The Preference Based Living team presented a symposium, Micro to Macro: Exploring Preference-Based Person Centered Care from Multiple Perspectives, at the Gerontological Society of America 2020 Annual Meeting Online. Conference attendees can view the symposium presentations via the links below. 

Patterns of Preference Importance Ratings Among African-American and White Nursing Home Residents – N. Hicks, K. Abbott, A. Heid, K. Leser, K. VanHaitsma

Do African American and White nursing home residents have similar preferences for everyday living? A study using the PELI found more similarities than differences between the two groups. Where there were statistically significant differences, African-American residents had stronger preference ratings than white residents. The findings highlight the need for careful preference assessment as the basis for culturally sensitive person-centered care. 

I’m Completely Satisfied But…: Barriers and Facilitators to Fulfilling Nursing Home Residents Preferences – C. Madrigal, L. Behrens, V. Burshnic, J. Murphy, K. Abbott, K. VanHaitsma

Why are nursing home residents satisfied, or not, with the way their preferences for daily living are fulfilled? Using the new ComPASS-16 tool, researchers identified six types of facilitators or barriers that are associated with preference fulfillment: resident agency, values and physical characteristics; social support systems; staff competence; communication success; built environment; and access to resources. Providers can look for opportunities to reduce barriers in each area and use ComPASS-16 to track their progress in improving resident satisfaction with care. 

Risky Preferences: – Nursing Staff Perceptions of Risks May Impede Delivery of Person-Centered Care – L. Behrens, K. VanHaitsma, A. Kolanowski, M. Boltz, M. Sciegai, K. Abbott, C. Madrigal

How do staff perceptions of risk affect the delivery of preference-based care in nursing homes? Interviews with direct care nursing home staff revealed that concerns about risk are pervasive and can impede delivery of person-centered care. Several strategies can address the problem, including:  encouraging direct care staff to adopt an attitude where risk engagement becomes a necessary part of supporting quality of life for adults in nursing homes; and using the Preference Based, Person Centered Care Risk Engagement model to monitor effective engagement in risk management. 

The Impact of Preference-Based, Person-Centered Care on Regulatory Outcomes – X. Qiu, K. Abbott, J. Bowblis, K. VanHaitsma

What is the impact of preference-based, person-centered care on regulatory outcomes? The PELI was mandated as a pay-for-performance indicator by the Ohio Department of Medicaid in 2015. Some providers had expressed concern that they might be cited if they asked residents about their preferences but could not fulfill them. However, this concern was not supported by the data. This study found that implementing the PELI facilitated incorporating preferences into care and was not associated with deficiencies, complaints or fines related to care provision.

Dr. Katy Abbott chaired the session and Dr. Kristi Williams served as the discussant. If you’d like more information about our research, contact us below!

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