Which component is NOT part of the COA measure?

• A. Pain assessment
• B. Functional status assessment
• C. Hospitalization frequency
• D. Medication review

Answer: (C)

The COA (Care of Adults) measure is designed to evaluate various aspects of care provided to adult patients, emphasizing the importance of assessing both physical and functional health as well as the ongoing management of medications. Within this context, the components of a COA measure typically include critical evaluations such as pain assessment, functional status assessment, and medication review.

Hospitalization frequency, while an important healthcare metric, does not directly assess the quality or effectiveness of care delivered to individuals in the same way that the other aspects do. COA measures focus on the specific interactions and evaluations related to a patient’s daily functioning, symptom management, and ongoing treatment planning. Therefore, it does not encompass hospitalization frequency, making it the correct answer in identifying what is not a part of the COA measure.

Understanding this distinction reinforces the concept that while hospitalization rates can indicate broader quality issues or healthcare system performance, they are not a direct reflection of the individualized care processes that COA measures aim to evaluate.