The Long-Term Care Administrator's Field Guide

Your nursing home is only as good as your administrator.
Increase productivity and manage your nursing home efficiently with this how-to guide.

Be the best administrator you can be with The Long-Term Care Administrator’s Field Guide by Brian Garavaglia, Ph.D. This must-have for new and veteran long-term care administrators provides a strategic breakdown of the organizational structure of a nursing home and explains the administrator's role in building and plant operations, human resources, infection control, financial management, and more.

Designed to save time this "all-in-one" resource provides detailed chapters that allow administrators to find their answers quickly and continue on their work day. This one-stop guide is an easy way to get all of the duties that administrators are responsible for outlined in a clear and concise way. You get everything from understanding biological and psychological aspects of aging to managing and running a facility.

A must-have for:

• Veteran administrators who want to ensure their way of conducting business is the most efficient
• New administrators who need a daily resource to make confident and correct decisions
• Professionals who are planning or striving to become an administrator

Administrators will love the:

• Simple descriptions of long-term care regulations and how to comply
• Management tips that save time and increase productivity
• Effective ways to prevent the spread of infection
• Easy techniques to make financial responsibilities less challenging

Already an administrator? Confirm that what you’re doing is correct.

Veteran administrators will appreciate the way author Brian Garavaglia, Ph.D. strategically breaks down the technical side of long-term care administration by making the practical every day applications that exist in the industry available to everyone.

BONUS CD-ROM!

As a bonus, the CD-ROM includes a post-test with every chapter, a 30-page supplement covering medical terminology and abbreviations, an overview of geriatrics 101, and a section on management theory.

About the author:

Dr. Brian Garavaglia, is a long-term care administrator, gerontologist, consultant, author and educator. He has 27 years of experience in health care, especially in dealing with older adults in the long-term care setting.

Table of Contents:

Chapter 1: Nursing Home Administration
The Current Nursing Home Landscape
Culture Change
Nursing Home Administrator Requirements

Chapter 2: The Biological, Psychological, and Social Aspects of Aging
Aging and the Elderly
Life Expectancy, Life Span, and Change
Biological Theories on Aging and Biological Aging of the Body
Health and the Aging Process
Psychological and Social Aging

Chapter 3: Long-Term Care Management Personnel
The Administrator
The Director of Nursing
The MDS Coordinator
The Dietary Supervisor
Social Services
The Director of Admissions
Maintenance Personnel
The Staff Development Coordinator
The HR Coordinator
Records Personnel
The Activities Director
The Medical Director
The Consulting Pharmacist

Chapter 4: Long-Term Care Non-Management Personnel
The Physical and Occupational Therapy Staff
Nursing Assistants
The Housekeeping Staff
Kitchen Personnel
Nurses

Chapter 5: Management and Organizational Structure within Healthcare
The Group and The Effects of Status Characteristics on Social Interaction
Distributive Justice
Management Principles
Strategic Planning and Management
Management Theory and the Ethics of the LTC Environment
Major Ethical Principles and Guidelines

Chapter 6: Environmental Management and Building Operations
Preventive Maintenance
Temperatures
Electrical System
Lighting and Illumination
Sound and Noise
Monitoring for Tactile Issues
Right-to-Know Information
Daily Administrative Oversight
External Building Features
Hallway Clearance and Wheelchair Accessibility
Understanding Useful Life and Depreciation, and How They Factor into Preventive Maintenance
Safety, Disaster, and Emergency Preparedness
Pest Control
Infection Control
Maintenance and OSHA Standards

Chapter 7: Human Resources: Managing Personnel
Disparate Treatment and Disparate Impact
Discrimination Based on Gender
Important Legislation Related to HR
Protecting Workers by Providing Appropriate Safety
Wages, Compensation Law, and Worker Protection
Common Law Doctrines That Govern the Work Environment
Unfair Labor Practices
Disciplinary Action of Union Employees and Weingarten Rights
Hiring, Interviewing, and Recruiting Workers
Job Description, Specification, Hiring, and Retention
Psychological Testing of Workers
Figuring Out the Work and Workers Needed
Types of Healthcare Insurance
COBRA Requirements
Employee Evaluations
The Changing Workplace: Flexible Workplace Policies
Workplace Health and Work Stressors
The Importance of Learning Theory and Motivation
Basic Motivational Concepts and Theories

Chapter 8: Infection Control and Sanitation
Infection Control Concepts
Growth of Microorganisms
How Do Microbial Agents Cause Disease?
Control of Microbial Growth through Chemical Means
Epidemiology
Common Viruses Found in Long-Term Care
Infection Control in the Dietary Area
Hazard Analysis Critical Control Points
The 12-Step CDC Program

Chapter 9: The Regulatory Environment
Understanding Nursing Home Citations
What Is the Enforcement Cycle?
Denial of Payment
Immediate Jeopardy
The Regulatory Remedy for Non-Compliance
Survey Types
The Survey Mindset
The Seven Tasks of the Survey Process
Difference between a State and Federal Survey
When You Need to Challenge the Citation
The Plan of Correction
Top 10 Nursing Home Citations in the United States
Code of Federal Regulations
Federal Programs Driving the Regulatory Environment
Additional Regulatory Programs
Brief Overview of the Law As It Applies to the Healthcare Environment
The Business Organization and Its Legal Structure
The Administrator as the Agent
Advanced Directives and Elder Law

Chapter 10: Addendum Regarding Additional Information on Consolidated Billing, the Prospective Payment System, and the MDS
Consolidated Billing
MDS Drives All Billing
Off-Cycle Assessments
Administrator Involvement
A Maze of RUGs and Minutes
The Importance of Certification

Chapter 11: Finance and Budgeting
The Accounting Equation
Cash vs. Accrual Accounting
Bookkeeping vs. Accounting
Basic Financial Terminology and Financial Statements
The Income Statement, Balance Sheet and the Cash Flow Statement
Debits, Credits, and Postings to Accounts with Examples
The Accounting Cycle
Writing Off Uncollectible Accounts
Working Capital and Net Operating Margin
Average Collection Period Ratio and Accounts Payable Average Payment Period Ratio
Return on Assets and Return on Equity and Other Useful Ratios
Depreciation and Depreciation Expense and Inventory
Procedures for Handling Cash Funds
Surety Bonds and the Conveyance of Funds
Banking and Reconciliation
Cost Containment and Types of Cost
PPDs as the Benchmark for Measurement and Scenarios
PPD and the Entire Facility
Monitoring Costs Through Spend-Downs

• Books

• Other Long-Term Care Products