Reply to "Misuse of ACE assessment"

I'll bring in the pragmatics, because believe it or not we have already observed it happening. When dollars are squeezed, we can't allow ACEs to be misunderstood to be predictors and triage out patients. I was at an ACE summit two years ago where we actually heard accounts in two separate workshops about a hospital system who was doing this. The higher number of ACEs actually demoted quality of care and receiving certain scarce medicines. This is why we organizationally do not advocate yet for mandatory screenings. We need to be clear that the people who gather the data are using it properly, and it is never to be used in a derogatory fashion.

4/26/187:05 AM

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