1. ACOVE 4: Continuity and Coordination of Care in Vulnerable Elders Continuity is ‘‘care over time by a single individual or team of healthcare professionals’’ including ‘‘effective and timely communication of healthcare information.’’ Institute of Medicine 1996

2. ACOVE 4: Continuity of Care Quality Indicators Identification of Source of Care Identification of Source of Care Follow-Up on Medication in the Outpatient Setting Follow-Up on Medication in the Outpatient Setting Continuity of Medication Between Physicians Continuity of Medication Between Physicians Communication Concerning Consultations Communication Concerning Consultations Follow-Up of Missed Periodic Outpatient Preventive Care Follow-Up of Missed Periodic Outpatient Preventive Care Follow-Up of Diagnostic Tests in the Outpatient Setting Follow-Up of Diagnostic Tests in the Outpatient Setting

4. ACOVE 4: Continuity of Care Quality Indicators Continuity in the ED and at Hospital Admission Continuity in the ED and at Hospital Admission Follow-Up After Hospital Discharge Follow-Up After Hospital Discharge Follow-Up of Medication After Hospital Discharge Follow-Up of Medication After Hospital Discharge Follow-Up of Pending Test Results and Visits After Hospital Discharge Follow-Up of Pending Test Results and Visits After Hospital Discharge Medical Record Continuity Medical Record Continuity Care for Patients with Language Barriers Care for Patients with Language Barriers