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Medical Direction in Long-Term Care, first published in 1988,
was the first book ever written about the role of physicians and medical directors in
long-term-care facilities. It is now in its second (1993) edition.
Key Benefits
Medical Direction in Long-Term Care (2nd edition)
- is intended to change the way physicians and nonphysicians alike think about
long term care
- covers almost 250 different topics
- is written in non-medical, non-technical language
- provides a comprehensive blueprint to help long term care facilities meet growing
public, regulatory, and clinical expectations
- explains at length what OBRA really expects of the physicians in nursing facilities, and
the importance of their role
- discusses in depth how effective physician practice can help a facility's operational
and business success
- explains the relevance of the medical director's administrative functions to providing
and improving care
- explains how administrators, physicians, nurses, and other care givers can create an
effective care system
- gives regulators, surveyors, legislators, and others a comprehensible picture of long
term care
- covers essentially the entire curriculum for medical directors as approved by the
American Medical Directors Association (AMDA)
- is a practical, hands-on guidebook written by practitioners with considerable hands-on
long term care experience
- provides almost 100 tables, figures, and forms representing letters, protocols, and
ideas that the medical director can use in everyday applications
- gives a medical director hundreds of suggestions based on real-life experience for
handling different aspects of the job
- can help those not providing direct care to understand long-term-care facilities and
practices
- explains how the medical director can do the job in the most time- and cost-efficient
fashion
This 2nd edition is a sourcebook and educational reference for attending physicians,
medical directors, administrators, and other practitioners in long term care settings.
Reviewers have described it as "...an outstanding contribution to a small but growing
body of literature" helpful to "...anyone responsible for ensuring the quality
of care in a nursing facility."
Audience: Physicians, medical directors,
administrators, directors of nursing, health care administration educators, physician and
other health care practitioner educators, regulatory agencies.
Contents
PART 1 : DEFINING THE CARE
Section 1: OVERVIEW OF LONG-TERM CARE
Chapter 1: Background and History of the Medical Role
Chapter 2: The Spectrum of LTC Programs and Services
Section 2: GENERAL CONCEPTS OF CLINICAL LONG-TERM CARE
Chapter 3: Goals and Objectives of LTC
Chapter 4: The Interdisciplinary Approach to Care
Chapter 5: Appropriate Medical Roles and Responsibilities
Section 3: ECONOMIC AND FINANCIAL ISSUES
Chapter 6: The Economics of LTC
Chapter 7: Physician Reimbursement for Care
Section 4: LAWS AND REGULATIONS CONCERNING LTC
Chapter 8: Laws and Regulations Related to the Care
Chapter 9: Other Important Legal Issues for the Medical Director
PART 2: ESTABLISHING A SYSTEM TO PROVIDE THE CARE
Section 5: The Medical Director's Roles, Functions, and Tasks
Chapter 10: A Look at Roles, Functions, and Tasks in General
Chapter 11: Organization and Management of Long-term care Facilities
Chapter 12: Steps to Establishing or Refining a Role as Medical Director
Chapter 13: Critical Leadership and Management Concepts
Section 6: Basic Medical Director Organizing, Managing, and Planning Activities
Chapter 14: Organizing the Medical Staff
Chapter 15: Overseeing Policies and Procedures
Chapter 16: Establishing and Using Committees Effectively
Chapter 17: Infection Control Roles and Responsibilities
Chapter 18: Employee Health Concepts and Programs
Chapter 19: Medical Director's Planning Roles
Chapter 20: Medical Direction in a Continuing Care Retirement Community
Section 7: General Clinical Issues
Chapter 21: Essential Systems to Deliver Quality Medical Care
Chapter 22: Effective Processes for Handling Ethical issues
Chapter 23: General Strategies for Clinical Care
Chapter 24: Constructive Management of Family Issues
Chapter 25: Medical Records and Clinical Information Management
Part 3: MONITORING AND IMPROVING THE CARE
Section 8: Quality Assurance and Improvement
Chapter 26: Relevance of Continuous Quality Improvement
Chapter 27: General Quality Assurance and Improvement Processes
Chapter 28: A Medical Quality Assurance and Improvement Program
Chapter 29: Risk Management: the Preventive Arm of QA and QI
Chapter 30: Utilization Review Activities and Functions
Section 9: Education and Training
Chapter 31: Education and Community Liaison Activities
Chapter 32: Teaching Nursing Home and Research
Part 4: RESOURCES AND REFERENCES
Chapter 33: Resources for the Medical Director and Attending Physician
A Final Word
Glossary
Reviews
"The book is tightly written, easy to read, well
referenced, and efficiently indexed. . . . Practical suggestions abound, including
examples of forms and letters. . . . this is an especially useful book in that it merits
both a cover-to-cover read and a place at arms-length as a frequently consulted reference
for the medical director, administrator, and director of nursing in long-term care. From
its introduction to its 'final word' there is an integrity to the text expressed in its
introduction -- that it takes knowledge, skills and adequate resources in the presence of
effective processes and a guiding philosophy to yield the desired outcomes of high quality
care. . . . [It is] an excellent introduction to the field of long-term
care." Journal of the American Geriatrics Society
". . . this is a clearly written, well organized, and comprehensive guidebook on
the administrative requirements for medical directors of long-term care facilities. . . .
It should be an essential reference for physicians and other clinicians who fill executive
roles at long-term care facilities. . . . It may also interest physicians with
institutionalized patients, helping them to work productively within the organizational
needs of long-term care facilities and to understand what differentiates these settings
from acute care, particularly tertiary care, institutions. " Annals
of Internal Medicine
