{"product_id":"managing-the-long-term-care-facility-isbn-9781118654781","title":"Managing the Long-Term Care Facility","description":"\u003cb\u003ePractical approaches to the operation of long-term care facilities\u003c\/b\u003e \u003cp\u003e\u003ci\u003eManaging the Long-Term Care Facility\u003c\/i\u003e provides a comprehensive introduction to the growing field of long-term care. Taking a continuum-of-care approach, the text covers every aspect of long-term care. Readers will develop a robust knowledge of the issues faced by people experiencing physical and or mental changes. Topics covered include the biological and psychosocial implications of ageing, marketing long-term care, facility operations, and information technology for health care, among many others. By integrating all aspects of long-term care, the book is an invaluable resource that will aid students and professionals in preparing for career advancement and licensure exams.\u003c\/p\u003e \u003cp\u003eThe book is also is designed to help students prepare for the National Nursing Home Administrator exam. Pedagogical elements help guide readers through the content, and summaries and discussion questions to drive home lessons learned.\u003c\/p\u003e \u003cul\u003e \u003cli\u003eBuilds expert knowledge of all aspects of long-term care management, including operations, human resources, patient advocacy, and information systems\u003c\/li\u003e \u003cli\u003eEmphasizes the latest understandings of the long-term care continuum and patient-centered care for diverse populations\u003c\/li\u003e \u003cli\u003eDelivers practical approaches to providing quality care to individuals and making a positive impact on community wellbeing\u003c\/li\u003e \u003cli\u003ePrepares readers for and National Nursing Home Administrator's licensure exam\u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003e\u003ci\u003eManaging the Long-Term Care Facility: Practical Approaches to Providing Quality Care\u003c\/i\u003e provides real-world guidance for students in healthcare administration, health and human services, gerontology, nursing, business and medical programs, in both domestic and international markets. Nursing home administrators, administrators-in-training and preceptors will find this book an effective training tool in the nursing facility setting.\u003c\/p\u003e \u003cp\u003eList of Tables, Figures, and Exhibits xxiii\u003c\/p\u003e \u003cp\u003eIntroduction xxvii\u003c\/p\u003e \u003cp\u003eAcknowledgments xxxiii\u003c\/p\u003e \u003cp\u003eAbout the Editor xxxv\u003c\/p\u003e \u003cp\u003eAbout the Contributors xxxvii\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 1 Public Policy: Historical Overview of Long-Term Care 1\u003cbr\u003e\u003c\/b\u003e\u003ci\u003eErlyana Erlyana, Jean Schuldberg, and Marian Last\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eKey Demographic Trends of Older Americans 2\u003c\/p\u003e \u003cp\u003eDemographic Bulge 2\u003c\/p\u003e \u003cp\u003eLower Acuity Among the Aging 3\u003c\/p\u003e \u003cp\u003eLongevity and Healthier Lifestyles 3\u003c\/p\u003e \u003cp\u003eSocioeconomic Status of Older Adults 3\u003c\/p\u003e \u003cp\u003eGender Imbalance 4\u003c\/p\u003e \u003cp\u003eDiversity in Culture and Ethnicity 4\u003c\/p\u003e \u003cp\u003eSame-Sex Marriage and LGBTQ+ Gender Identity 5\u003c\/p\u003e \u003cp\u003eImpacts on Long-Term Care Continuum 5\u003c\/p\u003e \u003cp\u003eLong-Term Care and Public Policy 6\u003c\/p\u003e \u003cp\u003eWhat Is Long-Term Care? 6\u003c\/p\u003e \u003cp\u003eWhat Is Public Policy? 7\u003c\/p\u003e \u003cp\u003eRationales (Goals) for Public Policy 7\u003c\/p\u003e \u003cp\u003eWhy Public Policies for LTC? 8\u003c\/p\u003e \u003cp\u003eHighly Vulnerable Population 8\u003c\/p\u003e \u003cp\u003eNegative Perceptions in Costs and Quality 9\u003c\/p\u003e \u003cp\u003eResources Are Limited—Unaffordable and Limited Supply 11\u003c\/p\u003e \u003cp\u003eNonviable Financing Protection Mechanism, Both Public and Private Financing 13\u003c\/p\u003e \u003cp\u003eCritiques of Public Policy 14\u003c\/p\u003e \u003cp\u003eKey Historical Milestones and Major Long-Term Care Policies 15\u003c\/p\u003e \u003cp\u003eFederal Policies 15\u003c\/p\u003e \u003cp\u003eState and Local Government Policies 19\u003c\/p\u003e \u003cp\u003eImportant Policies Affecting LTC Professionals and Paraprofessionals 22\u003c\/p\u003e \u003cp\u003eExamples of State-Specific Laws 24\u003c\/p\u003e \u003cp\u003eThe Patient Protection and Affordable Care Act (PPACA) and LTC 25\u003c\/p\u003e \u003cp\u003eSummary 27\u003c\/p\u003e \u003cp\u003eKey Terms 27\u003c\/p\u003e \u003cp\u003eReview Questions 28\u003c\/p\u003e \u003cp\u003eCase Study 28\u003c\/p\u003e \u003cp\u003eReferences 29\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 2 Long-Term Care Continuum 33\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eMarian Last, Jean Schuldberg, and Kenneth Merchant\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eThe Long-Term Care Continuum Defined 33\u003c\/p\u003e \u003cp\u003eActivities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) 34\u003c\/p\u003e \u003cp\u003eMedical Acuity 35\u003c\/p\u003e \u003cp\u003eThe Long-Term Care Continuum 35\u003c\/p\u003e \u003cp\u003eAging in Place 35\u003c\/p\u003e \u003cp\u003eThe Private Home Environment: Aging in Place 38\u003c\/p\u003e \u003cp\u003eInformal Supports 38\u003c\/p\u003e \u003cp\u003ePrivate-Duty Aide 39\u003c\/p\u003e \u003cp\u003eHome Care 39\u003c\/p\u003e \u003cp\u003eHome Health Care 39\u003c\/p\u003e \u003cp\u003eHome Modifications 40\u003c\/p\u003e \u003cp\u003eFederal Housing Programs 41\u003c\/p\u003e \u003cp\u003eShared Housing Programs 41\u003c\/p\u003e \u003cp\u003eCongregate Housing 42\u003c\/p\u003e \u003cp\u003eVeterans Affairs Supportive Housing (VASH) 42\u003c\/p\u003e \u003cp\u003eCommunity Resident Environments 42\u003c\/p\u003e \u003cp\u003eContinuing Care Retirement Community (CCRC) 42\u003c\/p\u003e \u003cp\u003eActive Living Communities 43\u003c\/p\u003e \u003cp\u003eNaturally Occurring Retirement Community 43\u003c\/p\u003e \u003cp\u003eCommunity Support Programs 44\u003c\/p\u003e \u003cp\u003eAdult Social Day Care 44\u003c\/p\u003e \u003cp\u003eAdult Day Health Care 44\u003c\/p\u003e \u003cp\u003eHospice and Palliative Medicine 44\u003c\/p\u003e \u003cp\u003eIntergenerational Caregivers 45\u003c\/p\u003e \u003cp\u003eRespite Care Programs 45\u003c\/p\u003e \u003cp\u003eCongregate and Home-Delivered Meal Programs 46\u003c\/p\u003e \u003cp\u003eOther Community-Based Programs Organizations That Provide Assistance 46\u003c\/p\u003e \u003cp\u003eTransitional Housing From Home Community to Formalized Home Care Facilities 50\u003c\/p\u003e \u003cp\u003eBoard and Care and Adult Care Homes 50\u003c\/p\u003e \u003cp\u003eIntermediate Care Facilities (ICF) 51\u003c\/p\u003e \u003cp\u003eAssisted Living Facilities 51\u003c\/p\u003e \u003cp\u003eTwenty-Four-Hour Nursing Care 51\u003c\/p\u003e \u003cp\u003eTheWorkforce in Care Facilities 53\u003c\/p\u003e \u003cp\u003eAdministrators 53\u003c\/p\u003e \u003cp\u003ePhysicians 54\u003c\/p\u003e \u003cp\u003eNurses 55\u003c\/p\u003e \u003cp\u003eLicensed Versus Certified Healthcare Personnel 56\u003c\/p\u003e \u003cp\u003eTherapeutic Specialists 58\u003c\/p\u003e \u003cp\u003eSocial and Quality of Life Specialties 58\u003c\/p\u003e \u003cp\u003eSummary 59\u003c\/p\u003e \u003cp\u003eKey Terms 60\u003c\/p\u003e \u003cp\u003eReview Questions 64\u003c\/p\u003e \u003cp\u003eCase Studies 64\u003c\/p\u003e \u003cp\u003eCase Study #1: Community Care 64\u003c\/p\u003e \u003cp\u003eCase Study #2: Skilled Nursing 65\u003c\/p\u003e \u003cp\u003eReferences 65\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 3 Resident Advocates, Diversity, and Resident-Centered Care 69\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eAnn Wyatt\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eWhere Does Quality Start? 70\u003c\/p\u003e \u003cp\u003eNursing 71\u003c\/p\u003e \u003cp\u003eHousekeeping 73\u003c\/p\u003e \u003cp\u003eTherapeutic Recreation 73\u003c\/p\u003e \u003cp\u003eVolunteers 74\u003c\/p\u003e \u003cp\u003eDietary 75\u003c\/p\u003e \u003cp\u003eSocial Work 75\u003c\/p\u003e \u003cp\u003eOther Disciplines and Departments 76\u003c\/p\u003e \u003cp\u003eQuality Assurance and Performance Improvement 76\u003c\/p\u003e \u003cp\u003eResident Councils 77\u003c\/p\u003e \u003cp\u003eFamily and Friends 77\u003c\/p\u003e \u003cp\u003eNational Nursing Home Ombudsman Program 79\u003c\/p\u003e \u003cp\u003eAdvocacy Organizations 80\u003c\/p\u003e \u003cp\u003eDiversity 81\u003c\/p\u003e \u003cp\u003eChanging the Culture: Person-Centered, Person-Directed Care 83\u003c\/p\u003e \u003cp\u003eMount St. Vincent 83\u003c\/p\u003e \u003cp\u003eThe Live Oak Regenerative Community 84\u003c\/p\u003e \u003cp\u003eThe Eden Alternative 84\u003c\/p\u003e \u003cp\u003eWellspring 85\u003c\/p\u003e \u003cp\u003eThe Green House 85\u003c\/p\u003e \u003cp\u003eThe Household Model 86\u003c\/p\u003e \u003cp\u003ePlanetree 87\u003c\/p\u003e \u003cp\u003eAdvocacy and Dementia Care 87\u003c\/p\u003e \u003cp\u003eThe Pioneer Network 87\u003c\/p\u003e \u003cp\u003eThe Role of Philanthropy 88\u003c\/p\u003e \u003cp\u003eThe Language of Culture Change 88\u003c\/p\u003e \u003cp\u003eSummary 89\u003c\/p\u003e \u003cp\u003eKey Terms 89\u003c\/p\u003e \u003cp\u003eReview Questions 90\u003c\/p\u003e \u003cp\u003eCase Studies 91\u003c\/p\u003e \u003cp\u003eCase Study #1 91\u003c\/p\u003e \u003cp\u003eCase Study #2 92\u003c\/p\u003e \u003cp\u003eCase Study #3 95\u003c\/p\u003e \u003cp\u003eReferences 96\u003c\/p\u003e \u003cp\u003eAcknowledgments 97\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 4 Physical Environment of Long-Term Care 99\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eAndrew Alden, Jeffrey Anderzhon, and Sarah Moser\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eHistory of Long-Term Care Design in the United States 99\u003c\/p\u003e \u003cp\u003eOrigins of the Acute Care Hospital and Aged Care 99\u003c\/p\u003e \u003cp\u003eGovernmental Oversight and Influence on Long-Term Care 102\u003c\/p\u003e \u003cp\u003eThe Medical Model of Aged Care 102\u003c\/p\u003e \u003cp\u003eTraditional Nursing Home Components 103\u003c\/p\u003e \u003cp\u003eResident-Centered Care Model 104\u003c\/p\u003e \u003cp\u003eDevelopment of Contemporary Long-Term Care Environments 105\u003c\/p\u003e \u003cp\u003eExploded Corridor Floor Plans 105\u003c\/p\u003e \u003cp\u003eHousehold Model Development 106\u003c\/p\u003e \u003cp\u003eContemporary Nursing Home Components 107\u003c\/p\u003e \u003cp\u003eThe Long-Term Care Culture Change Movement (Resident-Centered Care) 109\u003c\/p\u003e \u003cp\u003eTechnology of Long-Term Care 110\u003c\/p\u003e \u003cp\u003eBehavioral Monitoring 111\u003c\/p\u003e \u003cp\u003eAmbulatory-Assistance Devices 111\u003c\/p\u003e \u003cp\u003eCommunication Technology 111\u003c\/p\u003e \u003cp\u003eBuilding Code Requirements 112\u003c\/p\u003e \u003cp\u003eHistory and Importance 112\u003c\/p\u003e \u003cp\u003eAmericans With Disabilities Act 112\u003c\/p\u003e \u003cp\u003eGoing Beyond ADA 113\u003c\/p\u003e \u003cp\u003eFire-Resistance Rated Construction 113\u003c\/p\u003e \u003cp\u003eState and Local Regulatory Agencies 114\u003c\/p\u003e \u003cp\u003eInternational Building Code (IBC) 114\u003c\/p\u003e \u003cp\u003eNational Fire Protection Association and the Life Safety Code (LSC) 115\u003c\/p\u003e \u003cp\u003eAuthorities Having Jurisdiction (AHJ) 116\u003c\/p\u003e \u003cp\u003eOccupational Safety and Health Administration (OSHA) 116\u003c\/p\u003e \u003cp\u003eHistory and Importance 116\u003c\/p\u003e \u003cp\u003eOSHA Components 116\u003c\/p\u003e \u003cp\u003eStandards and Compliance Requirements for Administrators 117\u003c\/p\u003e \u003cp\u003eLockout\/Tagout 117\u003c\/p\u003e \u003cp\u003eRecordkeeping Rules 117\u003c\/p\u003e \u003cp\u003eCitations and Penalties 118\u003c\/p\u003e \u003cp\u003ePreventative Maintenance Programs 118\u003c\/p\u003e \u003cp\u003eHistory and Importance 118\u003c\/p\u003e \u003cp\u003eUseful Life 119\u003c\/p\u003e \u003cp\u003eMaintenance Items 119\u003c\/p\u003e \u003cp\u003ePreventative Maintenance Software 119\u003c\/p\u003e \u003cp\u003eInfection Control Programs 119\u003c\/p\u003e \u003cp\u003eEmergency Preparedness 120\u003c\/p\u003e \u003cp\u003eHistory and Importance 120\u003c\/p\u003e \u003cp\u003eSteps for Emergency Preparedness 121\u003c\/p\u003e \u003cp\u003eEmergencies and Preparations 121\u003c\/p\u003e \u003cp\u003eEgress Procedures 123\u003c\/p\u003e \u003cp\u003eAssisted Evacuation 124\u003c\/p\u003e \u003cp\u003eTesting 124\u003c\/p\u003e \u003cp\u003eTraining and Drills 124\u003c\/p\u003e \u003cp\u003eSurvey Process 125\u003c\/p\u003e \u003cp\u003eNursing Home Oversight 125\u003c\/p\u003e \u003cp\u003eSummary 125\u003c\/p\u003e \u003cp\u003eKey Terms 126\u003c\/p\u003e \u003cp\u003eReview Questions 129\u003c\/p\u003e \u003cp\u003eCase Studies 130\u003c\/p\u003e \u003cp\u003eCase Study #1 130\u003c\/p\u003e \u003cp\u003eCase Study #2 130\u003c\/p\u003e \u003cp\u003eReferences 130\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 5 Human Resources:Managing Employees in Long-Term Care 133\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eSonja Talley and Carissa Podesta\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eCore Human Resources Functions in Long-Term Care 133\u003c\/p\u003e \u003cp\u003eAdministrative Partner 134\u003c\/p\u003e \u003cp\u003eBusiness Partner 134\u003c\/p\u003e \u003cp\u003eStrategic Partner 134\u003c\/p\u003e \u003cp\u003eOutsourcing Human Resources 134\u003c\/p\u003e \u003cp\u003eHuman Resources Challenges in Long-Term Care 135\u003c\/p\u003e \u003cp\u003eWorkforce Availability 135\u003c\/p\u003e \u003cp\u003eContingent Workforce 135\u003c\/p\u003e \u003cp\u003eTurnover 136\u003c\/p\u003e \u003cp\u003eComposition of Workforce 136\u003c\/p\u003e \u003cp\u003eManaging Diversity 137\u003c\/p\u003e \u003cp\u003eWorkforce Planning 138\u003c\/p\u003e \u003cp\u003eDirect Care Staffing 138\u003c\/p\u003e \u003cp\u003eRecruiting 139\u003c\/p\u003e \u003cp\u003eJob Descriptions 140\u003c\/p\u003e \u003cp\u003eReferral Programs 140\u003c\/p\u003e \u003cp\u003eScreening and Selection 140\u003c\/p\u003e \u003cp\u003eTraining 142\u003c\/p\u003e \u003cp\u003eOrientation 143\u003c\/p\u003e \u003cp\u003eMandated Training 143\u003c\/p\u003e \u003cp\u003eEmployee Relations 146\u003c\/p\u003e \u003cp\u003eEmployee Communications 146\u003c\/p\u003e \u003cp\u003eEmployee Suggestion Program 147\u003c\/p\u003e \u003cp\u003eOpen-Door Policy 147\u003c\/p\u003e \u003cp\u003eLegal Rights and Benefits 148\u003c\/p\u003e \u003cp\u003eAt-Will Employment 148\u003c\/p\u003e \u003cp\u003eUnion Organization 148\u003c\/p\u003e \u003cp\u003eNational Labor Relations Act (NLRA) Requirements 149\u003c\/p\u003e \u003cp\u003eOccupational Safety and Health Act (OSHA) Requirements 150\u003c\/p\u003e \u003cp\u003eWorker Safety Programs 151\u003c\/p\u003e \u003cp\u003eAmericansWith Disabilities Act (ADA) Accommodation 152\u003c\/p\u003e \u003cp\u003eDiscrimination and Harassment 153\u003c\/p\u003e \u003cp\u003eRetaliation 154\u003c\/p\u003e \u003cp\u003eSummary 155\u003c\/p\u003e \u003cp\u003eKey Terms 155\u003c\/p\u003e \u003cp\u003eReview Questions 159\u003c\/p\u003e \u003cp\u003eCase Studies 159\u003c\/p\u003e \u003cp\u003eCase Study #1 159\u003c\/p\u003e \u003cp\u003eCase Study #2 160\u003c\/p\u003e \u003cp\u003eReferences 160\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 6 Reimbursement in the Long-Term Care Environment 163\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eRobert Miller\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003ePayer Sources 164\u003c\/p\u003e \u003cp\u003eGovernment Programs 164\u003c\/p\u003e \u003cp\u003eManaged Care 171\u003c\/p\u003e \u003cp\u003ePrivate Pay 173\u003c\/p\u003e \u003cp\u003eLong-Term Care Insurance Plans 174\u003c\/p\u003e \u003cp\u003eSupplemental Insurance Plans 175\u003c\/p\u003e \u003cp\u003eReimbursement Methods 175\u003c\/p\u003e \u003cp\u003eProspective 175\u003c\/p\u003e \u003cp\u003eRetrospective 176\u003c\/p\u003e \u003cp\u003eResident-Related Items 182\u003c\/p\u003e \u003cp\u003eMedicaid 182\u003c\/p\u003e \u003cp\u003eSummary 188\u003c\/p\u003e \u003cp\u003eKey Terms 189\u003c\/p\u003e \u003cp\u003eReview Questions 196\u003c\/p\u003e \u003cp\u003eCase Study 197\u003c\/p\u003e \u003cp\u003eReferences 198\u003c\/p\u003e \u003cp\u003eAcknowledgments 198\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 7 Compliance and Risk Management 199\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eRebecca Lowell\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eCompliance Today 200\u003c\/p\u003e \u003cp\u003eOverview of LTC Regulations 200\u003c\/p\u003e \u003cp\u003eFederal LTC Statutes 200\u003c\/p\u003e \u003cp\u003eState LTC Statutes 201\u003c\/p\u003e \u003cp\u003eWho Does the Long-Term Care Provider Serve? 201\u003c\/p\u003e \u003cp\u003eCompliance and Accountability 202\u003c\/p\u003e \u003cp\u003eGovernment Tools 203\u003c\/p\u003e \u003cp\u003eSurveys 203\u003c\/p\u003e \u003cp\u003eFive-Star Incentives 203\u003c\/p\u003e \u003cp\u003eCorporate Integrity Agreement 204\u003c\/p\u003e \u003cp\u003eCorporate Compliance Program (CCP) 204\u003c\/p\u003e \u003cp\u003eWhistle-Blower Litigation 204\u003c\/p\u003e \u003cp\u003ePrimary LTC Risk Areas 205\u003c\/p\u003e \u003cp\u003eCriminal Prosecution 205\u003c\/p\u003e \u003cp\u003eRegulatory Risks 205\u003c\/p\u003e \u003cp\u003eCivil Litigation 206\u003c\/p\u003e \u003cp\u003eCompliance Program Necessities 206\u003c\/p\u003e \u003cp\u003eACA Guidelines 206\u003c\/p\u003e \u003cp\u003e2000 Office of Inspector General (OIG) Guidelines 207\u003c\/p\u003e \u003cp\u003e2008 Supplemental Office of Inspector General Guidelines 209\u003c\/p\u003e \u003cp\u003eQuality of Care 209\u003c\/p\u003e \u003cp\u003eSubmission of Accurate Claims 215\u003c\/p\u003e \u003cp\u003eAnti-Kickback Statute (AKS) 217\u003c\/p\u003e \u003cp\u003ePhysician Relations 219\u003c\/p\u003e \u003cp\u003eAnti-Supplementation 220\u003c\/p\u003e \u003cp\u003eMedicare Part D 220\u003c\/p\u003e \u003cp\u003eHIPAA 220\u003c\/p\u003e \u003cp\u003eEffective Risk Management 221\u003c\/p\u003e \u003cp\u003eQuality Assurance and Risk Management 221\u003c\/p\u003e \u003cp\u003eRoot Cause Analysis 224\u003c\/p\u003e \u003cp\u003eAnalyze the Data 224\u003c\/p\u003e \u003cp\u003eIdentify the Root Cause(s) 224\u003c\/p\u003e \u003cp\u003eRecommend and Implement Solutions 225\u003c\/p\u003e \u003cp\u003eReassess to Determine Efficacy 225\u003c\/p\u003e \u003cp\u003eCompliance Through Documentation 226\u003c\/p\u003e \u003cp\u003eMedical Record 226\u003c\/p\u003e \u003cp\u003eEmployment Files 228\u003c\/p\u003e \u003cp\u003eQA Studies and Audits (Often Referred to as Quality Assurance Performance Improvement or QAPI) 228\u003c\/p\u003e \u003cp\u003eBilling Records 229\u003c\/p\u003e \u003cp\u003eIncident Investigation\/Reporting 229\u003c\/p\u003e \u003cp\u003eContractsWith External Resources 229\u003c\/p\u003e \u003cp\u003eSummary 230\u003c\/p\u003e \u003cp\u003eKey Terms 230\u003c\/p\u003e \u003cp\u003eReview Questions 232\u003c\/p\u003e \u003cp\u003eCase Studies 232\u003c\/p\u003e \u003cp\u003eCase Study #1 232\u003c\/p\u003e \u003cp\u003eCase Study #2 232\u003c\/p\u003e \u003cp\u003eReferences 233\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 8 Legal and Ethical Issues 235\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eRebecca Lowell and Eduardo Gonzalez\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eHealth Care as a Business235\u003c\/p\u003e \u003cp\u003ePayer Sources 236\u003c\/p\u003e \u003cp\u003ePrivate Pay 237\u003c\/p\u003e \u003cp\u003eScope of Expectations 237\u003c\/p\u003e \u003cp\u003eLegal Responsibilities 238\u003c\/p\u003e \u003cp\u003eInitial State Licensure 238\u003c\/p\u003e \u003cp\u003eContractsWith Federal and State Governments 238\u003c\/p\u003e \u003cp\u003eOther Federal Laws and Their Ethical Implications 239\u003c\/p\u003e \u003cp\u003eAgencies 240\u003c\/p\u003e \u003cp\u003eDepartment of Health and Human Services (DHHS or HHS) 240\u003c\/p\u003e \u003cp\u003eState Health Departments 240\u003c\/p\u003e \u003cp\u003eDepartment of Justice (DOJ) (Federal and State) 240\u003c\/p\u003e \u003cp\u003eOffice of Civil Rights (OCR) 241\u003c\/p\u003e \u003cp\u003eAdult Protective Service (APS) 241\u003c\/p\u003e \u003cp\u003eLong-Term Care Ombudsman (Ombudsman) 242\u003c\/p\u003e \u003cp\u003ePrivately Funded Agencies 242\u003c\/p\u003e \u003cp\u003eEmployees 242\u003c\/p\u003e \u003cp\u003eCourt of Public Opinion\/Media 243\u003c\/p\u003e \u003cp\u003ePrincipal Areas of Focus 243\u003c\/p\u003e \u003cp\u003eAbuse and Neglect 243\u003c\/p\u003e \u003cp\u003eAbuse\/Neglect Investigation and Reporting 244\u003c\/p\u003e \u003cp\u003eResidents’ Rights 246\u003c\/p\u003e \u003cp\u003eCivil and Regulatory Ramifications 247\u003c\/p\u003e \u003cp\u003eHealth Insurance Portability and Accountability Act (HIPAA) 248\u003c\/p\u003e \u003cp\u003ePhysician and Vendor Relationships 249\u003c\/p\u003e \u003cp\u003eAdvance Care Planning 254\u003c\/p\u003e \u003cp\u003eOther Important Issues to Consider 259\u003c\/p\u003e \u003cp\u003ePractical Solutions to Complicated Problems 260\u003c\/p\u003e \u003cp\u003ePolicies, Procedures, and Protocols 260\u003c\/p\u003e \u003cp\u003eBioethics Committee 260\u003c\/p\u003e \u003cp\u003eTraining\/Evaluation\/Discipline 260\u003c\/p\u003e \u003cp\u003eReporting Process 261\u003c\/p\u003e \u003cp\u003eAudit 261\u003c\/p\u003e \u003cp\u003eSummary 262\u003c\/p\u003e \u003cp\u003eKey Terms 262\u003c\/p\u003e \u003cp\u003eReview Questions 265\u003c\/p\u003e \u003cp\u003eCase Studies 265\u003c\/p\u003e \u003cp\u003eCase #1 265\u003c\/p\u003e \u003cp\u003eCase #2 266\u003c\/p\u003e \u003cp\u003eReferences 266\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 9 Marketing and Public Relations 269\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eJanice Frates and Susie Mix\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eAssessing Local Demand for Long-Term Care Services 269\u003c\/p\u003e \u003cp\u003ePublic Perceptions and Public Relations 272\u003c\/p\u003e \u003cp\u003eNaming and Vocabulary 272\u003c\/p\u003e \u003cp\u003eAddressing Suspicions and Fears 273\u003c\/p\u003e \u003cp\u003eCustomers and Their Needs 273\u003c\/p\u003e \u003cp\u003eFamilies 273\u003c\/p\u003e \u003cp\u003eThird-Party Payers 275\u003c\/p\u003e \u003cp\u003eIdentifying Customer Needs 278\u003c\/p\u003e \u003cp\u003eMarket Segmentation 278\u003c\/p\u003e \u003cp\u003eCompetition 280\u003c\/p\u003e \u003cp\u003ePositioning 280\u003c\/p\u003e \u003cp\u003eMarketing Approaches 280\u003c\/p\u003e \u003cp\u003eCollaboration 281\u003c\/p\u003e \u003cp\u003eReferral Agents 281\u003c\/p\u003e \u003cp\u003eNetworking 282\u003c\/p\u003e \u003cp\u003ePublic and Private Oversight of Long-Term Care Services Providers 283\u003c\/p\u003e \u003cp\u003eCustomer Services and Retention 284\u003c\/p\u003e \u003cp\u003ePreplacement Evaluation 284\u003c\/p\u003e \u003cp\u003eCustomer Service 285\u003c\/p\u003e \u003cp\u003eResident Ambassadors 285\u003c\/p\u003e \u003cp\u003eMonitoring Customer Satisfaction 286\u003c\/p\u003e \u003cp\u003eMarketing Plan 286\u003c\/p\u003e \u003cp\u003eReturn on Marketing Investment (ROI) 289\u003c\/p\u003e \u003cp\u003eCustomer Buying Behavior 289\u003c\/p\u003e \u003cp\u003eBranding 290\u003c\/p\u003e \u003cp\u003eEthical Marketing 290\u003c\/p\u003e \u003cp\u003eFalse Promises 291\u003c\/p\u003e \u003cp\u003eAdvertising and Promotional Activities 291\u003c\/p\u003e \u003cp\u003eSocial Media 291\u003c\/p\u003e \u003cp\u003eCrisis Management 294\u003c\/p\u003e \u003cp\u003eSummary 295\u003c\/p\u003e \u003cp\u003eKey Terms 296\u003c\/p\u003e \u003cp\u003eReview Questions 297\u003c\/p\u003e \u003cp\u003eCase Studies 298\u003c\/p\u003e \u003cp\u003eCase Study #1: SNF Marketing in a Post-ACA World: Memorial Hospital of Gardena (California) 298\u003c\/p\u003e \u003cp\u003eCase Study #2: Skilled Nursing Facility Marketing in the Future 299\u003c\/p\u003e \u003cp\u003eCase Study Review Questions 300\u003c\/p\u003e \u003cp\u003eReferences 300\u003c\/p\u003e \u003cp\u003eAcknowledgments 302\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 10 Health Information Systems 303\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eAbby Swanson Kazley\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003ePrevalence of Use 304\u003c\/p\u003e \u003cp\u003eRegulations, Laws, and Standards 305\u003c\/p\u003e \u003cp\u003eRecord Retention Requirements 308\u003c\/p\u003e \u003cp\u003eHealth Information Technology Applications 309\u003c\/p\u003e \u003cp\u003eAdvantages of Health Information Technology Use in Long-Term Care 313\u003c\/p\u003e \u003cp\u003eDisadvantages of Health Information Technology Use in Long-Term Care 316\u003c\/p\u003e \u003cp\u003eElectronic Devices 318\u003c\/p\u003e \u003cp\u003eImplementation and Conversion to Health Information Technology 319\u003c\/p\u003e \u003cp\u003eStaff Training 321\u003c\/p\u003e \u003cp\u003eSummary 323\u003c\/p\u003e \u003cp\u003eKey Terms 323\u003c\/p\u003e \u003cp\u003eReview Questions 325\u003c\/p\u003e \u003cp\u003eCase Studies 325\u003c\/p\u003e \u003cp\u003eCase Study #1 325\u003c\/p\u003e \u003cp\u003eCase Study #2 325\u003c\/p\u003e \u003cp\u003eReferences 325\u003c\/p\u003e \u003cp\u003eAcknowledgment 328\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 11 Biological and Psychosocial Aspects of Aging: Implications for Long-Term Care 329\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eBarbara White\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eNormal Physical ChangesWith Aging 329\u003c\/p\u003e \u003cp\u003eSkin Changes 330\u003c\/p\u003e \u003cp\u003eSensory Changes 336\u003c\/p\u003e \u003cp\u003eImmune System 338\u003c\/p\u003e \u003cp\u003eGastrointestinal System 340\u003c\/p\u003e \u003cp\u003eMusculoskeletal System 341\u003c\/p\u003e \u003cp\u003eRespiratory and Cardiovascular Systems 342\u003c\/p\u003e \u003cp\u003eFrailty Syndrome 342\u003c\/p\u003e \u003cp\u003eUrinary Tract 343\u003c\/p\u003e \u003cp\u003eNeurological Changes 343\u003c\/p\u003e \u003cp\u003eHealth Promotion, Disease Prevention 345\u003c\/p\u003e \u003cp\u003eCommon Psychosocial Changes With Aging 345\u003c\/p\u003e \u003cp\u003eLosses and Isolation 345\u003c\/p\u003e \u003cp\u003eDepression 346\u003c\/p\u003e \u003cp\u003eAnxiety 347\u003c\/p\u003e \u003cp\u003eSleep Pattern 347\u003c\/p\u003e \u003cp\u003eIllness Presentations in Older Adults 348\u003c\/p\u003e \u003cp\u003eResponses to Medications in Older Adults 349\u003c\/p\u003e \u003cp\u003eChanges in Absorption, Distribution, Metabolism, Elimination, and Action 349\u003c\/p\u003e \u003cp\u003eInappropriate Drug Prescribing 350\u003c\/p\u003e \u003cp\u003ePolypharmacy 350\u003c\/p\u003e \u003cp\u003eChanges in Older Adult and Family Relations in Long-Term Care 350\u003c\/p\u003e \u003cp\u003eWhy Move to Long-Term Care Placement 350\u003c\/p\u003e \u003cp\u003eCaregiver Burden 351\u003c\/p\u003e \u003cp\u003eSuicide 352\u003c\/p\u003e \u003cp\u003eAcquired Conditions as Consequences of Long-Term Care Placement 353\u003c\/p\u003e \u003cp\u003eInterventions to Maintain Quality of Life After a Move to Long-Term Care 353\u003c\/p\u003e \u003cp\u003eInitial Orientation\/Transition 353\u003c\/p\u003e \u003cp\u003ePersonal Possessions 354\u003c\/p\u003e \u003cp\u003eStaffing 354\u003c\/p\u003e \u003cp\u003eFeelings of Self-Worth, Independence, and Choice 355\u003c\/p\u003e \u003cp\u003eAssessment and Care Planning 355\u003c\/p\u003e \u003cp\u003eSummary 356\u003c\/p\u003e \u003cp\u003eKey Terms 357\u003c\/p\u003e \u003cp\u003eReview Questions 363\u003c\/p\u003e \u003cp\u003eCase Study 364\u003c\/p\u003e \u003cp\u003eReferences 364\u003c\/p\u003e \u003cp\u003eAcknowledgment 366\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 12 Resident-Centered Clinical Operations 367\u003c\/b\u003e\u003cbr\u003e\u003ci\u003ePaige Hector\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eClinical Operations 367\u003c\/p\u003e \u003cp\u003eRole of the Administrator 367\u003c\/p\u003e \u003cp\u003eCritical Thinking and Clinical Judgment 368\u003c\/p\u003e \u003cp\u003eFederal and State Regulations 369\u003c\/p\u003e \u003cp\u003ePolicies and Procedures 369\u003c\/p\u003e \u003cp\u003eAdmission to Facility 370\u003c\/p\u003e \u003cp\u003eCare Plan 371\u003c\/p\u003e \u003cp\u003eMedical Record Audit 377\u003c\/p\u003e \u003cp\u003eRehabilitation 382\u003c\/p\u003e \u003cp\u003eEvaluations 382\u003c\/p\u003e \u003cp\u003eTreatment Plans 383\u003c\/p\u003e \u003cp\u003eSupportive Devices 383\u003c\/p\u003e \u003cp\u003eDocumentation 383\u003c\/p\u003e \u003cp\u003eInterdisciplinary Focus 384\u003c\/p\u003e \u003cp\u003eDos and Don’ts 384\u003c\/p\u003e \u003cp\u003eSubjective Versus Objective 385\u003c\/p\u003e \u003cp\u003eLate Entry 386\u003c\/p\u003e \u003cp\u003eSummarizing Event Entry 386\u003c\/p\u003e \u003cp\u003eComplaints 387\u003c\/p\u003e \u003cp\u003eContributory Negligence 388\u003c\/p\u003e \u003cp\u003eResident, Patient, and Family Education 388\u003c\/p\u003e \u003cp\u003eDocumentation 389\u003c\/p\u003e \u003cp\u003eCare Conference 389\u003c\/p\u003e \u003cp\u003eLeave of Absence (LOA) 389\u003c\/p\u003e \u003cp\u003eCommunity Survival Skills Assessment 390\u003c\/p\u003e \u003cp\u003eProvider Order 390\u003c\/p\u003e \u003cp\u003eRole of Payer Source 391\u003c\/p\u003e \u003cp\u003eSummary 391\u003c\/p\u003e \u003cp\u003eKey Terms 391\u003c\/p\u003e \u003cp\u003eReview Questions 394\u003c\/p\u003e \u003cp\u003eCase Study 394\u003c\/p\u003e \u003cp\u003eReferences 395\u003c\/p\u003e \u003cp\u003eAcknowledgment 395\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 13 Facility-Centered Clinical Operations 397\u003c\/b\u003e\u003cbr\u003e\u003ci\u003ePaige Hector\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eWeekly Operations 397\u003c\/p\u003e \u003cp\u003eWound Rounds 397\u003c\/p\u003e \u003cp\u003eNutrition at Risk 398\u003c\/p\u003e \u003cp\u003eFalls 398\u003c\/p\u003e \u003cp\u003eRestorative Nursing 399\u003c\/p\u003e \u003cp\u003eMonthly Operations 399\u003c\/p\u003e \u003cp\u003eMedical Record Audit 400\u003c\/p\u003e \u003cp\u003ePharmacy 402\u003c\/p\u003e \u003cp\u003eRecapitulation (Recap) 403\u003c\/p\u003e \u003cp\u003eNursing Assistant Flow Sheets 404\u003c\/p\u003e \u003cp\u003eQuarterly Operations 404\u003c\/p\u003e \u003cp\u003eIndividual Discipline Summaries 404\u003c\/p\u003e \u003cp\u003eChanges of Condition 405\u003c\/p\u003e \u003cp\u003eNotifications 406\u003c\/p\u003e \u003cp\u003eAlert Charting 406\u003c\/p\u003e \u003cp\u003e24-Hour Report 406\u003c\/p\u003e \u003cp\u003eProcess 408\u003c\/p\u003e \u003cp\u003eShift Change 408\u003c\/p\u003e \u003cp\u003eStand-Up Meeting 409\u003c\/p\u003e \u003cp\u003ePurpose 409\u003c\/p\u003e \u003cp\u003eColor-Coding System 410\u003c\/p\u003e \u003cp\u003ePart I—General Issues 410\u003c\/p\u003e \u003cp\u003ePart II—Clinical Review 415\u003c\/p\u003e \u003cp\u003eChallenges With Electronic Medical Records 423\u003c\/p\u003e \u003cp\u003eSummary 424\u003c\/p\u003e \u003cp\u003eKey Terms 424\u003c\/p\u003e \u003cp\u003eReview Questions 425\u003c\/p\u003e \u003cp\u003eCase Study 425\u003c\/p\u003e \u003cp\u003eReferences 426\u003c\/p\u003e \u003cp\u003eAcknowledgment 426\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 14 Facility Operations and Performance Improvement 427\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eRebecca Perley, Jim Kinsey, Paige Hector, and Jill Harrison\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eFacility Operations 427\u003c\/p\u003e \u003cp\u003eRole of the NHA 428\u003c\/p\u003e \u003cp\u003eDaily NHA Rounds 430\u003c\/p\u003e \u003cp\u003ePreadmission 431\u003c\/p\u003e \u003cp\u003ePreadmission Screening and Resident Review (PASRR) 431\u003c\/p\u003e \u003cp\u003eFinancial Reimbursement for Treatment 431\u003c\/p\u003e \u003cp\u003eFacility Tour 431\u003c\/p\u003e \u003cp\u003eDocumentation Required for Admission 432\u003c\/p\u003e \u003cp\u003ePhysician Order 432\u003c\/p\u003e \u003cp\u003eMedication Administration Record (MAR) 432\u003c\/p\u003e \u003cp\u003eEvidence of Being Free of Tuberculosis 432\u003c\/p\u003e \u003cp\u003eHistory and Physical (H\u0026amp;P) 433\u003c\/p\u003e \u003cp\u003eDischarge Summary 433\u003c\/p\u003e \u003cp\u003eAdmission Packet 433\u003c\/p\u003e \u003cp\u003eIdentification of Parties 433\u003c\/p\u003e \u003cp\u003eConsent to Treatment 433\u003c\/p\u003e \u003cp\u003eResident Rights 434\u003c\/p\u003e \u003cp\u003eFinancial Arrangement 434\u003c\/p\u003e \u003cp\u003eTransfers and Discharges 434\u003c\/p\u003e \u003cp\u003eBed Hold Policy 434\u003c\/p\u003e \u003cp\u003ePersonal Property and Funds 434\u003c\/p\u003e \u003cp\u003ePhotographs 435\u003c\/p\u003e \u003cp\u003eConfidentiality of Medical Information 435\u003c\/p\u003e \u003cp\u003eFacility Rules and Grievance Procedure 435\u003c\/p\u003e \u003cp\u003eAdmission Agreement 435\u003c\/p\u003e \u003cp\u003eResident-Directed Move-In 435\u003c\/p\u003e \u003cp\u003eOrientation to the Facility 436\u003c\/p\u003e \u003cp\u003eResident’s Adjustment, Grief, and Loss 436\u003c\/p\u003e \u003cp\u003eResident Assessment Instrument Process 436\u003c\/p\u003e \u003cp\u003eMinimum Data Set (MDS) 437\u003c\/p\u003e \u003cp\u003eCare Area Assessment (CAA)438\u003c\/p\u003e \u003cp\u003eCare Plan 438\u003c\/p\u003e \u003cp\u003eCare Plan Conference 438\u003c\/p\u003e \u003cp\u003eIdentifying and Honoring the Resident’s Voice 439\u003c\/p\u003e \u003cp\u003eNursing 439\u003c\/p\u003e \u003cp\u003eDietary 439\u003c\/p\u003e \u003cp\u003eSocial Services 440\u003c\/p\u003e \u003cp\u003eActivities 440\u003c\/p\u003e \u003cp\u003ePerformance Improvement 440\u003c\/p\u003e \u003cp\u003eQuality Assurance (QA) 440\u003c\/p\u003e \u003cp\u003ePerformance Improvement (PI) 441\u003c\/p\u003e \u003cp\u003eQuality Assurance and Performance Improvement (QAPI) 441\u003c\/p\u003e \u003cp\u003eFive Elements of QAPI 441\u003c\/p\u003e \u003cp\u003eQuality Assessment and Assurance (QAA) 442\u003c\/p\u003e \u003cp\u003eQuality Measure\/Indicator Reports 442\u003c\/p\u003e \u003cp\u003eProgram for Evaluating Payment Patterns Electronic Report (PEPPER) 443\u003c\/p\u003e \u003cp\u003eData Management 443\u003c\/p\u003e \u003cp\u003eProcess-Oriented Context 444\u003c\/p\u003e \u003cp\u003eRun Charts—Just Plot the Dots! 446\u003c\/p\u003e \u003cp\u003eVariation 446\u003c\/p\u003e \u003cp\u003eStrategies for Improvement: The Fun Stuff! 449\u003c\/p\u003e \u003cp\u003eSurveys 453\u003c\/p\u003e \u003cp\u003eSurvey Management 453\u003c\/p\u003e \u003cp\u003eInitial Certification Survey 454\u003c\/p\u003e \u003cp\u003eTraditional Survey 454\u003c\/p\u003e \u003cp\u003eQuality Indicator Survey (QIS) Process 456\u003c\/p\u003e \u003cp\u003eMinimum Data Set (MDS) Survey 458\u003c\/p\u003e \u003cp\u003eExit Conference 458\u003c\/p\u003e \u003cp\u003eForm 2567 458\u003c\/p\u003e \u003cp\u003eScope and Severity 459\u003c\/p\u003e \u003cp\u003eInformal Dispute Resolution (IDR) 461\u003c\/p\u003e \u003cp\u003eSummary 462\u003c\/p\u003e \u003cp\u003eKey Terms 462\u003c\/p\u003e \u003cp\u003eReview Questions 465\u003c\/p\u003e \u003cp\u003eCase Study 466\u003c\/p\u003e \u003cp\u003eReferences 466\u003c\/p\u003e \u003cp\u003eAcknowledgment 468\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 15 Financial Issues and Tools 469\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eRobert Miller\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eFinancial Issues and Financial Tools 470\u003c\/p\u003e \u003cp\u003eBudgets 470\u003c\/p\u003e \u003cp\u003eBudget Development 473\u003c\/p\u003e \u003cp\u003eProfit or Loss 479\u003c\/p\u003e \u003cp\u003eStaff 485\u003c\/p\u003e \u003cp\u003eRevenue Enhancement 488\u003c\/p\u003e \u003cp\u003eLevel of Services Provided to Residents 490\u003c\/p\u003e \u003cp\u003eIntensity of Services to the Residents 490\u003c\/p\u003e \u003cp\u003eFuture Directions 492\u003c\/p\u003e \u003cp\u003eLevel of Care 493\u003c\/p\u003e \u003cp\u003eAffordable Care Act 493\u003c\/p\u003e \u003cp\u003eSummary 494\u003c\/p\u003e \u003cp\u003eKey Terms 495\u003c\/p\u003e \u003cp\u003eReview Questions 502\u003c\/p\u003e \u003cp\u003eCase Study 503\u003c\/p\u003e \u003cp\u003eReferences 504\u003c\/p\u003e \u003cp\u003eAcknowledgment 504\u003c\/p\u003e \u003cp\u003e\u003cb\u003eChapter 16 International Comparisons and Future Trends in Long-Term Care 505\u003c\/b\u003e\u003cbr\u003e\u003ci\u003eErlyana Erlyana\u003c\/i\u003e\u003c\/p\u003e \u003cp\u003eGrowth of Elderly Population 506\u003c\/p\u003e \u003cp\u003eIncrease in Longevity and Disability 507\u003c\/p\u003e \u003cp\u003eIncrease in Long-Term Care Expenditure 508\u003c\/p\u003e \u003cp\u003eInternational LTC Policies 510\u003c\/p\u003e \u003cp\u003eGermany 510\u003c\/p\u003e \u003cp\u003eJapan 511\u003c\/p\u003e \u003cp\u003eItaly 512\u003c\/p\u003e \u003cp\u003eSouth Korea 513\u003c\/p\u003e \u003cp\u003eFuture Trends of LTC in the United States 514\u003c\/p\u003e \u003cp\u003eAnticipated Growth of LTC Needs 514\u003c\/p\u003e \u003cp\u003eTrends in Supply and Use 515\u003c\/p\u003e \u003cp\u003eFuture Predictions for LTC 516\u003c\/p\u003e \u003cp\u003eSummary 517\u003c\/p\u003e \u003cp\u003eKey Terms 517\u003c\/p\u003e \u003cp\u003eReview Questions 518\u003c\/p\u003e \u003cp\u003eCase Study 518\u003c\/p\u003e \u003cp\u003eReferences 519\u003c\/p\u003e \u003cp\u003eIndex 523\u003c\/p\u003e   \u003cp\u003e\u003cb\u003eREBECCA PERLEY\u003c\/b\u003e is owner and CEO of AIT Exam Prep, a company that prepares administrators-in-training to pass the California and federal nursing home administrator licensure exams. She is a member of the Executive Faculty in the Health Care Administration Department of California State University, Long Beach and has been a guest lecturer for the State of California, Nursing Home Administrator Program.     \u003c\/p\u003e\u003cp\u003ePRACTICAL AND COMPASSIONATE APPROACHES TO THE OPERATION OF\u003cb\u003e LONG-TERM CARE FACILITIES\u003c\/b\u003e \u003c\/p\u003e\u003cp\u003e\u003ci\u003eManaging the Long-Term Care Facility\u003c\/i\u003e contains a wealth of proven approaches that focus on achieving quality of care and quality of life in the long-term care continuum. The approaches outlined move away from traditional institutional techniques and present more caring, empathetic, and nurturing methods that foster an empowering environment for persons needing services and those working in the field. This important resource puts the emphasis on practicality, offers suggestions for every aspect of operating a long-term care facility, and enables an administrator to implement these suggestions immediately. \u003c\/p\u003e\u003cp\u003eThe text is a comprehensive resource designed for use by students in health care administration, other disciplines such as nursing, gerontology and business, and professionals in the field. \u003ci\u003eManaging the Long-Term Care Facility\u003c\/i\u003e includes: \u003c\/p\u003e\u003cul\u003e \u003cli\u003eSuggestions for working with diverse and vulnerable populations\u003c\/li\u003e \u003cli\u003eIdeas for ensuring the physical environment meets or exceeds regulatory standards\u003c\/li\u003e \u003cli\u003eA review of the numerous legal and ethical responsibilities of the long-term  care provider\u003c\/li\u003e \u003cli\u003eAn exploration of the best nursing and business practices\u003c\/li\u003e \u003cli\u003eInformation for preparing students for the National Nursing Home  Administrator's licensure exam\u003c\/li\u003e \u003c\/ul\u003e \u003cp\u003e\u003ci\u003eManaging the Long-Term Care Facility\u003c\/i\u003e provides real-world guidance and a comprehensive introduction to the growing field of long-term care.  \u003c\/p\u003e\u003cp\u003eCompanion Web site: \u003cb\u003ewww.wiley.com\/go\/perley\u003c\/b\u003e\u003cbr\u003e Additional resources: \u003cb\u003ewww.josseybasspublichealth.com\u003c\/b\u003e\u003c\/p\u003e","brand":"Jossey-Bass","offers":[{"title":"Default Title","offer_id":47989568733413,"sku":"NP9781118654781","price":98.95,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1842\/7735\/files\/9781118654781.jpg?v=1761784633","url":"https:\/\/k12savings.com\/products\/managing-the-long-term-care-facility-isbn-9781118654781","provider":"K12savings","version":"1.0","type":"link"}