Managing the Long-Term Care Facility

Practical and compassionate approaches to providing quality care and safeguarding quality of life The second edition of Managing the Long-Term Care Facility: Practical Approaches to Providing Quality Care updates the first edition’s discussion of the operational requirements necessary to manage a skilled nursing facility. This book presents sensitive and empathic regulatory compliant methods for the delivery of care that fosters an empowering environment for all stakeholders. Additional new information includes aging in place, trauma-informed care, ethical dilemmas and collaborative decision-making, workforce culture, and surveys, enforcement actions, and appeals. The pedagogical tools include chapter summaries with quiz questions and case studies. Instructors also have access to PowerPoint slides and test banks. This book is an excellent resource for students and individuals interested in working in long-term care and other health care industries. The updated best practices for clinical and non-clinical roles within the facility and material on resident advocacy and other important topics provide valuable information for the reader. Working professionals can benefit from the emphasis placed on practical approaches to facilitate person-centered and whole person care and a facility’s sustainability.

About the Contributors  xxv Foreword  xxxiii Preface xxxvii Acknowledgments  xxxix About the Companion Website  xli Introduction  xliii Chapter 1 Long- Term Care Continuum  1 Kenneth Merchant, Rebecca M. Perley, Susan M. Duncan, Nancy Wexler, and Michael Carter Chapter 2 Biological and Psychosocial Aspects of Aging  37 Barbara White and Melvin Hector Copyrighted Material Chapter 3 Person- Centered Care 71 Jim Kinsey, Cindy Donovan, and Adrienne Lindsey Chapter 4 Trauma-Informed Care  91 Barbara Ganzel, Nancy Kusmaul, Carla Cheatham, Paige Hector, David D. Clarke, and Rebecca M. Perley Chapter 5 Resident Advocates and Diversity  147 Ann Wyatt, Robyn Grant, and Rebecca M. Perley Chapter 6 Physical Environment of Long-Term Care  163 Andrew Lee Alden, Jeffrey W. Anderzhon, and Sarah Moser Chapter 7 Transitions of Care 191 Paige Hector and Cory W. Woods Chapter 8 Resident- Centered Clinical Operations  209 Paige Hector and Cory W. Woods Chapter 9 Ethical Dilemmas and Collaborative Decision- Making  231 David N. Hoffman Chapter 10 Facility- Centered Clinical Operations  259 Paige Hector and Cory W. Woods Chapter 11 Technology and Data- Driven Health Care281 Abby Swanson Kazley Chapter 12 Resident Assessment Instrument 303 Joel VanEaton and Rebecca M. Perley Chapter 13 Quality Assurance and Performance Improvement (QAPI) and Quality Assessment and Assurance (QAA) 313 Paige Hector and Alan C. Horowitz Chapter 14 Surveys, Enforcement Actions, and Appeals  345 Alan C. Horowitz Chapter 15 Human Resources 367 Sonja M. Talley, Ronke Komolafe, and Rebecca M. Perley Chapter 16 Workforce Culture  401 Jim Kinsey, Rebecca M. Perley, and Ann Wyatt Chapter 17 Marketing and Public Relations  427 Suzanne Richards, Lovella D. Sullivan, and Rebecca M. Perley Chapter 18 Facility Reimbursement  451 Robert J. Miller Chapter 19 Financial Operations  477 Robert J. Miller Chapter 20 Legal Considerations 499 Alain P. Durocher and Deborah K. Cruze Chapter 21 Compliance and Risk Management  523 David N. Hoffman and Rebecca M. Perley Chapter 22 Looking Ahead: Domestic and International Policy Implications of Long-Term Care  549 Erlyana Erlyana, Karl Steinberg, Martin Smalbrugge, Alex Bardakh, and Robert J. Miller Index 581