An applicant must complete a course in organizational management covering the basic management functions of:
planning and objective setting;
organizing and delegating; and
observing, monitoring, and evaluating outcomes, including customer satisfaction.
An applicant must complete a course in managerial accounting, beyond introductory accounting, covering:
budgeting and fiscal resource allocation; and
interpreting financial information to monitor financial performance and position and to make managerial decisions.
An applicant must complete a course in gerontology covering:
the physical, social, and psychological aspects of the aging process; and
programs and services designed to meet the needs of the aged population.
An applicant must complete a course in health care and medical needs of nursing facility residents covering:
the anatomic and physiologic changes that are associated with the aging process;
the impact and management of common syndromes associated with aging, including vision and hearing impairment, nutrition and malnutrition, and balance and mobility impairment;
basic medical and pharmacological terminology;
prevention and management of conditions such as pressure ulcers and delirium;
common psychiatric and neurodegenerative disorders such as dementias (including Alzheimer's), depression, anxiety, psychotic disorders, and alcohol and drug abuse;
advance care planning and the role of palliative care and end-of-life care; and
emerging medical trends and technology used in the long-term care setting.
An applicant must complete a course in the organization, operations, functions, services, and programs of long-term care supports and services covering:
governing and oversight bodies and their relationship to the administrator;
administrative responsibilities and structures;
operations and functions of each facility department;
functions and roles of professional and nonprofessional staff and consulting personnel; and
issues of cultural diversity and human relationships between and among employees and residents of nursing facilities and their family members.
An applicant must complete a course in human resource management covering:
equal employment opportunity, affirmative action, and workforce diversity;
compensation and benefits;
coaching and performance management;
training and development;
labor relations, including union contract negotiation and administration;
employment law; and
workplace culture, accountability and fairness, just culture and learning concepts.
An applicant must complete a course in regulatory management covering the legal, regulatory, and funding provisions and requirements governing operations of long-term care supports and services and health care programs including:
resident rights, resident choice, resident risk, and protection from maltreatment;
professional and biomedical ethics, including advance directives;
guardianship and conservatorship;
liability, negligence, and malpractice;
data confidentiality, privacy, and practices;
professional licensing, certification, and reporting for staff and consulting personnel;
health and safety codes, including OSHA and the National Life Safety Code;
Medicare and Medicaid, standards for managed care and subacute care, and third-party payer requirements and reimbursement;
federal and state nursing home survey and compliance regulations and processes;
requirements affecting the quality of care and life of residents, including measurement of outcomes from clinical and resident-satisfaction perspectives;
resident acuity and assessment methodology;
quality assessment and assurance; and
An applicant must complete a course in the accumulation and analysis of data to inform management decision making including:
strategic uses of data and information;
data accumulation, storage, integration from multiple sources, manipulation, and presentation;
needs assessment and analysis methodologies;
measures, analysis, and assessment of outcomes, including customer satisfaction and quality improvement;
utilizing quality measurement and performance improvement tools and methodologies; and
An applicant who applies on or after September 1, 2017, must follow the requirements in this part.
41 SR 599
December 20, 2016