About This Project
A Novel Tool for Integrating Resident Preferences for Improving Service Delivery and Satisfaction in Long-term Care Settings
The goal of this Phase I STTR project sponsored by the National Institute on Nursing Research is to develop and test COMPASS, a digital version of the Preferences for Everyday Living Inventory (PELI). The research will explore best practices for implementation and demonstration of the potential of the technology to impact the visibility of resident preferences and satisfaction. The way we respond emotionally to others can impact how we provide care. This course is designed to increase your awareness of your own emotions and help you identify emotions in others. Strategies are then provided for how to manage those emotions—yours and your care recipients’.
Aims
AIM 1: Complete 3 focus groups (administrators and IT, nursing, activities and certified nursing assistants) to define the organizational needs, use of information, and barriers to implementation. Information obtained from the focus groups will guide improvements to the software and implementation strategies. We will determine the opportunities for how this information can be used and ideas for creating incentives to overcome resistance to change. We will assess the criticality of integration with existing electronic health records systems or if the tool is sufficiently beneficial to be utilized independently. We will obtain input on approaches for presenting information that is easy for staff to understand and act on (UX research).
AIM 2: Expand the pilot digital tool (ComPASS-16) to a) enable additional PELI items flexibly for targeted data gathering, b) provide summary data for caregivers to deliver resident preferences, and c) provide summaries on delivered care for internal assessment and improvement and for MDS reporting. Based on the information obtained from focus groups, preferences will be implemented for the pilot. These will include the methods for input (phone app vs. tablet), organization of questions, displays and graphics, the flexibility of reporting, and integration with electronic health record systems based on focus group input.
AIM 3: Conduct a field test of ComPASS in 4 long-term care communities and assess short-term impact. A field test of data gathering with 30 long-stay residents at 4 communities (n=120) will be executed and care will be followed for 4 weeks through a resident review evaluation. Assessments on the impact on care in terms of resident satisfaction (n=120), evaluation of staff ease-of-use of the ComPASS software and printed or digital preference cards (~10 per community; n=40), impact on care (% preferences executed), and ease of reporting of elements will be completed.
With a successful implementation and demonstration of the short-term impact on residents and staff, we will pursue full commercialization of ComPASS™. Phase II will focus on full community implementation in three national regions, integration with one or more leading long-term care electronic health record companies, and a comprehensive commercialization plan to bring the digital tool to market. In doing so we significantly improve the ability of care staff to deliver preference-based care to older adults living in long-term care.
Dates
Funder
National Institute on Nursing Research
