TY - JOUR
T1 - Sustainability of the Preferences for Everyday Living Inventory Use in Ohio Nursing Homes Over Time
AU - Talmage, Alexis A.
AU - Heid, Allison R.
AU - Kinney, Jennifer M.
AU - Van Haitsma, Kimberly
AU - Abbott, Katherine M.
N1 - Publisher Copyright:
© 2024 Post-Acute and Long-Term Care Medical Association
PY - 2024/10
Y1 - 2024/10
N2 - Objectives: In 2015, the Ohio Department of Medicaid incentivized use of the Preferences for Everyday Living Inventory (PELI) as a quality initiative. The pay-for-performance (P4P) program, however, was then deimplemented in 2019. This study investigated the sustainability of use of the PELI in Ohio nursing homes (NHs) from 2017 to 2021 and examined barriers to PELI implementation. Design: This study analyzed 2 waves of Ohio Biennial Survey of Long-Term Care Facilities data. Setting and Participants: Data were drawn from 433 NHs in Ohio that reported on PELI implementation efforts between 2017 and 2021. Methods: This study examined the change in proportion of NHs implementing the PELI (ie, conducted for all residents, used in care planning) and change in proportion of NHs using different PELI assessment formats (ie, the full 72-item PELI, MDS 3.0 Section F items only). Frequencies of reported barriers to PELI implementation by NH administrators were tabulated. Results: Results indicate that although use of the full 72-item PELI decreased over time, only a small percentage discontinued its use despite possible impacts of P4P changes in 2019 and challenges posed by the COVID-19 pandemic. NHs adapted their PELI assessment formats likely in response to perceived barriers of PELI use (ie, length of the full PELI, time constraints, and residents’ level of cognitive impairment). Conclusions and Implications: Findings suggest that Ohio NHs sustained PELI implementation over time in the context of large systemic changes in P4P financial incentives and COVID-19 safeguards. Barriers were reported at the organizational level, yet NHs continued to prioritize PCC with the PELI. Policy/P4P mandates may serve as effective implementation incentives that encourage sustainability of quality care practices. Future research should explore long-term sustainability and stakeholder perspectives on PELI utilization.
AB - Objectives: In 2015, the Ohio Department of Medicaid incentivized use of the Preferences for Everyday Living Inventory (PELI) as a quality initiative. The pay-for-performance (P4P) program, however, was then deimplemented in 2019. This study investigated the sustainability of use of the PELI in Ohio nursing homes (NHs) from 2017 to 2021 and examined barriers to PELI implementation. Design: This study analyzed 2 waves of Ohio Biennial Survey of Long-Term Care Facilities data. Setting and Participants: Data were drawn from 433 NHs in Ohio that reported on PELI implementation efforts between 2017 and 2021. Methods: This study examined the change in proportion of NHs implementing the PELI (ie, conducted for all residents, used in care planning) and change in proportion of NHs using different PELI assessment formats (ie, the full 72-item PELI, MDS 3.0 Section F items only). Frequencies of reported barriers to PELI implementation by NH administrators were tabulated. Results: Results indicate that although use of the full 72-item PELI decreased over time, only a small percentage discontinued its use despite possible impacts of P4P changes in 2019 and challenges posed by the COVID-19 pandemic. NHs adapted their PELI assessment formats likely in response to perceived barriers of PELI use (ie, length of the full PELI, time constraints, and residents’ level of cognitive impairment). Conclusions and Implications: Findings suggest that Ohio NHs sustained PELI implementation over time in the context of large systemic changes in P4P financial incentives and COVID-19 safeguards. Barriers were reported at the organizational level, yet NHs continued to prioritize PCC with the PELI. Policy/P4P mandates may serve as effective implementation incentives that encourage sustainability of quality care practices. Future research should explore long-term sustainability and stakeholder perspectives on PELI utilization.
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U2 - 10.1016/j.jamda.2024.105224
DO - 10.1016/j.jamda.2024.105224
M3 - Article
C2 - 39163988
AN - SCOPUS:85202533520
SN - 1525-8610
VL - 25
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 10
M1 - 105224
ER -