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Definition
| Accreditation of a nursing facility by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) |
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| Rules and regulations formulated by departments or agencies of the executive branch of government to carry out the intent of statutory law. |
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| Someone authorized to act on behalf of another (a principal); for example, a corporation generally authorizes the administrator to represent it or act on its behalf. |
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Term
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| Also "board of trustees" or "governing body." It has the ultimate legal responsibility for a facility's operations. |
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| A per day or per instance fine resulting from deficiencies in quality of care or resident safety following a CMS Survey. |
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Definition
| Composed of key community leaders, the community advisory board functions as the "eyes and ears" for the facility. Through their influences, the advisory board members can also assist the administrator to form meaningful partnerships with community agencies. |
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Term
| Culture Change (Cultural Change) |
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Definition
| A course of action to move from one way of doing things to another. In long-term care, culture change is widely referred to as a process of transforming from an institutional to a homelike model. It is the integration of the three elements of person-centered care -- clinical care, socio-residential elements and human factors -- along with the enrichment of the environments in which people live and the empowerment of both clients and associates. |
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Definition
| A nursing facility's failure to meet any of the standards as determined by a survey. |
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| A facility that is dually certified as both a skilled nursing facility and a nursing facility. Such facilities can admit Medicare and Medicaid residents in any part of the facility. |
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| A legal term that refers to actions that are generally consistent with how a reasonable person would act under similar circumstances. |
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Definition
| The act of governing. It refers to trusteeship and stewardship of an organization's resources and capabilities to benefit is stakeholders. |
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| Any unexpected negative occurrence involving a patient, family, or employee, or visitor. |
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Definition
| The art of engaging colleagues, collaboratively toward a shared vision. As defined by Yukl, leadership is "the process of influencing others to understand and agree about what needs to be done and how to do it, and the process of facilitating individuals and collective efforts to accomplish shared objectives." Alternatively defined, it is influencing people to act for certain goals that represent the values and motivations -- wants, needs, aspirations, and expectations -- of both leaders and followers. |
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Definition
| Organization and coordination of the activities of a department or group of people in accordance with objectives, policies and procedures. It is what managers do to maintain an organization and to move it forward. Management is about getting things accomplished on a daily basis...as opposed to leadership, it's "things" versus "people." You lead people and manage things. |
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Term
| Management By Objectives (MBO) |
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Definition
| A system of management that is based on a joint agreement between supervisors and associates on what specific measurable objectives would be accomplished over a given period of time, at the end of which the supervisors evaluate individual associates on the basis of the accomplishment of these objectives. |
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Term
| Management Information System (MIS) |
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Definition
| A system for managing information to assist the organization in evaluating, planning, and implementation of daily work to improve processes and resident care. |
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Term
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Definition
| The MDS is a resident assessment tool, utilizing computerized resident information to assess and monitor resident care. Reports are electronically transmitted to CMS, as well, to classify a resident into a resource utilization group (RUG) which sets the reimbursement level for the patient's care. It is a core set of screening, clinical, and functional status elements, including common definitions and coding categories that form the foundation for the comprehensive assessment for all residents of long-term care facilities certified to participate in Medicare and/or Medicaid. It is, simply put, a set of standardized screening elements that must be assessed for each patient admitted to a SNF. |
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| National Institute of Occupational Safety and Health (NIOSH) |
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Definition
| Federal agency formed under the Occupational Safety and Health Act (OSHA) to establish and monitor workplace safety standards. |
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Term
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Definition
| A facility licensed to provide assistance with activities of daily living such as bathing, dressing, eating (often referred to as custodial care) in addition to providing general nursing and medical care. A nursing facility must be certified to receive Medicaid reimbursement. |
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Term
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Definition
| A public website, www.medicare.gov, which includes facility information and previous survey results from the Online Survey Certification and Reporting data (OSCAR)and other facility performance measures from the Minimum Data Set (MDS) for consumer review. |
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Term
| Online Survey/ Certification and Reporting (OSCAR) |
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Definition
| A database of facility characteristics and previous inspection results related to nursing facility performance. The OSCAR 3 report summarizes a facility's regulatory compliance history . The OSCAR 4 reports the facility's recent survey results and provides an opportunity for benchmarking by comparing those results to other facilities, statewide and nationwide. |
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| Person-Centered / Person-Directed Care |
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Definition
| A philosophy of care in which the focus of the community is on meeting the expressed desires of the residents. |
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Term
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Definition
| A written plan developed by the facility, outlining steps the facility has taken or will take to correct deficiencies found during licensure or other surveys. |
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Term
| Resource Utilization Group (RUG) |
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Definition
| Group based on MDS information; utilized to determine reimbursement rates. |
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| Leadership in which the focus is on serving others. |
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Term
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Definition
| A term used to describe medical devices such as needles, lancets and syringes, which put individuals at risk for "needle sticks," or the transmission of blood and bodily fluids from the device to an individual. |
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Term
| Skilled Nursing Facility (SNF) |
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Definition
| A facility licensed to provide nursing and medical care requiring a certain level of training and experitse. To qualify as a Medicare provider and receive Medicare reimbursement, a facility must be certified as a SNF. |
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Term
| Substandard Quality of Care |
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Definition
| One or more requirements were not met, resulting in immediate jeopardy to resident health or safety, and a scope or pattern of widespread actual harm, or a widespread potential for more than minimal harm. |
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Term
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Definition
| An inspection to verify compliance with state and federal standards. |
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Term
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Definition
| The act or process of major or complete change. |
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Term
| Transformational Leadership |
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Definition
| A participatory, holistic, organizationally driven leadership model where the focus is on educating, supporting and caring for one another. |
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Term
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Definition
| A mental image or dream of what an organization is trying to create and become. |
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Term
| Administrator In Training (AIT) |
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Definition
| An internship with a certified preceptor required for an LTCA (NHA) license in some states; a person undertaking on-the-job training, or an internship, approved by a given state in preparation for licensing as a NHA. |
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Term
| Americans with Disabilities Act |
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Definition
| Forced businesses and organizations to make significant changes in physical accessibility to their buildings and in the employment and customer service policies. |
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Term
| Certificate of Need (CON) |
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Definition
| Aimed at restraining health care facility costs and allowing coordinated planning of new services and construction. Laws authorizing such programs are one mechanism by which state governments seek to reduce overall health and medical costs. Require certain health care providers to obtain state approval before offering certain new or expanded services. |
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Term
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Definition
| See, similar idea, Adult Day Care |
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Term
| Corporate Integrity Agreement |
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Definition
| Agreement negotiated by the Office of the Inspector General (OIG) with a health care provider as part of the settlement of a federal health care program investigation arising under the False Claims Act. To avoid worse penalties, a company may agree to such compliance activities as: hire a compliance officer or appoint a compliance committee, develop writeen standards and policies, implement an employee training program, and/or retain an independent review organiztion to review claims submitted to fderal health care programs. |
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Term
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Definition
| Limitations on one's ability to function independently. |
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Term
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Definition
| The examinatin handled by NAB (National Association of Boards of Examiners of Long-Term-Care Administrators, Inc….a private organization) that an applicant must take to be a licensed NHA or ALA (two different exams). |
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Term
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Definition
| A LTC administrator who meets prescribed qualifications and has been certified to mentor interns in an AIT program. |
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Term
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Definition
| Intended to ensure that the Medicare system did not pay for care beyond that which was determined to be necessary. In recent years, has seen increased involvement of other payers and the compressing of allowable lengths of stay. |
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