CLTM study plan
CLTM · Give each week a clear focus.
8 weeks · About 7 hours per week
Long-Term Care Service Delivery and Operations Management
Map the full long-term care service delivery continuum (skilled nursing, assisted living, home- and community-based services, memory care) and contrast operational priorities across settings
Diagram the daily operational workflow of a long-term care community from admission through discharge, labeling each handoff point
Identify the core operational metrics (census, occupancy, staffing ratios, turnover) and explain how each is calculated
List the department structures and reporting lines typical in a long-term care organization
Your checkpoint
A one-page operations map showing the care continuum, a labeled daily workflow diagram, and definitions of four core operational metrics
Long-Term Care Service Delivery and Operations Management & Person-Centered Care Planning and Coordination
Apply person-centered care planning principles to draft a sample individualized care plan from a written resident scenario
Sequence the interdisciplinary care-planning cycle from assessment through evaluation and revision
Distinguish person-centered language from deficit-based language and rewrite five deficit-based statements
Connect operational scheduling and staffing decisions to care-plan execution constraints
Your checkpoint
A complete sample person-centered care plan for a written scenario, plus a before/after rewrite of five deficit-based statements
Financial Management, Budgeting, and Reimbursement & Long-Term Care Service Delivery and Operations Management
Build a simple operating budget for a hypothetical long-term care unit covering labor, supplies, and overhead
Explain how major reimbursement mechanisms (Medicare, Medicaid, private pay, managed care) flow into a facility's revenue
Calculate census-based revenue projections and identify the effect of occupancy changes on margin
Interpret a sample variance report and explain three common causes of budget-to-actual variance
Your checkpoint
A spreadsheet-style operating budget with revenue projection and a written variance analysis of at least three line items
Human Resources and Workforce Management & Regulatory Compliance, Licensing, and Quality Improvement
Outline the workforce lifecycle (recruitment, onboarding, competency validation, retention, separation) and identify a control point at each stage
Draft a competency-validation checklist for a direct-care role
Summarize the major regulatory domains that govern long-term care operations (licensure, survey/inspection, quality reporting) without relying on external references
Describe how survey findings translate into a plan of correction and quality improvement cycle
Your checkpoint
A workforce lifecycle outline with control points plus a draft competency-validation checklist and a sample plan-of-correction template
Regulatory Compliance, Licensing, and Quality Improvement & Risk Management, Safety, and Resident Rights
Design a mock quality improvement project using a plan-do-study-act structure on a written performance gap
Map resident rights categories to operational safeguards that protect them
Conduct a written risk assessment of a provided safety scenario, ranking hazards by likelihood and severity
Explain the incident reporting and root-cause analysis process step by step
Your checkpoint
A one-page PDSA quality improvement project plan and a completed risk assessment matrix for a written safety scenario
Risk Management, Safety, and Resident Rights & Leadership, Communication, and Interprofessional Collaboration
Analyze a written ethical dilemma in long-term care using a structured decision framework
Draft a communication plan for a difficult conversation with a resident family, including escalation paths
Describe strategies for leading interprofessional teams across nursing, therapy, dietary, and social services
Identify conflict-resolution approaches and match each to a written team conflict scenario
Your checkpoint
A written ethical dilemma analysis with a recommended course of action and a drafted family communication plan
Long-Term Care Service Delivery and Operations Management & Financial Management, Budgeting, and Reimbursement & Regulatory Compliance, Licensing, and Quality Improvement
Integrate operations, finance, and compliance knowledge by analyzing a written multi-domain case scenario
Identify the trade-offs between staffing investment, quality outcomes, and budget constraints in the case
Produce a prioritized set of recommendations with rationale tied to each domain
Self-assess weak domains against the exam blueprint weights and rank study priorities
Your checkpoint
A written multi-domain case analysis with at least five prioritized recommendations and a ranked list of personal weak domains
Long-Term Care Service Delivery and Operations Management & Person-Centered Care Planning and Coordination & Human Resources and Workforce Management & Financial Management, Budgeting, and Reimbursement & Regulatory Compliance, Licensing, and Quality Improvement & Risk Management, Safety, and Resident Rights & Leadership, Communication, and Interprofessional Collaboration
Review all seven domains using condensed self-authored summary sheets
Complete timed practice sets and log error patterns by domain
Re-drill the two weakest domains identified in week 7
Finalize a test-day strategy covering pacing and question-approach tactics
Your checkpoint
Seven condensed domain summary sheets, an error-pattern log from timed practice, and a written test-day strategy
Milestones
Week 2: Can explain the care continuum, daily operations workflow, and person-centered care-planning cycle from memory without notes
Week 4: Can build a basic operating budget and describe how each major reimbursement stream affects revenue, scoring at least 70% on a self-made finance check
Week 6: Can outline the workforce lifecycle, map resident rights to safeguards, and walk through a risk assessment and root-cause analysis unaided
Week 8: Timed practice scores meet or exceed the target threshold in every domain, with no domain flagged as a persistent weak area