Term
| Social Security Act of 1935 |
|
Definition
Primary stimulus for NH industry.
Provides supplemental security income for persons 65+ and the needy |
|
|
Term
|
Definition
| provided funds for medical care of the aged |
|
|
Term
|
Definition
| Under administration of Healthcare Finance Administration now referred to as CMS |
|
|
Term
| OBRA 1987/Nursing Home Reform Act |
|
Definition
mandates:
ICF changed to NF
RN 8hrs day/7 days week
License nurse must be issued as charge nurse |
|
|
Term
SSA 1972 Section 1122
The Planning and Resource Development Act
Terminated October 1987 |
|
Definition
Allowed m'care/m'caid to hold funds if prior approval not received before building or major renovations.
Sought to combine all gov't interest in healthcare.
Required each state to set up State Health Planning and Development Agency |
|
|
Term
|
Definition
Established 1971
1996 changed name to NAB of long term care administrators |
|
|
Term
| Lifespan Respite Care Act 2008 |
|
Definition
| allows for public payment to relatives to give care to family members |
|
|
Term
| Resident Performing Services in Facility |
|
Definition
|
|
Term
| National Labor Relations Board |
|
Definition
Determines what bargaining units to be used.
Conducts representation election by secret ballot.
Investigates unfair labor practices. |
|
|
Term
|
Definition
| meeting accreditation requirements is voluntary |
|
|
Term
|
Definition
| Concept that nursing homes should be reimbursed for the actual cost |
|
|
Term
|
Definition
| Required nursing home administrators to be licensed |
|
|
Term
|
Definition
Develop, impose, enforce standards of licensing.
Monitor administrators performance.
Issue, revoke, suspend license.
Conduct studies and investigate to improve standards |
|
|
Term
|
Definition
| attached to other family dwelling |
|
|
Term
|
Definition
| temporary modular placed on family property |
|
|
Term
|
Definition
|
|
Term
PACE
Program of all inclusive care for the elderly |
|
Definition
Managed care benefit for frail and elderly.
Must be at least 55.
Must live in district.
Must qualify for nursing home services |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Sufficient nursing staff to provide nursing and related service to attain or maintain the highest practicable physical, mental, and psychosocial well-being as determined by resident assessments and individual plan of care. |
|
|
Term
|
Definition
| only if the facility has 60 or fewer beds |
|
|
Term
|
Definition
| any individual providing nursing/nursing related services to residents in a facility who is not a licensed health professional |
|
|
Term
|
Definition
Must complete state approved training course.
Must work under supervision of RN/LPN
Can not feed anyone with swallowing difficulty/aspiration problems |
|
|
Term
|
Definition
Must display beginning each shift.
Must contain: facility name, date, census, total hours worked and actual hours worked RN, LPN, CNA.
Must keep 18 months. |
|
|
Term
|
Definition
| Resident must receive adequate assistive devices and supervision to prevent |
|
|
Term
|
Definition
| facility must ensure that resident ADLs do not diminish unless condition demonstrates it to be unavoidable. |
|
|
Term
|
Definition
| Residents of skilled nursing facilities typically need help with 4 out of 5 of the ADLs (bathing, grooming, dressing, transfer, ambulation) |
|
|
Term
|
Definition
Conduct new H&P
Write new orders
Obtain written release from former MD |
|
|
Term
|
Definition
Only to be used to control behavior when harmful to self/others.
Must be monitored every 30 mins.
Must be removed every 2hrs. for 10mins and exercised. |
|
|
Term
|
Definition
Monitoring dependent upon drug type.
Must be frequently d/t side effects.
2 times a year gradual reduction must be attempted. |
|
|
Term
|
Definition
| Injections, parenteral/enteral fluids, colostomy, ureterostomy, ileostomy, tracheostomy and suctioning, foot care, prosthesis |
|
|
Term
|
Definition
| Medication/infection induced |
|
|
Term
|
Definition
bearing children, hormonal, menopausal
Sometimes happen when coughing |
|
|
Term
|
Definition
| stroke, infections, bladder contractions |
|
|
Term
|
Definition
| men with prostate problems, other blockages of urethra |
|
|
Term
|
Definition
| dementia, head injury, stroke |
|
|
Term
|
Definition
|
|
Term
|
Definition
| results from impairment, damage, or malfunction |
|
|
Term
| Benign Disequilibrium of Aging |
|
Definition
| Disturbance in sens of balance |
|
|
Term
|
Definition
| increased pressure in eye leading to blindness |
|
|
Term
|
Definition
| visual acuity of 20/200 or less with correction |
|
|
Term
Alzheimer's Association 2006
3 Areas making significant difference |
|
Definition
Food and Fluid Consumption
Pain Management
Social engagement |
|
|
Term
|
Definition
| 54% chance of dying if not found in 24 hours |
|
|
Term
CMS identified
Sentinel Health Event |
|
Definition
Low risk residents with pressure ulcers
Dehydration
Fecal Impaction |
|
|
Term
|
Definition
Resident has right to privacy with whomever.
Facility should provide full visual privacy and to the degree full audible. |
|
|
Term
|
Definition
| Must include measurable objectives and timetables to meet a resident's medical, nursing, and psychosocial needs |
|
|
Term
|
Definition
Must grant access within 24 hours
Copies must be provided within 2 working days. |
|
|
Term
| OBRA - Medical Record Requirements |
|
Definition
Sufficient info. to identify resident.
Most current MDS and last 15 mos.
Plan of care and services provided
PASARR
Progress notes |
|
|
Term
|
Definition
Recap of entire stay
Summary of resident status
Post d/c plan of care |
|
|
Term
|
Definition
Each resident must be provided a nourishing, palatable, well-balanced diet that meets daily nutritional and special dietary needs.
*Sufficient staff must be available and one person must be designated as supervisor if f/t RD not on staff |
|
|
Term
| Una@#cceptable Food Practices |
|
Definition
Prolonged food storage
Too much exposure to light
Prolonged cooking in large volume of water.
Overcooking to obtain soft texture. |
|
|
Term
|
Definition
3 meals/day at regular eating times
no more than 14 hours between supper and breakfast.
snacks must be offered at bedtime. |
|
|
Term
|
Definition
Refrigerated- 41 or below
Frozen - frozen solid |
|
|
Term
|
Definition
|
|
Term
|
Definition
Hot food - 135+
Cold food - 41- |
|
|
Term
| Medication Administration |
|
Definition
Review MD order
Identify drug and required dosage
Identify resident
Administer immediately
Administer as ordered |
|
|
Term
|
Definition
# of Errors/# of Opportunities
then multiply times 100 |
|
|
Term
Patient Self Determination Act
1990 |
|
Definition
| Requires facilities who accept m'care/m'caid to recognize living will/power-of-attorney as advance directives |
|
|
Term
| CNA in-service requirements |
|
Definition
No less than 12 hours
Address areas of weakness or special needs.
Address care to needs of cognitively impaired. |
|
|
Term
|
Definition
|
|
Term
| Immigration Reform and Control Act of 1986 I-9 |
|
Definition
Mandates employees verify employment eligibility status.
Must be done within first 72 hours. |
|
|
Term
Home and Community Based Services Waiver Program (HCBS)1981
Section 1915 SSA |
|
Definition
Allows states, through waivers, to develop and implement programs that would offer alternatives to institutional placement.
Can not cost gov't more than would have without waiver. |
|
|
Term
|
Definition
Permits individual states to implement experimental, pilot or demonstration programs that are likely to assist in the promotion of the medicaid statutes.
Must be approved by CMS.
Approved for 5 years
Must be budget neutral |
|
|
Term
|
Definition
Process of ensuring that materials an other resources of the facility are bought and used efficiently and economically.
Provides accounting information the administrator can use to make decisions and manage the facility.
Provides set of standards for administrator to measure performance. |
|
|
Term
|
Definition
| The process that includes bookeeping, budgeting, financial reports, special studies, auditing, and designing accounting systems. |
|
|
Term
|
Definition
Things of value, things owned.
Cash, equipment, real estate, and AR
Can be measured and expressed in monetary terms. |
|
|
Term
|
Definition
Cash or other short-lived asset to be converted into cash or depleted within 1 year.
AR, notes receivable, CDs |
|
|
Term
|
Definition
| Building, land, equipment used on long term basis |
|
|
Term
|
Definition
Physical characteristics, can be touched and seen.
Building, equipment, that will deteriorate or wear out.
Depreciable |
|
|
Term
|
Definition
Noncurrent, nonphysical asset
Leasehold,copyright, patents, goodwill
Goodwill when nsg. home as great reputation |
|
|
Term
|
Definition
| Cost of depreciable asset less accumulated depreciation. |
|
|
Term
|
Definition
| Initial recording of business transactions |
|
|
Term
|
Definition
| Funds invested, income from sales of shares, donation of cash/land, retained earnings |
|
|
Term
|
Definition
| Cash used to purchase real estate and equipment |
|
|
Term
|
Definition
| Current Assets - Current Liabilities= |
|
|
Term
|
Definition
| Expenditures that increase the book value of the facility |
|
|
Term
|
Definition
Immediately expensed out.
Recurring or minor repairs that neither add to the quality of service or extend estimated life. |
|
|
Term
|
Definition
| Generated revenue (income) |
|
|
Term
|
Definition
| Total revenue or income generated |
|
|
Term
|
Definition
| Net Sales - Cost of goods sold= |
|
|
Term
|
Definition
Gross Profit from Sales - Operating Expenses=
Measures effectiveness of management operations for given period of time |
|
|
Term
|
Definition
| Earnings distributed to stockholders |
|
|
Term
|
Definition
| Accumulated Net Earnings - Dividends= |
|
|
Term
|
Definition
| Amount Contributed + Retained Earnings= |
|
|
Term
|
Definition
| those remaining constant regardless of volume, rent, depreciation, taxes, insurance. |
|
|
Term
|
Definition
| Those that change as a direct proportion to volume food, medical supply, labor |
|
|
Term
|
Definition
| Taxpayers income from services such as wages, fees, dividends, interest, proprietorship/partnership earnings |
|
|
Term
|
Definition
Financial actions taken to:
Protect assets against theft/waste
Ensure compliance with state/fed law
Evaluate performance and efficiency
Ensure accurate/reliable data |
|
|
Term
|
Definition
| debt or obligation owed by a business |
|
|
Term
|
Definition
| Debts due within 1 year, normally require current assets |
|
|
Term
|
Definition
| debts not due for relatively long period of time |
|
|
Term
|
Definition
| Claim or charge held for payment on a debt obligation |
|
|
Term
|
Definition
| How quickly an asset can be converted to cash without appreciable loss |
|
|
Term
|
Definition
BREAK EVEN
Revenues = Expenses |
|
|
Term
|
Definition
| Conditional transfer of property title to a lender to secure payment on a debt. |
|
|
Term
|
Definition
| Total Assets - Total Liabilities= |
|
|
Term
|
Definition
| unconditional written promise to pay a definite sum of money on a certain date |
|
|
Term
|
Definition
| Expenses incurred during normal operation |
|
|
Term
|
Definition
| The inflow of assets from the sale of a product or delivery of service |
|
|
Term
|
Definition
| Unit of facility that generates income (therapy) |
|
|
Term
|
Definition
Unincorporated, owned by individual
Easily formed, min gov't regulations, no corporate tax.
Difficult to obtain large sums of cash, unlimited liability |
|
|
Term
|
Definition
2+ persons run by all
Unlimited liability |
|
|
Term
|
Definition
1 partner responsible for operation
1 partner contributing sum of capital and not liable for debt beyond contribution |
|
|
Term
|
Definition
Owned by few or thousands
Inc. under laws of state
Separate legal entity from owners
Two types S and C |
|
|
Term
| Limited Liability Corporation |
|
Definition
Managed by owners or hired managers
Profit/loss allocated however reasonable
Limited debt obligations |
|
|
Term
|
Definition
| Ability of business to realize profit |
|
|
Term
|
Definition
Forecast for anticipated revenues and expenses.
Expresses goals and programs in financial terms.
Describes allocation of resources.
Provides criteria for evaluation of performance.
Serves as control device. |
|
|
Term
|
Definition
| The way the administrator will find census goals, anticipated expenditures, and revenue projections. |
|
|
Term
|
Definition
Prepared for fixed assets such as real estate.
Includes list of equipment to be purchased and major improvements.
*Medicare defines as an item costing more than $5000 and a life expectancy greater than 1 year. |
|
|
Term
|
Definition
| a forecast of cash receipts and disbursements for each month |
|
|
Term
|
Definition
Process used to identify, measure, record, and report all financial transactions.
Provides info. for management to make decisions. |
|
|
Term
|
Definition
| Expenses and revenues not recorded until cash received or paid out |
|
|
Term
|
Definition
| Expenses and revenues recorded in period recognized regardless if actual cash transaction takes place. |
|
|
Term
|
Definition
| Related to resident care and some indirect cost |
|
|
Term
|
Definition
| Charges to a specific revenue center |
|
|
Term
|
Definition
| Incurred for benefit of 2+ departments |
|
|
Term
|
Definition
| Supplies, drugs, labs, etc. |
|
|
Term
| Cost Per Patient Day (PPD) |
|
Definition
| Total cost of operation/total # patient days= |
|
|
Term
|
Definition
| necessary to determine whether a business is meeting its primary goal of profitability and solvency |
|
|
Term
|
Definition
| listing of all accounts and their debit/credit balances |
|
|
Term
|
Definition
Summary of assets, liabilities, and stockholder's equity.
Statement of financial position |
|
|
Term
|
Definition
|
|
Term
|
Definition
Compares revenues incurred to produce income.
Also called profit/loss statement.
Reflects profitability of stated period of time. |
|
|
Term
| Retained Earnings Statement |
|
Definition
| Explains change in retained earnings between to balance sheet dates. |
|
|
Term
| Statement of Changes in Financial Position |
|
Definition
| Shows flow of funds in to and out of business |
|
|
Term
|
Definition
Shows relationship of current assets and liabilities.
Reflects companies ability to pay bills.
If ration grater than 1 then should be able to pay bills. |
|
|
Term
Acid-Test Ratios
(Quick Ratios) |
|
Definition
Shows facility's ability to pay bills immediately.
Includes cash and only assets that can be converted to cash quickly. |
|
|
Term
|
Definition
| Percentage of total assets provided by stockholder's equity. |
|
|
Term
| Balance Budget Act of 1997 |
|
Definition
| Introduced nursing home reimbursement based on case mix prospective payment system. |
|
|
Term
| Quality Improvement Organization (QIO) |
|
Definition
| SNF must have Memorandum of Agreement with QIO per federal law to participate in Medicare |
|
|
Term
| Purpose of Memorandum of Agreement |
|
Definition
Conduct reviews to ensure beneficiaries receive professional recognized standards of care.
Assure m'care pays for reasonable and necessary services only. |
|
|
Term
|
Definition
| provided by The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 |
|
|
Term
| Uncollectible Receivables |
|
Definition
1-30 days 5%
31-60 days 10%
61-90 days 25%
91+ days 50% |
|
|
Term
|
Definition
| Holds contractors liable for submitting false or fraudulent claims for reimbursement to the federal government |
|
|
Term
|
Definition
| Sets up mechanism for individuals having knowledge of false practice to file suit against fraudulent companies on behalf of US gov't |
|
|
Term
| Health Care Fraud and Abuse Control Program (HCFAC) |
|
Definition
| Provides funding to OIG and Department of Justice to fight fraud |
|
|
Term
|
Definition
| Total amount of money company owes to vendors. |
|
|
Term
|
Definition
| a guide to complying with federal prohibitions against illegal payment for services or items reimbursed under m'care and m'caid |
|
|
Term
|
Definition
| investors in a position to influence referrals, furnish items/services, or otherwise generate business |
|
|
Term
|
Definition
| Optimum level of inventory needed on hand for items such as gloves, milk, copy paper |
|
|
Term
|
Definition
| The number of times inventory of given item replaced through year. |
|
|
Term
|
Definition
All purchases, requisitions filled, and balances on hand are recorded and reordered at levels used.
Reflects cost based on actual usage. |
|
|
Term
| Valuation of Existing Inventory |
|
Definition
Must be made at end of fiscal year.
Necessary in order to calculate net earnings.
Should be valued at lower of actual cost when purchased or cost if currently purchased. |
|
|
Term
|
Definition
Used to determine a unit cost for each item in stock every time new stock is added.
(Cost of old stock + Cost of new stock)/quantity on hand = |
|
|
Term
|
Definition
| Method assumes older supplies in stock are used first |
|
|
Term
|
Definition
| Method assumes that new inventory will be used first |
|
|
Term
|
Definition
| Allocation of cost of a long lived tangible asset over a number of years |
|
|
Term
| Straight Line Depreciation |
|
Definition
Distributes same $ amount of depreciation to expense each year is assets assigned life.
*M'CARE/M'CAID REQUIRE THIS METHOD |
|
|
Term
|
Definition
| total depreciation taken to date on depreciable assets |
|
|
Term
|
Definition
The estimate of services/benefits received from an intangible asset in a given period.
The up-front cost is allocated over a specified period of time. |
|
|
Term
|
Definition
Time must be kept min 2 years
Payroll must be kept min 3 years |
|
|
Term
| Federal Insurance Contribution Act (FICA) |
|
Definition
| Goes toward social security |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Authorized IRS to collect a federal employer tax used to finance state workforce agencies |
|
|
Term
|
Definition
Let the master answer.
Means facility is responsible for work errors when employee is on duty. |
|
|
Term
|
Definition
| means the employer may be responsible for actions of non-contract workers while they perform duties in the nursing home(doctors, NP, PA) |
|
|
Term
|
Definition
| Requires that upon written authorization of a resident, the facility must hold, safeguard, manage, and account for personal funds |
|
|
Term
|
Definition
| Whether facility will get money's worth out of purchase |
|
|
Term
|
Definition
Cost of Item/Savings per year for buying item=
*If this amount is lower than life expectancy of item then worth the cost |
|
|
Term
|
Definition
|
|
Term
|
Definition
| covers injuries, improper treatment, and neglect involving residents. |
|
|
Term
|
Definition
| Days in Month/Patient Days= |
|
|
Term
|
Definition
| A set of standards for constructing public buildings to ensure a reasonable degree of safety from fire and handling certain emergencies |
|
|
Term
|
Definition
Exit must be egress(open outward, lighted with exit signs, and not locked from inside.
Must be 32 in at opening
Two doors in series must be at least 48 in. apart |
|
|
Term
|
Definition
| Required in all corridors, must have automatic hold open devices that release and shut doors when fire alarm sounds |
|
|
Term
|
Definition
| Must have flashing light and audible, must automatically activate from smoke and fire |
|
|
Term
|
Definition
| Locks can be on resident rooms if they can be opened from corridor |
|
|
Term
|
Definition
| must be installed, always operable, and tested regularly |
|
|
Term
|
Definition
| must have written policies/strictly enforced |
|
|
Term
|
Definition
| must be recorded and kept on all flammable furnishings |
|
|
Term
|
Definition
| must be kept for inspection |
|
|
Term
|
Definition
| must be kept by LSC and CMS standards |
|
|
Term
|
Definition
36in. Hallway
32in. Doors
Passing spaces at least 60in. wide at least every 200ft. |
|
|
Term
|
Definition
| Openings no greater than 1/2in. |
|
|
Term
|
Definition
Space 13ft. Wide
8ft Vehicle, 5ft Aisle |
|
|
Term
|
Definition
|
|
Term
|
Definition
S/P Room 80sqft/resident
Pvt Room 100sqft/resident |
|
|
Term
|
Definition
| Control measures that isolate or remove a hazard from the workplace |
|
|
Term
|
Definition
Illuminate entrance and exits.
Equipment that maintains fire alarm and sprinkler.
Life support system.
Must start in at least 10 sec.
Be started at least weekly
Tested monthly for 30 minutes
Requires 1 fire drill/shift each quarter.
Class A extinguishers no more than 75ft apart.
Class B&C extinguishers no more than 50ft apart. |
|
|
Term
| 3 Most Important Factors in Fire Prevention and control planning |
|
Definition
| time, smoke and closed doors |
|
|
Term
|
Definition
| paper, wood, rubber, plastic, linen, wool,etc |
|
|
Term
|
Definition
| grease and flammable liquids |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Getting things done with and through people |
|
|
Term
| Employee centered management |
|
Definition
| interested in employee's needs and interest |
|
|
Term
|
Definition
Results in continuous quality improvement.
Builds employee interrelationships thru work teams.
Utilizes employee knowledge as well as time, effort, and skill.
Based on open communication, trust, and mutual respect. |
|
|
Term
|
Definition
| Planning, Organizing, staffing, directing/leading, controlling |
|
|
Term
|
Definition
| A summation of goals, policies, procedures, rules, work/space assignments, schedules, plans of action, resources to be used, and other items necessary to carry out a given course of action. |
|
|
Term
|
Definition
Focus all work on attaining goals.
Offset uncertainty and change.
Develop economical operation.
Facilitate control. |
|
|
Term
|
Definition
|
|
Term
|
Definition
| demonstrates a line organization in which the structure is characterized by a vertical flow of authority |
|
|
Term
|
Definition
| The number of employee a manager is required to direct and control |
|
|
Term
|
Definition
| means insofar as possible a person is only responsible to one supervisor |
|
|
Term
|
Definition
| Relationship in which one person directs, controls, and is responsible for the work of another person |
|
|
Term
|
Definition
| Relationship in which one person gives advice, counsel and/or recommends to another person, but cannot enforce decisions |
|
|
Term
|
Definition
| Relationship in which one person has control over a function but not the people who carry it out. Can tell how task is to be done but not correct errors or discipline. |
|
|
Term
| Principles of Economy of Action |
|
Definition
| Anytime a higher paid employee makes a decision or carries out a task that a lesser paid employee can do as well or better, the facility is wasting money. |
|
|
Term
|
Definition
| the process of influencing employees so they will strive willingly and enthusiastically toward achieving organizational goals. |
|
|
Term
|
Definition
| Involves feelings and attitudes of employees. |
|
|
Term
|
Definition
Loose, accepting, easy going, supportive style.
Leader tells staff what to accomplish and leaves alone. |
|
|
Term
|
Definition
Allows considerable employee input and is true participative management.
"The group decides" |
|
|
Term
|
Definition
Sympathetic, fathering/mothering style that provides rewards.
Uses "tell and sell" when instructing employees. When you do right, I will support you! Misbehave and I will punish you! |
|
|
Term
| Dictatorial/Autocratic Leadership |
|
Definition
Threatening, intimidating, decisive, and uncompromising.
Motivates by fear.
"Do as I say or else" |
|
|
Term
|
Definition
Ideation>Encoding>Transmission>Receiving>Decoding>Understanding
**Feedback** |
|
|
Term
|
Definition
| Goal Setting, Decision making, Giving instruction, Listening, Representing, Problem Solving, Coordinating, Managing Internal Conflict |
|
|
Term
|
Definition
|
|
Term
|
Definition
| have authority, by state law they are legally responsible for the facility's operation and for its business management. |
|
|
Term
| Articles of Incorporation |
|
Definition
| Document that must include: Name of corporation, street address, name of registered agent, number of authorized shares, and name/address of each incorporator |
|
|
Term
|
Definition
Applies to partners, governing bodies, and offices in partnerships/corporations.
"The duty to act obedient" |
|
|
Term
|
Definition
In Good Faith
With care an ordinary prudent person in a similar position would use in similar circumstances.
In manner of best interest to partnership or corporation |
|
|
Term
|
Definition
No authority.
Offer advice and counsel. Provide interpretation for board members and community. |
|
|
Term
Isolated
(LSC and Survey Scope) |
|
Definition
| Only 1 or very limited # residents affected |
|
|
Term
Pattern
(LSC and Survey) Scope) |
|
Definition
| More than limited # affected |
|
|
Term
Widespread
(LSC and Survey) Scope) |
|
Definition
| Problems pervasive throughout facility |
|
|
Term
|
Definition
| No actual harm with potential for minimal harm |
|
|
Term
|
Definition
| No actual harm with potential for more than minimal harm |
|
|
Term
|
Definition
| Actual harm, not immediate-jeopardy |
|
|
Term
|
Definition
| Immediate jeopardy to resident health or safety. |
|
|
Term
|
Definition
3 mos to correct before denial of payments start
6 mos if not immediate jeopardy
23 days if immediate jeopardy |
|
|
Term
|
Definition
|
|
Term
|
Definition
| compares nursing facility survey results, and resident demographics against local, state, and national averages |
|
|
Term
|
Definition
4 Severity Levels
3 Scopes
10 Days to answer after receiving 2567 |
|
|
Term
|
Definition
How action will be corrected?
How facility will identify other residents who have the potential to be affected?
What measures will be implemented to prevent recurrence of deficient practice?
How will facility monitor to assure doesn't reoccur? |
|
|
Term
| Informal Dispute Resolution (IDR) |
|
Definition
Must complete in 10 days.
Must be in writing and contain and explanation of specific deficiencies being disputed. |
|
|
Term
| Survey sited as "A-L" Tags |
|
Definition
| This letter is dependent on where the deficiency falls on the grid |
|
|
Term
|
Definition
| 3 Categories; type imposed dependent upon most serious deficiency cited |
|
|
Term
|
Definition
Director Plan of Correction
Stated Monitoring
Directed In-services |
|
|
Term
|
Definition
Denial of payment for new m'care/m'caid admissions.
Denial of payment for all m'care/m'caid payments.
Civil monetary penalties $50-300/day of non-compliance. |
|
|
Term
|
Definition
Temporary Management
Termination of provider agreement.
Civil monetary penalties $3050-10,000/day of non-compliance. |
|
|
Term
Americans with Disabilities Act
1990 |
|
Definition
| Intended to make American society more accessible to people with disabilities |
|
|
Term
Age Discrimination in Employment Act
1967 |
|
Definition
| Prohibits employment discrimination against persons 40 years of age or older |
|
|
Term
| The Patient Self-Determination Act |
|
Definition
| Requires hospitals, SNF, HHA, Hospice to maintain written policies and procedures guaranteeing that every adult receiving medical care be given written information regarding Advance Directives |
|
|
Term
| American National Standards Institute |
|
Definition
Enables members to pursue standards and conformity assessment activities based on a concesus of all directly marketed affected parties.
Mission is to enhance global competitiveness and quality of life in US |
|
|
Term
| Benefits Improvement and Protections Act |
|
Definition
| Requirement for nursing home staff to post staffing numbers. |
|
|
Term
| Centers for Disease Control & Prevention |
|
Definition
Lead federal agency for protecting the health and safety of people at home and abroad.
Providing credible information to enhance health decisions and promoting through strong partnerships.
Agency of DHHS
Works to protect public everyday. |
|
|
Term
| Civil Rights Act of 1991 - Title I |
|
Definition
| Addresses prohibition against all racial discrimination in the making and enforcement of contracts. |
|
|
Term
| Civil Rights Act of 1991 - Title VI |
|
Definition
| Prohibits discrimination in providing services in a nursing facility. |
|
|
Term
| Civil Rights Act of 1991 - Title VII |
|
Definition
| Forbids discrimination in employment on the basis of race, religion, sex, or national origin. This includes wage increases, benefits, promotions, hiring, etc. |
|
|
Term
| US Drug Enforcement Administration |
|
Definition
| Enforces the controlled substance laws and regulations |
|
|
Term
|
Definition
| Fosters and promotes the welfare of job seekers, wage earners, and retirees by improving aspects of employment. |
|
|
Term
|
Definition
| Projecting trends in the future, such as the economic, social, and political environment expected for the facility and the resources that will be available to it. |
|
|
Term
|
Definition
| Deciding what is to be done, such as, accomplishments, short and long term objectives, and the means used to achieve them. |
|
|
Term
|
Definition
| Providing daily supervision and employing good communication, people, and skill |
|
|
Term
|
Definition
| Comparing actual to expected results |
|
|
Term
|
Definition
| Taking necessary steps of corrective action. The administrator will revise policies, procedures,and plans of action and take necessary steps to better achieve facility goals. |
|
|
Term
|
Definition
| Developing new ideas, modifying old ideas to make new ones, searches for useful ideas from other fields and acts as a catalyst to stimulate other to do the same. |
|
|
Term
|
Definition
| Identifying and attracting the persons to be served. The facility identifying the group of persons to be served and successfully attract them to the market. |
|
|
Term
| Manager Centered Leadership |
|
Definition
Makes a decision and then announces it.
Attempts to convince the employees of the value of the decision made.
Presents ideas and invites questions, in effect, engaging the employees actively in the decision making process. |
|
|
Term
| Employee-Centered Leadership |
|
Definition
Presents a tentative decision, subject to change. Employees further involved in decision making process itself.
Manager presents the problem requiring a solution, invites suggestion, then makes decision.
Manager permits the subordinates to make the decision and function within limits set. |
|
|
Term
|
Definition
| Responsible for the overall functioning of the facility, normally interacting directly with the board of directors/owner and multiple inspectors. |
|
|
Term
|
Definition
| Report to upper level managers and at teh same time interact significantly with lower level managers.Ex. DON |
|
|
Term
|
Definition
| Have direct supervisory responsibilities for the staff who do the actual work. Ex. Charge Nurse |
|
|
Term
|
Definition
| Empowered to make decisions on behalf of the administrator. |
|
|
Term
|
Definition
| An advisory role. No authority to make decisions on behalf of facility. |
|
|
Term
| Program Evaluation and Review Technique (PERT) and Critical Path Method (CPM) |
|
Definition
| Control tools showing the relationship among the activities that make up a project. Aids in allocating resources. |
|
|
Term
|
Definition
| A management tool by which an organization seeks to improve its business practices by comparing them with the best practices of other organizations. |
|
|
Term
|
Definition
"Twisted"
Exist when a legal duty is owed by (a) a defendant to a plaintiff , (b)duty is breached, (c)the plaintiff is harmed as a direct result of the breach of duty.
Includes several specific types, assault, battery, false imprisonment, and negligence. |
|
|
Term
|
Definition
| Attempt to inflict bodily harm on another person that creates well-founded fear of imminent peril. Does not require actual touching. |
|
|
Term
|
Definition
| The unlawful touching or application of force to another human being without their consent. Must be intent to touch, actual touch, and a lack of consent. |
|
|
Term
|
Definition
| The confining of another human being within fixed boundaries against their will. |
|
|
Term
|
Definition
| The failure to exercise the degree of care a reasonable person would exercise under the same circumstances, which results in injury to another |
|
|
Term
|
Definition
| The thing speaks for itself |
|
|
Term
|
Definition
|
|
Term
|
Definition
| A written court order for a person to bring to a judicial proceeding certain objects or documents in the possession. |
|
|
Term
|
Definition
| To stand by that which was decided earlier |
|
|
Term
|
Definition
| Person who commits a tort |
|
|
Term
|
Definition
Also known as the National Labor Relations Act.
The first time in federal legislation, the rights were defined of workers.
Helped to organize unions. |
|
|
Term
|
Definition
| Total Patient Day in a Year/Number of admissions in a year= |
|
|
Term
|
Definition
| Average Daily Census/Number of Beds= |
|
|
Term
|
Definition
| Total # of Hrs. Worked/40= |
|
|
Term
| Number of Line Staff Positions |
|
Definition
|
|
Term
|
Definition
Cost in month/Total patient days in month=
*100 Bed facility Ave. Occupancy 85% with annual food cost 146820.00
85*365=31025
146820/31025=4.73 |
|
|
Term
|
Definition
| Number of hours worked/number of patients= |
|
|
Term
|
Definition
| Number of Employees Terminated * 100 / Number of total FTEs |
|
|
Term
|
Definition
| No longer than 14 hours between supper and breakfast unless a nourishing snack is provided at mealtime and upon approval of a resident group the 16 hours can lapse |
|
|
Term
|
Definition
Cost Finding
Apportioning the cost for caring for Medicare residents from the cost for non-medicare residents
Determination of allowable cost |
|
|
Term
|
Definition
| Unintentional, improper, or excessive use of benefits of a health insurance program |
|
|
Term
|
Definition
Audible and visual communication and alarm system.
Illuminated exit signs with battery or generator backup.
At least 2 exits on each floor or fire section. |
|
|
Term
| Federal Standards for Resident Room |
|
Definition
Direct access to exit corridors.
Floor at or above grade level.
One window to the outside.
Full visual privacy for reach resident. |
|
|
Term
|
Definition
| Established each time a need arises, then terminated upon completion |
|
|
Term
|
Definition
|
|
Term
|
Definition
| All facilities must have installed by year 2013 |
|
|
Term
| Testing of Emergency Systems |
|
Definition
| LSC requires at least monthly testing of automatic doors, smoke detectors, and emergency generators. |
|
|
Term
| Testing of Emergency Systems |
|
Definition
| LSC requires at least monthly testing of automatic doors, smoke detectors, and emergency generators. |
|
|
Term
High Forward Reach
Side Reach |
|
Definition
48inches
Between 9-54in off floor |
|
|
