Chapter 1 Flashcards
The most likely single cause for series of bankruptcies among larger nursing homes chains around the year 2000 was_______.
Paying too much for acquisitions in 1998 and 1999.
In a chance conversation with the owner of an eight-facility chain, the newly hired administrator for the oldest facility in th chain indicates that, since the mortgage is fully retired, he will concentrate more on being effective than efficient since his Quality Indicators are all at or above his states average. The owner would likely____.
Be distressed
Occupancy of facility A has been a steady 70% since prospective payment system was introduced. Two weeks ago a new 120 bed equally equipped facility open several blocks away. The facility A administrator tells the admissions counselor to continue the usual recruitment approach. The chain owners ought to ____.
Seek a new administrator
Bankruptcies among larger nursing homes chains prior to 2000______.
Were highly unusual
Under the prospective payment system nursing facilities reimbursed costs______.
Were more bundled
In recent years Medicare has ______.
Shifted more cost onto nursing facilities.
The nursing newly promoted to director of nursing (DON) insists on giving four RN hours of patient care each day on the Alzheimer’s wing on the 175 bed facility. The administrator should______.
Seek a new DON
The applicant for the administrator position in a facility near a large teaching hospital who insists that, if hired, as before with his rural facility he would not let the Medicare reimbursement policies affect his case mix______.
Is out of touch
The newly hired assistant to the administrator insists the organization chart line between his position and the department of nursing be a solid line. The administrator should ____.
Be forewarned
The medical supplies provider tells the administrator of the facility that has not paid bills the past 3 months, but is now operating under a bankruptcy judges approved plan for restructuring, that no more deliveries will be made until past bills are fully paid. The medical supplies provider ____.
Does not understand how bankruptcy works
An administrator who adopts the management by walking around (MBWA) approach by walking through the facility and intently observing weekly has ____.
Failed to understand MBWA
The nursing facility administrator who using the management by walking around (MBWA) technique succeeds in actually making appropriate correction on the spot during his rounds ____.
Doesn’t understand MBWA
- The rate of increase in the total number of nursing facilities in the United States during the years 2008-2012 is _____.
Likely to be about level
The applicant for administrator of the facility insists that he has successfully used democratic leadership to the exclusion of all other leadership styles.
Continue to interview candidates
The candidate for administrator said she used a variety of administrative styles, but couldn’t say exactly which she would use in every circumstance. The interviewer should be ____.
Favorably impressed
The candidate for administrator indicated that she consistently chose the charismatic style of leadership. This should _______the interviewer.
Alert
The cost of providing subacute care to nursing home residents _______.
Is perhaps triple that of the more typical patient
The nurse supervisor who had just been appointed DON announced at the first department head meeting that she had circulated a memo among the nurses that only formal communication were to be allowed in the nursing department. The administrator should ____?
Anticipate problems
The department head was not surprised to learn that the employee had only heard his positive comments to the employee and ignored his criticisms. The department heads grasp of the communication process is____?
Appropriate
The administrator routinely accepted as his nearly exclusive information source the director of nursings positive reports on how the nursing was going well. The administrator is___?
Placing him at risk
