Long-Term Care: Managing Across the Continuum

by John R. Pratt

This Book Is Intended As Both A College Text And A Reference Source For Professionals, Policy Makers, And Regulators. The Text Provides A Sound Reference Source For Anyone Wishing To Gain A Better Understanding Of The Long-Term Care System. It Is Concise, But Complete, Defining The Various Segments Of The System. It Also Describes How The System Developed To Its Current State, Compares It To An Ideal System, And Projects Future Trends Likely To Impact The System. The Earlier Editions Have Been Used By Multiple Colleges And Universities For Their Long-Term Care Administration Courses. It Has Also Been Adopted As A Cited Reference For The National Licensing Examination Prepared By The National Association Of Long-Term Care Administrator Boards (NAB) Which Is Used By All Fifty State Licensing Boards (And The District Of Columbia), And For The Certification Examination Of The American College Of Health Care Administrators (ACHCA). It Covers The Full Continuum Of Long-Term Care In Enough Detail To Develop A Sound Understanding Of The System, Yet Does Not Get Bogged Down In Overly-Specific Detail As Some Texts Do. Features: 1. Explains How The Long-Term Care System Developed And Compares It To An Ideal System, 2. Describes The Primary Types Of Long-Term Care Providers (Nursing Facilities, Assisted Living, Subacute Care, Senior Housing, Community-Based Care), Presenting Each In A Similar Manner, Making It Easy To Compare And Contrast Them, 3. Covers How The Providers Interact With Each Other And With Consumers And Regulators - Focusing Specifically On How They Compete, Cooperate, And Integrate; How They Are Regulated; Financing; Quality; Ethical Issues, 4. Discusses How Long-Term Care Providers Are Governed And Managed, With Chapters Also Devoted To Leadership And Culture Change, Technology, And Marketing, 5. Outlines Future Trends And Their Projected Impact On Long-Term Care, And Discusses How Managers Should Act For Success In The Future. Students Will Find: 1. Case Studies With Each Of The Provider Chapters, Showing How They Serve Specific Consumers. 2. Discussion Questions And Vocab Terms At The End Of Each Chapter 3. Online Supplemental Materials With Both Chapter-Based Interactive Flash Cards And An Overall Glossary On-Line

Genres: Health Care, Textbooks

520 pages, Paperback

First published January 1, 1999

Reviews

[Wren · Rating 5 out of 5]

I taught from this textbook for the first time during the Fall 2019. My students were majoring in Nursing Home Administration. One of the students by midterms had purchased materials to review for the licensing exam, and she reported that much of the material in the practice test was similar to the content in this textbook.

I had experience volunteering in a multi-level care center for 5 years and explaining Medicare benefits for 3 years, so that gave me a good foundation. However, I learned a lot about federal acts that fund and regulate nursing homes and other sites for LTC. I also learned about professional organizations that focus on best practices, including those that inspect and regulate LTC organizations. I also read about Managed Care Organizations (MCOs) and how they are shaping LTC by demanding high quality while also cutting costs. Also, I learned about the trend for integrating care horizontally and vertically.

The detail was immense, but the book was informative. It did take me hours to read and write exam questions initially; however, as I progressed through the book, some of the facts, trends, and principles showed up again (cumulative knowledge), which made my course prep more efficient from midterms to the end of the semester. THANK HEAVENS!

I don't use the publisher's questions for my quizzes. I write my own.

Tangent Alert: This annoys my students, because they want to do Internet searches for Quizlets that show them the actual questions from the publisher, so they don't have to read the book. (Look at my Rate My Professor evaluations. Students are LIVID that I require them to actually read the textbook. What is my problem?! Two students this fall actually YELLED at me for having the nerve to require that they read the textbook in order to pass the quizzes.

But I want them to actually take the time to digest the material. This encourages LEARNING and not busy work. I already had one student thank me (the one who started the prep course for her NHA license, who was also one of the YELLING students). She was able to see that I was actually helping her in the long run. "YOU'RE WELCOME!"

TOC:


Ch. 1: "Long-Term Care Today: Turbulent Times."

Ch. 2: "Affordable Care Act"

Ch. 3: "Toward and Ideal System"

Ch. 4: "Nursing Facilities"

Ch. 5: Subacute and Postacute Care

Ch. 6: Assisted Living

Ch. 7: "Senior Housing"

Ch. 8: "Community-Based Services"

Ch. 9: "Competition, Cooperation, and Integration"

Ch. 10: "External Control of Long-Term Care"

Ch. 11: "Long-Term Care Reimbursement"

Ch. 12: "Long-Term Care Quality"

Ch. 13: "Ethical Issues in Long-Term Care"

Ch. 14: "Governance and Administration"

Ch. 15: "Leadership in Long-Term Care"

Ch. 16: "Culture Change in Long-Term Care"

Ch. 17: "Technology in Long-Term Care"

Ch. 18: Marketing and Community Relations"

Ch. 19: "Into the Future: Trends to Watch"

Ch. 20: "Managing for the Future"

[Heather · Rating 3 out of 5]

The content of this text is worthwhile, but the editing frustrated me. The author inserted himself way too frequently for an academic based text. I rolled my eyes every time I saw the phrase, "Your author..." Also, every chapter finished with a "Summary" section that would have been more accurately titled "Conclusion" since there wasn't actually any summarization of content contained within. I know that's a small detail, but it bothered me. Generally though a good overview of Long Term Care Administration.

[Karen Overturf · Rating 5 out of 5]

Pratt discusses many concepts of care, and the possibilities of changing the system of long term care for the better. As many in the field do, Pratt sees an ideal, and discusses each tenet with as many issues and reconciliation of issues as he can. It is an excellent text.

[Ashley Loos · Rating 5 out of 5]

I read this book as part of my Graduate School course on long-term care and human services systems. The book describes many aspects of long-term care in terms that even a newbie like me could understand. An excellent textbook for anyone interested in this subject.

[Patty · Rating 2 out of 5]

This book is extremely repetitive. It's as if it was written for people who might only use it as a reference. When used as a textbook, it begins to feel like a broken record. If the true intent was for the book to serve as a textbook, the author should omit himself from the text and keep it objective. It's understood that the author will be writing from his perspective, but it is not necessary to repeatedly state "your author....". It simply comes across as narcissistic.
The information provided is useful, but seems to better serve as a reference manual than as an academic text.