Adults who receive long-term services and supports experience better health and well-being when their care reflects their values and preferences. In order to make this vision a reality for all Americans, we need evidence-based state and national policy, regulations and financing that promote preference-based, person-centered care.

In this section of the website, we share publications, presentations and recommendations based on our research and direct experience working with provider communities to advance preference-based care in long-term services and supports settings.


VanHaitsma, K. (July 21, 2020). Evidence-Based Person-Centered Practices for Persons Living with Dementia and Their Caregivers: What Do We Know? Where to Next? National Institute on Aging Research Virtual Summit on Care, Services, and Supports for Persons with Dementia and their Caregivers. Session on Long-Term Services and Supports in Home, Community, and Residential Care Settings for Persons with Dementia and Their Caregivers.

Available online at: Research

View Dr. VanHaitsma’s Presentation (Starting at 1:27:14)


Abbott, K., Douglas, N., VanHaitsma, K. (2022). A Rising Tide Lifts All Boats: Equitable Nursing Home Policy Through Implementation Science. Public Policy & Aging Report, 32(1), 6-12,

Wagner, L. M., Van Haitsma, K. , Kolanowski, A., & Spetz, J. (2021). Recommendations to Deliver Person-Centered Long-Term Care for Persons Living With Dementia. Journal of the American Medical Directors Association, 22(7), 1366–1370.

Abbott, K., Elliot, A., VanHaitsma, K. (2021) Lessons Learned From Ohio’s Statewide Implementation of the Preferences for Everyday Living Inventory as a Pay for Performance Initiative to Enhance Person-Centered Care. Journal of the American Medical Directors Association, 22(10), 2074-2078,

Abbott, K.M., Anjali, B.K., Straker, J., & Brown, J.S. (2020). Resident preferences and CNA empowerment:  An exploratory factor analysis of culture change. Journal of Applied Gerontology, 39(12), 1284-1291.

Project Impact Reports

2018 PAL Card Project Impact

The PAL Card Project was an Ohio Department of Aging approved Quality Improvement Project (QIP) that offered training and support to Ohio nursing home providers seeking to enhance person-centered care by implementing PAL Cards in their community. View the infographic to learn more about the project’s impact.

2018 PAL Card Project Impact

2021 PAL Card Project Impact

Between July 2020 and July 2021, the Preference Based Living Team ran our third PAL Card Quality Improvement Project (QIP). This report presents our findings from the project, including strategies for success, provider insights, and a new feature for the PAL Cards. View the infographic to learn more about the project’s impact on both providers and residents.

2021 PAL Card Project Impact