ABC Care Home
Description of problem to be solved
TASK 1
Scenario: ABC Care Home is situated in London and caters to care needs of vulnerable people. The service users come from diverse ethnic and religious background and have varied physical and medical needs. (You may choose the category of service users you work with). Assuming you are a care worker working in this Care Home providing care services to the service users:
1.1 Explain how principles of support are applied to ensure that service users are cared for in this Care Home.
1.2 Outlines the procedures that are adopted in this care home for protecting your clients and your colleagues from harm.
1.3 Analyse the benefit of following a person-centred approach with the service users of this care home.
1.4 Explain any ethical dilemmas and conflict that may have arisen when providing care, support and protection to the elderly clients in your care home. (E.g. Mrs. M is a service user in the residential care home. She is 67 years old. She likes to smoke and drink whisky, which has caused serious problem to her health by having lung cancer. Despite the advice and recommendations of the doctors, the social worker and the manager of the care home she cannot cease this habit. Lately Mrs. M has been suffering from acute pains. The painkillers prescribed by the doctor are not working effectively to relieve the pains of Mrs. M. The doctor is refusing to prescribe stronger painkillers because of their serious adverse effects and possible addiction. But the manager and staffs cannot see Mrs. M suffering by screaming and wandering throughout the premises asking for help.)
Deliverables: Learning Outcome 1 (to be met by assessment requirements 1.1, 1.2, 1.3 and 1.4)
TASK 2
In the context of above mentioned scenario,
2.1 Explain the implementation of policies, legislation, regulations and codes of practice that are relevant to own work in ABC Care Home.
2.2 Explain how policies and procedures can be developed in ABC Care Home in accordance with national policy requirements.
2.3 Evaluate the impact of policy, legislation, regulation, and codes of practice on policies and practices of ABC Care Home.
Deliverables: Learning Outcome 2 (to be met through assessment requirements 2.1, 2.2 and 2.3)
TASK 3
In context of above scenario….
3.1 Explain the theories that underpin your work as care worker in ABC Care Home.
3.2 Analyse how social processes impact on your service users in ABC Care Home
3.3 Evaluate the effectiveness of inter-professional working for your service users in ABC Care Home
Deliverables: Learning Outcome 3 (to be met by assessment requirements 3.1, 3.2 and 3.3)
TASK 4
Today CQC publishes the findings following an inspection of services provided at ABC Care Home Ltd.
After considering a range of evidence inspectors conclude that the registered provider, ABC Care Home Ltd, had failed to ensure that people living in the Care Home were adequately protected from risk, including the risks of unsafe practices by its own staff.
The report concludes that there was a systemic failure to protect people or to investigate allegations of abuse. The provider had failed in its legal duty to notify the Care Quality Commission of serious incidents including injuries to patients or occasions when they had gone missing. Inspectors said that staff did not appear to understand the needs of the people in their care, adults with learning disabilities, complex needs and challenging behaviour. People who had no background in care services had been recruited, references were not always checked and staff were not trained or supervised properly. Some staff were too ready to use methods of restraint without considering alternatives. Inspectors who visited ABC Care Home considered taking urgent action to close the center, but decided that it was in the best interests of the patients to allow NHS and local authority commissioners further time to find alternative placements. CQC ensured that there would be an immediate stop on admissions and that extra staff would be brought in to protect patients until they could be moved.
The report which is published today finds that ABC Care Home Ltd was not compliant with 10 of the essential standards which the law requires providers must meet. CQC’s findings can be found below. The managers did not ensure that major incidents were reported to the Care Quality Commission as required. Planning and delivery of care did not meet people’s individual needs. They did not have robust systems to assess and monitor the quality of services. They did not identify, and manage, risks relating to the health, welfare and safety of patients. They had not responded to or considered complaints and views of people about the service. Investigations into the conduct of staff were not robust and had not safeguarded people. They did not take reasonable steps to identify the possibility of abuse and prevent it before it occurred. They did not respond appropriately to allegations of abuse.
They did not have arrangements in place to protect the people against unlawful or excessive use of restraint. They did not operate effective recruitment procedures or take appropriate steps in relation to persons who were not fit to work in care settings. They failed in their responsibilities to provide appropriate training and supervision to staff. As a newly appointed manager, you are required to refer to the above report and answer the following:
4.1 Explain your own role, responsibilities, accountabilities and duties in the context of your work as a Manager within and outside ABC Care Home to resolve the failings mentioned by CQC. (M3)
4.2 Evaluate your own contribution to the development and implementation of organisational policy in ABC Care Home to rectify the shortcomings pointed out by CQC. (D1)
4.3 Make recommendations to develop own contributions to meeting good practice requirements in ABC care home in the future.
Deliverables: Learning Outcome 4 (to be met by assessment requirements 4.1, 4.2 and 4.3)
Formative Submission Information LO1
Learning outcomes 1 may be submitted shown to tutor on week 5 for formative assessment
How and why will formative assessment take place?
Formative assessment will take place to advise you on your progress throughout the term and ways in which you could improve before the final (summative submission). At the formative submission stage, you can show your work on LO1. The feedback is for your benefit and is not part of your final grade for the unit. Formative feedback may however not be as detailed as the final feedback you receive, and may be in verbal and/or written form (at the teacher’s discretion). You may also be asked to submit the essay in electronic form to your teacher, to which you will receive verbal and/or written feedback.

Managing Financial Resources in Health and Social Care Programme Order Description Assessment Assignment Brief – Managing Financial Resources in Health and Social Care Programme Edexcel BTEC Levels 4 and 5 Higher Nationals in Health and Social Care Unit Title: Managing Financial Resources in Health and Social Care Date of final Submission: 3rd August 2014 Rules and regulations: Plagiarism is presenting somebody else’s work as your own. It includes: copying information directly from the Web or books without referencing the material; submitting joint coursework as an individual effort; copying another student’s coursework; stealing coursework from another student and submitting it as your own work. Suspected plagiarism will be investigated and if found to have occurred will be dealt with according to the procedures set down by the College. Please see your student handbook for further details of what is / isn’t plagiarism. Coursework Regulations 1 Students are required to submit their coursework on-line through online e-learning system http://stponline.org.uk. Detailed information about this is available in the student handbook submission 2 Details of submission procedures and penalty fees can be obtained from Academic Administration or the general student handbook. 3 Late coursework will be accepted by Academic Administration Office and marked according to the guidelines given in your Student Handbook for this year. 4 If you need an extension (even for one day) for a valid reason, you must request one, using a coursework extension request form available from the Academic Administration Office. Do not ask the lecturers responsible for the course – they are not authorised to award an extension. The completed form must be accompanied by evidence such as a medical certificate in the event of you being sick. 5 General guidelines for submission of coursework: a) All work must be word-processed and must be of “good” standard. b) Document margins shall not be more than 2.5cm or less than 1.5cm c) Font size in the range of 11 to 14 points distributed to including headings and body text. Preferred typeface to be of a common standard such as Arial or Times New Roman for the main text. d) Any computer files generated such as programme code (software), graphic files that form part of the course work must be submitted either online with the documentation. e) The copy of the course work submitted may not be returned to you after marking and you are advised to have your personal copy for your reference. f) All work completed, including any software constructed may not be used for any purpose other than the purpose of intended study without prior written permission from St Patrick’s International College. Outcomes and assessment requirements Assignment title Managing Financial Resources in the health and Social Care Organisations – CARETECH HOLDING PLS Learning Outcome (LO) Assessment Criteria In this assessment you will have the opportunity to present evidence that shows you are able to: LO1 – TASK 1 Understand how systems are used to manage financial resources in health and social care 1.1 D2 Explain the principles of costing and business control systems 1.2 Identify information needed to manage financial resources 1.3 M1 Explain the regulatory requirements for managing financial resources 1.4 Evaluate systems for managing financial resources in a health or care organisation LO2 – TASK 2 Understand the role of planning in the management of health and social care budgets 2.1 M3 Discuss the diverse sources of income that may be encountered in health and social care 2.2 D1 Analyse the factors that may influence the availability of financial resources in health and social care organisations 2.3 Review different types of budget expenditure in health and social care organisations 2.4 Evaluate how decisions about expenditure are made within a health or social care organisation LO3 – TASK 3 Understand the importance of monitoring budget expenditure in health and social care organisations 3.1 D3 Explain how financial shortfalls can be managed 3.2 M3 Explain the actions to be taken in the event of suspected fraud 3.3 D2 Evaluate budget monitoring arrangements in a health or social care organisation LO4 – TASK 4 Understand how systems and processes for managing financial resources influence health and social care services. 4.1 D3 Identify information required to make financial decisions relating to a health and social care service 4.2 Analyse the relationship between a health and social care service delivered, costs and expenditure 4.3 M1 Evaluate how financial considerations impact upon an individual using the health and social care service 4.4 D1 Suggest ways to improve the health and social care service through changes to financial systems and processes Learner declaration I certify that the work submitted for this assignment is my own and research sources are fully acknowledged. Student signature: ?Date: Assessment In addition to the above PASS criteria, this assignment gives you the opportunity to submit evidence in order to achieve the following MERIT and DISTINCTION grades Grade Descriptor Indicative characteristic/s Contextualisation M1 Identify and apply strategies to find appropriate solutions An effective approach to study and research has been applied You will discuss at least three (3) financial considerations that affect and influence funding of care cost in a nursing and residential home (LO 4.3) Make effective judgment on the impact of regulators on the quality of care in the NHS; state at least two regulators and explain their roles (LO 1.3) M2 Select/design and apply appropriate methods/techniques A range of sources of information has been used To achieve M2, you will have to cite all references and sources of material used both for in-text citation and reference page. You will follow the Harvard referecing style through out your assignment. M3 Present and communicate appropriate findings Coherent, logical development of principles/concept for the intended audience The answer should consist of the at least 2 subheadings fully explained: (i) The red flags of fraud (ii) Actions to take in the event of fraud (LO 3.2) Explain the meaning of tecchical terms and functions in the Health organsiation (CCG, Capitation, Private equity) as you discuss the various sources of income for health and social care organisation (LO 2.1) D1 Use critical reflection to evaluate own work and justify valid conclusions Conclusion arrived at through synthesis of ideas & justicfied You will explain and justify the various scheme proposed to improve the health care delivery by changes in the financial systems (LO 4.4) You will discuss the factors that mostly affect and influence availability of resource and suggest how health and social organisation can use that to their advantage (LO2.2) D2 Take responsibility for managing and organising activities The importance of interdependence recognised and achieved You will demonstrate with diagram and table, the budget monitoring arrangement. You will need to provide clear link of the process (LO 3.3) You will identify and explain the six NHS approve costing principles. State and explain the categories of cost (e.g Fixed/Variable; Direct/Indirect) and costing concept (cost centre, cost object and cost unit (LO 1.1) D3 Demonstrate convergent/lateral/ creative thinking Innovation/Creative thought have been applied Review the financial statements (Balance sheet & Profit and loss) and draw out at least seven types of information needed to make decision in CareTech (LO 4.1) You need to present the best practice in the health sector in managing financial shortfall. A reference should be made to an innocative way used in the NSH (LO 3.1) Assessment Assignment brief Assignment title Managing Financial Resources in the health and Social Care Organisations – CARETECH HOLDING PLS Purpose of this assignment The health and social act 2012 requires health practionals and social care managers to be more innovate, more productive and more accountable while delivering the NHS, Adult Social care and Public health outcomes (quality, safety and patient experience) By carring out this assignment learners will be equipped with the knowledge and understanding needed to monitor costs, make predictions, evaluate the process of effective control of resource allocation, including shortfalls, and make recommendations for expenditure in health and social care organisation Scenario You are one of the home managers for CareTech Holdings PLC, a leading UK provider of specialist social care services. You have been invited to present a report to the Directors of the company, MONITOR-NHS and some CCG representatives as part of government review and monitoring of your care home This report is aimed to demonstrate your understanding and knowledge in Planning and managing budget in your home, it will show your skills in resource control and managing shortfall with your ability to make prediction and make recommendation for the future expenditure in CareTech Holding PLC Your report should cover and incorporate all the task and learning outcomes below (3,000 words) You should refer to the assessment criteria and the relevant unit content, when preparing your evidence of assessment. You can access the Annual report of CareTech Holdings PLC for 2013 at: http://www.caretech-uk.com/~/media/Files/C/Caretech-UK/press-release/pr-2013/2013-preliminary-results.pdf or the condenced version of the annual report on STP online; Assignment Folder section Learning outcome 1 (1.1, 1.2, 1.3, 1.4) M1, D2 1.1?Explain the principles of costing and business control systems that may be adopted in CareTech Holding PLC. D2 1.2 ?What were the information needed to manage financial resource for CareTech Holding PLC in 2013 financial ending? 1.3 ?What regulatory requirements need to be satisfied while managing financial resources in CareThech Holding PLC? M1 1.4 ?Evaluate the systems for managing financial resources in CareTech Holding PLC ? Learning outcome 2 (LO 2.1, 2.2, 2.3, 2.4) M3 and D1 2.1 ?What are the diverse sources of income avaialabe to CareTech PLC in the financial year in 2013? M3 2.2 ?Analyse the factors that may influence the availability of financial resources in CareTech PLC? D1 2.3 ?Review different types of budget expenditure in CareTech PLC. 2.4 ?Evaluate how decisions about expenditure could be made in CareTech PLC Learning outcome 3 (LO 3.1, 3.2, 3.3) M3, D2 and D3 3.1 ?Assuming there was financial shortfall in CareTech PLC; explain how this situation could be managed? D3 3.2 ?What action you would take if you suspect occurrence of financial fraud in your organisation? M3 3.3 ?Evaluate budget monitoring arrangements in CareTech PLC. D2 Learning outcome 4 (LO 4.1, 4.2, 4.3, 4.4) M1, D1, and D3 4.1 ?Identify information required to make financial decisions relating to CareTech PLC D3 4.2 ?Analyse the relationship between care service delivered and ‘costs and expenditure’. 4.3 ?Evaluate how financial considerations impact upon a service user. M1 4.4 ?Suggest ways to improve the care service provided by CareTech PLC through changes to its financial systems and processes. D1

 

Managing Financial Resources in Health and Social Care Programme Order Description Assessment Assignment Brief – Managing Financial Resources in Health and Social Care Programme Edexcel BTEC Levels 4 and 5 Higher Nationals in Health and Social Care Unit Title: Managing Financial Resources in Health and Social Care Date of final Submission: 3rd August 2014 Rules and regulations: Plagiarism is presenting somebody else’s work as your own. It includes: copying information directly from the Web or books without referencing the material; submitting joint coursework as an individual effort; copying another student’s coursework; stealing coursework from another student and submitting it as your own work. Suspected plagiarism will be investigated and if found to have occurred will be dealt with according to the procedures set down by the College. Please see your student handbook for further details of what is / isn’t plagiarism. Coursework Regulations 1 Students are required to submit their coursework on-line through online e-learning system http://stponline.org.uk. Detailed information about this is available in the student handbook submission 2 Details of submission procedures and penalty fees can be obtained from Academic Administration or the general student handbook. 3 Late coursework will be accepted by Academic Administration Office and marked according to the guidelines given in your Student Handbook for this year. 4 If you need an extension (even for one day) for a valid reason, you must request one, using a coursework extension request form available from the Academic Administration Office. Do not ask the lecturers responsible for the course – they are not authorised to award an extension. The completed form must be accompanied by evidence such as a medical certificate in the event of you being sick. 5 General guidelines for submission of coursework: a) All work must be word-processed and must be of “good” standard. b) Document margins shall not be more than 2.5cm or less than 1.5cm c) Font size in the range of 11 to 14 points distributed to including headings and body text. Preferred typeface to be of a common standard such as Arial or Times New Roman for the main text. d) Any computer files generated such as programme code (software), graphic files that form part of the course work must be submitted either online with the documentation. e) The copy of the course work submitted may not be returned to you after marking and you are advised to have your personal copy for your reference. f) All work completed, including any software constructed may not be used for any purpose other than the purpose of intended study without prior written permission from St Patrick’s International College. Outcomes and assessment requirements Assignment title Managing Financial Resources in the health and Social Care Organisations – CARETECH HOLDING PLS Learning Outcome (LO) Assessment Criteria In this assessment you will have the opportunity to present evidence that shows you are able to: LO1 – TASK 1 Understand how systems are used to manage financial resources in health and social care 1.1 D2 Explain the principles of costing and business control systems 1.2 Identify information needed to manage financial resources 1.3 M1 Explain the regulatory requirements for managing financial resources 1.4 Evaluate systems for managing financial resources in a health or care organisation LO2 – TASK 2 Understand the role of planning in the management of health and social care budgets 2.1 M3 Discuss the diverse sources of income that may be encountered in health and social care 2.2 D1 Analyse the factors that may influence the availability of financial resources in health and social care organisations 2.3 Review different types of budget expenditure in health and social care organisations 2.4 Evaluate how decisions about expenditure are made within a health or social care organisation LO3 – TASK 3 Understand the importance of monitoring budget expenditure in health and social care organisations 3.1 D3 Explain how financial shortfalls can be managed 3.2 M3 Explain the actions to be taken in the event of suspected fraud 3.3 D2 Evaluate budget monitoring arrangements in a health or social care organisation LO4 – TASK 4 Understand how systems and processes for managing financial resources influence health and social care services. 4.1 D3 Identify information required to make financial decisions relating to a health and social care service 4.2 Analyse the relationship between a health and social care service delivered, costs and expenditure 4.3 M1 Evaluate how financial considerations impact upon an individual using the health and social care service 4.4 D1 Suggest ways to improve the health and social care service through changes to financial systems and processes Learner declaration I certify that the work submitted for this assignment is my own and research sources are fully acknowledged. Student signature: ?Date: Assessment In addition to the above PASS criteria, this assignment gives you the opportunity to submit evidence in order to achieve the following MERIT and DISTINCTION grades Grade Descriptor Indicative characteristic/s Contextualisation M1 Identify and apply strategies to find appropriate solutions An effective approach to study and research has been applied You will discuss at least three (3) financial considerations that affect and influence funding of care cost in a nursing and residential home (LO 4.3) Make effective judgment on the impact of regulators on the quality of care in the NHS; state at least two regulators and explain their roles (LO 1.3) M2 Select/design and apply appropriate methods/techniques A range of sources of information has been used To achieve M2, you will have to cite all references and sources of material used both for in-text citation and reference page. You will follow the Harvard referecing style through out your assignment. M3 Present and communicate appropriate findings Coherent, logical development of principles/concept for the intended audience The answer should consist of the at least 2 subheadings fully explained: (i) The red flags of fraud (ii) Actions to take in the event of fraud (LO 3.2) Explain the meaning of tecchical terms and functions in the Health organsiation (CCG, Capitation, Private equity) as you discuss the various sources of income for health and social care organisation (LO 2.1) D1 Use critical reflection to evaluate own work and justify valid conclusions Conclusion arrived at through synthesis of ideas & justicfied You will explain and justify the various scheme proposed to improve the health care delivery by changes in the financial systems (LO 4.4) You will discuss the factors that mostly affect and influence availability of resource and suggest how health and social organisation can use that to their advantage (LO2.2) D2 Take responsibility for managing and organising activities The importance of interdependence recognised and achieved You will demonstrate with diagram and table, the budget monitoring arrangement. You will need to provide clear link of the process (LO 3.3) You will identify and explain the six NHS approve costing principles. State and explain the categories of cost (e.g Fixed/Variable; Direct/Indirect) and costing concept (cost centre, cost object and cost unit (LO 1.1) D3 Demonstrate convergent/lateral/ creative thinking Innovation/Creative thought have been applied Review the financial statements (Balance sheet & Profit and loss) and draw out at least seven types of information needed to make decision in CareTech (LO 4.1) You need to present the best practice in the health sector in managing financial shortfall. A reference should be made to an innocative way used in the NSH (LO 3.1) Assessment Assignment brief Assignment title Managing Financial Resources in the health and Social Care Organisations – CARETECH HOLDING PLS Purpose of this assignment The health and social act 2012 requires health practionals and social care managers to be more innovate, more productive and more accountable while delivering the NHS, Adult Social care and Public health outcomes (quality, safety and patient experience) By carring out this assignment learners will be equipped with the knowledge and understanding needed to monitor costs, make predictions, evaluate the process of effective control of resource allocation, including shortfalls, and make recommendations for expenditure in health and social care organisation Scenario You are one of the home managers for CareTech Holdings PLC, a leading UK provider of specialist social care services. You have been invited to present a report to the Directors of the company, MONITOR-NHS and some CCG representatives as part of government review and monitoring of your care home This report is aimed to demonstrate your understanding and knowledge in Planning and managing budget in your home, it will show your skills in resource control and managing shortfall with your ability to make prediction and make recommendation for the future expenditure in CareTech Holding PLC Your report should cover and incorporate all the task and learning outcomes below (3,000 words) You should refer to the assessment criteria and the relevant unit content, when preparing your evidence of assessment. You can access the Annual report of CareTech Holdings PLC for 2013 at: http://www.caretech-uk.com/~/media/Files/C/Caretech-UK/press-release/pr-2013/2013-preliminary-results.pdf or the condenced version of the annual report on STP online; Assignment Folder section Learning outcome 1 (1.1, 1.2, 1.3, 1.4) M1, D2 1.1?Explain the principles of costing and business control systems that may be adopted in CareTech Holding PLC. D2 1.2 ?What were the information needed to manage financial resource for CareTech Holding PLC in 2013 financial ending? 1.3 ?What regulatory requirements need to be satisfied while managing financial resources in CareThech Holding PLC? M1 1.4 ?Evaluate the systems for managing financial resources in CareTech Holding PLC ? Learning outcome 2 (LO 2.1, 2.2, 2.3, 2.4) M3 and D1 2.1 ?What are the diverse sources of income avaialabe to CareTech PLC in the financial year in 2013? M3 2.2 ?Analyse the factors that may influence the availability of financial resources in CareTech PLC? D1 2.3 ?Review different types of budget expenditure in CareTech PLC. 2.4 ?Evaluate how decisions about expenditure could be made in CareTech PLC Learning outcome 3 (LO 3.1, 3.2, 3.3) M3, D2 and D3 3.1 ?Assuming there was financial shortfall in CareTech PLC; explain how this situation could be managed? D3 3.2 ?What action you would take if you suspect occurrence of financial fraud in your organisation? M3 3.3 ?Evaluate budget monitoring arrangements in CareTech PLC. D2 Learning outcome 4 (LO 4.1, 4.2, 4.3, 4.4) M1, D1, and D3 4.1 ?Identify information required to make financial decisions relating to CareTech PLC D3 4.2 ?Analyse the relationship between care service delivered and ‘costs and expenditure’. 4.3 ?Evaluate how financial considerations impact upon a service user. M1 4.4 ?Suggest ways to improve the care service provided by CareTech PLC through changes to its financial systems and processes. D1

 

Adversities in HealthCare Management Project instructions: Research Project Assignment Using the information learned throughout this semester, create a research based topic using one of the following prompts as a jumping off point to construct a 2,000 word essay.Using the suggestions in your textbooks, do research of academic sources to develop your topic. Your essay must have six sources which must be made up of the following types: a) 2 primary (these should be your two interviews) b) 4 scholarly, secondary sources (2 of these must be found through TexShare) DONOT use any other sources, especially Wikipedia, Schmoop, Sparknotes, Cliffnotes, or any other non-academic source. Develop an outline of the major points you wish to make and the evidence you will use to support those points. You must have a minimum of one quote from EACH source (six total). Write your essay using the tips presented in the textbook for writing an academic essay. Use the MLA section of your handbook for help with citing the sources. The entire essay should use correct MLA formatting.Submit at a rough draft of your research paper to TurnItIn by midnight,May 6 for evaluation and Peer Review.By midnight, May 8, read through at least one person?s essay. Provide as much feedback as you can. Make necessary revisions to your own essay. Review your final draft to make sure it is free of grammatical and technical errors, does not include any plagiarized material, meets the requirements, is on topic, and is correctly formatted. Review the supplied rubric to clarify how the essay will be graded. Submit your essay to the appropriate drop box by the deadline (midnight, May 11). Value: 100 points Prompts(select ONE) 1.Choose an issue present in your future work field. Explore possible solutions to that issue. Choose the one that is the most convincing, and focus an argument on illustrating why that solution is the best. 2.Create an argument explaining why your chosen field is a strong field to pursue. Consider things like growth in the market, demand, location, etc. 3.Consider and create an argument for the ways the humanities (Language, Literature, History, Music, Art, Drama, Philosophy)are valuable to professions outside of education or to your profession in particular. 4.Consider problems facing people entering the work force today. Consider the various solutions to one of those problems and create an argument for one solution to that problem. 5.Propose a topic to the instructor. Must obtain approval for the topic by March 17 to allow for time to work on the annotated bibliography. Please note that proposed topics MUST relate in some way to the workforce in general or to your specific field of work. IMPORTANT GRADING INFORMATION Students who submit essays with any of the following errors will not receive higher than a 50: ?The essay is only summary of the works with no analysis. ?The essay does not include any quotes or does not quote from each source. ?The essay does not contain a Works Cited. ?The essay has quotes longer than three lines (block Stephens MD, Christopher Dr. Personal interview. 2 May 2014. Dr. Stephens has 37 years experience, specializing in Internal Medicine and Rheumatology. 1) Should Congress amend the provision of the ?Affordable Care Act?? No, they should start the program then see what the problems are and correct those problems. 2) In what ways can the government support Medicare and Medicaid programs to make them more effective and efficient? Custodial care. Custodial care should transfer from home to an assisted living to a nursing home, transitioning to hospice care. Instead what is occurring is nursing home patients with dementia are started on physical therapy and occupational therapy, which is what nursing homes use in an effort to make a profit. Reimbursement for those types of therapy is high and over-utilized in long term care settings. They should be limited to people who would benefit on a long term basis instead of someone like my mother who doesn?t know where she is and who would not be able to remember to continue with the therapy taught without a therapist present. The republicans have dubbed this as part of a death camp. Reality is it is the natural process of life. Mankind has the ability to help those who may be helped. 3) Which are the best approaches the government can use to bridge the gap between low and high income earners? Investors who have a yearly income over a certain amount have been taxed the same 15% as someone who has minimal income. The government has increased the tax liability on high income earners by raising the amount of tax on their income from 15%. 4) How can the states utilize the available resources to reduce the cost of both Medicaid and Medicare programs? They should form a Medicare part D drug coverage plan, authorizing payments of drugs without requiring contracts with the pharmaceutical companies. 5) Should Medicare and Medicaid programs offer additional benefits? Only if they cut back on others. These programs are growing too much already without adding benefits. Citation: Oliver, Christine. Personal Interview. 21 Feb. 2014. 1 How do you motivate employees? I think that is important to support them in the jobs that they do. It is hard work and there are times when they are going to be overwhelmed. That is when it is important to show them that you are willing to step in and help them do their job when they need it. We also emphasize that their families are important and work with them to make it possible for them to tend to those things so that they can do the work that is required of them. We offer annual evaluations and pay increases based on performance so that each employee gets individual attention and praise or constructive criticism to improve job performance. CSNHC looks within the company for promotional opportunities before hiring from outside sources. 2 How do you deal with difficult employees? To deal with a difficult employee, I think it is important to be consistent with discipline and be familiar enough with the company policies that you can instruct the employee in proper conduct. You must also be professional and discreet when using disciplinary action so that it gives them the opportunity to turn things around. You must also be able to recognize that not everyone is cut out to do this kind of work(healthcare). There can be good employees that do not fit well with your team. 3 What is your idea on customer service? Customer service is the most important thing that we do!. It involves every single person on your staff and everyone must own it. If our residents, families, and providers do not feel that we address problems and care what is going on in our facility, why would they trust us to care for their loved one? Without good customer service, we would not be open long enough to worry about anything else. Good customer service does not always come naturally for some people. When I?m looking for new employees, I start rating their customer service skills as soon as they come in and ask for an application. 4 What makes your business a success? Our business is a success because every member of the team believes we are the best healthcare provider in the country. We take great pride in making sure that every resident is happy and healthy and stays with us for as long as they can. We have a great family like environment and we all pitch in to make sure that everyone(both residents and families) have their needs et in the best and most timely way possible. We all have respect for the jobs that others are doing and we maintain good working relationships that are centered around making sure our residents are happy with their care in every way. We are honest about things that go on in our community and because of that there is a deep trust between residents and staff. No one wants to leave their home and we understand that. We pledge to make it as nice as possible for them even though it is not the home they have always known. 5 What advice would you give someone going into management? The best advice I can give to someone going into management is: You must remember to put God first in all the things that you do. You must have strong work ethics and keep sight of the goal of your position. You must be the manager and not the friend if that is the position that you are called to do. You lead from the front, not from the rear. You must always be honest and as fair as possible. 6 What challenges do you face on a day-to-day basis ? and in the future? When your ?business? is the daily care of people?s lives, the problems you face each day can vary tremendously. The challenge is to remain flexible enough that your entire schedule changes without notice, you can adapt and stay focused and still make each resident feel as if you have nothing else to do. You must also be able to stay on top of daily labor and food costs to help keep costs down for all concerned. In healthcare, you are also constantly looking at the increasing costs and how that affects our residents. It is important to stay up to date and be proactive in helping them make good decisions about their healthcare and eliminating unnecessary costs for them if possible. 7 Are you and your employees involved in the community? We are very involved in our community and participate in a number of events to promote the area. Some examples are: Relay for Life, fundraisers for Muscular Dystrophy Association, youth fair organizations, youth sports leagues, American Heart Association, local theater groups, cultural arts committees, SPCA, Chamber of Commerce, the local hospital events, health and job fairs. 8 Do you think it is important to volunteer your time? Volunteering is extremely important! We are first of all called as Christians to serve our families, churches and our community. Not every reward in life comes from a monetary direction. The greatest rewards come when you truly are giving from a heart of love for the people of your community. Oliver, Christine. Personal interview. 1 Apr. 2014 Follow up question from previous interview. How have the changes in Medicare and Medicaid affected your organization? Here at The Chatfield Assisted Living, we are a private pay and long-term care insurance facility. We do not accept state funding. Rising costs for medical coverage do affect our private pay residents. At some point they may be unable to afford the care we provide and are required to transition to our sister nursing home facilities utilizing governmental funding. We attempt to keep their expenses here at a minimum, charging for the size of their room versus levels of care payments. Our nurse monitors drug costs, searching for the lowest price possible for them. The local pharmacy may charge hundreds of dollars per month where mail order charges one fourth of the local pharmacy price. We face rising food, utility, and wage expenses for which we base our room rates. The professor referred to this in citing an article in a scholarly journal (online database). Penuel, Suzanne. ?Missing Fathers: Twelfth Night and the Reformation of Mourning.? Studies in Psychology 107.1 (2010): 74-96. Academic Search Complete. Web. 10 Apr. 2011 . WITH US .