Introduction to

Long-Term Care

• What is long-term care?

• Who is long-term care for?

• What are the various roles in a long-term

care facility?

Initial Questions

What is Long-Term Care?

• Long-term care refers to variety of

services that includes medical and non-

medical care.

• Long-term care is to assist people with

support services such as Activities of Daily

Living (ADL) like dressing, bathing, and

using the restroom.

Did You Know?

• In 2009, it was estimated that 9 million men and women over the age of 65 would need long-term care.

• By 2020, 12 million older Americans will need long-term care.

• About 10 percent of the people who enter a long- term care facility will stay there five years or more.

Who is Long-Term Care For?

• Long-term care services are utilized by people who have a chronic illness or disability.

• It is important to remember that you may need long-term care at any age.

What are the various roles in a Long-

Term Care Facility?

Everyone that interacts with residents and/or family members, plays an important role

that enables the facility to develop an individualized plan of care for every

resident while in the facility.

The Role of an Administrator

• Long-term care Administrators have a variety of oversight responsibilities, including handling the residents’ medicinal requirements, creating and implementing facility policies, processing admissions to the facility, and handling the financial aspect of running a nursing home establishment.

The Role of a DON• Director of Nursing or DON is the title given to the

nurse who performs a supervisory role for an entire nursing department in a long-term care facility.

• A Director of Nursing is required to interact with doctors, patients, families and other nurses, making the position one of the most important in the field of nursing.

• There is a great deal of responsibility that comes with being the Director of Nursing.

The Role of an RSM• A Rehab Service Manager or RSM is responsible

for directing the clinical and operational aspects of a rehabilitation department(s).

• Coordinates the rehabilitative services provided to patients by all disciplines in the facility.

• Leads the communication between the rehabilitation department and all other facility departments.

The Role of an MDS

Coordinator• A Minimum Data Set Coordinator or MDS

Coordinator is a professional who organizes the delivery of care for patients which includes administering procedures for care plans, completing chart reviews, quality assurance and continued reviews on patients to receive maximum Medicare or Medicaid reimbursement.

Minimum Data Set (MDS)

MDS is a process mandated by the Center for Medicare and Medicaid Services for all patients in Medicare or Medicaid certified facilities.

This process is a carefully documented clinical assessment of patients, and sent electronically to the Center for Medicare and Medicaid Services.

The Role of a QOL Director

• A Quality of Life Director facilitates all of

the planned activities that happen in the

facility and is the interviewer to ask the

resident what is important to them in their

daily activities to assure that the resident

receives the best quality of life while in the

facility.

The Role of a BOM

• The Business Office Manager’s role is to assist in the day-to-day accounting functions of the facility in accordance with current acceptable accounting and cost reimbursement principles relating to nursing facility operations, and as may be directed by the Administrator.

The Role of a HR Director

• The Human Resources Director guides and manages the overall provision of Human Resources services, policies, and programs for the entire company. The major areas such as:• Recruiting and staffing

• Employment and compliance to regulatory concerns

• Employee orientation, development, and training

• Employee safety, welfare, wellness and health

The Role of a

Social Service Director• A Social Service Director’s role is to work

directly with the team, resident and family

members to address the resident and

family members’ psychosocial needs with

the goal to maintain the highest

practicable physical, mental and

psychosocial well-being.

The Role of an SDC

• The Staff Development Coordinator works cooperatively with the Administrator, Human Resources and Director of Nursing.

• Develops and implements job skills training

• In-service education as required by regulations

• Employee health monitoring for the nursing department employees.

The Role of a CDM

• A Certified Dietary Manager in a long-term care facility manages the operation of the Dietary Department to include staffing, food ordering, and preparation, food delivery and clean-up in accordance with facility policies, physician orders, resident care plans and appropriate regulations.

The Role of a

Plant Operations Director

• Maintain the building(s), equipment and

utilities in good working order and ensure

facility grounds are properly maintained in

accordance with facility policies and state

and federal regulations.

The Role of an

Environmental Services Director

• Establish systems for, direct, and oversee

all aspects of environmental services to

include housekeeping and laundry

services for the facility.

The Role of a Chaplain

• The Chaplain meets the people at the point of their need with an inter-faith approach of binding up the brokenhearted and helping to heal the sick.

• Chaplains offer more than just a service of encouragement, but an intervention of physical and emotional wellness, in partnership with the interdisciplinary team, to radically change the landscape of long-term care forever.

The Role of a Chaplain

• As a member of the interdisciplinary team, the long-term care chaplain is involved in the daily clinical meetings to discuss and be utilized as a careplanned intervention if needed.

• If the chaplain is asked verbally to be used as a careplanned intervention, the Chaplain Referral Form is initiated and completed for follow up and communication purposes.

Resources Cited

• www.wisegeek.com/what is

• www.medicare.gov/longtermcare

• eHow.com

• www.ehow.com/facts

• www.iaswresearch.org

• intranet.shccs.com/hr/default.aspx