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As Ohio LTPAC facilities raced to complete the PELI (Preferences for Everyday Living Inventory) as directed by the Ohio Department of Medicaid for each in-house resident by the 12/31/15 deadline in order to earn one Quality Indicator point, it left many with the question, “What’s the next step?”
Currently, there is little direction regarding the PELI, other than being able to acknowledge completion of the requirement that “the nursing facility utilized the nursing home version of the preferences for everyday living inventory (PELI) for all of its residents” in order to capture it on the annual cost report. Your facility had the opportunity to utilize the 10-page Mid-Level PELI or the 30-page Full PELI; both contain 72 pages, with the Full version having intensive follow-up questions. We suggest utilizing the Full PELI for the in-depth questions, as well as alleviating the need to redo the assessment if there is clarification later to do so.
There is no mention of the Survey team reviewing the PELI or how you are to further utilize the information you have gathered. However, it is only reasonable to say that one would take this information regarding the resident preferences and, to the extent possible, incorporating it and personalizing the plan of care for each and every resident.
How can we incorporate it into our process and care plans? If you are utilizing software that allows you to alter the Care Plan Library, incorporating the PELI information into the care plan picklists will make it consistent and effortless for the end user.
The PELI is yet another interview, much like the others that that we complete in the MDS, leading to the creation of a person centered plan of care. Care planning is meant to highlight the needs of the resident and how we can meet those needs. We are being charged to ensure we are completing Advanced Care Planning; incorporating PELI individual preferences into our care planning helps meet that requirement. One would also think that this should be a living document that you review with each of your care conferences or meetings with the resident.
Regardless of the process you put in place, utilization of the information gathered via the PELI can enhance the care for each resident and ultimately make them happier.
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