An Academic and Nursing Home Partnership in Response to a Policy Initiative to Advance Person-Centered Care among Nursing Home Residents in Ohio
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Date
2018-04
Journal Title
Journal ISSN
Volume Title
Publisher
Ohio State University. Office of Outreach and Engagement
Abstract
The Ohio Department of Medicaid (ODM) instituted a statewide pay-for-performance policy for all nursing homes in the state (n=960) to use the Preferences for Everyday Living Inventory (PELI) to assess residents' preferences. The presenters will describe an ongoing, interdisciplinary statewide implementation project aimed to: partner with nursing home providers to integrate the PELI into daily operational practices; provide education/training for providers about using the PELI data to inform care; and evaluate the barriers to providing preference-based PCC. The presenters will describe working with stakeholders, translating research into applied practice, and the resources needed to work with nursing homes across Ohio. Initial findings will be presented about the barriers and facilitators of working with nursing homes in tandem with a statewide Medicaid quality policy initiative.
Description
Person-centered care (PCC) is an approach that emphasizes "knowing the person" and honoring individuals' preferences. Research suggests that PCC practices are related to better quality of care outcomes (e.g., food intake, continence, increased satisfaction), as well as quality of life outcomes (e.g., decreased agitation, increased positive affect/well-being) for nursing home residents. In 2016, as part of a pay-for-performance initiative to encourage PCC, the Ohio Department of Medicaid (ODM) instituted a statewide pay-for-performance policy for all nursing homes in the state (n=960) to use the Preferences for Everyday Living Inventory (PELI) to assess all residents' preferences. The PELI is a 72-item, evidenced-based, validated instrument shown to indicate nursing home residents' most strongly held preferences. The purpose of this presentation is to describe an ongoing interdisciplinary statewide project aimed to: 1) partner with nursing home providers on ways of integrating the PELI into daily operational practices; 2) provide education/training for providers about using the PELI data to inform care; and 3) evaluate the barriers to providing preference-based PCC implementation and provide solutions for long-term sustainability. The intended audience are researchers working collaboratively with community partners as well as nursing home providers seeking to provide individualized care. The presenters include experts in preference-based person-centered care and developers of the PELI. This session will describe working with stakeholders (e.g., providers, care teams, ombudsmen, family, and nursing home residents); translating research into applied practice (e.g., education, processes for quality improvement); and describe the resources needed to conduct implementation science work with nursing homes across Ohio. This session will highlight our education resources and initial findings of the barriers/facilitators of conducting implementation science programming with nursing homes in tandem with a statewide Medicaid quality policy initiative.
AUTHOR AFFILIATION: Katherine Abbott, Blayney Assistant Professor of Gerontology, Miami University, Scripps Gerontology Center, abbottkm@miamioh.edu (Corresponding Author); Hilary Rheinheimer, Activities Director, Heartland of Dublin; Jane Straker, Director of Research, Miami University, Scripps Gerontology Center; Gerald Gannod, Chair, Department of Computer Science, Tennessee Tech University; Kimberly Van Haitsma, Associate Professor, Pennsylvania State University.
AUTHOR AFFILIATION: Katherine Abbott, Blayney Assistant Professor of Gerontology, Miami University, Scripps Gerontology Center, abbottkm@miamioh.edu (Corresponding Author); Hilary Rheinheimer, Activities Director, Heartland of Dublin; Jane Straker, Director of Research, Miami University, Scripps Gerontology Center; Gerald Gannod, Chair, Department of Computer Science, Tennessee Tech University; Kimberly Van Haitsma, Associate Professor, Pennsylvania State University.
Keywords
person-centered care, nursing homes, preferences for everyday living, preference-based care, policy
Citation
Engaged Scholars, v. 6 (2018).