Handbook of Home Health Care Administration

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Edition: 4th
Format: Hardcover
Pub. Date: 2004-05-01
Publisher(s): Jones & Bartlett
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Ideal for chiropractics students and professionals, athletic trainers, orthopedic surgeons, and sports medicine professionals.

Table of Contents

Foreword xxiii
Ruth Constant
Introduction xxv
Marilyn D. Harris
Contributors xxxiii
PART I---Home Health Administration
1(24)
Home Health Administration: An Overview
3(13)
Janna L. Dieckmann
Definition of Home Health Care
3(2)
Description of Home Health Care
5(1)
Initiation of Home Health Care Services
6(1)
Early Sources for Home Health Care
7(5)
Reasons for the Growth of Home Health Care
12(2)
Conclusion
14(2)
The Home Health Agency
16(9)
Kathleen E. Williams
Historical Overview
16(1)
Recent Developments
17(1)
Scope of Home Care
17(2)
Financial Categories
19(1)
Range of Home Health Care Services
19(4)
Conclusion
23(2)
PART II---Standards for Home Health Agencies
25(104)
Medicare Conditions of Participation
27(36)
Peggie Reid Webb
SubPart B: Administration
27(19)
SubPart C: Furnishing of Services
46(15)
Conclusion
61(2)
The Joint Commission's Home Care Accreditation Program
63(8)
Maryanne L. Popovich
The Home Care Standards
64(2)
The Survey Process
66(2)
Unscheduled, Unannounced, and Random Unannounced Surveys
68(1)
The Accreditation Decision Process
68(1)
Early Survey Policy
69(1)
Deemed Status Option for Medicare Certification
69(1)
Benefits of Accreditation
70(1)
Conclusion
70(1)
CHAP Accreditation: Standards of Excellence for Home Care and Community Health Organizations
71(10)
Theresa Sekan Ayer
Purpose of Accreditation
72(1)
Benefits of Accreditation
72(1)
The CHAP Philosophy
73(1)
The CHAP Mission and Purpose
73(1)
The Objectives of CHAP
74(1)
The Governance of CHAP
74(1)
Public Disclosure Under CHAP
74(1)
Expert Site Visitors
75(1)
CHAP's Consumer Focus for Quality Improvement
75(1)
Key Concepts in CHAP Accreditation Standards of Excellence
75(1)
Example of CHAP Standards: Outcome Measures
76(1)
Benchmarking/Outcomes Management
77(1)
The Advantages of CHAP Accreditation
77(1)
Overview of the Accreditation Process
78(1)
Types of Organizations Eligible for CHAP Accreditation
79(1)
Conclusion
79(2)
Accreditation for Home Care Aide and Private Duty Services
81(5)
John I. Buck
History
81(1)
Structure
81(2)
Standards
83(1)
Process
83(2)
Recent Developments
85(1)
Conclusion
85(1)
ACHC: Accreditation for Home Care and Alternate Site Health Care Services
86(6)
Thomas Cesar
History
86(1)
Mission, Purpose, Values, Core Competency, and Quality Policy
86(1)
Board of Commissioners
87(1)
Accreditation Programs
87(1)
Standards Development
88(1)
Self-Assessment/Preliminary Evidence
89(1)
Survey Site Visit
89(1)
Scoring and the Review Committee
90(1)
Conclusion
91(1)
Certificate of Need and Licensure
92(9)
E. Michael Flanagan
HHA CON Requirements
92(4)
Summary
96(1)
HHA Licensure
96(2)
Conclusion
98(3)
Credentialing: Organizational and Personnel Options for Home Care
101(10)
Ann H. Cary
Credentialing and Credibility
101(1)
Accreditation and Recognition of the Organization and Services
102(1)
Certification of Home Care Personnel
103(3)
Credentialing Options for Home Care Administrators
106(2)
Conclusion
108(3)
The Relationship of the Home Health Agency to the State Trade Association
111(4)
Joie Glenn
Association Structure
111(1)
What Associations Do
112(1)
Getting the Most Out of Membership
113(1)
Conclusion
114(1)
The National Association for Home Care and Hospice
115(9)
Val J. Halamandaris
How NAHC Works
115(1)
Code of Ethics
115(1)
NAHC's Mission
115(1)
NAHC's Values
116(1)
NAHC's Goals
116(3)
Governance
119(1)
Committees
120(1)
Communications and Information Dissemination
120(1)
Departments
121(1)
Affiliate Organizations
122(2)
The Visiting Nurse Association of America
124(5)
Carolyn S. Markey
Visiting Nurse Concept
124(1)
VNAA: A Vision For Its Members
124(1)
VNAA Mission
124(1)
Who It Serves
125(1)
Financing of VNA Services
125(1)
Working with the Community for Quality Care
126(1)
Using Technology to Enhance Effectiveness
126(1)
Providing Support for Member Agencies
127(1)
Conclusion
127(2)
PART III---Clinical Issues
129(170)
Self-Care Systems in Home Health Care Nursing
131(4)
Joan Reynolds Yuan
Conclusion
134(1)
Home Health Care Documentation and Record Keeping
135(26)
Elissa Della Monica
Elizabeth R. Kane
The Changing Health Care Environment
135(1)
Regulations Governing Home Health Care Documentation
136(1)
Clinical Record Policy
137(1)
Reasons for Documentation
137(3)
The Key to Successful Documentation
140(1)
Documentation of Skilled Care
141(2)
Current Trends in Documentation
143(1)
Critical Pathways
144(1)
Computerized Documentation
144(1)
Medical Record Department
145(1)
Conclusion
145(16)
COP Standards Pertaining to HHA Clinical Record Policy
147(3)
Abington Memorial Hospital Home Care Clinical Records
150(11)
Computerized Clinical Documentation
161(15)
Donna R. Baldwin
Documentation Process
161(1)
Defining Computerized Clinical Documentation
162(1)
Impact of Health Care Trends on Documentation
162(1)
Framework for Computerizing Documentation
163(4)
Example of a Successful Computer Implementation
167(8)
Conclusion
175(1)
Home Telehealth: Improving Care and Decreasing Costs
176(9)
Ann K. Frantz
Introduction
176(1)
Home Telehealth Goals and Outcomes
177(2)
Types, Connectivity, and Power Sources of Home Telehealth Technologies
179(1)
Scope of Home Telehealth
180(1)
Evaluating Home Telehealth Technology for Success
181(3)
Conclusion
184(1)
Implementing a Competency System in Home Care
185(26)
Carol A. Clarke
Irma Camaligan
Margaret Golden
Organizational Assessment
185(1)
Job Descriptions
186(2)
Supervisor Competencies
188(1)
Pre-Hire Phase
189(1)
Interview Phase
190(3)
Orientation
193(2)
Competency Assessment During the Orientation Period
195(5)
Ongoing Competency Assessment
200(3)
Performance Improvement Program
203(1)
Occurrence and Outcome Monitoring
203(1)
Continuing Education
203(4)
Policies and Procedures
207(1)
Performance Evaluations
207(3)
Conclusion
210(1)
Meeting the Need for Culturally and Linguistically Appropriate Services
211(13)
Mary Curry Narayan
Government Projections, Guidelines, and Mandates
211(1)
Discrimination
212(1)
National Standards for Culturally and Linguistically Appropriate Services
213(1)
Efforts Toward Cultural and Linguistic Competence
214(1)
Strategies for Achieving the CLAS Standards
215(7)
Summary
222(2)
Classification: An Underutilized Tool for Prospective Payment
224(12)
Donna Ambler Peters
Classification Theory
224(1)
Patient Classification Systems
225(1)
Nursing Diagnosis Taxonomy
225(1)
Clinical Management
226(3)
Administrative Management
229(5)
Conclusion
234(2)
Analysis and Management of Home Health Nursing Caseloads and Workloads
236(11)
Judith Lloyd Storfjell
Carol Easley Allen
Cheryl E. Easley
Background
236(1)
Purpose of the Easley-Storfjell Caseload/Workload Analysis Instruments
236(1)
Description of the CL/WLA Process
237(1)
Instructions for Use of CL/WLA Instruments
237(6)
Implications
243(3)
Conclusion
246(1)
Home Health Care Classification (HHCC) System: An Overview
247(14)
Virginia K. Saba
Abstract
247(1)
Background
247(3)
HCCC System's Two Taxonomies
250(5)
Next Steps
255(1)
Summary
256(5)
Nursing Diagnoses in Home Health Nursing
261(13)
Carol Ann Parente
The Concept
261(3)
The Process
264(2)
The Effects
266(8)
Perinatal High-Risk Home Care
274(5)
Richela Stoddard-Johnston
Introduction
274(1)
Making It Work
274(1)
Management of the Most Common Diagnoses
275(1)
Adequate Screening Process
276(1)
Steps to Entering a Patient Into a High-Risk Home Care System
276(1)
Initial Visit
276(1)
Risk Management
277(1)
Patient Satisfaction Evaluation
277(1)
Conclusion
277(2)
High Technology Home Care Services
279(12)
Diana Acker
Thomas D. Brown
Major Categories of High-Technology Services
279(1)
Respiratory Care
280(1)
Durable Medical Equipment
280(1)
Infusion Services
280(1)
Pharmacy Services
280(1)
Specialized Nursing Care
280(1)
Education and Documentation Responsibilities
281(1)
Benefits of High-Technology Home Care
282(1)
Case Study
282(1)
Types of Providers of High-Technology Services
283(1)
Financial Considerations
283(1)
Human Resources
284(1)
Licensure and Accreditation Issues
284(1)
Physical Location of Services
285(1)
Acquisition of Supplies
286(1)
Day-to-Day Operations
286(4)
Summary
290(1)
Discharge of a Ventilator-Assisted Child from the Hospital to Home
291(8)
Andrea Gendelman
Funding for Home Care
292(1)
Teaching Plan
292(1)
Selection of a DME Vendor
293(1)
Home Nursing Care
293(1)
Home Assessment
294(1)
Developmental Needs
294(1)
Emergency Resources
294(1)
The Home Nursing Care Plan
295(3)
Conclusion
298(1)
PART IV---Quality Assessment and Performance Improvement
299(94)
Performance Improvement
301(9)
Joan Reynolds Yuan
Implication and Implementation
302(4)
Variation and Benchmarking
306(2)
Acceleration
308(1)
Process Measurement and Improvement
308(1)
Conclusion
309(1)
Evidence-Based Practice: Basic Strategies for Success
310(5)
Lazelle E. Benefield
What is Included in an Evidence Report?
311(1)
Evaluating the Report
311(1)
How to Locate Evidence Reports
311(1)
How Should Evidence Reports Affect My Practice?
312(1)
Summary
313(1)
Internet Resources for Evidence-Based Practice
313(2)
Quality Planning for Quality Patient Care
315(5)
Marilyn D. Harris
Joan Reynolds Yuan
Professional Standards
316(1)
Accreditation and Certification Considerations
317(1)
Implementing Guidelines: One Agency's Experience
317(1)
Benchmarking
318(1)
Conclusion
318(2)
Program Evaluation
320(21)
Nancy DiPasquale Ruane
Joseph W. Ruane
Definitions and Characteristics
320(1)
Issues
321(1)
Influences on Program Evaluation
322(3)
Development of a Program Evaluation System
325(3)
Evaluation Models
328(1)
Program Evaluation Tools
329(1)
Collection of Information
330(1)
Program Evaluation Report
331(1)
Systematic Approach to Program Evaluation
332(1)
Operational Considerations in Program Evaluation
333(8)
Appendix 29-A---Formats for Presenting Program Evaluation Tools
336(5)
Effectiveness of a Clinical Feedback Approach to Improving Patient Outcomes
341(11)
Peter W. Shaughnessy
Kathryn S. Crisler
Types of Outcomes
342(1)
Data Item Set
343(1)
Two-Stage Continuous Quality Improvement Approach
344(1)
Sample Outcome Report
345(1)
Results of OBQI Demonstration Programs
346(4)
Conclusion
350(2)
Implementing Outcome-Based Quality Improvement into the Home Health Agency
352(31)
Linda H. Krulish
No Regulatory Requirement for OBQI
352(1)
Use of OBQI Reports in Compliance Surveys
352(1)
Public Reporting of OBQI Outcomes
352(3)
Accuracy of OASIS Data
355(2)
OASIS Analysis and Refinement
357(1)
OBQI Step One: Standardized OASIS Data Collection
357(9)
OBQI Step Two: OASIS Transmission
366(4)
OBQI Step Three: Outcome Report Interpretation
370(1)
OBQI Step Four: Target Outcome Selection
371(3)
OBQI Step Five: Process-of-Care Investigation
374(1)
Avoid Tempting Care Review Pitfalls
375(1)
OBQI Step Six: Plan of Action Development and Implementation
375(5)
Balancing OBQI Idealism and Home Care Reality
380(1)
Conclusion
380(3)
Benchmarking and Home Health Care
383(10)
Alexis A. Wilson
Beginning to Benchmark
384(1)
Analyzing the Data
385(3)
Building Organizational Capacity
388(3)
Success Strategies
391(2)
PART V---Management Issues
393(124)
Administrative Policy and Procedure Manual
395(4)
Marilyn D. Harris
Policy Development
395(1)
Role of the Professional Advisory Committee
396(1)
Policy Review Procedure
397(1)
Approval Process
397(1)
Conclusion
397(2)
Discharge Planning
399(22)
Joann K. Erb
Historical Development
399(2)
Conceptual Framework for Discharge Planning
401(1)
Goals and Objectives of Discharge Planning
402(1)
Components of the Discharge Plan
402(1)
Multidisciplinary Collaboration
403(1)
Resources
404(1)
Regulations
405(1)
Integration of Discharge Planning Activities
406(1)
Research Results
406(1)
Steps in the Discharge Planning Process
407(3)
Discharge Planning Models
410(1)
Quality Assurance in Discharge Planning
410(3)
Ethical Issues in Discharge Planning
413(1)
Discharge Planning and the Home Health Agency
414(4)
Conclusion
418(3)
Strategies to Retain and Attract Quality Staff
421(15)
Sharon D. Martin
Diane T. Cass
Introduction
421(1)
Background
422(1)
Task Force on Flextime
423(1)
The Pilot Project
424(2)
Results of the Pilot Project
426(1)
Limitations of the Study
426(1)
Experience Over Time
427(1)
Conclusion
428(1)
Clinical Ladders
429(5)
Conclusion
434(2)
Evaluating Productivity
436(12)
Lazelle E. Benefield
What is Productivity?
436(2)
What We Know About Productivity
438(1)
Analyze Service Delivery: Efficiency, Effectiveness, and Equity
439(1)
Evaluate Current Productivity
440(5)
The Next Step: Developing A Productivity Standard
445(1)
Conclusion
446(2)
Labor-Management Relations
448(11)
Jessica S. Eichner
Conceptual Framework
448(1)
Factors Influencing the Labor Relations Climate
448(2)
Communication and Interpersonal Skills
450(2)
Problem Solving
452(2)
General Recommendations
454(2)
Collective Bargaining
456(1)
Conclusion
457(2)
Human Resource Management
459(15)
Ann Marie O'Connell
The Human Resource Defined
459(1)
The Human Resources Department and Its Role, Goal, and Structure
460(3)
The Human Resources Department Staff
463(2)
Finding the Right Candidate for Employment
465(3)
Selection Process
468(3)
Making a Meaningful Employment Offer
471(1)
Benefits
472(1)
Employee Relations for Retention
472(2)
Staff Development in a Home Health Agency
474(10)
Joan Reynolds Yuan
Role and Responsibilities of the Educator
475(1)
Staff Development: Orientation
475(1)
Staff Development: In-Service Education
476(6)
Staff Development: Continuing Education
482(1)
Academic Education
482(2)
Transitioning Nurses to Home Care
484(11)
Carolyn J. Humphrey
Paula Milone-Nuzzo
Definition of Home Care Nursing
484(1)
Differences Between Hospital and Home Care
485(4)
Key Content Areas Found in Orientation
489(4)
Teaching Strategies
493(1)
Conclusion
493(2)
Case Management
495(4)
Linda A. Billows
Case Management Defined
495(1)
Components of Case Management
496(1)
Quality Assurance
497(1)
Training of Home Health Agency Staff
498(1)
Conclusion
498(1)
Managed Care
499(8)
Mary Pat Larsen
Implications of Managed Care in Home Care
503(1)
Contracting with Managed Care Organizations
503(4)
Community-Based Long-Term Care: Preparing for a New Role
507(10)
Pearl B. Graub
Emily Amerman
Long-Term Care Defined
507(1)
Current Policy and Program Trends
508(2)
The Area Agency on Aging: A Partner in Service Delivery
510(4)
Becoming a Long-Term Care Provider: Observations and Recommendations
514(3)
PART VI---Financial Issues
517(52)
Understanding the Exposures of Home Health Care: An Insurance Primer
519(8)
Brian M. Block
Types of Insurance
519(6)
Risk Management
525(1)
Purchasing Insurance
525(1)
Conclusion
526(1)
Budgeting for Home Health Agencies
527(8)
Vern A. Peterschmidt
Road Map
527(1)
Medicare
528(2)
Medicaid
530(1)
Insurance
531(1)
Charity
531(1)
Salary Costs
531(1)
Fringe Benefits
532(1)
Other Cost Items
533(1)
Capital
533(1)
Conclusion
533(2)
Reimbursement
535(14)
Patricia A. Sevast
Overview
537(1)
Eligibility
537(4)
Prospective Payment
541(2)
Billing
543(1)
PPS Issues
543(1)
Cost Reports
543(1)
Clinical OASIS Scoring
543(1)
Diagnosis Coding
544(1)
Significant Change in Condition
544(1)
Therapy Threshold
544(2)
OASIS Data Collection and Scoring
546(1)
HHRG/HIPPS Code Assignment
547(1)
Medical Review
547(1)
Conclusion
547(2)
How to Read, Interpret, and Understand Financial Statements
549(9)
D. Scott Detar
Cash Basis or Accrual Basis
549(1)
Schedule of Statistics
550(1)
Income Statement
550(2)
Balance Sheet
552(3)
Functional Expenses
555(1)
Cash Flows
556(1)
Conclusion
556(2)
Management Information Systems
558(11)
Kristy Wright
Brian C. Thomas
The Evolution of Managing Information
558(1)
Using Information to Manage the Organization
558(1)
Types of Information Systems Available in the Home Care Market
559(1)
Selecting the Right Information System for the Organization
560(5)
Home Tele-Monitoring Systems
565(2)
Conclusion
567(2)
PART VII---Legal/Ethical/Political Issues
569(122)
Legal Issues of Concern to Home Care Providers
571(19)
Ann P. Sherwin
Introduction
571(1)
Antitrust
571(1)
Corporate Liability of Providers
572(1)
Torts and Civil Liability
573(1)
Fraud and Abuse
574(2)
Decision Making, Privacy, and Informed Consent
576(2)
Advance Directives
578(1)
Labor and Employment Issues
579(2)
Americans with Disabilities Act
581(5)
Tax Matters
586(1)
Environmental Issues
586(1)
What to Consider in Selecting An Attorney
587(3)
Understanding the Basics of Home Health Compliance
590(26)
Deborah A. Randall
Introduction: Why Compliance Plans and Compliance Programs?
590(1)
The Governmental Organizations Involved in Compliance and Home Health Agencies
590(4)
Compliance and the Laws
594(3)
The Essential Elements of an Effective Compliance Plan
597(4)
Hot Topics In Home Health Compliance Reviews
601(3)
Conclusion
604(12)
Appendix-50A
605(4)
Appendix-50B
609(4)
Appendix-50C
613(3)
The HIPAA Standards for Privacy of Individually Identifiable Health Information
616(50)
Larri A. Short
Information
616(2)
Interplay Between Federal and State Health Information Privacy Laws
618(2)
Agency Handling of Individually Identifiable Patient Health Information
620(23)
Individual Privacy Rights
643(11)
The Privacy Compliance Program
654(3)
Home Health Agencies and Hospices As Employers
657(2)
Enforcement
659(7)
Ethical Practice in the Daily Service to Home Care Client, Their Families, and the Community
666(9)
Julie K. Tennant
Getting Excited About Bioethics
666(1)
Getting Started: The Four Principles Approach
667(3)
Getting Educated: A World of Resources
670(1)
Getting Started: The Bioethics Advisory Committee
671(2)
Getting the Word Out: Building Trust
673(1)
Summary
674(1)
Participating in the Political Process
675(16)
Kathleen Carlson Mebus
Barbara Kovalcin Piskor
Proactive Behavior
675(6)
Building Relationships with Legislative Leaders
681(3)
Reactive Behaviors
684(1)
Tips for Communicating with Your Elected Officials
685(4)
Conclusion
689(2)
PART VIII---Strategic Planning/Marketing/Survival Issues
691(78)
Strategic Planning
693(15)
Edward R. Balotsky
David B. Smith
Introduction
693(1)
How Organizations Change
694(6)
How Strategic Planning Shapes Change In Organizations
700(2)
Steps in Developing Strategic Planning Capacity
702(2)
Pitfalls to Avoid in the Strategic Planning Process
704(1)
Conclusion
705(3)
Marketing: An Overview
708(15)
Karen L. Carney
What Marketing Is and Isn't
708(1)
The Role of Marketing in Home Care
709(1)
The Market Analysis
710(3)
Market Trends and Forces
713(2)
Market Preparation and Planning
715(1)
The Marketing Mix
716(3)
Implementation
719(1)
Measurement and Adaptation
720(1)
Conclusion
721(2)
The Internet in Home Health and Hospice Care
723(13)
Linda Q. Thede
Virginia K. Saba
Introduction
723(1)
What is the Internet?
724(3)
World Wide Web
727(1)
Browsers
727(1)
URLs
728(1)
Finding Information on the Web
728(1)
Journal Information on the Web
729(1)
Evaluation of Web Information
730(2)
Design of a Web Page
732(2)
Conclusion
734(2)
Disease Management Programs
736(20)
Miriam Cannon Wagner
Introduction and History
736(1)
Published Disease Management Program Results
737(2)
Definition of Disease Management
739(1)
Setting Up A Disease Management Program
739(8)
Outcome Collection and Reporting
747(4)
Summary
751(5)
The Process of Visiting Nurse Association Affiliation with a Major Teaching Hospital
756(13)
Marilyn D. Harris
Preface
756(1)
Historical Perspective
756(1)
The Negotiation Process
757(1)
The Decision-Making Process
758(1)
The Transition Process
758(6)
``Feelings'': The Impact On Board and Staff
764(1)
Adjustments for Staff
765(1)
Change in Professional Relationship with Peers
765(2)
Conclusion
767(2)
PART IX---Other Types of Relationships
769(128)
Grantsmanship in Home Health Care: Seeking Foundation Support
771(7)
Jennifer W. Campbell
Wendy Yallowitz
Jane Isaacs Lowe
Assessing the Agency Infrastructure: Mission, Capacity, and Community Support
771(1)
Identifying Ideas that Are Fundable
772(1)
Researching Funders
773(1)
Approaching Funders Versus Responding to Requests for Proposals
774(1)
Preparing and Writing the Proposal
774(2)
Tracking Grants and Building A Relationship with Funders
776(1)
Conclusion
777(1)
Home Care Volunteer Program
778(18)
Carol-Rae Green Sodano
The Notion of Volunteerism
778(1)
Health Care Volunteerism
779(1)
Home Care Volunteerism
779(1)
The Philosophical Basis for a Successful Volunteer Program
780(4)
Program Design
784(2)
Program Structure
786(9)
Conclusion
795(1)
The Manager as Published Author: Tips on Writing for Publication
796(14)
Suzanne P. Smith
Blocks to Writing
796(1)
Rejection
797(1)
Manuscript Critique
798(1)
Getting Started
799(1)
Selecting the Appropriate Journal
800(2)
Writing the Paper
802(1)
Submission Checklist
803(2)
Research
805(1)
The Publishing Process
806(1)
Ethics
806(1)
The Benefits of Publishing
807(1)
Conclusion
808(2)
Student Placements in Home Health Care Agencies: Boost or Barrier to Quality Patient Care?
810(8)
Ida M. Androwich
Pamela A. Andresen
Boosts
810(2)
Barriers
812(1)
Graduate Students
813(2)
Recommendations
815(1)
Cost-Benefit Considerations
816(2)
A Student Program in One Home Health Agency
818(16)
Marilyn D. Harris
Considerations for the Administrator
819(14)
Conclusion
833(1)
The Role of the Physician in Home Care
834(6)
Todd R. Cote
Leona Wilneff
Introduction
834(1)
Is Anyone Home?
834(1)
Benefits of House Calls
835(1)
Physician Education
835(1)
Changing Trends in Home Care
836(1)
Home Health Parallel
837(1)
Conclusions
838(2)
Research in Home Health Agencies
840(10)
Karen Beckman Pace
Introduction
840(1)
Definition of Research
840(1)
Potential Roles in Research
840(1)
Research Utilization and Evidence-Based Practice
841(1)
Participating/Collaborating in Research
841(1)
Conducting Research
841(1)
Types of Research
841(1)
Research Process
842(3)
Validity of Research Design
845(1)
Statistical Concepts
845(1)
Using Research Methods in Agency Practice
846(1)
Product Evaluation
846(1)
Quality Improvement/Performance Improvement
847(1)
Clinical Intervention Evaluation
847(1)
Ethical/Regulatory Concerns
847(1)
Conclusion
848(1)
Resources
848(2)
Hospice Care: Pioneering the Ultimate Love Connection About Living Not Dying
850(16)
Rosemary Johnson-Hurzeler
Judith A. Conley
Rosemary Franco
David R. Goldfarb
Ronny J. Knight
Introduction
850(1)
A Better Way
850(1)
A Framework to Partner PAL
851(1)
Hospice Defined
852(2)
Population Defined
854(1)
A Collaborative Energized by Patient/Family Decisions
854(1)
Examples of Potential Environments of Care
855(1)
HOSPAL™
856(1)
Education, Training, and Research
856(10)
Appendix 66-A---State of Connecticut Physician Assisted Living (PAL) Directive
863(1)
Appendix 66-B---Summary Guidelines for Initiation of Advanced Care
864(2)
Safe Harbor: A Bereavement Program for Children, Teens, and Families
866(6)
Elissa Della Monica
The Bereaved Child
866(1)
Safe Harbor Program Development
867(1)
Program Startup
868(1)
Program Design
868(1)
Evaluation
869(1)
Program Staffing and Volunteers
870(1)
Funding
870(1)
Summary
871(1)
Planning, Implementing, and Managing a Community-Based Nursing Center: Current Challenges and Future Opportunities
872(11)
Katherine K. Kinsey
Patricia Gerrity
Introduction
872(1)
Overview
873(1)
Evolution of One Urban Academic Nursing Center Model
873(3)
Assessment
876(2)
Strategic Planning
878(1)
Program Development and Information Systems
879(1)
Human Resource and Fiscal Management
880(1)
The Future of Advocacy and Nursing Centers
881(2)
Adult Day Services---The Next Frontier
883(8)
Nancy Brundy
Judith A. Bellome
Paulette Bryan
History of Adult Day Services
883(1)
The Adult Day Care Services
884(1)
State Regulations and Adult Day Services
884(1)
Financing Adult Day Care
885(1)
Marketing and Promotions
885(1)
Financial Management
886(1)
Atmosphere and Design
886(1)
HIPPA and Adult Day Services
887(1)
National Accreditation
887(1)
Consumer Demand
887(1)
The Home Care-Day Service Connection
888(1)
Adult Day Services in a New Health Care Market
889(1)
Conclusion
890(1)
Partners in Healing: Home Care, Hospice, and Parish Nurses
891(6)
Karen Cassidy
A Brief History of Parish Nursing
891(1)
Roles and Relationships
891(2)
Is There a Need for Parish Nursing
893(1)
The Role and Function of the Parish Nurse as Care Partner
893(1)
How to Work with Parish Nurses
894(1)
Barriers and Assumptions
894(1)
Summary
894(1)
Parish Nursing Online Resources
895(1)
Tips for Working with Parish Nurses
895(1)
A Conversation Between a Home Health Nurse (HHN) and a Parish Nurse (PN)
895(2)
PART X---Strategies for Success
897(8)
Meeting the Present Challenges and Continuing to Thrive in the Future: Tips on How to be Successful as an Administrator in Home Health and Hospice Care
899(6)
Marilyn D. Harris
Today's Health Care Climate
899(1)
Strategies for Survival
900(1)
Successful Administrators Share Their Strategies
901(3)
Conclusion
904(1)
Appendix---List of Abbreviations 905(6)
Index 911

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