Effective Management of Long Term Care Facilities / Edition 2

by Douglas A. Singh

Overview

Effective Management of Long-Term Care Facilities explores the complex operations of the long-term care facility and offers critical skills to current and future nursing home administrators for delivering quality, cost-effective services. The Second Edition has been thoroughly revised and reorganized to offer a more cohesive presentation of the material, as well as new, in-depth information on licensing and important skills for becoming a nursing home administrator. An all new section explores the management of specialized facilities including assisted living facilities, special care facilities, and continuing care retirement centers.

Product Details

ISBN-13:	9780763774035
Publisher:	Jones & Bartlett Learning
Publication date:	09/07/2009
Edition description:	2E
Pages:	652
Product dimensions:	7.00(w) x 9.90(h) x 1.40(d)

About the Author

Dr. Singh teaches graduate and undergraduate courses in health care delivery, policy, finance, and management in the School of Business and Economics and in the Department of Political Science at Indiana University-South Bend. He has authored/coauthored four books and has published in peer-reviewed journals. Before pursuing an academic career, he spent over 15 years in the long-term care industry and held positions of administrator, regional manager, vice president, and consultant. He was awarded the long-term care research award by the Foundation of American College of Health Care Administrators in 1995.

Table of Contents

	Foreword	ix
	Introduction	xi
Part I	System Perspectives and Environmental Exchanges	1
Chapter 1	System Concepts and Long-Term Care Delivery	5
	The Closed and Open Systems	7
	The Environment	10
	The Nature of Long-Term Care	18
	The Long-Term Care Delivery System	26
	The Non-Long-Term Health Care System	35
	Conclusion	39
	Discussion and Application Questions	39
	Internet Resources for Further Learning	40
Chapter 2	Community and Client Exchanges	45
	Role of the Administrator	47
	Exchange Relationships	48
	Ingredients for Building Client Exchanges	56
	Clients of Long-Term Care	57
	Nursing Home Demand and Decision Making	66
	State of the Long-Term Care Industry	68
	Conclusion	69
	Discussion and Application Questions	70
	Internet Resources for Further Learning	70
Chapter 3	Legal and Regulatory Environment	73
	Laws and Regulations	76
	Legal Structure and Responsibility	81
	Liability	87
	Licensure, Certification, and Accreditation	91
	Survey and Enforcement	100
	Patient Rights	104
	Conclusion	113
	Discussion and Application Questions	113
	Internet Resources for Further Learning	113
Chapter 4	Financing and Reimbursement	117
	Private Financing	121
	Medicare	124
	Medicaid	136
	Managed Care and Health-System Partnerships	138
	Fraud and Abuse	142
	Conclusion	145
	Discussion and Application Questions	145
	Internet Resources for Further Learning	146
	Appendix 4-I	149
	Appendix 4-II	162
	Appendix 4-III	164
	Appendix 4-IV	168
Part II	Clinical Organization and Process Integration	171
Chapter 5	Clinical, Social, and Residential Structures	177
	Integrating the Three Structures	180
	The Holistic and Realistic Contexts	180
	Clinical Organization	184
	Social Aspects	189
	Residential Features	194
	Conclusion	205
	Discussion Questions	206
Chapter 6	Nursing Home Evolution and Cultural Change	209
	Evolution of the Nursing Home Industry	212
	Emerging Alternatives to the Medical Model	217
	Practical Models of Enhanced Environments	219
	Conclusion	230
	Discussion Questions	231
	Internet Resources for Further Learning	231
Chapter 7	Social Services, Admission, and Discharge	235
	Social Services Department	236
	Skills and Competencies	238
	Knowledge of Aging and the Elderly	241
	Social Service Roles	245
	Social Service Tasks	249
	Resident Council	257
	Family Management	258
	End-of-Life and Hospice Care	260
	Conclusion	261
	Discussion Questions	262
	Internet Resources for Further Learning	262
Chapter 8	Medical Care, Nursing, and Rehabilitation	265
	Medical Care	266
	Nursing Department	273
	Patient Assessment and Care Planning	278
	Infection Control	283
	Special Areas of Nursing Care Management	287
	Pharmacy Consultation	293
	Rehabilitation	295
	Conclusion	297
	Discussion Questions	298
	Internet Resources for Further Learning	298
Chapter 9	Recreation and Activities	303
	Activity Department	305
	Skills and Competencies	306
	Program Development	307
	Program Planning and Implementation	321
	Program Evaluation	324
	Volunteer Support	325
	Conclusion	327
	Discussion Questions	327
	Internet Resources for Further Learning	327
Chapter 10	Dietary Services	329
	Dietary Department	331
	Nutritional Assessment	333
	Menu Planning	334
	Purchasing Food and Supplies	340
	Food Storage and Inventory	342
	Food Preparation	345
	Therapeutic Diets and Nourishments	347
	Intensive Nutrition	349
	Food Service	351
	Food Safety and Sanitation	355
	Conclusion	356
	Discussion Questions	357
	Internet Resources for Further Learning	357
Chapter 11	Plant and Environmental Services	361
	Organization of Environmental Services	362
	Maintenance Operation	364
	Housekeeping Operation	368
	Laundry Operation	370
	Security Operation	373
	Fire and Disaster Planning	376
	Waste Management	379
	Environmental Safety	380
	Conclusion	381
	Discussion Questions	382
	Internet Resources for Further Learning	382
Chapter 12	Administrative and Information Systems	385
	The Business Office	386
	Reception Functions	387
	Secretarial and Clerical Functions	389
	Accounting and Bookkeeping Functions	389
	Medical Records	399
	Information Systems	403
	Conclusion	409
	Discussion and Application Questions	409
	Internet Resources for Further Learning	410
	Appendix 12-I	413
Part III	Effective Management and Strategic Action	417
Chapter 13	Effective Management and Leadership	419
	The Executive Roles	421
	The Effective Administrator	423
	Approach to Effective Management	426
	Tools for Effective Management	435
	Conclusion	449
	Discussion and Application Questions	450
Chapter 14	Effective Human Resource and Staff Development	453
	Goals, Main Functions, and Challenges	456
	Human Resource Planning	458
	Staff Recruitment and Retention	466
	Staff Development and Performance Appraisal	472
	Self-Managed Work Teams	475
	Counseling, Disciplining, and Terminating	478
	Labor Relations and Unionization	482
	Employment Laws	486
	Conclusion	489
	Discussion and Application Questions	490
	Internet Resources for Further Learning	490
Chapter 15	Effective Marketing and Public Relations	493
	Marketing: Its Philosophy and Essence	495
	The Marketing Function and Its Goals	498
	Marketing Strategy	500
	Implementing the Marketing Mix	508
	Competitive Differentiation	513
	Personal Selling	515
	Promotion and Public Relations	519
	Conclusion	523
	Discussion and Application Questions	523
	Internet Resources for Further Reading	524
Chapter 16	Effective Budgeting and Financial Controls	527
	Accounting and Financial Statements	529
	Management Reports	533
	Managing Revenues	535
	Controlling Costs	538
	Managing Receivables	549
	Budgeting	553
	Conclusion	559
	Discussion and Application Questions	559
Chapter 17	Effective Quality and Productivity Management	561
	Productivity and Quality	563
	What Is Quality?	565
	Technical and Consumer-Defined Quality	567
	Framework of Quality	568
	Regulatory Minimum Standards	571
	Measurement and Evaluation of Quality	572
	Quality Improvement	576
	Quality Culture	586
	Wellspring: Quality in Action	589
	Conclusion	589
	Discussion and Application Questions	590
	Internet Resources for Further Learning	591
	Glossary	593
	Index	625

Editorial Reviews

Reviewer: Katy Nguyen, MSN, RN (University of Missouri)
Description: This book addresses and defines an administrator's responsibility in six dimensions of long-term care operation such as social services, environmental services, nursing care, activities, marketing and financing, leadership and management. This second edition adds two chapters and several case studies.
Purpose: The purpose is to furnish much-needed knowledge and skills to prepare an administrator and/or corporate officer for effectively managing a long-term care facility. The book discusses care continuum and policy issues that can help create a person-centered care environment. The objectives focus on the aspects of effective management that will go beyond mere compliance with regulatory requirements.
Audience: The book is written for long-term care administrators, skilled facility leaders and managers, corporate officers and governing board members, students of healthcare administration preparing for the professional licensure examination, and people who are considering a career in long-term care.
Features: Five sections that include an introduction, external and internal environment, organization and delivery services, governance and management, and case studies provide a comprehensive overview of long-term care operation. Each section contains several chapters that explore the details of long-term care from legal, regulatory, care, quality, and productivity management perspectives.
Assessment: This is a wonderful reference for people who would like to pursue an administrative level career in long-term care. This edition has new updated tools, information, and several case studies that address long-term care issues. It will help leaders to organize and manage day-to-day operations of a long-term care facility.

Doody's Review Service

3 Stars from Doody