The relationship between person-centered care in nursing homes and COVID-19 infection, hospitalization, and mortality rates

Meera Tandan; Migette L Kaup; Laci J Cornelison; Sheryl Zimmerman

doi:10.1016/j.gerinurse.2023.03.012

The relationship between person-centered care in nursing homes and COVID-19 infection, hospitalization, and mortality rates

Geriatr Nurs. 2023 May-Jun:51:253-257. doi: 10.1016/j.gerinurse.2023.03.012. Epub 2023 Apr 5.

Authors

Meera Tandan¹, Migette L Kaup², Laci J Cornelison³, Sheryl Zimmerman⁴

Affiliations

¹ Cecil G Sheps Center for Health Service Research, University of North Carolina, Chapel Hill, NC, USA.
² Department of Interior Design & Fashion Studies, College of Health and Human Sciences, Kansas State University, KS, USA. Electronic address: kaup@ksu.edu.
³ Center on Aging, College of Health and Human Sciences, Kansas State University, KS, USA.
⁴ Cecil G Sheps Center for Health Service Research, University of North Carolina, Chapel Hill, NC, USA; School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Abstract

Objectives: This cohort study compared rates of COVID-19 infections, admissions/readmissions, and mortality among a statewide person-centered model known as PEAK and non-PEAK NHs.

Methods: Rates per 1000 resident days were derived for COVID-19 cases and admissions/readmissions, and per 100 positive cases for mortality. A log-rank test compared rates between PEAK (n = 109) and non-PEAK NHs (n = 112).

Results: Rates of COVID-19 cases, admission, and mortality were higher in non-PEAK compared to PEAK NHs. The median rates for all indicators had a zero value for all NHs, but in NHs above 90th percentiles, the non-PEAK case rate was 3.9 times more and the admission/readmission rate was 2.5 times more.

Conclusions and implications: COVID-19 case, and mortality rates were lower in PEAK than non-PEAK NHs. Although PEAK and non-PEAK NHs may differ in other ways as well, person-centered care may be advantageous to promote infection control and improve outcomes.

Keywords: COVID-19; Nursing homes; PEAK homes.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

COVID-19* / epidemiology
Cohort Studies
Hospitalization
Humans
Nursing Homes
Patient-Centered Care