TY - JOUR
T1 - Impact of Implementing the Preferences for Everyday Living Inventory on Nursing Home Survey Deficiencies
AU - Kunkel, Miranda C.
AU - Bowblis, John R.
AU - Straker, Jane
AU - Van Haitsma, Kimberly
AU - Abbott, Katherine M.
N1 - Funding Information:
This work was made possible by The Patrick and Catherine Weldon Donaghue Medical Research Foundation (PI: K. Abbott).
Publisher Copyright:
© 2022 AMDA – The Society for Post-Acute and Long-Term Care Medicine
PY - 2023/1
Y1 - 2023/1
N2 - 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.
AB - 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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U2 - 10.1016/j.jamda.2022.10.021
DO - 10.1016/j.jamda.2022.10.021
M3 - Article
C2 - 36442538
AN - SCOPUS:85143861901
SN - 1525-8610
VL - 24
SP - 113
EP - 118
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 1
ER -