hsa3210b - Long-Term Care and Administration
Dr. Lynn Unruh

Schedule

Week Module Student Learning Objectives Reading Assignment and Resources In-Class Activities and Assignments Assignments and Papers Due
Week 1
(1/5)		 1
  1. Define long-term care.
  2. Compare and contrast long-term and acute care.
  3. List and describe common users of long-term care.
  4. Describe the goals of long-term care.
  5. List several common services of long-term care.
  6. Identify the professional and nonprofessional providers of long-term care.
  7. List the settings of long-term care.
  8. Describe the history of long-term care.
  1. Read Pratt, Chapter 1, and the Stone report (see website link in module), the parts under “Defining Long-Term Health Care.”
  2. Study the slides presentation.
  3. Check out internet resources.
  1. Discuss syllabus and schedule.
  2. Review module material and discuss study questions.
 Assignment #1 (due in class week 2).
Week 2
(1/12)		 2
  1. Distinguish the 4 conditions common to long-term care clients.
  2. Define “activities of daily living ” and list 6 examples.
  3. Define “instrumental activities of daily living” and list 6 examples.
  4. Explain the factors that determine the setting of long-term care.
  5. Identify the subgroups of long-term care clients and summarize their special needs.
  6. Describe the ideal “continuum of care” for long-term care.
  7. List seven categories of long-term care services, and state several services for each category.
  8. State the characteristics of nursing homes, home health agencies, hospice, and adult day services.
  9. Define and give examples of the 4 integrating functions.
  10. Evaluate the strengths and weaknesses of the long-term care system.
  11. Consider the 6 criteria for an ideal long-term care system.
  1. Read Pratt, Chapters 1 & 2, and the Stone report (see website link in module), the parts under “Defining Long-Term Health Care.”
  2. Study the slide presentation.
  3. Check out internet resources.
  1. Review module material and discuss study questions.
  2. Discuss case study at end of slides.
 Assignment #2 (due by noon, Monday, week 4).
Week 3
(1/19)		 None Martin Luther
King Jr. Holiday		 None No Class None
Week 4
(1/26)		 3
  1. State the proportion of personal health expenditures due to long-term care.
  2. State the proportion of long-term care payments coming from Medicare, Medicaid, private insurance and private out-of-pocket.
  3. Assess the relationship between financing and services provided in long-term care.
  4. Discuss the changes in long-term care financing since its beginning in charity-based care.
  5. State the eligibility rules, coverage (including duration), and methods of payment for Medicare and Medicaid.
  6. Explain the role of private pay--out-of-pocket, private pay—insurance, and managed care in the financing of long-term care.
  7. Discuss how private/public partnerships work in financing long-term care.
  8. Examine the trends affecting the future of long-term care reimbursement.
  1. Read Pratt, Chapter 11, and the Stone report (see website link in module), the parts under “Long-Term Care Financing.”
  2. Study the slide presentation.
  3. Check out internet resources.
  1. Review module material and discuss study questions.
 Assignment #3 (due by noon, Monday week 5).
Week 5
(2/2)		 4
  1. Describe the reactions of people to changes in their lives requiring the need for long-term care.
  2. Develop solutions to the following ethical situations: access to long-term care in the appropriate setting, autonomy, end of life treatment, everyday life treatment, restraints, and abuse.
  3. State the Donabedian model of quality measurement.
  4. Distinguish between quality assurance and quality improvement.
  5. Summarize the external validation and internal initiative processes of quality assurance.
  6. Summarize the quality improvement processes.
  7. List the assessment tools for monitoring quality in long-term care
  8. Identify the external oversight and internal initiative processes in long-term care.
  9. Describe the role of the IOM in long-term care quality.
  10. State the issues and recommendations by the IOM in its 2001 study of the quality of care in nursing homes.
  1. Read Pratt, Chapters 12 & 13.
    Study the slide presentation.
    Check out internet resources.
  1. Review module material and discuss study questions.
 Assignment #4 (due by noon, Monday week 6).
Week 6
(2/9) 		5
  1. State the reasons for external control of long-term care.
  2. List the federal agencies and laws that regulate long-term care.
  3. Summarize the aspects of care regulated by federal agencies and laws.
  4. Describe the state role in regulating long-term care.
  5. Explain how licensure of practitioners works in long-term care.
  6. Discuss the history and current status of the licensure of nursing home administrators.
  7. Assess the pros and cons of public regulation of long-term care.
  8. Describe the accreditation process of JCAHO, CARF, NCQA and ACHCA.
  1. Read Pratt, Chapter 10
  2. Study the slide presentation.
  3. Check out internet resources.
  1. Review module material and discuss study questions.
 Assignment #5 (due by noon, Monday week 7).
Week 7
(2/16)		 6
  1. Summarize governance functions.
  2. Summarize management functions.
  3. Consider current governance issues in long-term care.
  4. Consider current management issues in long-term care.
  5. Compare the pros and cons of for-profit ownership.
  6. Describe the characteristics of managerial effectiveness at the environmental, organizational, and employee level.
  7. Discuss how to add value in long-term care.
  8. Discuss governance and managerial issues specific to nursing home care.
  1. Read Pratt, Chapters 14 & 15.
  2. Study the slide presentation.
  3. Check out internet resources.
  1. Review module material and discuss study questions.
 Assignment #6(due by noon, Monday week 8).
Week 8
(2/23)		 1- 6 Module 1-6 objectives Module 1-6 Exam #1 None
Week 9
(3/1)		 7
  1. Describe the characteristics of nursing facilities.
  2. Summarize the history of nursing facilities.
  3. Critique the medical model versus social model of nursing facility care.
  4. Consider the approach of utilizing family members in nursing facility care.
  5. Describe the characteristics of nursing facility residents and their needs.
  6. Describe the regulation of nursing facilities and determine its impact on them.
  7. List the payers of nursing facilities and their proportion of payment.
  8. Describe the costs of nursing facility care.
  9. Describe and evaluate staffing/human resource issues in nursing facilities.
  10. Consider management challenges in nursing facility administration.
  1. Read Pratt, Chapter 3, and the Harrington article (see website link in module).
  2. Study the slide presentation
  3. Check out internet resources.
  1. Review module material and discuss study questions.
 Assignment #7 (due by noon, Monday week 11).
Week 10
(3/8)		 None Spring Break None No Class None
Week 11
(3/15)		 8
  1. Describe the characteristics of assisted living/residential care.
  2. Summarize the philosophy of care of assisted living/residential care.
  3. List the benefits of assisted living/residential care.
  4. Describe the characteristics of assisted living clients and their needs.
  5. Describe the regulation of assisted living/residential care facilities and determine its impact on them.
  6. List the payers of assisted living and their proportion of payment.
  7. Describe the costs of assisted living.
  8. Describe and evaluate staffing/human resource issues in assisted living.
  9. Consider management challenges in assisted living.
  1. Read Pratt, Chapter 4.
  2. Study the slide presentation.
  3. Check out internet resources.
  1. Review module material and discuss study questions.
 Assignment #8 (due by noon, Monday week 12).
Week 12
(3/22)		 9 & 10
  1. Describe the characteristics of subacute and adult day care.
  2. Summarize the philosophy of subacute and adult day care.
  3. Describe the providers/services of subacute and adult day care.
  4. Describe the characteristics of subacute and adult day care clients and their needs.
  5. Describe the regulation and accreditation of subacute and adult day care.
  6. List the payers of subacute care and adult day care, and their proportion of payment.
  7. Describe and evaluate staffing/human resource issues in subacute care.
  8. Consider management challenges in subacute care.
  9. Describe quality assurance in adult day care.
  10. Consider legal/ethical challenges in adult day care.
  1. Read Pratt, Chapters 5 & 6.
  2. Study the slide presentations.
  3. Check out internet resources.
  1. Review module material and discuss study questions.
 Assignment #9 & 10 (due by noon, Monday week 13).
Week 13
(3/29)		 11
  1. Describe the characteristics of intermittent and long term
    home care.
  2. Describe the characteristics of intermittent home care clients and their needs.
  3. List the payers of intermittent and long-term home care and their proportion of payment.
  4. Describe and evaluate staffing/human resource issues in intermittent and long-term home care.
  5. Consider legal/ethical and management challenges in home care.
  1. Read Pratt, Chapter 7.
  2. Study the slides (link above).
  3. Check out internet resourceslisted above.
  1. Review module material and discuss study questions.
 Assignment #11 (due by noon, Monday week 14).
Week 14
(4/5)		 12
  1. Describe the characteristics of hospice care.
  2. Summarize the philosophy of hospice care.
  3. Describe the providers of hospice care.
  4. Describe the characteristics of hospice clients and their needs.
  5. Describe the pain and symptom management of hospice care.
  6. List the payers of hospice care and their proportion of payment.
  7. Describe and evaluate staffing/human resource issues in hospice care.
  8. Consider management challengesin hospice care.
  1. Read Pratt, Chapter 8.
  2. Study the slides (link above).
  3. Check out internet resources listed above.
  1. Review module material and discuss study questions.
 Assignment #12 (due by noon, Monday week 15).
Week 15
(4/12)		 All All Modules objectives All Modules Service Learning Discussion None
Week 16
(4/19) 		7-12 Module 7-12 objectives Module 7-12 Exam #2 None


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