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Impact of Implementing the Preferences for Everyday Living Inventory on Nursing Home Survey Deficiencies
Miranda C Kunkel1, John R Bowblis2, Jane Straker3
1Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.
Objectives:
The purpose of this study is to expand on previous work testing the relationship between person-centered care (PCC) and quality outcomes in the nursing home (NH) setting. We explore if the Preferences for Everyday Living Inventory (PELI) implementation is a predictor of NH quality, as defined by deficiencies.
Design:
Secondary data analysis of repeated cross-sections.
Setting And Participants:
Data from 6 sources on Ohio NHs were merged to examine 1300 NH-year observations.
Methods:
Logistic regression techniques were used to evaluate the relationship between PELI implementation and 3 survey deficiency outcomes: whether the NH had a 4- or 5- deficiency star rating, deficiency score, and whether the NH had a deficiency score of 0.
Results:
NHs with complete PELI implementation increased the probability of having a 4- or 5- deficiency star rating by 6 percentage points (P = .039). Results also show complete PELI implementation is related to lower deficiency scores and an increased probability of having a deficiency score of 0, but only a 0 deficiency score was marginally significant.
Conclusions And Implications:
The findings indicate PCC stands to improve quality outcomes; however, benefits take time to show. Future research should seek to help improve NHs level of commitment to PCC and buy-in from policymakers.
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