Effective Management of Long-Term Care Facilities

by Singh, Douglas A.

• ISBN13: 9780763748012
• ISBN10: 0763748013
• Edition: 1st
• Format: Hardcover
• Copyright: 2004-09-01
• Publisher: Jones & Bartlett

Summary

This outstanding text provides a clear understanding of how the ideal long-term care facility should operate, and how prospective, as well as currently employed nursing home administrators can hone their skills to deliver quality, cost-effective services. In three sections, it presents an overview of long-term care, an explanation of the key aspects of the external environment that significantly impact the organization, the organizational features of a nursing home, and finally, management and leadership skills that a successful administrator must have. "Dr. Singh provides a compendium of information needed for successful administration in long-term care. This book clearly defines an administratorrs"s scope of responsibility in these four dimensions of care: physical, social, mental, and spiritual." -Mary Tellis-Nayak, RN, MSN, MPH President/CEO, American College of Healthcare Administrators

Table of Contents

Foreword	ix
Introduction	xi
Part I System Perspectives and Environmental Exchanges	1	(170)
System Concepts and Long-Term Care Delivery	5	(40)
The Closed and Open Systems	7	(3)
The Environment	10	(8)
The Nature of Long-Term Care	18	(8)
The Long-Term Care Delivery System	26	(9)
The Non-Long-Term Health Care System	35	(4)
Conclusion	39	(1)
Discussion and Application Questions	39	(1)
Internet Resources for Further Learning	40	(5)
Community and Client Exchanges	45	(28)
Role of the Administrator	47	(1)
Exchange Relationships	48	(8)
Ingredients for Building Client Exchanges	56	(1)
Clients of Long-Term Care	57	(9)
Nursing Home Demand and Decision Making	66	(2)
State of the Long-Term Care Industry	68	(1)
Conclusion	69	(1)
Discussion and Application Questions	70	(1)
Internet Resources for Further Learning	70	(3)
Legal and Regulatory Environment	73	(44)
Laws and Regulations	76	(5)
Legal Structure and Responsibility	81	(6)
Liability	87	(4)
Licensure, Certification, and Accreditation	91	(9)
Survey and Enforcement	100	(4)
Patient Rights	104	(9)
Conclusion	113	(1)
Discussion and Application Questions	113	(1)
Internet Resources for Further Learning	113	(4)
Financing and Reimbursement	117	(54)
Private Financing	121	(3)
Medicare	124	(12)
Medicaid	136	(2)
Managed Care and Health-System Partnerships	138	(4)
Fraud and Abuse	142	(3)
Conclusion	145	(1)
Discussion and Application Questions	145	(1)
Internet Resources for Further Learning	146	(3)
Appendix 4-I	149	(13)
Appendix 4-II	162	(2)
Appendix 4-III	164	(4)
Appendix 4-IV	168	(3)
Part II Clinical Organization and Process Integration	171	(246)
Clinical, Social, and Residential Structures	177	(32)
Integrating the Three Structures	180	(1)
The Holistic and Realistic Contexts	180	(4)
Clinical Organization	184	(5)
Social Aspects	189	(5)
Residential Features	194	(11)
Conclusion	205	(1)
Discussion Questions	206	(3)
Nursing Home Evolution and Cultural Change	209	(26)
Evolution of the Nursing Home Industry	212	(5)
Emerging Alternatives to the Medical Model	217	(2)
Practical Models of Enhanced Environments	219	(11)
Conclusion	230	(1)
Discussion Questions	231	(1)
Internet Resources for Further Learning	231	(4)
Social Services, Admission, and Discharge	235	(30)
Social Services Department	236	(2)
Skills and Competencies	238	(3)
Knowledge of Aging and the Elderly	241	(4)
Social Service Roles	245	(4)
Social Service Tasks	249	(8)
Resident Council	257	(1)
Family Management	258	(2)
End-of-Life and Hospice Care	260	(1)
Conclusion	261	(1)
Discussion Questions	262	(1)
Internet Resources for Further Learning	262	(3)
Medical Care, Nursing, and Rehabilitation	265	(38)
Medical Care	266	(7)
Nursing Department	273	(5)
Patient Assessment and Care Planning	278	(5)
Infection Control	283	(4)
Special Areas of Nursing Care Management	287	(6)
Pharmacy Consultation	293	(2)
Rehabilitation	295	(2)
Conclusion	297	(1)
Discussion Questions	298	(1)
Internet Resources for Further Learning	298	(5)
Recreation and Activities	303	(26)
Activity Department	305	(1)
Skills and Competencies	306	(1)
Program Development	307	(14)
Program Planning and Implementation	321	(3)
Program Evaluation	324	(1)
Volunteer Support	325	(2)
Conclusion	327	(1)
Discussion Questions	327	(1)
Internet Resources for Further Learning	327	(2)
Dietary Services	329	(32)
Dietary Department	331	(2)
Nutritional Assessment	333	(1)
Menu Planning	334	(6)
Purchasing Food and Supplies	340	(2)
Food Storage and Inventory	342	(3)
Food Preparation	345	(2)
Therapeutic Diets and Nourishments	347	(2)
Intensive Nutrition	349	(2)
Food Service	351	(4)
Food Safety and Sanitation	355	(1)
Conclusion	356	(1)
Discussion Questions	357	(1)
Internet Resources for Further Learning	357	(4)
Plant and Environmental Services	361	(24)
Organization of Environmental Services	362	(2)
Maintenance Operation	364	(4)
Housekeeping Operation	368	(2)
Laundry Operation	370	(3)
Security Operation	373	(3)
Fire and Disaster Planning	376	(3)
Waste Management	379	(1)
Environmental Safety	380	(1)
Conclusion	381	(1)
Discussion Questions	382	(1)
Internet Resources for Further Learning	382	(3)
Administrative and Information Systems	385	(32)
The Business Office	386	(1)
Reception Functions	387	(2)
Secretarial and Clerical Functions	389	(1)
Accounting and Bookkeeping Functions	389	(10)
Medical Records	399	(4)
Information Systems	403	(6)
Conclusion	409	(1)
Discussion and Application Questions	409	(1)
Internet Resources for Further Learning	410	(3)
Appendix 12-I	413	(4)
Part III Effective Management and Strategic Action	417	(176)
Effective Management and Leadership	419	(34)
The Executive Roles	421	(2)
The Effective Administrator	423	(3)
Approach to Effective Management	426	(9)
Tools for Effective Management	435	(14)
Conclusion	449	(1)
Discussion and Application Questions	450	(3)
Effective Human Resource and Staff Development	453	(40)
Goals, Main Functions, and Challenges	456	(2)
Human Resource Planning	458	(8)
Staff Recruitment and Retention	466	(6)
Staff Development and Performance Appraisal	472	(3)
Self-Managed Work Teams	475	(3)
Counseling, Disciplining, and Terminating	478	(4)
Labor Relations and Unionization	482	(4)
Employment Laws	486	(3)
Conclusion	489	(1)
Discussion and Application Questions	490	(1)
Internet Resources for Further Learning	490	(3)
Effective Marketing and Public Relations	493	(34)
Marketing: Its Philosophy and Essence	495	(3)
The Marketing Function and Its Goals	498	(2)
Marketing Strategy	500	(8)
Implementing the Marketing Mix	508	(5)
Competitive Differentiation	513	(2)
Personal Selling	515	(4)
Promotion and Public Relations	519	(4)
Conclusion	523	(1)
Discussion and Application Questions	523	(1)
Internet Resources for Further Reading	524	(3)
Effective Budgeting and Financial Controls	527	(34)
Accounting and Financial Statements	529	(4)
Management Reports	533	(2)
Managing Revenues	535	(3)
Controlling Costs	538	(11)
Managing Receivables	549	(4)
Budgeting	553	(6)
Conclusion	559	(1)
Discussion and Application Questions	559	(2)
Effective Quality and Productivity Management	561	(32)
Productivity and Quality	563	(2)
What Is Quality?	565	(2)
Technical and Consumer-Defined Quality	567	(1)
Framework of Quality	568	(3)
Regulatory Minimum Standards	571	(1)
Measurement and Evaluation of Quality	572	(4)
Quality Improvement	576	(10)
Quality Culture	586	(3)
Wellspring: Quality in Action	589	(1)
Conclusion	589	(1)
Discussion and Application Questions	590	(1)
Internet Resources for Further Learning	591	(2)
Glossary	593	(32)
Index	625