Question
HSA3223 Management of Long Term Care Facilities
Chapter 1 Discussion
Discussion: Explore at least two of the items below for your original post. Please make sure every question is covered by one student.
What factors have led to the development of the long-term care system as it currently exists?
What are some of the strengths and weaknesses of the current long-term care system?
Who uses long-term care services, and why do they use them?
Who are baby boomers and what is their impact on the long-term care system?
What is, and has been, the role of informal caregivers in the long-term care system?
What is a continuum of care and where do long-term care services fit in that continuum?
I would challenge you to dig a little deeper as to what LTC services look like for the aging American. Long term care is the unwanted step-child of the continuum, and is traditionally not seen as part of the US healthcare system ~ but the problem isn’t going away…
Bezaitis, A. (Nov/Dec.,2009). The Future of long-term care
Aging Well: 2 (5),14. Retrieved from: http://www.todaysgeriatricmedicine.com/archive/110909p14.shtml
Morley, J. (2017). The future of long term care. The Journal of Post Acute and Long Term Medicine. 18,(1), 1–7. DOI: DOI Article (Links to an external site.)
7. What types of services make up institutional and noninstitutional care?
8. What impact have government regulations had on the financing of long-term care?
HSA3223 Management of Long Term Care Facilities
Chapter 3 Discussion
Ladies and gentlemen ~ The problems related to finding the ideal long-term case solution is complex. I believe we can agree on this. I would propose though, that you are the generation that will have to tackle this problem. BEFORE starting this posting, please view a TED talk by Futurist Ari Wallach Link (Links to an external site.) that explores a way of thinking for the (very) longterm planning~ for our purposes, think about LONGTERM CARE. He challenges us to determine what we are working for ~ What is our desired end outcome? some say to goal is “happy and healthy aging”, others want aging in place, others look only at the bottom line, and the list goes on….
Choose either option 1 or option 2 to expound on.
Option1:
The “ideal” long-term care system discussed in Chapter Three would base eligibility for services on functional needs rather than financial needs. Find the criteria for eligibility for Medicaid coverage for a nursing facility in your state (you can get the eligibility standards directly from the state or from a nursing facility).
Do they measure functional need vs. financial need?
How close do they come to the “ideal” criteria?
How would you change them if you could?
In your discussion, you are free to be innovative and imaginative. Just be prepared to support any arguments you make with citations. While your answer should relate to the materials in the text, you do not have to agree with them. In fact, the more thought you put into your response, the better the overall discussion will be.
Option 2:
It is highly likely that you know someone, perhaps a family member, who has had reason to use some portion of the long-term care system, or maybe you have been involved with the system on someone’s behalf. If not, talk with someone who has. Based on that experience, discuss the following two-part question:
What did you, or the person needing the services, find to be most difficult about getting or using those services? Possible answers might involve learning about available services, determining financial eligibility, the impersonality of the system, the lack of coordination, etc. You get the idea.
If you could improve the long-term care system to remove the difficulty you discussed above, what one thing would you change?
HSA3223 Management of Long Term Care Facilities
Chapter 5 Discussion
Part 1: Answer two questions from the list below
1. Define and compare postacute and subacute care?
2. Where is subacute care provided, and by whom?
3. What types of services are included in subacute care?
4. How and why did subacute care develop?
5. How is subacute care financed?
6. What regulations apply to subacute care?
7. What is the difference between care management and case management?
Part 2:
In reference to the case at the end of this chapter, consider the following:
a. How can subacute care meet the needs of such different patients as David and Joyce?
b. Should both be included in a single care category, or should different levels of care be created for them?
c. Is subacute care really a response to patient needs, or is it a way of increasing financing for providers?
NOTE: This question applies to the overall system, but applying it to the case will assist you in seeing the implications for those using the system. Your opinion on this is welcome, just support it with facts/references. Let’s challenge each other and sharpen each other as we learn together!
HSA3223 Management of Long Term Care Facilities
Chapter 8 Discussion
Option 1:
This part of the text focuses on the providers of long-term care. Some of them are institutional in nature, some are noninstitutional, and some are a combination of the two forms. One of the most enduring and difficult questions facing the system is how to balance the use of institutional and noninstitutional services.
How should the long-term care system balance institutional and noninstitutional forms of long-term care?
What factors should be taken into account?
Option 2:
Choose a long-term care provider and identify the following:
The services it offers
Who its consumers are (age, conditions, geographic base, etc.)
Anything that sets it apart from its competition
Any other relevant information.
If you work for a long-term care provider, choose a type other than the one for which you work (i.e., if you work in a nursing facility, contact an organization providing home care, assisted living, etc.). You do not actually have to visit the organization, although that is not a bad idea. You can get the needed information from a phone call, from publicity brochures and annual reports, or from their web site.
HSA3223 Management of Long Term Care Facilities
Chapter 9 Discussion
Answer at least two of the following questions:
(AS A CLASS, all questions must be answered at least once before repeating questions)
1. Why has the long-term care field not been subject to strong competition in the past? Why has that changed?
2. What is the difference between cooperation and integration?
3. What is an integrated health network?
4. What is an integrated health system?
5. Under what circumstances might a long-term care organization choose to join an integrated system? An integrated network?
6. What are some of the potential economies of scale resulting from integration?
7. What are some of the benefits of integration for long-term care consumers?
8. How are management and governance of an integrated system or network different from management and governance of an individual organizational entity?
9. Why are information systems so important to integration efforts?
10. Why is planning so important to integrated networks or systems?
HSA3223 Management of Long Term Care Facilities
Chapter 10 Discussion
Answer at least two of the following questions:
(all questions must be answered at least once before repeating questions)
1. Why are long-term care providers subject to so much external control by government agencies?
2. What is the difference between a law and a regulation?
3. What is the difference between licensure and accreditation?
4. What problems are identified (by providers) with government regulation of long-term care?
5. How do the three usual quality measurement methods (process, structure, and outcomes) differ?
6. Why are government programs such as Medicare and Medicaid so concerned with regulating cost?
7. What other types of regulation (not specific to long-term care) apply to long-term care providers and their employees?
8. What groups of long-term care practitioners are subjected to specific controls, such as licensure?
9. What are the most common accreditation agencies, and what provider organizations do they accredit?
HSA3223 Management of Long Term Care Facilities
Chapter 11 Discussion
Answer at least two of the following questions:
(all questions must be answered at least once before repeating questions)
1. What do we mean when we say that the long-term care system is reimbursement driven?
2. Who is covered by Medicare? Medicaid?
3. What long-term care services does Medicare cover? What restrictions are placed on them?
4. What long-term care services does Medicaid cover? What restrictions are placed on them?
5. What is the spend-down provision of Medicaid, and why is it controversial?
6. What is the purpose of waiver programs?
7. What are public/private partnerships?
8. Why has managed care taken hold more slowly in long-term care than in other segments of health care?
9. What are the most common forms of managed care organizations?
10. What is the managed care consumer bill of rights, and why is it needed?
HSA3223 Management of Long Term Care Facilities
Chapter 13 Discussion
Answer at least two of the following questions:
(all questions must be answered at least once before repeating questions)
1. What are the most common problems faced by consumers when suffering disabling conditions or otherwise needing long-term care services?
2. What is rationing (explicit and implicit), and what are some of the ways in which it occurs?
3. What does the Patient Self-Determination Act of 1990 do for consumers? What does it require of providers?
4. What is meant by the autonomy–beneficence conflict?
5. What is the difference between competency and rationality, and how does that difference affect decision making in long-term care?
6. What is informed consent, and whose responsibility is it?
7. What are the functions of ethics committees in long-term care?
8. What are the most common types of ethical issues relating to daily life in a long-term care facility?
9. What constitutes abuse in a long-term care setting? How might it be avoided?
10. How is management ethics different from other types of long-term care ethics? How is it similar?
HSA3223 Management of Long Term Care Facilities
Chapter 15 Discussion
Answer at least two of the following questions:
(all questions must be answered at least once before repeating questions)
1. What are the basic components of leadership?
2. What are the characteristics of leaders most commonly desired by people?
3. What skills are needed to be a successful leader?
4. How does one go about learning or improving leadership skills?
5. Why is managing organizational change important?
6. What are some barriers to successfully changing an organization’s culture?
HSA3223 Management of Long Term Care Facilities
Chapter 18 Discussion
Choose either Option 1 OR Option 2 to expound upon
Option 1:
How do you see advances in information technology impacting the way in which long-term care administrators function, now and in the future?
Try to relate to what you have learned in the different chapters covered in this part, integrating issues of governance, management, technology, etc., as well as calling on your own experience.
Option 2:
Answer at least two of the following questions:
(all questions must be answered at least once before repeating questions)
1. Why is marketing appropriate for long-term care organizations? Why have such organizations not embraced it more quickly and fully in the past?
2. How do public and/or community relations differ from marketing?
3. What is the relationship between strategic planning and marketing?
4. What is involved in conducting a self-assessment as part of market planning? An external assessment?
5. What are the four growth strategies identified in the chapter, and when might they be used?
6. What are the four consolidation strategies identified in the chapter, and when might they be used?
7. What are the four elements (the four Ps) of the marketing mix?
8. What is meant by branding?
HSA3223 Management of Long Term Care Facilities
Chapter 19 Discussion
Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Answer the following question(s) and reply to at least one student’s post. Internal citations and references are required.
Original post is due by midnight on Thursday and responses are due by midnight on Sunday.
Answer at least two of the following questions:
(all questions must be answered at least once before repeating questions)
1. What are the major challenges that have faced the long-term care system in recent years?
2. How successfully has the system responded to those challenges?
3. What challenges remain unmet?
4. What types of new problems have been created by the solving of current problems?
5. What impact will the predicted increase in consumers’ involvement in their care have on providers?
6. What changes can be expected in terms of long-term care financing?
7. What will changes in technology mean to long-term care providers and consumers?
8. What are the most likely ethical challenges to be faced in the near future?
HSA3223 Management of Long Term Care Facilities
Chapter 20 Discussion
Follow the instructions under Discussion Board Rubric and Discussion Guidelines and APA Tips to create your post and respond to at least one other student. Answer the following question(s) and reply to at least one student’s post. Internal citations and references are required.
Original post is due by midnight on Thursday and responses are due by midnight on Sunday.
Answer at least two of the following questions:
(all questions must be answered at least once before repeating questions)
1. What challenges and opportunities are future long-term care managers likely to face?
2. What skills will those managers need, and how can they acquire such skills?
3. What is meant by an organization’s service community, and how can long-term care organizations best deal with that community?
4. Why should long-term care providers become involved with integrated systems or networks? What are some of the possible types of involvement?
5. What is meant by a learning organization, and how can a manager move toward achieving such an organization?
6. What is a change agent, and how can a manager become one?
7. What are some of the ways in which long-term care managers can act proactively to improve the overall system?
HSA3223 Management of Long Term Care Facilities
Research Paper
CRITERIA POSSIBLE POINTS EARNED POINTS COMMENTS
Briefly describe a current theoretical approach to long-term Healthcare 5
Critically appraise the literature related to the model including
• Review of the existing literature
• Interpretation of research that supports its evidence-based application
• Shown (old/existing models) or predicted (new, emerging models) clinical, educational and/or research outcomes
• Identification of gaps in the literature related to the model 30
Describe the stakeholders: their investment, what they have to gain, as sources of bias 5
Analyze the cost of implementing the model (start-up costs, cost effectiveness, cost benefit, etc.), the suitability of which will depend upon the availability of data and other resources 5
Explore methods to facilitate adoption of this model
or
Analyze a current approach used to promote adoption of the model including successes and failures and suggest approaches that may have facilitated the implementation of the model 10
Describe potential barriers to implementation of the model and present solutions to overcome the barriers 1
What aspects of the community could impact the success of the implementation of this model? Review policy/legal, ethical, societal, cultural, and leadership implications of the model 15
Discuss future directions in application of the model (anything goes) 5
Paper reads logically without typographical/spelling errors, improper grammar, or poor sentence structure 5
Style and Presentation
• APA format, 6th ed., to reference all citations, formulate bibliography, headings, etc.
• 3 Peer reviewed journals are utilized (no older than 5 yrs) 10 .
TOTAL 100
HSA3223 Management of Long Term Care Facilities
Chapter 2 Quiz
Question 1The Affordable Care Act passed with a mix of Republican and Democrats votes.
True
False
“The bill passed without a single Republican vote, and 34 Democrats also voted against it.” page 38 of textbook
Question 2The ACA requires individuals to have insurance coverage and businesses to provide coverage or pay fines.
True
False
Question 3The United States Supreme Court ruled that the individual mandate was, in fact, a tax.
True
False
Question 4The “No Wrong Door” system portion of the ACA mandates that long-term care consumers can access any provider’s services.
True
False
Question 5 “Pay-for-performance” provides financial incentives to healthcare providers to achieve optimal outcomes for patients.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 4 Quiz
Question 1 Nursing facilities are staffed with only licensed health care professionals.
True
False
Question 2 About two-thirds of residents in nursing facilities are women.
True
False
Question 3 OBRA does not require that the facility’s Medical Director be full-time.
False
True
Question 4 To qualify for Medicaid coverage, residents must require assistance with all five Activities of Daily Living (ADLs).
False
True
Question 5 Approximately one-third of all nursing facility residents show symptoms of depression.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 6 Quiz
Question 1 All assisted living facilities provide the same services.
True
False
Question 2 The average age of residents in assisted living facilities is 70.
True
False
Question 3 Assisted living developed from both boarding homes and independent living facilities.
True
False
Question 4 Location relative to family members is not an important consideration in choosing an assisted living facility.
True
False
Question 5 Less than half of the residents in assisted living facilities need assistance with one or more activities of daily living (ADLs).
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 7 Quiz
Question 1
Age-restricted retirement communities are oriented toward an active lifestyle, or “younger thinking” seniors.
True
False
Question 2
Co-housing is age-restricted.
True
False
Question 3
Continuing care retirement communities offer several levels of assistance, usually including independent living, assisted living and nursing home care commonly all on one campus or site.
True
False
Question 4
Many seniors enter into a CCRC contract while they are healthy and active.
True
False
Question 5
Managers of senior housing must be licensed.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 9 Quiz
Question 1
Long-term care today is a competition-driven system.
True
False
Question 2
Competition in long-term care comes both from other LTC organizations and from other types of organizations.
True
False
Question 3
The difference between cooperation and integration is largely a matter of degree and structure.
True
False
Question 4
Horizontal integration involves an alliance of two or more organizations providing similar services.
True
False
Question 5
An ownership-based IHS usually consists of a mix of nonprofit and for-profit subsidiaries.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 10 Quiz
Question 1
A “gatekeeper” is a person or agency that determines how much and what type of care is received by an individual.
True
False
Question 2
The primary role of state government in regulating long-term care quality is as the designated agency administering federal programs.
True
False
Question 3
HIPAA prohibits sharing clinical data about a consumer with other providers without the consumer’s written permission.
True
False
Question 4
Certified Nurse Aides (CNAs) are not licensed.
True
False
Question 5
Private certification standards measure minimal acceptable levels of performance.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 12 Quiz
Question 1
The first step in measuring quality is determining what is meant by quality.
True
False
Question 2
W. Edwards Deming’s “Total Quality Management” is based on recognition that individuals can contribute to improving quality and reducing costs.
True
False
Question 3
Regulations require that a provider have a quality assurance (QA) committee, but leave the makeup of the committee to the provider to determine.
True
False
Question 4
Creating an effective quality improvement program for a long-term care facility or agency is best accomplished by copying one developed by an acute care provider.
True
False
Question 5
An organization may have several quality improvement teams at work at any given time.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 14 Quiz
Question 1
Educating the governing body is the responsibility of the CEO.
True
False
Question 2
All boards have a responsibility to assess their own performance.
True
False
Question 3
An owner of a long-term care facility may not serve as the CEO.
True
False
Question 4
Most problems between the board and administration are unintentional.
True
False
Question 5
The term “administrator” can be used in reference to any member of the administrative team.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 15/16 Quiz
Question 1Leadership is only for a chosen few.
True
False
Question 2A team leader must also be a member of the team
True
False
Question 3Strategic planning is the same as strategic thinking.
True
False
Question 4Reward power is s form of Personal Power.
True
False
Question 5Communication does not need to be two-way to be effective
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 17 Quiz
Question 1The CEO does not need to understand, or be directly involved in information technology as long as there is a qualified expert on staff.
True
False
Question 2Growing competition is one of the reasons why long-term care organizations need better information technology.
True
False
Question 3Telemedicine involves providing care to consumers at remote locations using technology.
True
False
Question 4Staff scheduling using information technology is only applicable to large organizations.
True
False
Question 5
Medicare does not yet allow electronic transmittal of assessment and outcome information.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 19 Quiz
Question 1Creation of new types of services has reduced overall demand for services.
True
False
Question 2The long-term care system is moving toward becoming more “seamless.”
True
False
Question 3Those who reimburse long-term care are achieving seamlessness faster than are service providers.
True
False
Question 4Special care units will be replaced by multilevel, all-inclusive care providers.
True
False
Question 5Technology has already had an impact on education.
True
False
HSA3223 Management of Long Term Care Facilities
Chapter 20 Quiz
Question 1
Managed care organizations will be customers of long-term care providers.
True
False
Question 2Providers will have to share some of the financial risk of caring for disadvantaged populations.
True
False
Question 3Being a change agent refers only to how a manager works within the organization.
True
False
Question 4The long-term care system has historically been proactive in facing problems.
True
False
Question 5Each provider must find ways to provide all services needed in the service community.
True
False
HSA3223 Management of Long Term Care Facilities
Midterm Exam
Question 1
What government program was designed to cover medical expenses for the indigent who cannot afford to pay for health services?
Social Security
Medicaid
Medicare
Affordable Care
Question 2
The long-term care system works best when it maintains its focus on medical treatment, rather than being distracted by nonmedical or nonclinical services.
True
False
Question 3
True or False: The insurance portability section of HIPAA, while important to many consumers, does not have as much of an impact on the long-term care industry as the provisions regarding privacy do.
True
False
Question 4
What government act or legislation focused specifically on the quality of care in nursing facilities?
Omnibus Budget Reconciliation Act
Social Security Act
Medicare and Medicaid amendments
Affordable Care Act
Question 5
True or False: An instrument that measures the quality of a facility by examining issues such as staff-to-client ratio would be considered a process-based measurement.
True
False
HSA3223 Management of Long Term Care Facilities
APA Quiz
Question 1What does this APA entry represent?
United Nations Educational, Scientific and Cultural Organization (UNESCO). (2015). Most influential theories of learning. Retrieved from http://www.unesco.org/new/en/education/themes/strengthening-education-systems/quality-framework/technical-notes/influential-theories-of-learning
A doctoral thesis
Article from a university
An article with an organization as author
Journal article with a doi
Question 2
What does this APA entry represent?
Fleming, O. (2012). Meet the 14TH century African king who was the richest man in the world of all time (adjusted for inflation!). Retrieved from http://www.dailymail.co.uk/news/article-2218025/Meet-14th-Century-African-king-richest-man-world-time-adjusted-inflation.html
Chapter in a book with editor(s)
A news article
A professional paper
Government agency publication
Question 3
What does this APA entry represent?
Graham, D. W. (2011). Heraclitus. In Edward N. Zalta (Ed.), The Stanford Encyclopedia of Philosophy. Retrieved from http://plato.stanford.edu/entries/heraclitus/
Web article only (not in a journal)
An entry from a website as author
An article by an author in an online book with an editor
Journal article with a volume only (no issue; has pages)
Question 4
What does this APA entry represent?
First, S., Tomlins, L., & Swinburn, A. (2012). From trade to profession – the professionalisation of the paramedic workforce. Journal of Paramedic Practice, 4(7), 378-381. Retrieved from http://www.paramedicpractice.com/cgi-bin/go.pl/library/abstract.html?uid=92927
Article with more than seven authors
Article from a university
Journal article without doi (has volume, issue, pages)
An article with an organization as author
Question 5
What does this APA entry represent?
U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute. (2003). Managing asthma: A guide for schools (NIH Publication No. 02-2650). Retrieved from http://www.nhlbi.nih.gov/health/prof/lung/asthma/asth_sch.pdfDepartment of (Links to an external site.)
Senate Legislation
A doctoral thesis
Government agency publication
Chapter in a book with editor(s)
HSA3223 Management of Long Term Care Facilities
Final Exam
Question 1An organization that relies on proven empirical data to resolve questions and debates regarding policies or services is demonstrating:
honesty.
freedom from blame.
responsiveness to questions.
respect for scientific evidence.
Question 2
The marketing of services is somewhat easier than the marketing of products, in large part because there is no need to manage inventory.
True
False
Question 3What is one of the differences between Medicare and Medicaid?
Medicaid has more limits on the type and duration of services covered than Medicare has.
Medicaid is funded by the federal government, while funding for Medicare is shared by the federal government and the states.
Medicaid has income restrictions, while Medicare does not.
Medicaid has age limitations, while Medicare covers consumers of all ages.
Question 4A caregiver yelling at or threatening the person receiving care is a form of what type of abuse?
physical
emotional
sexual
fiduciary
Question 5
What is the only type of accredited senior housing?
CCRCs.
independent living.
cohousing.
congregate housing.
