Lessons Learned From Ohio's Statewide Implementation of the Preferences for Everyday Living Inventory as a Pay for Performance Initiative to Enhance Person-Centered Care

2021 ◽  
Author(s):  
Katherine M. Abbott ◽  
Amy Elliot ◽  
Kimberly Van Haitsma
Keyword(s):  
Pay For Performance ◽  
Lessons Learned ◽  
Person Centered Care ◽  
Centered Care ◽  
Everyday Living

scholarly journals COVID-19 and Person-Centered Care: Lessons Learned Through a Statewide Program for Nursing Homes

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 270-271
Author(s):  
Migette Kaup ◽  
Laci Cornelison
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Infection Control ◽  
Pay For Performance ◽  
Control Strategies ◽  
Lessons Learned ◽  
Frail Elders ◽  
Person Centered Care ◽  
Centered Care ◽  
The Impact

Abstract Frail elders in nursing homes are the highest risk group for developing complications of COVID-19. This lead to a response from CMS and state regulators that was heavily focused on protection and safety through segregation and infection control. The purpose of this study was to gather the narrative of this pandemic response and understand the impact on person-centered care and be able to address provider needs in real-time. This qualitative method focused on nursing home providers who are a part of PEAK 2.0, a Medicaid pay-for-performance program in Kansas. Interviews with nursing home staff (n=168) revealed two critical themes of need; mandated responses disregarded elders’ autonomy and self-determination in decision making, and infection control strategies required new approaches to facets of resident care that still maintained dignity. This data, along with COVID-19 guidance were then used to inform feasible resource development and education to maintain PCC practices during the pandemic.

scholarly journals We're Still Very Much in Limbo: Providers' Perspectives on Implementing a Person-Centered Project

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 270-270
Author(s):  
Megan Kelley ◽  
Alex Heppner ◽  
Kimberly Van Haitsma ◽  
Katherine Abbott ◽  
Miranda Corpora
Keyword(s):  
Nursing Home ◽  
Thematic Analysis ◽  
Implementation Process ◽  
Barriers And Facilitators ◽  
Future Thinking ◽  
Person Centered Care ◽  
Centered Care ◽  
Everyday Living ◽  
Recreation And Leisure

Abstract Background The Preferences for Everyday Living Inventory assists nursing home (NH) providers in assessing residents’ preferences and can be used to make Preferences for Activity and Leisure (PAL) Cards, which are personalized 5x7 laminated cards that reflect a resident’s recreation and leisure preferences. We sought to understand the barriers and facilitators to implementing PAL Cards in NH communities during COVID-19. Methods NH providers from five states (n=29) were recruited to create PAL Cards in their communities. Monthly coaching calls with project champions assessed the implementation process. Calls were recorded, transcribed verbatim, checked for accuracy, and coded via thematic analysis. Results Four themes emerged: Adapting to COVID, Preoccupied with COVID, Future Thinking, and PAL Cards Filling the Gaps. Conclusion Some providers were successful adapting to COVID, while others struggled to implement a new program during the pandemic. Those that were successful expressed how PAL Cards helped promote person-centered care.

scholarly journals The Consistency of Self-Reported Preferences for Everyday Living: Implications for Person-Centered Care Delivery

2014 ◽  
Vol 40 (10) ◽  
pp. 34-46 ◽  
Author(s):  
Kimberly Van Haitsma ◽  
Katherine M. Abbott ◽  
Allison R. Heid ◽  
Brian Carpenter ◽  
Kimberly Curyto ◽  
...  
Keyword(s):  
Care Delivery ◽  
Person Centered Care ◽  
Centered Care ◽  
Everyday Living

scholarly journals The impact of preference-based, person-centered care on regulatory outcomes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 837-837
Author(s):  
Xiao Qiu ◽  
Katherine Abbott ◽  
John Bowblis ◽  
Kimberly Van Haitsma
Keyword(s):  
Nursing Home ◽  
Fixed Effects ◽  
Pay For Performance ◽  
Performance Indicator ◽  
Panel Regression ◽  
Fixed Effects Panel Regression ◽  
Centered Care ◽  
The Impact ◽  
Everyday Living

Abstract The Preferences for Everyday Living Inventory (PELI) was mandated as a pay for performance indicator by the Ohio Department of Medicaid in 2015. This study explored the impacts of PELI implementation on regulatory outcomes in 2017. The level of PELI implementation from n=551 Ohio nursing home providers between 2015 and 2017 were linked with Centers for Medicare and Medicaid Services Nursing Home Compare data. Fixed effects panel regression analyses assessed the effects of time-varying PELI implementation on 2015-2017 regulatory outcomes that could be correlated with quality of life including fines, substantiated complaints, health scores, deficiency counts and deficiency scores. Results show a significant increase in substantiated complaints among providers that were slow adopters of the PELI. Overall, the extent of PELI implementation was not associated with regulatory outcomes. The use of the PELI may not impact substantiated complaints suggesting further research is needed to identify person-centered outcomes of interest. Part of a symposium sponsored by the Research in Quality of Care Interest Group.

scholarly journals Supporting Persons With Severe Dementia in Communicating Their Preferences

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 454-454
Author(s):  
Vanessa Burshnic ◽  
Michelle Bourgeois
Keyword(s):  
Care Plan ◽  
Preference Assessments ◽  
Severe Dementia ◽  
Person Centered Care ◽  
Government Mandates ◽  
Centered Care ◽  
Communication Challenges ◽  
External Supports ◽  
Validity Measure ◽  
Everyday Living

Abstract Government mandates require US nursing homes to provide preference-based, person-centered care. Persons with dementia (PWD) are less likely to have a role in preference assessments (PAs) used for care planning due to communication challenges associated with the disease. Thus, PWD are at risk of receiving de-personalized treatments. External supports (photograph and text cues) are known to improve communication in PWD. Yet these cues have never been studied with widely used PAs, such as the MDS 3.0 Section F and Preferences for Everyday Living Inventory (PELI). This study examined the effect of two PA conditions (externally supported; standard verbal) on preference consistency and response types (off-topic, clarification requests, elaboration) of residents with severe dementia (N=21) (BIMS < 7) when assessed twice, one-week apart. PA questions were derived from the MDS 3.0 Section F and PELI. As a social validity measure, naïve judges (N=10) listened to interviews and rated residents’ communication clarity and their confidence understanding residents’ preferences. Results showed that neither condition promoted significantly greater levels of consistency over time. Residents’ ‘clarification requests’ were significantly fewer with use of external supports. Other response types were not significantly different across conditions. Judges’ ratings were not significantly different across conditions; however, they rated residents’ communication as clear and understandable overall. This study addresses a gap in current research and holds important implications for helping providers meet government mandates and enhance care plan participation by residents with severe dementia and other communication challenges.

scholarly journals PEAK 2.0: OPERATIONALIZING PERSON-CENTERED CARE AIDS NURSING HOMES IMPLEMENT AND SUSTAIN PRACTICES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S555-S556
Author(s):  
Laci Cornelison ◽  
Gayle Doll ◽  
Maggie Syme ◽  
Migette Kaup
Keyword(s):  
Nursing Homes ◽  
Pay For Performance ◽  
External Evaluation ◽  
Stakeholder Collaboration ◽  
Self Evaluation ◽  
Person Centered Care ◽  
Research Outcomes ◽  
Centered Care ◽  
Key Features ◽  
Definition Of

Abstract Pay-for-performance programs to incentivize quality are on the rise nationally (Werner, Konetzka, & Polsky, 2013 & Arling, Job, & Cooke, 2009). Kansas initiated a Medicaid P4P program to incentivize person-centered care (PCC) beginning in 2012 called PEAK 2.0. This program created an operationalized definition of PCC through stakeholder collaboration and research outcomes (Harris, Poulsen, & Vlangas, 2006). Homes enrolled in the program undergo both self-evaluation and objective external evaluation based on the operationalized definition. These key features inherent in the PEAK 2.0 program make up has aided homes to implement PCC as well as, the ability to research homes that have implemented PCC in a new a different way than ever before.

scholarly journals Care coordinator assistants: Job satisfaction and the importance of teamwork in delivering person-centered dementia care

Dementia ◽  
2018 ◽  
Vol 19 (5) ◽  
pp. 1560-1572
Author(s):  
Dustin Nowaskie ◽  
Carly A Carvell ◽  
Catherine A Alder ◽  
Michael A LaMantia ◽  
Sujuan Gao ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Workforce Development ◽  
College Graduates ◽  
Case Reports ◽  
Dementia Care ◽  
Lessons Learned ◽  
Care Coordinator ◽  
Person Centered Care ◽  
Centered Care ◽  
The Impact

As the prevalence of persons with dementia increases, a larger, trained, and skilled healthcare workforce is needed. Attention has been given to models of person-centered care as a standard for dementia care. One promising role to deliver person-centered care is the care coordinator assistant. An inquiry about care coordinator assistant’s job satisfaction is reasonable to consider for retention and quality improvement purposes. We evaluated care coordinator assistants' job satisfaction quantitatively and qualitatively. This study was part of a Centers for Medicare & Medicaid Services Health Care Innovation Award to the Indiana University School of Medicine. Sixteen care coordinator assistants, predominately female, African American or Caucasian, college graduates with a mean age of 43.1 years participated. Care coordinator assistants wrote quarterly case reports to share stories, lessons learned, and/or the impact of their job and completed the revised Job Satisfaction Inventory and Job in General scales during the second year of the Centers for Medicare & Medicaid Services award. For the Job Descriptive Index subscales promotion, supervision, and coworkers and Job in General, care coordinator assistants scored similar to normative means. Care coordinator assistants reported significantly higher satisfaction on the work subscale and significantly lower satisfaction on the pay subscale compared to normative data. Care coordinator assistants completed 119 quarterly case reports. Job satisfaction and teamwork were recurring themes in case reports, referenced in 47.1% and 60.5% of case reports, respectively. To address the demands of increasing dementia diagnoses, care coordinator assistants can constitute a compassionate, competent, and satisfied workforce. Training care coordinator assistants to work together in a team to address the needs of persons with dementia and caregivers provides a viable model of workforce development necessary to meet the growing demands of this population.

scholarly journals CARE BASED ON PREFERENCES: EXPERIENCES OF RESIDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S74-S74
Author(s):  
Martina Roes ◽  
Daniel Purwins ◽  
Tobias Stacke ◽  
Christina Manietta ◽  
Johannes Bergmann
Keyword(s):  
Cognitive Interview ◽  
Care Recipient ◽  
Institutional Barriers ◽  
Individual Preferences ◽  
Person Centered Care ◽  
Centered Care ◽  
Level Of Understanding ◽  
The Individual ◽  
Close Relatives ◽  
Everyday Living

Abstract To provide person-centered care, professional caregivers need to know about the individual preferences of the persons being cared for. Since there were no comparable instruments available, we translated the PELI (Preferences for Everyday Living Inventory) and tested the culturally translated version in German nursing homes. Besides testing for reliability and feasibility in German care settings, were are asking for satisfaction in fulfilling of the preferences and reasons for personal or institutional barriers that hinder adherence to the preferences. Furthermore, to determine the level of understanding and meaning of preferences, we interview a few residents and their close relatives in a cognitive interview. Preliminary results of the perspective of the care recipient will be presented.

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