Dimensions of Long-Term Care Management: An Introduction

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2012-06-01

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Long-Term Care is one of the fastest-growing segments in the healthcare field. Societal changes, including the aging of the boomers and an evolution in attitudes toward aging and retirement, will continue to propel long-term care issues to the forefront.

Author Biography

Mary Helen McSweeney-Feld, PhD, is an associate professor in the Office of Collaborative Programs and a research associate in the Center for Productive Aging at Towson University in Towson, Maryland. She is a member of the Education Committee of the National Association of Long Term Care Administrator Boards and a member of the Academy of Long Term Care Leadership and Development of the American College of Health Care Administrators. Her work has appeared in a variety of peer-reviewed and professional publications. Reid Oetjen, PhD, is an associate professor and program director for the University of Central Florida's graduate programs in health services administration in Orlando. He teaches long-term care administration, aging of the population, human resources management, and healthcare quality management. Dr. Oetjen has authored articles for numerous peer-reviewed publications and regularly presents his research at academic and practitioner conferences.

Table of Contents

Prefacep. xiii
Overview of Long-Term Carep. 1
Introduction to the Dimensions of Long-Term Carep. 3
The Aging Tsunami: An Overview of Older Americansp. 4
Changing Definitions of Retirementp. 4
What Is Long-Term Care?p. 6
The History of Long-Term Care Service Deliveryp. 7
The Aging Process and Long-Term Care Service Deliveryp. 9
Models of Long-Term Care Deliveryp. 10
Key Aspects of Long-Term Carep. 13
A Look Aheadp. 15
Care Settings for Long-Term Care Servicesp. 17
Residential Settings for Long-Term Care Servicesp. 19
Introductionp. 20
Independent Livingp. 20
Assisted Livingp. 25
Skilled Nursing Facilitiesp. 27
Continuing Care Retirement Communitiesp. 30
New Developments in Residential Long-Term Care Servicesp. 33
International Perspectives on Residential Long-Term Carep. 35
A Look Aheadp. 35
Home and Community-Based Care Servicesp. 38
Introductionp. 39
Social Policy and the Development of Community-Based Care Servicesp. 39
Aging Networkp. 39
Types of Community-Based Servicesp. 41
Telehealth and Home Care Servicesp. 46
Innovations in HCBS: Consumer-Directed Programsp. 46
Older Adults with Disabilities: A Special Issue in HCBSp. 48
A Look Aheadp. 51
Technology and Delivery of Long-Term Care Servicesp. 54
Introductionp. 55
Foundations for Information Technology Systems in Long-Term Carep. 56
Barriers to Information Technology Systems Adoptionp. 60
Technology Applications in Long-Term Carep. 60
A Look Aheadp. 61
Chronic Care and Alzheimer's Diseasep. 65
Introductionp. 66
Alzheimer's Disease and Chronic Care Services Managementp. 67
A Look Aheadp. 78
Hospice, Palliative, and End-of-Life Carep. 81
Introductionp. 82
Theoretical and Conceptual Foundationsp. 82
Core Issues in Hospice and Palliative Carep. 84
A Look Aheadp. 98
Diversity and the Delivery of Long-Term Care Servicesp. 103
Introductionp. 104
Long-Term Health Needs of Elders by Gender, Ethnicity, and Sexual Orientationp. 107
Disparities in Healthcare Among Diverse Eldersp. 113
A Look Aheadp. 115
Management Issuesp. 119
Management and Leadership in Long-Term Care Settingsp. 121
What Is Management?p. 122
Strategic Planningp. 125
Leadership Versus Management of LTC Facilitiesp. 126
Recruitment, Hiring, and Retentionp. 130
A Look Aheadp. 139
The Design of Long-Term Care Environmentsp. 145
Introductionp. 146
Design of Long-Term Care Facilitiesp. 146
Regulatory Concernsp. 151
Management Issues of the Physical Environmentp. 154
Philosophical Evolution in Environmental Designp. 161
Disaster Managementp. 164
A Look Aheadp. 164
Strategic Marketing for Long-Term Carep. 167
Introductionp. 168
Healthcare Marketing: The Foundationp. 168
Segmentationp. 169
Tips for Marketing to Seniorsp. 173
A Look Aheadp. 176
Long-Term Care Human Resourcesp. 179
Introductionp. 180
The Long-Term Care Workforcep. 180
Description of LTC Human Resource Departmentsp. 181
Goals and Functions of Human Resourcesp. 182
Legal and Regulatory Compliancep. 200
Worker Safety Lawp. 203
Current and Future Direction in LTC Human Resourcesp. 204
LTC Workforce Implicationsp. 207
A Look Aheadp. 208
Legal Issues in Long-Term Carep. 212
Introductionp. 213
Introduction to Legal Issuesp. 214
Civil Lawp. 214
Criminal Lawp. 218
Ethical Issuesp. 219
End-of-Life Issuesp. 224
A Look Aheadp. 228
Regulation of Long-Term Carep. 232
Introductionp. 233
Origins of Regulationp. 233
Basics of Licensure, Certification, and Accreditation of LTC Servicesp. 235
Assisted Living Facilitiesp. 239
Continuing Care Retirement Communitiesp. 241
Home and Community-Based Servicesp. 242
Accountability and Quality in LTCp. 244
A Look Aheadp. 246
Financing Long-Term Care Servicesp. 249
Introductionp. 250
Demographic Trends and Financingp. 250
Policy Issues: How to Pay for Long-Term Care in the Futurep. 258
Administrative Costs in Long-Term Care Insurancep. 259
Instability of Long-Term Care Insurance Premiumsp. 259
Adverse Selectionp. 259
The Inability to Insure Against Certain Risksp. 260
The Availability of Medicaidp. 260
Public Long-Term Care Insurance: Germany, Japan, and the CLASS Actp. 261
A Look Aheadp. 262
Epiloguep. 265
Globalization of Healthcarep. 265
Innovative Payment Systems for LTC Needsp. 266
Technological Innovationp. 266
Chronic Health Conditionsp. 267
Increased Diversityp. 267
Quality-of-Care Concernsp. 267
Sustainabilityp. 268
Glossaryp. 269
Referencesp. 286
Indexp. 322
About the Contributorsp. 332
About the Editorsp. 336
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