullen, Kimberly Schwartz, Mark Yaffe, and Scott Beach
Pages 88-93

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From page 88...
... Current CMS reporting of maltreatment includes reporting of the Elder Maltreatment Screen and Follow-up Plan measure, created for the PQRS, a physician reporting program within CMS. This measure specifically assesses the percentage of patients ages 65 and older with a documented elder maltreatment screen and follow-up plan on the date of positive screen (CMS, 2013)
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From page 89...
... . The CMS Elder Maltreatment and Care Symposium With a defined focus on expanded reporting and assessment of elder maltreatment, CMS hosted the Elder Maltreatment and Care Symposium to explore the current state of elder maltreatment screening and elder care practices across Medicare and Medicaid beneficiary populations and care settings.
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From page 90...
... to promote compliance by family physicians with tool usage, the time to administer it needed to be very short, while using language content that was acceptable to them; (3) research ethics requirements would limit validation to those aged 65 or older with Folstein MMSE (Mini-Mental State Examination)
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From page 91...
... For impaired populations, researchers must use more indirect methods such as caregiver or potential perpetrator surveys (Wiglesworth et al., 2010) , health care provider screening, reports from social service providers or others who come into frequent contact with older adults ("sentinels")
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From page 92...
... • Health care provider compliance with screening • Access to and cooperation from long-term care facilities • Which screening/measurement tool to use? (many options may need more psychometric testing, development)
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From page 93...
... They include issues around autonomy versus clinician "objectivity," potential self-report issues, health care provider compliance, access to and cooperation from long-term care facilities, selection of appropriate tools and measures, mode of data collection and use of technology, and how the setting or context in which the abuse screening or questioning occurs may affect responses. As one example, Dr.
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Key Terms

  • elder maltreatment
  • abuse screening
  • care settings
  • care provider
  • direct victim

  • maltreatment screen
  • cognitively intact
  • victim surveys
  • detect elder
  • provider compliance

  • emergency department
  • care symposium
  • care facilities
  • abuse suspicion
  • cognitively impaired

  • suspicion index
  • social service
  • forensic analysis
  • family physicians
  • wider cultural

  • service providers
  • cultural context
  • plan measure
  • cms elder
  • elder care

  • documented elder
  • define elder
  • identify elder
  • care screening
  • physician quality


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