Franklin

Assisted Living Administration and Management : Effective Practices and Model Programs in Elder Care.

Other records:
Author/Creator:
Yee-Melichar, Darlene.
Publication:
New York : Springer Publishing Company, 2010.
Format/Description:
Book
1 online resource (482 pages)
Subjects:
Congregate housing -- Management.
Older people -- Housing.
Form/Genre:
Electronic books.
Summary:
Essential for assisted living and senior housing administrators, as well as graduate students, this book contains the most practical guidelines for operating assisted living facilities. The authors provide advice on hiring and training staff, architecture and space management, and more. This multidisciplinary book is conveniently organized to cover the most essential aspects of management, including: organization; human resources; business and finance; environment; and resident care. Key Features:.: Highlights the most effective practices and model programs in eldercare that are currently used by facilities throughout the United States. Contains useful details on business and financial management, including guidelines for marketing, legal issues and terms, and public policy issues. Includes chapters on environmental management, with information on accessibility, physical plant maintenance, and disaster preparedness. Emphasizes the importance of holistic, resident care management, by examining the biological, psychological, and social aspects of aging. Enables students to evaluate, analyze, and synthesize information on how to operate assisted living facilities. Assisted Living Administration and Management contains all the essentials for students new to the field, as well as nuanced information for professionals looking to fine-tune their skills. The authors provide the necessary tools to maximize the overall health, safety, and comfort of residents.
Contents:
Intro
Part I: Organizational Management
The Assisted Living Industry: Context, History, and Overview
INTRODUCTION
Context
Long-Term Care
Need for Long-Term Care
Long-Term Care Providers
The Cost of Long-Term Care
HISTORICAL EVOLUTION OF ASSISTED LIVING
DEFINING ASSISTED LIVING
RESIDENT CHARACTERISTICS
General Resident Profile
Length of Stay and Reasons for Leaving
Sources of Payment in Assisted Living
CHALLENGES IN THE ASSISTED LIVING FIELD
Quality of Care and Safety Concerns
Quality Improvement Efforts
CONCLUSIONS
REFERENCES
Policy, Licensing, and Regulations
INTRODUCTION
The Challenge
STATE POLICY AND REGULATION
Medicaid Reimbursement
Labels
Licensure
Philosophy
Regulatory Models
Unit Requirements
Resident Agreements/Contracts
Pre-Admission Disclosures
Admission and Retention
Resident Rights
Services
Training Requirements
Operator/Administrator Requirements
Direct Staff Requirements
Dementia Care
Medication Administration
Quality Assurance Efforts
FEDERAL STATUTES THAT IMPACT assisted living
Americans With Disabilities Act
Civil Rights Act of 1991
Rehabilitation Act of 1973
Family and Medical Leave Act
Fair Housing Amendments Act
Fair Labor Standards Act (FLSA)
Occupational Safety and Health Act
CONCLUSIONS
REFERENCES
Organizational Overview
INTRODUCTION
Aging in Place - A Consideration
Size
Services
SERVICE MODELS
Board and Care
Hospitality Model
New Model
Specialized Dementia Care Model
ORGANIZATIONAL PATTERNS BY SIZE AND MODEL
BUSINESS MODELS
For-Profit Versus Non-Profit
Profit Investors
Non-Profit Investors
For-Profit Versus Non-Profit Board of Directors
Administrator's Objective
SPECIFIC AFFILIATIONS
Ethnic
Gender.
Lesbian/Gay/Bisexual/Transgender
CONCLUSIONS
rEFERENCES
Part II: Human Resources Management
cONCLUSIONS
rEFERENCES
Recruiting and Hiring Staff
INTRODUCTION
The Assisted Living Workforce
Challenges of Workforce Recruitment
FACTORS INFLUENCING WORKFORCE RECRUITMENT
The Economy
Pay and Benefits
Working Conditions
Image of the Industry
Education and Training
Transportation
THE RECRUITMENT PROCESS
Planning
Projections
Job Requirements
Job Descriptions
Searching
Internal Sources
Screening
Selection and Hiring
Legal Aspects
Interviews
Background Verification
Deciding to Hire
Offering the Job
Maintaining Applicant Pool
Training Staff
INTRODUCTION
The Importance of Staff Training
ORIENTATION FOR ASSISTED LIVING EMPLOYEES
DIRECT CARE STAFF
Direct Care Staff Training Requirements
Training Direct Care Staff
Direct Care Issues
Health-Related Issues
Knowledge Areas
Safety and Emergency Issues
Process Issues
Direct Care Staff Training: Model Education and Training Programs
FACILITATING STAFF TRAINING THROUGH LEARNING CIRCLES: A MODEL FOR TRAINING
CONCLUSIONS
REFERENCES
U.S. GAO (1999)
Retaining Employees and Empowerment
INTRODUCTION
Workforce Retention in Assisted Living: A Critical Issue
STAFF TURNOVER
Defining Staff Turnover
Consequences of Staff Turnover
Calculating Turnover Rates
Identifying Risk of Staff Turnover
Factors Associated With Turnover and Retention of Direct Care Staff
RETENTION STRATEGIES
Wages and Benefits
Wages
Benefits
Sick Time
Working Conditions
Attendance Policies
Respect
Morale
Performance Objectives
Consistency
Supplies/Equipment
Orientation Programs
Work Environment
Assignments
Shift Differential
Recognition.
Recognize the Value of Each Employee
Special Recognition/Appreciation
Food
Activities
Just Say "Thank You"
Employee of the Month
Display Special Postings
Utilize Employees in Facility Public Relations
Monthly Prize Drawings
Merit Increases
Scheduling Options
Flexible Scheduling
Self-Scheduling
Weekend Options
Plan for Absences
Increased Staffing
Support Staff and Volunteers
Vacation Scheduling
Supportive Management
Opportunities for Growth
Professional Development
Skills for Personal Growth
Off-Site Education
Scholarships
Written Materials
Tuition Assistance
Employee Assistance Programs
Career Ladders
Recruitment
Post Open Jobs
Trainer Acknowledgments
Peer Review
Promote Health and Wellness
Other Incentives
Treats
Transportation
Uniforms
Child Care
Meals
Teams
Discounts
Staff Empowerment
Overall Picture
Input on Care Decisions
Input on Policies and Procedures
Input on Quality Assurance/Improvement
Committees
Planning
Benefits
Residents
Meetings With the Administrator
Newsletter
CONCLUSIONS
rEFERENCES
Continuing Education
INTRODUCTION
CONTINUING EDUCATION
Methods for Delivering Continuing Education
Vital Need for Continuing Education
Continuing Education: What Administrators Say
REGULATORY REQUIREMENTS
MODEL CONTINUING EDUCATION PROGRAMS
Online Continuing Education
CONCLUSIONS
REFERENCES
Part III: Business and Financial Management
Business, Management, and Marketing
INTRODUCTION
MANAGEMENT THEORIES
Scientific Management
Bureaucratic Method
Theory X and Theory Y
Theory Z
Deming Management Method
Total Quality Management (TQM)
Six Sigma
Reengineering or Business Process Reengineering (BPR).
Planning, Programming, and Budgeting System (PPBS)
Management by Objective (MBO)
Zero Defects
Likert's Management Approach
MANAGEMENT METHOD AND STYLE
Management Styles
Top-Down or Non-Participatory
Participatory
Mixed Management Styles and Style Selection
MANAGEMENT AND ORGANIZATIONAL STRUCTURE
Constraints on Management and Operations
Organizing Principles
System as the Basis for Organization, Management, and Evaluation
Planning Framework
Evaluation Systems and Quality Control
Evaluation Strategies, Feedback Loops, and Quality Management
Evaluation and the Change Process
THE BUSINESS PLAN
Business Plan Perspectives
Business Plan Issues
Business Plan Directions
Implementation Strategy
Activities and Services to be Provided
Resources: Available Income and Input-Output Expectation
Evaluation and Quality Control
Implementation Design
OPERATIONAL PLAN AND PLANNING SYSTEM
The Environment and Context
Goals, Objectives, and Expectations
Strategies, Component Units, and Activities
Administration Example
Schedule, Staffing, Resources, and Budget
Evaluation and Quality Control
INFORMATION AND TECHNOLOGY SUPPORT SERVICES
Information Systems
Records Systems
Resident Records System
Technical and Technology Support
MARKETING APPROACHES
Marketing Strategies
Marketing Message
Marketing Team and Activities
Assessment of Marketing Effectiveness
CONCLUSIONS
REFERENCES
Financial Management in Assisted Living Facilities
INTRODUCTION
ACCOUNTING SYSTEMS
Cash Basis
Accrual Basis
Accrued expenses
Accrued income
Revenue
Deductions from revenue
Contractual allowances
Deductions for charity care
Bad debt provision
Expense accounting
Depreciation
Line depreciation
Units of production method.
Declining balance method
Sum of the years digit method
Accelerated depreciation
ORGANIZATION
Documentary Evidence for Internal and Independent Auditors
Billings Journal
General Ledger
Electronic Accounting Spreadsheet
DEPARTMENT TITLES AND STAFF
Accountant
Accounting Manager/Supervisor
Assistant Controller
Auditor
Bookkeeper
Clerk
Controller
Chief Financial Officer
Director
Financial Analyst
Office Administrator
Office Manager
Payroll Administrator
Payroll Specialist
Principal
Specialist
Staff Assistant
Tax Specialist
USE OF ACCOUNTING AND FINANCIAL SOFTWARE
Core Modules
Noncore Modules
FINANCIAL REPORTING
The Balance Sheet
Assets
Liabilities
Owners' Equity
The Cash Flow Statement
Basic Format of the Cash Flow Statement
The Profit and Loss Statement (a.k.a. "The Income Statement")
Sales Revenue
Less Expenses
Equals Net Income
Other Financial Reports
Cash Report
Resident Accounts Receivable Report
Vendor Accounts Payable Report
ACCOUNTING PROCEDURES
Cash Handling Procedure
Handling Accounts Payable Accounts
Handling Resident Accounts Receivable
Handling Credits and Collections
ACCOUNT RECORDS
Payroll Records
Time and Earnings (T&
E) Records
Federal Payroll Taxes
Payroll Journal
Employee Personnel File
BUDGET PREPARATION AND EXECUTION
The Operating Budget
Plant and Equipment Budget (Capital Budget)
Cash Budget
Resident's Accounts Receivable
Interest (Money Market Funds, CDs) and Dividends (Bonds, Stocks)
Bank Loans
FINANCIAL RATIO ANALYSIS
Current Ratio
Quick Ratio
Performance Ratios in Financial Modeling
Return on Assets (ROA)
Operating Margin
Asset Turnover
Return on Equity (ROE)
Working Capital Ratios in Financial Modeling.
Days Inventory.
Notes:
Description based on publisher supplied metadata and other sources.
Local notes:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2021. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
Contributor:
Boyle, Andrea Renwanz.
Flores, Cristina.
Other format:
Print version: Yee-Melichar, Darlene Assisted Living Administration and Management
ISBN:
9780826104670
9780826104663
OCLC:
680038119
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