Description:

Assisted Living Administration and Management: Effective Practices and Model Programs in Elder Care 2nd Edition provides students and healthcare professionals with the most up to date and essential knowledge on assisted living and residential care. This comprehensive text empowers current and future assisted living administrators to employ effective practices, understand model programs, and learn the necessary tools and tips to maximize the overall health, safety, and comfort of residents in their care.

The textbook is structured in five parts which instruct on how to build and manage effective assisted living and residential care communities, beginning with Organizational Management and progressing through Human Resources, Business and Financial Management, Environmental Management, and Resident Care Management. The second edition includes six new chapters on evolving topics, such as interprofessional practice, home and community-based services (HCBS) as alternatives to assisted living, information and communication technology (ICT), LGBT issues, memory care units, and palliative and hospice care. Chapters feature learning objectives, case studies, effective practices, and more enabling students and healthcare professionals to evaluate, analyze, and synthetize information on how to best operate, manage, and lead assisted living communities. Useful for any long-term care and health management professional or student in the fields of gerontology, health administration, and long-term care administration, this comprehensive book covers the most crucial aspects of assisted living and residential care management—the most abundant and fastest growing senior living line of service in the United States.

Key Features:

• Describes real-life situations and challenges associated with Assisted Living Administration with pragmatic solutions which highlight the most effective practices and model programs in elder care
• Contains new chapters on interprofessional practice, home and community-based services (HCBS) as an alternative to assisted living, information and communication technology (ICT), LGBT issues, memory care units, palliative and hospice care
• Highlights useful details on business and financial management, including guidelines for marketing facilities and services, important legal issues and terms, and evolving public policy issues
• Incorporates chapters on environmental management, with information on accessibility, fire safety, disaster preparedness, universal design and aging in place, and much more
• Emphasizes the importance of holistic, resident care management by examining the biological, psychological, and social aspects of aging

Contents:

Contributors

Foreword (Donna E. Schafer, PhD, CPG)

Preface

Acknowledgments

List of Figures

List of Tables

PART ONE: ORGANIZATIONAL MANAGEMENT

Chapter 1. The Assisted Living Industry: Context, History, and Overview • Learning Objectives • Introduction • Historical Evolution of Assisted Living • Defining Assisted Living • Resident Characteristics • Challenges in the Assisted Living Field • Conclusions

Chapter 2. Policy, Licensing, and Regulations • Learning Objectives • Introduction • State Policy and Regulation • Federal Statutes That Impact Assisted Living • Conclusions

Chapter 3. Organizational Overview • Learning Objectives • Introduction • Aging in Place—A Consideration • Service Models • Organizational Patterns by Size and Model • Business Models • Specific Affiliations • Future Landscape • Conclusions

PART TWO: HUMAN RESOURCES MANAGEMENT

Chapter 4. Recruiting and Hiring Staff • Learning Objectives • Introduction • Factors Influencing Workforce Recruitment • The Recruitment Process • Considering Best Practices • Conclusions

Chapter 5. Training Staff • Learning Objectives • Introduction • Orientation for Assisted Living Employees • Direct-Care Staff • Best Practices in Staff Training • Facilitating Staff Training Through Learning Circles: A Model for Training • Conclusions

Chapter 6. Retaining Employees and Empowerment (With Contributing Author David Hahklotubbe) • Learning Objectives • Introduction • Staff Turnover • Staff Recruitment • Retention Strategies • Conclusions

Chapter 7. Continuing Education (With Contributing Author David Hahklotubbe) • Learning Objectives • Introduction • Continuing Education • Regulatory Requirements • Model Continuing-Education Program • Factors Associated With the Effectiveness of Continuing Education in Long-Term Care • Best Practices in Continuing Education: Reform in California • The Impact of Professional Development on Millennials • Important Conferences for Administrators and Direct-Care Staff • The Importance of Joining an Association • Conclusions

Chapter 8. Interprofessional Practice: Issues for Assisted Living Administration • Learning Objectives • Introduction • Definitions of Interprofessional Practice • Benefits of Interprofessional Practice • Interprofessional Practice Teams • Issues for Assisted Living Administrators • Case Study • Conclusions

PART THREE: BUSINESS AND FINANCIAL MANAGEMENT

Chapter 9. Business, Management, and Marketing (With Contributing Author Joseph F. Melichar) • Learning Objectives • Introduction • Management Theories • Management Method and Style • Management and Organizational Structure • ‘The Business Plan • Operational Plan and Planning System • Information and Technology Support Services • Marketing Approaches • Conclusions

Chapter 10. Financial Management in Assisted Living Communities (With Contributing Authors Raymond Yee and Mark J. Cimino) • Learning Objectives • Introduction • Accounting Systems • Accounting System Organization • Department Titles and Staff • Use of Accounting and Financial Software • Financial Reporting • Accounting Procedures • Account Records • Budget Preparation and Execution • Financial Ratio Analysis • Risk Management • Most Common Accounting Terms and Definitions • The Nature of Entities That Operate ALCs • Relationship Dynamics of Real Estate, Operations, and Management Companies in ALCs • Collection and Utilization of Industry Financial Data • Conclusions

Chapter 11. Legal Concepts and Issues in Assisted Living Communities (With Contributing Author Anthony M. Chicotel) • Learning Objectives • Introduction • Tort Law • Contracts • Evictions • Estate Planning • Advance Planning • Surrogate Decision-Making • Conclusions

PART FOUR: ENVIRONMENTAL MANAGEMENT

Chapter 12. Accessibility, Fire Safety, and Disaster Preparedness • Learning Objectives • Introduction • Regulations, Laws, and Statutes • Issues Related to Accessibility, Fire Safety, and Disaster Preparedness • Case Study • Conclusions

Chapter 13. Models of Care • Learning Objectives • Introduction • Models of Care in Assisted Living Communities • Medical Model of Care • Culture Changes in Long-Term Care Delivery and Assisted Living Communities • Case Study • Conclusions

Chapter 14. Universal Design and Aging in Place • Learning Objectives • Introduction • Universal Design in Assisted Living Communities • Aging in Place • Issues Related to Universal Design • Issues Related to Aging in Place • Case Study • Conclusions

Chapter 15. Home- and Community-Based Services as an Alternative to Assisted Living (With Contributing Author Pauline Mosher Shatara) • Learning Objectives • Introduction • The Historical Evolution of HCBS • State Plan and Waiver Programs • Case Study • Community First Choice Option • Case Study • Case Study • PACE Program • Case Sudy • Recommendations to Expand Consumer Access to HCBS in California. • Conclusions

Chapter 16. Information and Communication Technology in Assisted Living (With Contributing Author Benjamin Bongers) • Learning Objectives • Introduction • Overview • ICTs and Their Use in Aiding Older Adults • Examples of Practice Use • Conclusions

PART FIVE: RESIDENT CARE MANAGEMENT

Chapter 17. Diversity Issues • Learning Objectives • Introduction • Concepts of Culture, Ethnicity, and Health Disparities • Diversity Issues • Case Study • Conclusions

Chapter 18. LGBTQ Issues in Assisted Living (With Contributing Author Brian de Vries) • Learning Objectives • Introduction • Definitions • Concepts • LGBTQ Issues in Assisted Living • Best Practices: Know Your Resources • Federal and State Initiatives • A Model Practice • Conclusions

Chapter 19. Physical Aspects of Aging • Learning Objectives • Introduction • Overview of Normal Physiological Changes Associated With Aging • Case Study • Issues Related to Selected Physical Aspects of Aging • Conclusions

Chapter 20. Psychological Aspects of Aging • Learning Objectives • Introduction • Overview of Normal Psychological Changes Associated With Aging • Issues Related to Psychological Aspects of Aging • Case Study • Conclusions

Chapter 21. Memory Care Units in Assisted Living: Benefits and Challenges for Administrators • Learning Objectives • Introduction • Definitions of Neurocognitive Disorder • Need for Memory Care Units • Additional Memory Care Unit Services • Regulatory Requirements for Memory Care Units • Benefits and Challenges of Memory Care Units • Case Study • Conclusions

Chapter 22. Palliative and Hospice Care (With Contributing Author Edwin P. Cabigao) • Learning Objectives • Introduction • Defining Palliative Care • The Practice of Palliative Care • Implementing Palliative Care Programs in Assisted Living Communities • Conclusions

Chapter 23. Residents’ Rights • Learning Objectives • Introduction • Protection of Civil Rights • Protection of Social and Ethical Rights • Issues Related to Residents’ Rights • Professional Resources to Address Resident Rights • Case Study • Conclusions

Afterword: A Call to Action on COVID-19 Response in Assisted Living/Residential Care Communities

Appendix A: Glossary of Financial Management Terms

Index

About the Authors:

Darlene Yee-Melichar, EdD, CHES, is Professor and Coordinator of the Gerontology Program at San Francisco State University (SF State). She received her BA in Biology from Barnard College, Columbia University; MS in Gerontology from the College of New Rochelle; and MS and EdD in Health Education from Teachers College, Columbia University. Her research interests in healthy aging, long-term care administration, and minority women’s health are reflected in 4 books; 100 journal articles, book chapters, book reviews, and technical reports; and numerous community and professional presentations. She is Vice President of the Board of Directors for the California Advocates for Nursing Home Reform; President of SF State’s Chapter of Sigma Xi, the national research society; and Past Chair of the DHHS-OWH Minority Women’s Health Panel of experts. Dr. Yee-Melichar is a Fellow of the Gerontological Society of America , Association for Gerontology in Higher Education, and AAHPERD’s Research Consortium. She received the 1995 Distinguished Educator Award from the California Chapter of the American College of Health Care Administrators; 1998 Distinguished Service Award from the American Association of Homes and Services for the Aging; 2001 Distinguished Alumna Award from Teachers College, Columbia University; 2007 SF State Distinguished Faculty Award for Excellence in Service; and 2007 AGHE Distinguished Teaching Award. She is the coauthor of Assisted Living Administration and Management (Springer Publishing Company 2010) which is a reference used by the American College of Health Care Administrators for its Assisted Living Certification Exam.

Cristina M. Flores, PhD, RN, has been a registered nurse for 23 years. Her nursing practice has included many aspects of the continuum of care such as home health care, assisted living communities, and the acute care hospital. She holds an MA in Gerontology from San Francisco State University and a PhD in Nursing Health Policy from the University of California, San Francisco (UCSF). At present, she practices nursing as the Vice President of Operations and Program Development for AgeSong in California. Dr. Flores conducts research relative to quality of care and quality of life in long-term care for the Institute on Aging in San Francisco and at UCSF. She has taught in the Gerontology Program at San Francisco State University. She has published several journal articles, book chapters and is the coauthor of Assisted Living Administration and Management (Springer Publishing Company 2010).

Andrea Renwanz Boyle, DNSc, RN, BC, is a graduate of the University of California where she received a doctoral degree in nursing science. Dr. Boyle also received a masters degree in nursing from Boston University and nurse practitioner certification from Peter Bent Brigham Hospital. Currently, Dr. Boyle is an Associate Professor and Director of the Family Nurse Practitioner Program at San Francisco State University. Dr. Boyle is the co-editor of a text on aging, has published on health related issues in aging, and conducts research on evidence-based practice for nurses and problem-based learning strategies for undergraduate and graduate students. Additionally, Dr. Boyle has been certified as a Residential Care Facility for the Elderly Administrator, and currently serves as a manuscript reviewer for a gerontology nursing journal. Dr. Boyle received the San Francisco State University Distinguished Faculty Award for Excellence in Service in 2009.

Target Audience:

This book is useful for any long-term care and health management professional or student in the fields of gerontology, health administration, and long-term care administration.