Nursing Home Administration

Michael Mileski DC, MPH, MHA, MSHEd, LNFA, FACHCA, is currently continuing his work in long-term care and acute care environments as a field consultant. He also shares his extensive and diverse experience with upcoming administrators through his Associate Professorship at Texas State University, where he is the Program Director of the Long-Term Care Administration Program in the School of Health Administration. Dr. Mileski received his Doctorate in Chiropractic at Texas Chiropractic College, and his Master of Public Health, Master of Health Administration, and Master of Higher Education from Purdue Global University.  He has been a licensed nursing facility administrator for more than twenty years, and is a Fellow of the American College of Health Care Administrators. Dr. Mileski’s active research focus, with many peer reviewed publications, is long-term care efficacy and effectiveness in addition to his work on patient experience improvement and efficiency. When possible, he enjoys traveling and exploring exotic historic and artisanal beverages and cultures. Rebecca McClay DNP, MS, ACNPC-AG, CCRN-CMC-CSC, NPD-BC is currently working in intensive care as part of the hospitalist team. Her strong clinical background and high level of clinical and administrative acumen have allowed her to become the Quality Improvement Champion for the group. Dr. McClay received her Doctorate in Nursing Practice (DNP) in Adult/Gerontology Acute Care from the University of Arizona, and has remained active in research and project development, with several peer reviewed publications. Her research focus is on improving the bedside experience through supporting and implementing Healthy Work Environment Standards. In her spare time, she loves to take road trips around the country searching for wonderful, locally influenced, artisan chocolates.

Foreword
Preface
PART 1. LEARNING HOW TO MANAGE THE HEALTH CARE ORGANIZATION
1.1 Management Functions
1.2 Forecasting
1.3 Planning
1.4 Organizing
1.5 Staffing
1.6 Directing
1.7 Comparing and Controlling Quality
1.8 Innovating
1.9 Marketing the Long-Term Care Facility
PART 2. UNDERSTANDING THE DEPARTMENTS AND MANAGING HUMAN RESOURCES 2.1 Organization of the Nursing Facility and its Staff


2.2 Identifying the Human Resources Function
2.3 Planning Employment Needs: Writing Job Descriptions
2.4 Forecasting Future Employment Needs
2.5 Recruiting Employees
2.6 Hiring Staff
2.7 Training Staff
2.8 Retaining Employees
2.9 Evaluating Employees
2.10 Paying Employees
2.11 Disciplining Employees
PART 3. LEARNING TO MANAGE THE ORGANIZATION'S FINANCES
3.1 The Administrator's Role as Financial Manager
3.2 Generally Accepted Accounting Principles
3.3 Two Approaches to Accounting: Case Accounting and Accrual Accounting
3.4 The Two Main Steps in the Accounting Process: Recording Transactions and Preparing Financial Statements
3.5 Putting Financial Statements to Work: Working Capital, Ratio Analysis, and Vertical Analysis
3.6 Additional Accounting Procedures That Help the Administrator Maintain Control Over the Facility
3.7 The Concept of Depreciation
3.8 Using "Costs" in Managerial Decisions
3.9 Budgets and Budgeting
3.10 Finance: The Broader Context
PART 4. LEARNING THE CONTINUUM OF LONG-TERM CARE
4.1 Origins, Overview, and Current Profile of the Nursing Facility Industry
4.2 The Social Security Act: Medicare and Medicaid
4.3 Older Americans Act
4.4 Labor and Management: Laws and Regulations
4.5 Workplace Safety: The Occupational Safety and Health Act
4.6 Fire Safety: The Life Safety Code
4.7 Americans with Disabilities Act (ADA) Accessibility Guidelines for Facilities
4.8 Voluntary Operating Standards: The Joint Commission
4.9 The Affordable Care Act
4.10 The Elder Justice Act
4.11 Patient Driven Payment Models (PDPM)
4.12 Value-Based Care and Pay for Performance (P4P)
PART 5. BUILDING YOUR RESIDENT CARE SKILLS
5.1 Aging Process
5.2 Medical and Related Terms
5.3 The Aging Process as it Relates to Diseases Common to the Nursing Facility Population
PART 6. PUTTING THE SYSTEMS TOGETHER
6.1 Setting Policies for the Facility
6.2 Developing a Person-Centered Care Plan
6.3 The Quality Indicators Survey: The Regulatory Survey and Inspection Process and Plan of Correction
6.4 The Report Card
6.5 Getting Reimbursed for Care Given
6.6 A Glance at the Horizon
6.7 Summary of Observations from a Career of Nursing Facility Administration
Index of NAB Domains