The quality of care of older adults in the United States has
been consistently shown to be inadequate. This gap between
recommended and actual care provides an opportunity to
improve the value of health care for older adults. Prior work
from the Assessing Care of Vulnerable Elders (ACOVE)
investigators first defined, and then sought to improve, clinical
practice for common geriatric conditions. A critical
component of the ACOVE intervention for practice
improvement was an emphasis on the delegation of specific
care processes, but the independent effect of delegation on
the quality of care has not been evaluated. This study analyzed
the pooled results of prior ACOVE projects from
1998 to 2010. T