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Health Services Administrator Role Delineation Methodology

An Institutional Long-Term Care Example

Foundation of the American College of Nursing Home Administrators

Health services administrators (HSA) are the cynosure of much current research because of their pivotal positions vis-à-vis quality of care and cost-effective policies. Role delineation methods used to date are too simple and/or too subjective to reflect the actual complexities of these roles. Dimensional anahl sis, as used to delineate complex organizational processes, more succinctly and accuratetly relfects these complexities and is more objetive. The inherent weakness of dimensional analisis in devising the initial list of tasks can be counteracted by, the use offact analysis. A set of L TC administrator tasks from a national study is dimensionally analized to produce a role delineation and the subroles are validated through Criterion analyses and amplified through reference to the literature. A similar strategy could usefully and readily be applied to extant data sets for other HSAs.

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