Title Adding value to long-term care : an administrator's guide to improving staff performance, patient experience, and financial health / Dianne Lazer, Tobi Schwartz-Cassell ; foreword by Benjamin Schwarz

Edition First edition Published San Francisco : Jossey-Bass, 2000

Table of Contents
	List of Appendixes on Disk					xii
	Foreword / Benyamin Schwarz					xiii
	Preface					xvii
	Acknowledgments					xxiii
	The Authors					xxv
	The Contributors					xxvii
Part 1	The Value System: What is it and What is its Importance to Long-Term Care?
	1	Taking an Integrated Systems Approach to Long-Term Care				3
			Where Value Can Be Added			6
			Need for Accountability in LTC			6
			Need for Employee Involvement			8
			The Value System: Key Concepts			8
			Projected Benefits of Successful Implementation			11
			Conclusion			16
	2	A New Organizational Model: The Value System Infrastructure				17
			Creating a Patient-Focused Solution			18
			The Professional Maintenance Plan			25
			Differential Diagnostic Profiles			26
			Conclusion			27
	3	The Value System Service Atmosphere: How the Multidimensional Treatment Team Approach Can Enhance a Facility				28
			Definition of a Service Atmosphere			28
			The Value System Environmental Assessment			30
			The Patient Assessment Process			32
			A Brief History of LTC			33
			Importance of Communication			34
			Conclusion			37
	4	Resolution and Growth at the End of Life				38
			Our Growing Awareness: Death Becomes a Consumer Issue			39
			A Time to Be Born, A Time to Die, A Time for Personal Growth			41
			The Rights and Spirituality of the Dying			46
			Managing Pain: A Key Component to Palliative Care			49
			More on Hospice			57
			Clarifying Policy			60
			Communication of Policy: A Two-Way Street			61
			Conclusion			63
Part 2	The Value System: The Tools that Begin the Process
	5	The Environmental Assessment				67
			The Environmental Assessment: Taking a Good Look at the Facility			68
			Conclusion			71
	6	The Patient Assessment				72
			How to Begin			72
			Patient Assessment Process Defined			73
			Enhancing the Patient Assessment Process by Streamlining It			74
			Task Segmentation			80
			Enhancing the Patient Assessment Process Through Differential Diagnostic Profiles			81
			Enhancing the Patient Assessment Process by Incorporating the Family			90
			Conclusion			95
Part 3	The Value System: Putting the Process into Action
	7	The Importance of Professional Maintenance Plans and Activities for the Long-Term Care Resident				99
			Patient Assessment Process: The Essential First Step to the Optimum Care Plan			100
			Therapy Approaches Used with Elderly Residents			106
			Procedures for Implementing a Professional Maintenance Plan			108
			The Value System Resident Progress Form			111
			Ethical Issues: Justifying the Cost of Professional Maintenance Therapy for the LTC Population			114
			Conclusion			115
	8	Structuring the Residents' Days: The Creation of Fluid Programming				117
			Fluid Programming Defined			118
			Community Involvement			120
			Putting Fluid Programming into Action			122
			Renovations Versus New Construction			126
			Activities of Daily Living: Built-In Programming			135
			The Typical Lifestyle Profile: Matching Residents with Appropriate Activities			137
			Examples of Fluid Programming Activities			140
			Conclusion			161
	9	Staff Training and Motivation				163
			Eight Potential Problem Areas			164
			The Value System's Five Solutions to Staffing Problems			167
			Education and Recognition Programs That Can Help Solve Staffing Problems			176
			Conclusion			189
	10	Integrating the Resident's Family				191
			The Value of Family in Long-Term Care			191
			The Family and the Facility as Groups			194
			The Family Assessment			197
			How to Integrate the Family			199
			Manage Conflict Between the Family and the Facility			204
			Conclusion			204
	11	Making the Best of the Current Financial Climate				205
			The Current Financial Climate			206
			A Profile of the Financial Field			207
			Paying for Long-Term Care			209
			Bottom-Line Strategies			212
			Conclusion			215
	12	Implementing The Value System, Then Striving for Continuous Improvement				217
			Looking Down the Road			217
			Look to a Leader			220
			Taking the Next Step			220
			Phase III: Implementation Review			224
			The Pre- and Post-Implementation Survey			224
			Conclusion			227
Appendix 1	The Value System Environmental Assessment Questionnaire					229
Appendix 2	The Value System Environmental Assessment Explanations					247
Appendix 3	Scoring and Graphing The Value System Environmental Assessment					285
Appendix 4	Monitoring and Support Systems for The Value System Environmental Assessment					289
Appendix 5	Facility Layouts and Designs					305
Appendix 6	Resources					311
Appendix 7	Simulation: A Method to Teach Caregivers About Physical Changes Associated with Aging					319
	References					331
	Suggested Readings					343
	Index					347
	How to Use the Disk					355

Copies

Location	Call no.	Vol.	Availability
WATERFT HEALTH	362.16 Laz/Avt		AVAILABLE

Description xxvii, 355 pages : illustrations ; 28 cm + 1 computer disk (3 1/2 in.) Bibliography Includes bibliographical references (pages 331-346) and index Subject Nursing homes -- Administration. Nursing home care. Organizational change. Author Schwartz-Cassell, Tobi, 1955- LC no. 00035740 ISBN 0787951706 acid-free paper

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