The organization I work for is a nursing home management company. That’s the simple definition. Health Services Management Group manages of the operations of eleven (11) skilled nursing facilities (SNF), and three (3) home health agencies (HHA). Each of the SNFs and HHAs are operated/licensed by a single purpose entity. Of these long term care providers, one (1) SNF and two (2) HHAs are operated as non-profit organizations. The purpose of the non-profit providers, ultimately, is to fund The Trousdale School. “Trousdale School serves high functioning adults with intellectual disabilities, providing academics and life skills for the purpose of learning independence.” 1
Tom Johnson, the chief manager of Health Services Management Group, has a
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Johnson worked in finance with other providers in the nursing home industry. He acquired an established non-profit provider out of Wisconsin in order to fund the school. Although he worked in the industry, this was his first attempt at operating long term care facilities on his own. His approach has been a success. He has acquired other long term care providers in Tennessee, North Carolina and Virginia while simultaneously creating an incredible school for his daughter. The school was originally a day program. Today Mr. Johnson is in the process of expanding to residential facilities and care for the clients. I have provided this brief history to set the stage for the discussion of corporate responsibility within this organization. In the industry of long term care, corporate responsibility has a standard which is set by regulatory agencies and statutory requirements. This is an industry that is closely monitored by state surveyors to ensure compliance with state and federal laws including Office for Civil Rights standards. All long term care providers are held to the same standard; however, there is room to rise to a higher level of care. This “room to rise” area is where corporate responsibility plays a very important …show more content…
We do meet those state and federal regulations which include the number of nurses and other key employees in relation to the number of residents. However, providing the CNAs a better pay and more supported work environment may be the key to rising to the top. Perhaps we should ask our nurses the question, “What can we do to make your job easier?” Perhaps focusing on improving the retention and efficiency of our CNA staff is the first step in achieving the best level of responsibility to our stakeholders. A second step would be to develop a marketing and operations strategy designed to more efficiently serve the needs of the residents. I believe building these foundational blocks will be key to developing a “good to great” company as described by Jim
The overarching goal at FLTCH is to become the nation’s best operator of skilled nursing facilities, while opportunistically delving into other senior care facilities when appropriate. The executive team is constantly scrubbing the portfolio, looking to divest underachieving investments while performing the necessary due diligence to acquire new facilities from competitors and struggling chains of the like. In order to mitigate litigation risk, the firm is legally structured as a consulting firm at the parent level with FAS, FCOS and each facility structured as an owned subsidiary and its own LLC. Flexibility and maneuverability are paramount in this ...
Thomas Jefferson was a man who believed that all American citizens need to be educated so that they may exercise their rights. He saw public education as essential to a democracy. One proposal he made for public education would guarantee that all children could attend public schools for three years. However, much like other early school reforms, this proposal received much rejection and was never brought into being. Despite this rejection, Jefferson still believed that America needed public education. Eventually, he opened the University of Virginia. Even though his bills and proposals to benefit public education never saw the light of day, he still made many contributions to public education by providing the foundation on how a democracy should handle educating its
Their focus on wellness lines up with Healthy People 2020, and their aim to increase patient satisfaction, improve the health of the community, and reduce the cost of health care is commendable. Centura Health 2020 is a solid step in the right direction to improve health care in Colorado and Kansas. The one thing that seems to be missing however is a plan for employee satisfaction and nurse staffing. Although they briefly mention “intensifying their efforts around nursing satisfaction” (Strategic Plan, 2014), there does not appear to be any further details to address the nurse staffing issues or other nursing issues of interest. Research confirms that nurse staffing and patient outcomes are influenced by the culture of the organization. Magnet-designated hospitals provide a culture of quality and are recognized for excellence in patient care, excellence in nursing, and the ability to attract and retain nurses (Huber, 2010). While Centura health is focused on excellence in patient care, they seem to be missing a critical piece of the puzzle. Excellence in nursing and attracting and retaining nurses are factors that are set quality organizations apart from everyone else. This oversight could make the difference in Centura Health achieving their
...nd assisted living facilities risk financial losses if the financial exploitation of the elderly begins to focus on the considerable cost of providing care to the elderly.
The role of the Chief Nursing Officer is a complex position. Educational preparation for the CNO role range from a Master’s in Nursing to a degree outside of the profession such as an MBA or a degree in a related area of study (Kerfoot, 2012, p. 38-39). As L. Horton’s role of the CNO for Select Specialty Hospital, the duties required by h...
A chronic nursing shortage has been a reoccurring problem that impacts the future of our health care system and, even more so, the future quality of long-term care in this country. Currently, there are several federal and state initiatives, organizations, and agencies dedicated to solutions of the shortage. However, we continue to lack the necessary number of RNs needed to deliver quality care to a population with growing health care demands.
Federal and State laws require that nursing homes develop a plan of care and employ sufficient staffing to provide all the care listed on the care plan. Most corporate owned nursing homes today are not sufficiently staffed, and they can not provide all the care listed on the care plan. Consequently, residents are not taken to the toilet when necessary; they’re often left lying in urine and feces. They also develop painful and life-threatening decubitus ulcers, and are not fed properly, they’re not given sufficient fluids. They are also over-medicated or under-medicated, and dropped causing painful bruises and fractures, are ignored and not included in activities, are left in bed all day, call lights not answered. These are all forms of negligence, performed daily in nursing homes.
It is clear that statewide mandated nurse-to patient ratios result in drastic financial changes for every hospital impacted. Hospitals often have to compensate for hiring more nurses by laying off support staff. Mandated ratios also result in an increase in holding time in emergency rooms . (Douglas,
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
Long term care facilities are for patients looking for 24 hour care, these are sometimes referred to as nursing homes. Providing safety and quality of life with nursing as well as endless supervision. Long term care facilities are held through profit or non profit organizations. Long-term care facilitates are generally classified by ownership: Proprietary (for profit) meaning owned by individual or corporation and run for profit. Religious, meaning owned and operated by a religious organization, lay/charitable meaning owned and operated by a voluntary, non governmental and non religious body. (non profit). And others would be municipal, regional, provincial and federal. “Ontario carries 17% For profit facilitates, 46% government owned, 18% not for profit, and 19% Religious facilities for long term care. That is a 48.4% rate of not for profit homes with a 51.6% rates of profit organizations” (Banerjee, An Overview of Long-Term Care in Canada and Selected Provinces and Territories). Through the whole of this research paper, the terms will be grouped looking through for profit facilities and not for profit facilities of Ontario. This paper also has the intention to promote the need for maximizing priorities in long term care facilities as they lack the funds needed to fully produce the mission of quality. “Take away the public relations spin and it is clear that even the for-profit association admits that cutting on food and staff costs, and charging higher fees is the practice to maximize profit taking from the homes. Conversely, municipalities are pouring funding into the operational budgets of the facilities to improve care. Non-profits fundraise to provide activities and amenities. They act ...
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
The purpose of this paper is to address the issue of nursing staffing ratios in the healthcare industry. This has always been a primary issue, and it continues to grow as the population rate increases throughout the years. According to Shakelle (2013), in an early study of 232,432 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of hospitalization. Shakelle (2014) also noted that during the study, there was a difference between 4:1 and 8:1 patient to nurse ratios which translates to approximately 1000 deaths for a group of that size. This issue can be significantly affected in a positive manner by increasing the nurse to patient ratio, which would result in more nurses to spread the work load of the nurses more evenly to provide better coverage and in turn result in better care of patients and a decrease in the mortality rates.
As mentioned previously, private international school used to be dominated by expatriate students. Some of the other factors that affects the demand of private primary and secondary schooling in Malaysia includes socioeconomic background, location, education curriculum, teacher’s qualities and learning environment. Today, the number of student attending private schools have increased dramatically closely to 50% than it’s used to be in the past due to the fact that many parents from local families sent their children to private schools. These families are mostly from upper-middle class in which they can afford the cost of private schooling which is averagely from RM 20000 to RM 100000 per year (Malay Mail Online, . Parents within these social
Bedside nurses want to change staffing levels to assure that they have enough time to both keep up with the constantly evolving health care and to provide safe patient care. Yet, healthcare employers consider that reducing nurse patient ratio is an unnecessary expense that has not been proven to improve quality of patient care (Unruh, 2008). Employers emphasize that raising nursing staffing level is not cost-effective. In fact, in accordance with ANA’s report (2013), a study, in the Journal of Health Care Finance, confirmed that reducing patient-nurse ratios increased hospital costs, but did not lower their profitability. Higher hospital costs were attributed to wages and benefits allocated to newly hired nurses. Yet, according to Cimiotti et.al (20112), it is more costly for hospitals to not invest money on nursing.
An analysis of a case study shows that learning may be enhanced through attending private school versus public. The study is done on a twelve year old boy [nicknamed] Baha who displays interest in many disciplines and yet has difficulty with attending classes and getting higher grades. Through his experiences of learning in both public and private schools, Baha has seen both negatives and positives of the methods used by the respective schools. In The Anti-Education Era: Creating Smarter Students Through Digital Learning, James Paul Gee presents an argument that criticizes the current state of formal and institutionalized education. Shakespeare’s Henry IV also features teaching and learning between characters, which will be used to compare