Leadership & Management Flashcards
Civil Monetary Penalties
A per day or per instance fine resulting from deficiencies in quality of care or resident safety following a CMS Survey.
Culture Change
A course of action to move from one way of doing things to another. In long-term care, _______ _______is widely referred to as a process of transforming from an institutional to a homelike model.
Dual Certification
A facility that is dually certified as both a SNF and a NF. Such facilities can admit MCR & MCD residents in any part of the facility.
Immediate Jeopardy
A situation in which the provider’s noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident.
Incident
Any unexpected negative occurrence involving a patient, family, employee, or visitor.
Leadership
The art of engaging colleagues, collaboratively towards 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.
Management
Organization and coordination of the activities of a department or group of people in accordance with objectives, policies and procedures.
Management Information System
(MIS)
A system for managing information to assist the organization in evaluating, planning, and implementation of daily work to improve processes and resident care.
Minimum Data Set
(MDS)
The ___ 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.
National Institute of Occupational Safety and Health
(NIOSH)
Federal agency formed under the Occupational Safety and Health Act (OSHA) to establish and monitor workplace safety standards.
Nursing Facility
(NF)
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 ______ _______ must be certified to receive MCD reimbursement.
Nursing Home Compare
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 MDS for consumer review.
Online Survey Certification and Reporting
(OSCAR)
A database of facility characteristics and previous inspection results related to nursing facility performance. The 3 report summarizes a facility’s regulatory compliance history. The 4 reports the facility’s recent survey results and provides an opportunity for benchmarking by comparing those results to other facilities, statewide and nationally.
Person-Centered/Person-Directed Care
A philosophy of care in which the focus of the community is on meeting the expressed desires of the residents.
Plan of Correction
(POC)
A written plan developed by the facility, outlining steps the facility has or will take to correct deficiencies found during licensure or other surveys.
Servant Leadership
Leadership in which the focus is on service others.
Sharps
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.
Transformation
The act or process of major or complete changes.
Transformational Leadership
A participatory, holistic, organizationally driven leadership model where the focus is on educating, supporting, and caring for one another.
Vision
A mental image or dream of what an organization is trying to create and become.
What is an administrator doing when they are Evaluating?
(comparing actual to expected results) Determines how well jobs were completed and what progress is occurring to achieve the organization’s goals as stated in its policies and plans.
What is an administrator doing when they are Controlling Quality?
(taking the necessary corrective actions) Revises policies, procedures, and plans of action and takes necessary personnel actions to achieve the facility’s goals. Over time, the administrator writes many “plans of correction” for corporate and the many agencies that survey the facility
What is an administrator doing when they are Innovating?
(an effective administrator is always an innovator) Develops new ideas, combines old ideas to form new ones, searches for useful ideas from other fields and adapts them, and acts as a catalyst to stimulate others to be creative
What is an administrator doing when they are Marketing?
(identifying and attracting the persons to be served). Ensures that the facility identifies the group(s) of persons to be served and successfully attracts (to the extend marketplace realities will allow) and serves the residents it seeks
What is an administrator doing when they are Forecasting?
(projecting trends into the future) Forecasts the economic, social, and political environment expected for the facility and the resources that will be available to it
What is an administrator doing when they are Planning?
(deciding what is to be done) Decides what will be accomplished, sets short- and long- term objectives, and then decides on the means to achieve them
What is an administrator doing when they are Budgeting?
(deciding acceptable costs) All facilities must operate on plans that are translated into _______ that are realistic yet functional
What is an administrator doing when they are Organizing?
(deciding the scheme of the organization and the staffing and resources it will require) Decides on the structure the organization will take, the skills needed, and the staff positions and their duties and responsibilities. Includes coordinating work assignments, specifically the departments’ interrelationships and their workers
What is an administrator doing when they are Staffing?
(the human resources function) Attempts to find the right person for each defined job
What is an administrator doing when they are Directing?
(providing daily supervision employing good communication, people, and skills) Provides day-to-day supervision of subordinates, makes sure that subordinates know expectations, and helps the staff improve their skills.
Explains what needs to happen, and the employees make it occur.
What are the essential functions of an Administrator?
Forecasting
Planning
Organizing
Budgeting
Staffing
Directing
Evaluating
Controlling Quality
Innovating
Marketing
What is Upper-Level Management?
A person responsible for the facility’s overall functioning, normally interacting directly with the board of directors and/or owners and multiple inspectors. Responsible for formulating policies that are applied to the entire facility.
Example: Nursing Home Administrator
What is Middle-Level Management?
Report to upper-level managers and at the same time interact significantly with lower-level managers.
Example: Director of Nursing
What is Lower-Level Management?
Have direct supervisory responsibilities for the staff who do the actual work: for example, the nurse’s aide who physically takes care of the ______ _____ __________ in a nursing facility.
What is a Line Position?
They are empowered to make decisions on behalf of the administrator.
Example: the DON is a ____ ________.
What is a Staff Position?
An advisory role. None of the Administrator’s decision-making authority is delegated to persons in _____ __________.
Example: an accountant
