Nursing Home Administration: Fifth Edition

Cover......Page 1
TOC Contents......Page 6
Foreword......Page 12
Acknowledgments......Page 16
Introduction......Page 18
The Nursing Home
Administrator’s Challenge......Page 20
List of Figures......Page 22
List of Tables......Page 26
Part I. Management, Governance, Leadership......Page 28
CH 1.1 Management Functions......Page 30
1.1.1 Levels of Management......Page 34
1.1.2 Line–Staff Relationships......Page 35
CH 1.2 Forecasting......Page 38
CH 1.3 Planning......Page 41
1.3.2 Steps in Planning......Page 42
CH 1.4 Organizing......Page 48
1.4.1 Description of the Organization as a System......Page 49
1.4.2 Identifying Systems......Page 55
1.4.3 Additional Characteristics of Systems......Page 57
CH 1.5 Staffing......Page 62
1.6.1 Policy Making......Page 63
1.6.2 Decision Making......Page 68
1.6.3 Leadership......Page 69
1.6.4 Power and Authority......Page 80
1.6.5 Communication Skills......Page 84
1.6.6 Organizational Norms and Values......Page 88
1.6.7 Additional Related Concepts......Page 92
1.6.8 History of the Concept of Management......Page 97
1.7.1 Some Requirements for Effective Control of Quality......Page 101
1.7.2 Diagnosing / Organizational Quality......Page 103
CH 1.8 Innovating......Page 122
1.9.1 The Turn to Marketing......Page 126
1.9.2 The “Marketing” of Health Care......Page 127
1.9.3 Developing a Marketing Strategy......Page 131
Part II. Human Resources......Page 144
CH 2.1 Organizational Patterning of the Nursing Facility and Its Staff......Page 146
CH 2.2 Identifying the Human Resources Functions......Page 175
CH 2.3 Planning Employment Needs: Writing Job Descriptions......Page 179
CH 2.4 Forecasting Future Employment Needs......Page 182
CH 2.5 Recruiting Employees......Page 184
CH 2.6 Hiring Staff......Page 190
CH 2.7 Training Staff......Page 207
2.8.2 What Employees Need From the Facility......Page 214
2.8.3 Strategies Available to the Facility to Meet Both Its Own and the Employee’s Needs......Page 216
CH 2.9 Evaluating Employees......Page 234
CH 2.10 Paying Employees......Page 241
CH 2.11 Disciplining Employees......Page 246
Part III. Finance/Business......Page 250
CH 3.1 The Administrator's Role as Financial Manager......Page 252
CH 3.2 Generally Accepted Accounting Principles—The GAAPs......Page 257
CH 3.3 Two Approaches to Accounting: Cash Accounting and Accrual Accounting......Page 260
CH 3.4 The Two Main Steps in the Accounting Process: Recording Transactions and Preparing Financial Statements......Page 263
CH 3.5 Putting Financial Statements to Work: Working Capital, Ratio Analysis, and Vertical Analysis......Page 281
CH 3.6 Additional Accounting Procedures That Help the Administrator Maintain Control Over the Facility......Page 289
CH 3.7 The Concept of Depreciation......Page 309
3.8.1 Two Types of Costs: Variable and Fixed......Page 314
3.8.2 An Additional Type: Semivariable Costs......Page 315
3.8.3 Additional Types of Costs......Page 317
3.9.1 Two Methods of Budget Preparation......Page 324
3.9.2 Five Steps in the Budgeting Process......Page 325
3.10.1 Sources of Law......Page 333
3.10.3 Legal Terminology......Page 335
3.10.4 Risks Assumed by the Operation of a Long-Term Care Facility......Page 342
3.10.5 Business-Related Concepts and Terms......Page 351
3.10.6 Insurance Terms......Page 373
3.10.7 Terms Associated With Advanced Directives, Wills, and Estates......Page 374
4.1.1 Origins of Long-Term Care—A 400-Year Tradition......Page 380
4.1.2 Overview / Context of the Nursing Home Industry......Page 387
4.1.3 Nursing Homes......Page 393
4.1.4 Overview of the Long-Term Care Continuum......Page 396
4.1.5 Hospital Trends: Understanding the Changing Nursing Home Case Mix......Page 410
4.2.1 The Social Security Act: Medicare......Page 416
4.2.2 Title 19: Medicaid......Page 426
CH 4.3 Older Americans Act of 1965......Page 431
4.4.1 Early Management–Labor Relations in the United States......Page 436
4.4.2 Major Legislation Affecting Employer–Employee Relationships......Page 438
4.4.3 Regulation of Compensation......Page 457
4.4.4 Worker’s Compensation: Assistance for On-the-Job Injuries......Page 461
4.4.5 Retirement......Page 462
CH 4.5 Workplace Safety: The Occupational Safety and Health Act (1970)......Page 464
CH 4.6 Fire Safety: The Life Safety Code®......Page 470
CH 4.7 Americans With Disabilities Act of 1990 Accessibility Guidelines for Facilities......Page 482
CH 4.8 Expanding Facility Services: Health Planning Regulations......Page 514
CH 4.9 Voluntary Operating Standards: Joint Commission on Accreditation of Healthcare Organizations......Page 517
Part V. Patient / Resident Care......Page 524
CH 5.1 The Aging Process......Page 526
 5.1.1 Overview of Some Appearance and Functional Changes Believed to Be Associated With Aging......Page 528
5.1.2 Somatic Theories of Aging......Page 530
5.1.3 Resident Exercise and Fitness......Page 533
5.2.1 Medical Specializations......Page 536
5.2.2 Medications / Therapeutic Actions of Drugs......Page 538
5.2.3 Abbreviations......Page 547
5.2.4 Prefixes......Page 550
5.2.5 Suffixes......Page 556
CH 5.3 The Aging Process As It Relates to Diseases Common to the Nursing Home Population......Page 559
5.3.1 Blood Circulation......Page 560
5.3.2 Respiratory System......Page 572
5.3.3 Nervous System......Page 580
5.3.4 Digestive System......Page 595
5.3.5 Nutrition......Page 602
5.3.6 External and Internal Defense Mechanisms......Page 608
5.3.7 Musculoskeletal System......Page 622
5.3.8 Genitourinary (Renal) System......Page 628
5.3.9 Reproductive System......Page 636
5.3.10 Emotional and Mental Well-Being......Page 639
CH 5.4 Final Observations on a Career in Nursing Home Administration......Page 648
IDX Index......Page 660