long term care week 11
Lola2230
9781284086522_SLID_CH14.pptChapter 14
Governance and Administration
Learning Objectives
Understand the nature of governance in long-term care organizations
Identify the elements that make up governance
Discuss the differences in governance in profit, nonprofit, and public organizations
Learning Objectives (continued)
4. Identify the roles and responsibilities
of governing boards
5. Identify the roles and responsibilities
of administration
Definitions
Governance: overseeing, presiding over the organization
Governing Body: the policy-making arm of the organization
Chief Executive Officer (CEO): the top administrative official in the organization
More Definitions
Administration: includes top levels, supervisory and managerial staff
Administrator: refers to any member of administration, including the CEO
Management: all who supervise others
Organization Types and
Who Governs Them
For-profit: Owners or their representatives – CEO may be a member of the governing body
Nonprofit: Representatives of the community served
Public (government): Elected or appointed individuals
Regulatory Requirements
Medicare & Medicaid require that there be a governing body and that it hire a qualified administrator
Little additional detail in regulations
Some minor wording differences for different types of providers
Governing Body Responsibilities
Maintain mission and operational strategies
Determine programs and services
Select and evaluate a CEO
Advise the CEO
Plan for management succession
Governing Body Responsibilities
(continued)
6. Provide and oversee resources
7. Ensure legal and ethical integrity
8. Link the owners and community
9. Organize and self-evaluate
10. Ensure board succession
Administrative Functions
Planning
Organizing
Staffing
Leading/Directing
Controlling
Other Responsibilities
Keep governing body informed
Educate governing body
Oversee use of resources
Ensure integrity of organization
Maintain good community relations
Create high level of administrative capability
Potential Problem Areas
Board interference in administration
Overstepping administrative authority
Conflict of interest
Governance in Long-Term Care: What’s Different?
Licensing of administrators
Management structure
Corporate relationships
Legal liability
Summary
Effective governance is essential to the success of any organization. It requires that the governing body and administration have clearly defined roles, stick to those roles, and have a high level of mutual respect for each other.
