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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