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Doody's Review ServiceReviewer: Katherine L Aguilar, MHA, BS, RN (University of Missouri-Columbia)
Description: This is an update of a book designed to develop leaders who are knowledgeable about the everyday internal management of a long-term care facility, as well as to provide leaders with the information they need to diversify services across the healthcare continuum.
Purpose: The purpose is to provide an understanding all facets of long-term care, including the transitioning of care across many healthcare sectors. The author successfully assigns labels with descriptions to assist readers with quick recognition of the types of services offered for each segment. Competition in the long-term care industry has become fierce and is compounded by difficulties such as cost containment. Other pressures include societal demands such as understanding competition to better develop marketing strategies. These issues require leaders to be more than experts and this book provides the tools to accomplish this.
Audience: The book is intended for students seeking long-term care administrative degrees, but it would be valuable for any practicing healthcare professional. The emphasis on providing care to the aging population in diverse settings is a nice and needed focus point.
Features: The author discusses the healthcare continuum, from the lowest level of care to the most skilled or highest level of care. All terms and definitions are well described. Understanding the dynamics of change in the healthcare system, utilizing resources, creating a vision by which to remain competitive, and meeting the needs of the aging population are appropriately emphasized. The term "educated consumer" emerges and adds another level to the entire process.
Assessment: This book is superb. The organization is logical with each chapter building on the previous one. The discussions of the management of a financial budget in lieu of projected Medicare and Medicaid cuts, developing an organizational culture that will reduce staff turnover, and the portrayal of the consumer as the driver of care all make this book invaluable. The condensing of the chapters on healthcare, hospice care, and adult daycare into one chapter reflects the close interaction of these services. This edition allows readers to "blog" similar topics allowing for expansion into other areas that require more refinement such as organizational culture change. Even an experienced manager could glean much from this book. I have read many similar books, but reading this one is equivalent to gaining years of actual experience. It forces readers to think beyond what is written, enabling them to create a vision that unfolds with every chapter. Healthcare trends are constantly shifting and the long-term care manager must learn to stay competitive in this changing market, justifying this new edition.