Heightening person-centered care processes in the delivery of nursing restorative care

Kathleen Abrahamson, Christine Mueller, Yinfei Duan, Valerie Cooke

Research output: Contribution to journalArticlepeer-review

Abstract

The objective of the current study was to investigate the perspectives of nursing home (NH) providers regarding the requirements to achieve reimbursement for nursing restorative care (NRC) services and propose recommendations to state agencies to assist NH providers to conduct NRC programs that are person-centered and able to achieve full reimbursement. Methods included a survey of NH providers in one state and a stakeholder focus group to discuss survey findings and develop recommendations. Key findings are that NH providers perceive value to residents from the provision of NRC; providers do not associate these benefits with the stringent reimbursement requirements; and NHs often provide NRC that is individualized, based on resident goals and activity tolerance, as well as realistic given competing demands on staff, even when doing so means giving up reimbursement for NRC services. Recommendations include basing reimbursement for NRC on outcomes rather than the process; reconsideration of the frequency and intensity requirements for NRC components; and increased availability of NRC training/education and resources for providers and case-mix reviewers. [Journal of Gerontological Nursing, 45(5), 5-10.].

Original languageEnglish (US)
Pages (from-to)5-10
Number of pages6
JournalJournal of gerontological nursing
Volume45
Issue number5
DOIs
StatePublished - May 1 2019

Bibliographical note

Funding Information:
The authors have disclosed no conflicts of interest, financial or otherwise. The project was funded by a contract from the Minnesota Department of Human Services.

Publisher Copyright:
© SLACK Incorporated.

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Chronic Disease/economics
  • Female
  • Geriatric Nursing/economics
  • Humans
  • Long-Term Care/economics
  • Male
  • Middle Aged
  • Nursing Homes/economics
  • Patient-Centered Care/economics
  • Practice Guidelines as Topic
  • Rehabilitation Nursing/standards
  • United States

PubMed: MeSH publication types

  • Journal Article

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