{"id":2794,"date":"2025-08-01T01:00:06","date_gmt":"2025-08-01T05:00:06","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=2794"},"modified":"2025-08-01T01:00:09","modified_gmt":"2025-08-01T05:00:09","slug":"care-for-older-adults-coa","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/care-for-older-adults-coa\/","title":{"rendered":"Care for Older Adults (COA)"},"content":{"rendered":"<p><span data-contrast=\"auto\">The percentage of persons 66 years of age and older who had both of the following during the measurement period:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:80,&quot;335559740&quot;:240,&quot;469777462&quot;:[1368],&quot;469777927&quot;:[0],&quot;469777928&quot;:[1]}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"37\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Medication Review.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:80,&quot;335559739&quot;:0,&quot;335559740&quot;:240,&quot;469777462&quot;:[360,576],&quot;469777927&quot;:[0,0],&quot;469777928&quot;:[1,1]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"37\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1080,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Functional Status Assessment.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<h2>Why It Matters<\/h2>\n<p><span data-contrast=\"none\">According to U.S. Census statistics, there are an estimated 54 million adults over the age of 65 in the United States, and it is estimated that by 2050 this number will increase to 85.7 million <sup><a href=\"#ref-1\">1<\/a><\/sup>. As the population ages, physical function decreases and cognitive ability can decrease. Older adults can become depressed or have medication regimens of increased complexity. Assessing functional status and medication review can ensure that older adults receive comprehensive care that prevents further health status decline and considers their wishes.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Functional status assessment<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Screening is effective in identifying functional decline. Physical ability is an important indicator for health and well-being in old age, as it decreases with age. Physical functional decline is often an initial symptom of illness in older people, and early detection of functional decline allows earlier treatment or intervention <sup><a href=\"#ref-2\">2<\/a><\/sup>.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Medication review<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The vast majority of older adults take medications to address at least three or more chronic conditions. Many have multiple prescribing physicians and use more than one pharmacy, necessitating regular review of medications. The Task Force on Medications Partnership recommends that all community-dwelling older adults have a medication review performed at least yearly <sup><a href=\"#ref-3\">3<\/a><\/sup>.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">A medication list should include prescriptions and over-the-counter (OTC) medications (including herbals, supplements), dose, frequency and reason for taking the medication. Poor medication management can lead to adverse drug events, overdoses and underutilization of drugs, all of which can result in increased hospitalizations <sup><a href=\"#ref-4\">4<\/a><\/sup>.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The vast majority of older adults take medications to address at least three or more chronic conditions. Many have multiple prescribing physicians and use more than one pharmacy, necessitating regular review of medications. The Task Force on Medications Partnership recommends that all community-dwelling older adults have a medication review performed at least yearly <sup><a href=\"#ref-5\">5<\/a><\/sup>.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">A medication list should include prescriptions and over-the-counter (OTC) medications (including herbals, supplements), dose, frequency and reason for taking the medication. Poor medication management can lead to adverse drug events, overdoses and underutilization of drugs, all of which can result in increased hospitalizations <sup><a href=\"#ref-6\">6<\/a><\/sup>.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<h2>Historical Results \u2013 National Averages<\/h2>\n<p><strong>Performance results for this measure are currently unavailable.<\/strong><\/p>\n<div class=\"footnotes\"><\/p>\n<h3>References<\/h3>\n<ol>\n<li id=\"ref-1\"><span data-contrast=\"none\"> \u201cIntroduction: 2021 Senior Report.\u201d America\u2019s Health Rankings, n.d. <\/span><a href=\"https:\/\/www.americashealthrankings.org\/learn\/reports\/2021-senior-report\/introduction\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">https:\/\/www.americashealthrankings.org\/learn\/reports\/2021-senior-report\/introduction<\/span><\/span><\/a><\/li>\n<li id=\"ref-2\"><span data-contrast=\"none\"> Extermann et al .2005. \u201cUse of Comprehensive Geriatric Assessment in Older Cancer Patients: Recommendations from the Task Force on CGA of the International Society of Geriatric Oncology (SIOG).\u201d Critical Reviews in Oncology\/Hematology 55:241\u201352.<\/span><\/li>\n<li id=\"ref-3\"><span data-contrast=\"none\"> Task Force on Medicines Partnership. 2002. The National Collaborative Medicines Management Services Programme. Room for Review. A Guide to Medication Review. <\/span><a href=\"http:\/\/www.medicines-partnership.org\/medication-review\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">http:\/\/www.medicines-partnership.org\/medication-review<\/span><\/span><\/a><span data-contrast=\"none\"> (Accessed September 2005)<\/span><\/li>\n<li id=\"ref-4\"><span data-contrast=\"none\"> Bikowski, R.M., C.M. Ripsin, V.L. Lorraine. 2001. \u201cPhysician-Patient Congruence Regarding Medication Regimens.\u201d J Am Geriatr Soc 1353\u20137.<\/span><\/li>\n<li id=\"ref-5\"><span data-contrast=\"none\"> Task Force on Medicines Partnership. 2002. The National Collaborative Medicines Management Services Programme. Room for Review. A Guide to Medication Review. <\/span><a href=\"http:\/\/www.medicines-partnership.org\/medication-review\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">http:\/\/www.medicines-partnership.org\/medication-review<\/span><\/span><\/a><span data-contrast=\"none\"> (Accessed September 2005)<\/span><\/li>\n<li id=\"ref-6\"><span data-contrast=\"none\"> Bikowski, R.M., C.M. Ripsin, V.L. Lorraine. 2001. \u201cPhysician-Patient Congruence Regarding Medication Regimens.\u201d J Am Geriatr Soc 1353\u20137.<\/span><\/li>\n<\/ol>\n<p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The percentage of persons 66 years of age and older who had both of the following during the measurement period:\u00a0 Medication Review.\u00a0 Functional Status Assessment.\u00a0 Why It Matters According to U.S. Census statistics, there are an estimated 54 million adults over the age of 65 in the United States, and it is estimated that by [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":733,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-2794","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Care for Older Adults (COA) - NCQA<\/title>\n<meta name=\"description\" content=\"The percentage of adults 66 years and older who had each of the following during the measurement year.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/care-for-older-adults-coa\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Care for Older Adults (COA) - NCQA\" \/>\n<meta property=\"og:description\" content=\"The percentage of adults 66 years and older who had each of the following during the measurement year.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/care-for-older-adults-coa\/\" \/>\n<meta property=\"og:site_name\" content=\"NCQA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NCQA.org\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-01T05:00:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ncqa.org\/wp-content\/uploads\/2021\/04\/NCQA_cmyk_tag.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"627\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@NCQA\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/care-for-older-adults-coa\/\",\"url\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/care-for-older-adults-coa\/\",\"name\":\"Care for Older Adults (COA) - NCQA\",\"isPartOf\":{\"@id\":\"https:\/\/www.ncqa.org\/#website\"},\"datePublished\":\"2025-08-01T05:00:06+00:00\",\"dateModified\":\"2025-08-01T05:00:09+00:00\",\"description\":\"The percentage of adults 66 years and older who had each of the following during the measurement year.\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/care-for-older-adults-coa\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/care-for-older-adults-coa\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/care-for-older-adults-coa\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.ncqa.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Report Cards\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Health Plans\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"State of Health Care Quality Report\",\"item\":\"https:\/\/www.ncqa.org\/report-cards\/health-plans\/state-of-health-care-quality-report\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Care for Older Adults (COA)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ncqa.org\/#website\",\"url\":\"https:\/\/www.ncqa.org\/\",\"name\":\"NCQA\",\"description\":\"Measuring quality. 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