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The Experience of Aging, Part IV - Depression and Stress
December 5, 2008 3:13 PM by Carol Kleinman

Decreased mobility, functional impairment, and multiple losses frequently lead to depression. It has been well established in the literature that the suicide rate among people over 65 is higher than any other age group. For more on this serious issue, Read More...

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Role Conflict and the Nurse, Part I
October 8, 2008 10:36 AM by Carol Kleinman

As health care organizations have become more integrated and complex, role expectations among staff have become more diversified. To reduce job dissatisfaction among nurses, managers and administrators need to develop an appreciation for the scope and Read More...

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INtrapreneurship
August 18, 2008 11:47 AM by Carol Kleinman

The word entrepreneur creates the connotation of a business-minded individual who pioneers change, who wants to work for herself or himself, and who organizes, manages, and assumes the risks of a business enterprise. An intrapreneur is a person within Read More...

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Part 10: More Budget Secrets
July 31, 2008 1:31 PM by Carol Kleinman

Budgets are done initially as computer-modeled projections based on previous performance. What that means is that the computer looks at what was spent and models a budget for the next cycle based on that amount. Thus, if you spend less, you will get less. Read More...

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Part 7: Thoughts on Budgeting
June 19, 2008 11:40 AM by Carol Kleinman

The operations budget, while based in part on expenses, is also based on revenue projections. Clearly we would not knowingly budget to spend more than we expect to earn from a product or service and so we budget accordingly. In general, we do not expect Read More...

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Part 5: Creative Accounting
May 13, 2008 12:23 PM by Carol Kleinman

I thought I would confess one of the strategies I employ in dealing with difficult-to-acquire capital items, something I call "creative accounting." As all of my experience has been in behavioral health operations, it was always been clear to me that Read More...

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Noncompliance
March 7, 2008 3:09 PM by Carol Kleinman

Few situations challenge and frustrate us as the need to deal with residents who are noncompliant with treatment protocols. In a world in which health care dollars are increasingly scarce, we must carefully allocate the resources we have to those who Read More...

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High Quality, Low Costs
November 28, 2007 10:20 AM by Carol Kleinman

Long-term care organizations must continue to achieve high quality patient care and positive patient outcomes without increasing costs. One consequence of this reality is the development of care delivery models using "nursing substitutes" or unlicensed Read More...

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