The Challenges of a Nursing Home Administrator During an Acquisition Judith Young-Bird
HCS/320 – Health Care Communication Strategies
July 21, 2014
The Challenges of a Nursing Home Administrator During an Acquisition With the downturn of the economy, in recent years, it is an opportune time for companies to acquire businesses that are suffering. Unfortunately, healthcare facilities that assist long-term care patients fall victim to this misfortune in time. According to "Longtermcare.gov" (n.d.), "Most long-term care is not medical care, but rather assistance with the basic personal tasks of everyday life, sometimes called Activities of Daily Living” (What is Long-Term Care?). Chronically ill or disabled patients qualify for this specialty in medicine. Moreover, the elderly are most often associated with nursing homes or some other type of assisted living facility; which makes changes in this field challenging. After my elderly aunt fell and was seriously injured, I witnessed the turmoil that patients and family undergo to maintain a patients sense of dignity and peace of mind within the long-term care network. The experience caused me to launch a new career path as a Health Care Administrator with a concentration in Long-Term Care. I am aware that as an administrator, my job would be a labor of love because I would manage a nursing home, hospice, or assisted living center where the residents are in a fragile mental and physical states. Caring for those in need who cannot help themselves is an incredible responsibility and I would ensure that all of my residents were cared for in the manner in which I would expect for myself. In my aunt’s case, my father had to endure many trips to the court house to obtain power of attorney to be able to set up physical care after her hospital release. My aunt was in a very fragile state and was not mentally or physically able to speak for herself. In retrospect, I realize that this process was eye opening for me. The challenges that my father faced to access her medical and financial records was daunting. Moreover, he had to keep records of all of the information, pay her taxes, report to the court and relay her medical information doctors, as needed. It was a relief to him when he was able to secure a worthy long-term care facility. My aunt was blessed to have my father and pass away, peacefully, at the age of one-hundred. However, that is not always the case for many nursing home residents. Like the scenario in Option 1, nursing home patients often do not have a loved one to speak for them. In Michigan (my home state), a guardian is appointed by the court. The guardian becomes the point of contact for the patient and they make all of the decisions concerning their care if the patient if they are deemed mentally incompetent. Therefore, in the unfortunate event of an acquisition (Option 1), the court appointed guardian would be contacted to discuss the issue of moving with the patient. However, in my facility, I would do everything possible to ensure that the patient is placed in another nursing home that offers quality service. Moreover, I would make arrangements to have a discussion with my patient’s power of attorney as a caregiver who cares about the integrity and well being of her residents. As a nursing home administrator with displaced patients, I take action to lessen the anxiety of a move. Elderly patients often do not like change and the thought of transferring their medical records could be another point of angst. While the Electronic Medical Records (EMR) is helpful within a facility, I would push to have Electronic Health Records (EHR) in place for the fluidity of patient care. According to "Healthit.gov" (n.d.), “Unlike EMRs, EHRs also allow a patient’s health record to move with them—to other health care providers, specialists, hospitals, nursing homes, and even across states” (Differences between Electronic Medical...
References: Learnsomething.com. (October 1, 2009). Retrieved from https://www.courses.learnsomething.com/scripts2/content.asp?a=9F7B983E559541A692699E4D6709D56D&ph=783FD00A4EE440E7BB199F8299307842&r=BeginFlashCourse&screenw=1600&screenh=900
Longtermcare.gov. (n.d.). Retrieved from http://longtermcare.gov/the-basics/what-is-long-term-care/
Stoil, M.J. (1999). Resident removal: A modern long-term care saga. Nursing Homes, 48(2), 12-13, Retrieved from http://search.proquest.com/docview/218468842?accountid=458
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