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  11. Sustainability Of The Preferences For Everyday Living Inventory Use In Ohio Nursing Homes Over Time

Sustainability of the Preferences for Everyday Living Inventory Use in Ohio Nursing Homes Over Time

Alexis A Talmage1, Allison R Heid2, Jennifer M Kinney3

  • 1Department of Sociology and Gerontology, Miami University, Oxford, OH, USA.

Journal of the American Medical Directors Association
|August 20, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Ohio nursing homes sustained use of the Preferences for Everyday Living Inventory (PELI) despite deimplementation of pay-for-performance incentives and the COVID-19 pandemic. Barriers to PELI implementation were identified, but nursing homes continued prioritizing person-centered care.

Area of Science:

  • Gerontology
  • Health Services Research
  • Quality Improvement in Healthcare

Background:

  • The Ohio Department of Medicaid incentivized Preferences for Everyday Living Inventory (PELI) use in 2015.
  • A pay-for-performance (P4P) program supported PELI implementation but was deimplemented in 2019.
  • This study examines the long-term sustainability of PELI use in Ohio nursing homes.

Purpose of the Study:

  • To investigate the sustainability of PELI implementation in Ohio nursing homes from 2017 to 2021.
  • To identify barriers encountered during PELI implementation.
  • To understand how nursing homes adapted PELI assessment formats.

Main Methods:

  • Analysis of two waves of Ohio Biennial Survey of Long-Term Care Facilities data.
  • Inclusion of 433 Ohio nursing homes reporting on PELI implementation (2017-2021).
Keywords:
Nursing homebarriersimplementationpay-for-performance

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  • Examination of changes in PELI implementation rates and assessment formats, and tabulation of reported barriers.

    • Main Results:

    • Despite P4P deimplementation and COVID-19 challenges, a small percentage of nursing homes discontinued PELI use.
    • Nursing homes adapted PELI assessment formats, likely due to perceived barriers like length, time constraints, and cognitive impairment.
    • Use of the full 72-item PELI decreased, with a shift towards shorter formats.

    Conclusions:

    • Ohio nursing homes demonstrated sustained PELI implementation amidst significant systemic changes.
    • Organizational-level barriers were reported, yet person-centered care (PCC) remained a priority.
    • Policy and P4P mandates can incentivize the sustainability of quality care practices like PELI use.
    person-centered care
    sustainability