CLTM flashcards
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32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Occupancy rate
- Occupied bed days divided by available bed days, multiplied by 100. Indicates utilization of licensed capacity and drives revenue forecasting.
- Average daily census
- Total resident days in a period divided by the number of days in that period. Used to normalize staffing and cost metrics.
- Nursing hours per resident day
- Total direct-care nursing hours divided by resident days. A core staffing metric for regulatory compliance and budget planning.
- Case-mix index
- A numeric expression of average resident acuity relative to a reference. Higher values imply greater resource needs and reimbursement weight.
- ADL versus IADL
- ADLs are basic self-care tasks like bathing and eating; IADLs are instrumental tasks like shopping and medication management. Dependency counts estimate care needs.
- Interdisciplinary team care plan
- A documented plan developed with the resident and team that states problems, goals, interventions, and timeframes, reviewed at least quarterly and with significant change.
- SMART goal
- A goal that is specific, measurable, achievable, relevant, and time-bound. Used in care plans to make outcomes evaluable and reviewable.
- Minimum Data Set
- The standardized resident assessment instrument used in nursing facilities. Findings inform care planning, quality measures, and reimbursement.
- Advance directive
- A written statement of a person's health care wishes, such as a living will or durable power of attorney for health care, honored in care planning.
- Chemical restraint prohibition
- Drugs used for discipline or staff convenience rather than treating a medical condition are prohibited. Use requires assessment, order, and monitoring.
- FTE calculation
- Paid hours divided by standard full-time hours, commonly 40 weekly or 2,080 annually. Converts staffing into budgeted position equivalents.
- Turnover rate
- Separations divided by average headcount, multiplied by 100, over a defined period. High turnover raises recruitment costs and reduces continuity.
- Vacancy rate
- Vacant budgeted positions divided by total budgeted positions, multiplied by 100. Signals recruitment pressure and staffing risk.
- Progressive discipline
- A stepwise response to performance or conduct issues, typically verbal warning, written warning, suspension, then termination, with documentation at each step.
- Competency validation
- Documented verification that a staff member can perform required skills safely before independent assignment. Required for orientation and ongoing competency.
- Operating margin
- Operating revenue minus operating expenses, divided by operating revenue, times 100. Measures core operational profitability.
- Days cash on hand
- Unrestricted cash divided by daily operating expenses (annual expenses divided by 365). Indicates short-term financial liquidity.
- Accounts receivable days
- Average accounts receivable divided by net revenue, multiplied by 365. Measures how long collections take.
- Budget variance
- Actual minus budgeted amount. A favorable variance increases revenue or reduces expense relative to plan; unfavorable does the opposite.
- Medicare SNF prospective payment
- A per-diem bundled payment system for skilled nursing facility Part A stays, adjusted by case-mix. Therapy and nursing costs are included in the rate.
- Immediate jeopardy
- A deficiency causing or likely to cause serious injury, harm, impairment, or death. Requires immediate corrective action and may trigger enforcement.
- Plan of correction
- A facility's written response to survey citations stating corrective action, responsible person, monitoring, and completion date.
- QAPI program
- Quality Assurance and Performance Improvement: an ongoing, data-driven program with measurable goals and performance improvement projects required in nursing facilities.
- Scope and severity grid
- A survey tool rating deficiencies by extent (isolated to widespread) and seriousness (potential for harm). Higher levels carry stronger remedies.
- Mandatory abuse reporting
- Suspected abuse, neglect, or exploitation must be reported promptly to the administrator and the designated state agency per required timeframes.
- Resident rights
- Federally protected entitlements including dignity, privacy, choice, grievance access, and freedom from abuse, neglect, and exploitation.
- Incident report use
- An internal risk-management document describing an event. It supports analysis and is generally not filed in the resident's clinical record.
- Pressure injury prevention
- Repositioning schedules, appropriate support surfaces, skin assessment, and nutrition/hydration to reduce risk of localized tissue damage.
- SBAR handoff
- A structured communication format: Situation, Background, Assessment, Recommendation. Improves completeness and safety during transitions between caregivers.
- Just culture
- A framework distinguishing human error, at-risk behavior, and reckless behavior, applying support, coaching, or sanction according to category.
- PDSA cycle
- Plan, Do, Study, Act: an iterative improvement method that tests a change on a small scale, reviews results, and then adopts, adapts, or abandons it.
- Control chart signals
- A run of six or more points on one side of the mean, or a trend of five or more increasing or decreasing points, suggests non-random special-cause variation.