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Trust Starts at the Company Level
May 27, 2008 10:31 AM by Brian Garavaglia
Team building is an important facet for an organizational environment. In a previous article I mentioned the importance of trust for team development. It was also mentioned that the facility administrator has to lead this effort toward establishing a Read More...
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Dealing with Problem Work Behaviors in Long-Term Care
May 13, 2008 12:17 PM by Brian Garavaglia
In the previous article, Problem Personalities can Lead to Workplace Turmoil, a few major personalities and their resultant issues were examined. This paper looks at personality problems, their behaviors, and how to address these issues in long-term care Read More...
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Problem Personalities can Lead to Workplace Turmoil
April 29, 2008 12:58 PM by Brian Garavaglia
We are all quite different, and all of us come to the workplace setting with different personalities. Long-term care is no different. It brings individuals of different skills, education levels, temperaments, and in particular personality types to the Read More...
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Team Building in the Long-Term Care Environment
April 14, 2008 1:03 PM by Brian Garavaglia
The importance of the team in long-term care cannot be overstated. No single individual has all the answers. For efficient management to exist, the importance of a functional team is needed. However, all too often, team building is viewed as something Read More...
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Challenging the Citation and not the Citer
April 3, 2008 10:44 AM by Brian Garavaglia
Nursing home surveys are frequently anxiety provoking for the staff. Not many individuals welcome others coming into their facility with the intent to play close scrutiny to the environment. This is quite similar to individuals experiencing someone who Read More...
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Do Politicians Understand That Long-Term Care is Part of the Health Care System?
March 13, 2008 3:17 PM by Brian Garavaglia
During this year, a year in which our country will elect a new President, health care has become an important part of the agenda. Liz Rosto in her post entitled Decision 08 , writes about the issue of heath care and the apparent lack of emphasis given Read More...
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GroupThink as an Impediment Toward Team Decision Making
March 6, 2008 2:40 PM by Brian Garavaglia
Health care administration is not an easy job. Decisions have to be made and often these decisions rely on more than just one person. In the long-term care environment many decisions are made within a team framework. The administrator, along with the Read More...
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Conditions of Certainty, Uncertainty, and Risk in Organizational Decision-Making in Long Term Health Care
February 28, 2008 12:37 PM by Brian Garavaglia
The level of information that one has to makes decisions in health care settings often differs dramatically in any one situation. Decisions are often incumbent on the level of information that is available to the decision makers. Administrators face these Read More...
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Be a PEST: The Social, Political, Economic and Technological Forces that Influence Nursing Home Administration
February 19, 2008 2:20 PM by Brian Garavaglia
Nursing home administration entails being aware of the macro social, economic and political forces that shape the daily life of nursing home administration. This is not an easy task since these forces are constantly changing and influencing the nursing Read More...
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Management Style in Long-Term Care: Does One Correct Approach Exist?
February 5, 2008 12:39 PM by Brian Garavaglia
A very common question that is often posed to me is, ”What type of leadership or management style do you have?” The question is often posed as if there is one correct style that exists. Moreover, there has been a substantial amount of studies done on Read More...
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The Social and Economic Impact of Census and Resident Mix in Long-term Care
January 30, 2008 4:01 PM by Brian Garavaglia
The long-term care landscape has changed and will continue to change. One of the greatest changes that have been found in long-term care is in census, or the residents that are found in long-term care, often referred to as resident mix. As census has Read More...
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Hot Button Topic: Is the Type of Nursing Home Ownership Important?
January 22, 2008 10:27 AM by Brian Garavaglia
A recent September 2007 New York Times article entitled, At Many Homes, More Profit and Less Nursing , discussed the issue of profit and ownership, especially by private equity firms. This article especially was quite critical of many companies that reduce Read More...
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Root-Cause Analysis: Correlational vs. Causative Findings
January 17, 2008 8:48 AM by Brian Garavaglia
It has been mentioned in the first three parts of this series that root-cause analysis is an important process to use in order to discover and find solutions to vexing issues that arise in long-term care. However, at the end of the third series, it was Read More...
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Root Cause Analysis—Starting Out With A Problem, Part I
December 11, 2007 4:26 PM by Brian Garavaglia
Nursing care facilities are faced with a myriad of problems daily. In addition, solving problems in nursing care facilities is often far from simple solutions. However, those that work in long-term care administration have often heard of the phrase-looking Read More...
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Role Ambiguity as a Part of Nursing Home Life
November 21, 2007 11:14 AM by Brian Garavaglia
An interesting part of working in long-term care, if for that matter any form of health care, is that it is never static and the roles that worked for you one day may not be the ones that will work for you the next day. Most of us seek stability and we Read More...
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