Question

Many families choose to place their elderly loved ones in this assisted living facility because it has a reputation as a caring and passionate provider of care throughout the United States. The facility has 225 efficiency apartments, furnished and equipped with the latest technology, in this segment of the health care industry. The assisted living facility administrator has provided some thoughts regarding the future of the facility, especially regarding some recently acquired survey results. Although most scores were very good, there seems to be a trend of some scores actually dropping, which causes concern. These lower scores seem to be associated with issues related to communications between the assisted living staff and resident family members, specifically among the Nursing Assistants, Registered Nurses, Social Services, and family members. Although the patients are providing high scores for their experiences, the families are more critical and thorough with the surveys.The assisted living administrator has done some research regarding the Arizona Health Care Assisted Living Accreditation Agency and discovered that the agency possesses a very highly touted program that will provide postmodern systems, processes, and procedures to ensure that the assisted living facility complies with the very highest standards, including refreshed criteria for caregivers, especially in the areas of communication and effective patient-family-caregiver protocols. The administrator also found the agency has an initial accreditation process that involves a comprehensive internal audit of all facility functions. Every department, including executive management, human resources, accounting, nursing, social services, dietary, grounds/maintenance, and others will be thoroughly inventoried, including their policies, procedures, and the review of all employee records. Once approved, the assisted living facility will be provided an initial accreditation. After one year, the assisted living facility will apply for reaccreditation on an annual basis. The executive staff, upon the assisted living administrator’s recommendation, has approved the initiative of gaining this high level of accreditation. The Vice President of Human Resources has been given the directive of pursing the accreditation. What type of accreditation does an assisted living facility need? What are the pros and cons for accreditation? What tools would you use to evaluate the and cons? What stakeholders would you include? How would you ensure your primary, secondary, tertiary stakeholders are informed?

Answer 1

What type of accreditation does an assisted living facility need?

The two associations executed their helped living projects and give data in regards to the aftereffects of office studies through their Web destinations. These associations assess comparable territories, e.g., inhabitant rights, congruity and coordination of administrations, occupant training, and wellbeing advancement. This accreditation process extraordinarily incorporates disease control.

These two associations authorize a little extent of the aggregate number of helped living offices. As indicated by an agent from JCAHO, the association authorize 115 offices in 2004. Likewise, a CARF delegate expressed that they have licensed 45 offices, including universal offices. In view of the gauge of 36,500 U.S. helped living offices, under 1.2 percent of the aggregate business is certify by one of these two private accreditation associations.

The CARF accreditation measures are isolated into three principle areas. A few measurements are secured under every one of these segments, as recorded beneath:

- Business rehearses. Data administration, inhabitant rights, initiative, and legitimate necessities.

- Process of helped living. Reasoning and physical condition, coherence and coordination of administrations, strategies and methodology, and inhabitant needs evaluations.

- Assisted living. Solution organization, smoking strategies, transportation, and different parts of inhabitant life.

What are the pros and cons for accreditation?

-Consumer insurance and rights and helped living network morals. Enhance occupant results by perceiving and regarding inhabitant rights; distinguish the need to perceive inhabitants as people with various requirements; accentuate pride, personal satisfaction, and moral conduct.

-Continuity of administrations. Characterize, shape, and succession procedures and exercises that augment coordination of administrations and limit the need to move; address issues that emerge preceding touching base at the helped living network, amid move-in, amid time spent in the network, and keeping in mind that exchanges happen.

-Assessment and reassessment. Decide the administrations to be given by the network to address the issues of the occupant; survey every inhabitant's administration needs upon move in or when those necessities change; gather and investigate information to settle on these appraisals and illuminate choices with respect to mind designs.

-Resident administrations. Give individualized, arranged, suitable administrations in settings fitting to the inhabitant's needs; keep up an occupant particular arranging process; actualize the arranged administrations; screen inhabitant reaction to administrations; alter the administration design in light of reassessment, changes in the sort or level of administrations required, and the occupant's requirement for additionally benefits.

-Resident training. Enhance inhabitant results by giving data that meets the occupant's adapting needs, advances sound conduct, and enables inhabitants to settle on educated choices about administrations.

-Health and wellbeing advancement. Address keeping up inhabitant's wellbeing, keeping up and enhancing capacity, counteracting wounds, and evading or deferring the decay of occupants' wellbeing status related with interminable and degenerative illnesses.

-Performance change. Efficiently screen, break down, and enhance its execution; screen execution through gathering information, examining current information, and enhancing and maintaining upgrades.

-Leadership. Plan, immediate, facilitate, give, and enhance benefits that react to inhabitants' changing needs and help them to stay in the network.

-Managing nature. Give a sheltered, practical, strong, and successful home condition for occupants, staff, and others in the network; lead progressing expert arranging, instruction, measures advancement, and execution designs.

-Human assets administration. Distinguish and give the correct number of able staff to address the issues of occupants served by the network; design, give equipped staff, evaluate and keep up staff ability, and give an instructive workplace.

-Information administration. Get, oversee, and utilize data to enhance inhabitant results and individual and network execution; oversee occupant applications, occupant evaluations, benefit arranging documentation, genuine administrations gave, monetary data, association change data, charging data, and measurable data.

-Prevention and control of diseases. Recognize and diminish the dangers of securing and transmitting contaminations among occupants, guests, workers, and contract administrations staff.

What tools would you use to evaluate the and cons?

A first arrangement of value pointers for helped living has been created as an expansion of the nursing home adaptation. Process arranged markers incorporate giving required administrations, great care hones, poor care hones, level of inhabitants with almost no exercises, and level of occupants with different psychotropic medications. The main result arranged quality pointer that has been created is the level of occupants with falls.

These endeavors give complete target assessments of offices and significant substance that could enable customers to settle on decisions. In any case, from a down to earth point of view, finding the consequences of these permitting, certifying assessments, and quality measures requires time, exertion, and learning of their accessibility. The normal customer likely won't have the experience and abilities to get to these information. This reality, joined with the undisputed requirement for purchasers to have open, far reaching data for deciding, underpins the present push to decide shoppers' data needs to settle on choices and to create apparatuses that help decisionmaking.

What stakeholders would you include?

Showcasing materials, which incorporate limited time pamphlets, give office announced data to shoppers and their families. These materials ordinarily center around the land parts of helped living, have worldwide terms about their working standards, and frequently don't give data valuable to decisionmaking. For instance, in Carder's precise examination of the substance of helped living promoting materials it is discovered that the essential materials was to help inhabitants' freedom. Most of the associations' materials tended to issues of incontinence and subjective disability in their promoting data, however they did exclude particular criteria for confirmation. The helped living examination noticed that exclusive portion of offices contemplated in four States gave data on the conditions under which the cost of administrations may increment, and short of what one half gave release criteria.

How would you ensure your primary, secondary, tertiary stakeholders are informed?

The apparatuses prescribe that the imminent shopper play out an underlying self evaluation of their needs. In view of their needs, the agendas incite the customer to assess the office's environment, physical highlights, required contracts, affirmation and release criteria, costs, financing, human services administrations including prescription administration and crisis mind, other enhancement administrations, unit highlights, social and recreational exercises offered, nourishment administrations, staff preparing, administration ability, qualities of current occupants, and any State investigation provides details regarding the office.