Implementation of person-centered care (PCC) in nursing homes requires multiple strategies related to organizational, operational, and environmental practices. Understanding the details of the combinations of these practices and the environmental features that work in co-occurrence will be critical in advancing and sustaining meaningful change for residents and staff in long-term care settings. This presentation will describe the strategies and processes for conducting detailed environmental assessments on ten nursing homes participating in a pay-for-performance program linked to PCC in Kansas (PEAK). Unlike assessment instruments that score facilities based on a checklist of attributes, this assessment strategy was designed to provide a descriptive narrative of the combination of organizational, operational, and environmental variables present. Results of the assessments demonstrate that there are environmental features that are integral to patterns of effective and meaningful organizational and operational practices. Spatial characteristics that distinguish facilities that have achieved high-levels of PCC will be demonstrated.
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