Cathy Cress

Expert in Aging Life and Geriatric Care Management

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What is the Care Manager’s Role with Hospice?

February 25, 2021

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What is a Geriatric Care Manager’s Role in Hospice?

The geriatric care manager serves older adults before they find they are dying. GCM’s work with chronic care clients, some times for years, who eventually succumb to their illness. They also work with clients who come to them facing the end of life issues.

 The process of acceptance and adjustment to terminal illness has five phases:

 

·      before the diagnosis,

 

·      the acute phase ­

 

·      the chronic phase

 

·      the recovery phase

 

·       the terminal phase 

 A care manager is a GPS for both the client and family through the

5 stages, bringing in critical services like palliative care and hospice

caregiver respite and quality of life the whole continuum of care for supporting the end of life- at the right phase at the right time –

Benefits You (as a GCM) will Bring to Hospice

  • You (as a geriatric care manager) will bring the client to Hospice much earlier in the 5 stages of death and dying than one month before death

 

  • You will do a Quality of Death assessment to find out the patient’s wishes for a good death

 

  • You will make sure all the critical paperwork is needed is gathered and organized, including:
  • Insurance
  • Legal
  • Financial
  • Healthcare
  • End of life

Interventions vary according to the phase. The GCM may already have served the client and they are now facing a terminal diagnosis. But a geriatric care manager may be brought in when the family is negotiating through any one of these phases, their work begins with making a determination of what phase the client is in and what services are appropriate for that client at that stage. They are also the best professionals to bring in the quality of life to every phase so that the client can have not only a good death but a good life to the very end.

Benefits You Bring To the Family Friends and Hospice

  • You will monitor the client/care receiver’s and family caregiver’s health and psychosocial status and the paid caregiver’s care plan, to improve the quality of care and life for the client and caregiver So That Hospice can direct all it’s attention to the client and assured family
  • caregivers needs are being met
Shot of a wife consoling her husband during a counseling session with a therapist
  • You will accompany the client to all medical appointments and make sure that the 10 minutes cover all questions, that the physician’s orders are recorded and followed, and that all meds are picked up and set up properly So What –Hospice does not provide this  and ensures the client gets to all appointment relieves the family of another task and everyone is getting all the correct information from the physician

 

  • You will make sure that the family has an online personal health record or a notebook if they wish So What -The family has a way to keep track of information from many professional involved and passes on the correct information to everyone in the family and they can feel more in control in an emotionally chaotic time

 

  • You will do a caregiver assessment and suggest interventions from the local continuum of care, including support groups, counseling, respite care, and private duty home care So What –You are insuring a whole family approach and  the family caregivers are getting the support and respite they need in this frightening time for their loved one

 

  • You will coordinate family meetings to facilitate issues like shock, grief, and shutting down So What- You are a container, allowing the family caregiver to deposit their tremulous at timesdesperate feelings in a safe place so they can get help from you and be calmer for the dying loved one
  • You will coordinate health literacy information and training of disease skills for family So What- You will create a forum for the family caregivers to express their grief, fear  and even hopes and demystifying all the unknown medical terminology to make the family feel more literate and self-assured in approaching the medical staff to get the information they need

 

  • You will monitor anticipatory grief in family and friends and bring in resources

    So What- You will create a forum for the family caregivers to express their grief fear even hope and find the help they need to so on with the journey to death

 

  • You will review all new medication with family caregivers and care staff- So What-you will unravel the confusing litany of pharmaceutical terminology  and make sure the family and friends both understand  what med does what, how to set up meds  and remind the meds when hospice is not present

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties  to Grow Your Care Management Bottom Line

When: February,20th 2020
2PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems you solve for hospice, wealth managers, elder law attorneys, and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP


Find out more by watching my youtube playlist on Death and Dying on my channel Geriatric Care 1

Follow Cathy @ cathycress.com

Filed Under: Aging, Aging Life Care, aging life care manager, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Blog, care manager, case manager, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging family, aging life care manager, aging parent crisis, Benefits, benefits of ALCA, Benefits of Care Managers To Hospice, Benefits Of Geriatric Care Managers, care manager, case manager, end of life, end of life care manager, Features and Benefits, Features and Benefits of geriatric care management, five phases of death, free webinar, Free webinar marketing, geriatric care manager, Hospice, nurse advocate, nurse care manager, palliative care manager. Hospice

The 2 Deadliest US Sites of COVID-19 Nursing Homes & Prisons

May 2, 2020

PRISON INMATES AND NURSING HOME PATIENTS NOT  6FT APART – 6 FEET UNDER

70% of inmates in federal prisons have COVID-19.  In Kansas, the Lansing Correctional Facility had a riot of inmates over COVID-19 lack of care or protection  It took the rebellion to get the coronavirus testing PPE and care. The  Bureau of Prisons in Kansas confirmed finally that 79 staff have coronavirus and 88 prisons and prisoners dead.   

Older residents in nursing homes cannot rebel like prisoners. Many can’t even walk. The Atlantic Magazine just published an article, We are Killing Elders Now. The writer states “In at least six states, these fatalities account for half of all COVID-19 deaths, and according to the World Health Organization, half of all coronavirus fatalities in Europe have been traced to nursing homes too. Some of this mortality is linked to long-term-care facilities that are shoddily run or that violate health standards. But most of them are doing the best they can with what they have. And they don’t have much”.

KAISER FOUNDATION NURSING HOME STAFFING AND USE OF PPE NOT REQUIRED IN MOST STATES

Kaiser reports -Staff Screening. It is more common for states to recommend rather than require daily screening of staff for illness in NFs (24 states recommend, 16 states + DC require)

Use of PPE. More states recommend (23 states) than require (7 states + DC) staff to use PPE

 Two States that require testing for coronavirus of ALL  residents of nursing homes are  Maryland where 556 have died as of the Washington Post article. and Tennessee 

THE FEDS HAVE NO CMS FEDERAL GUIDELINES OR REPORTING

We have no federal guidelines for safety testing according to an article by the Kaiser Foundation

It is now estimated that 16,000 deaths have occurred in nursing homes and that is without the federal government revealing any numbers and not making available any testing. But the numbers are probably huge- if we could just do testing. 

CMS announced it would have a meeting of a “panel” of experts “ sometime at the end of May”. After probably 20,000 older people died and the feds did nothing this shows their sense of urgency about this pandemic’s national “elder cleansing”.

WHAT CONNECTS PRISONS AND NURSING HOMES – CONCENTRATION CAMPS

So, what is the connection between the viral spread of COVID-19 in nursing homes and prisons- 6 feet ? Prisoners and residents, in nursing homes, and prisons cannot social distance. Jails and prisons have human beings crammed together with no choice. Nursing homes have 2 beds or if you are on Medicaid three to a room. Neither group has a choice to social distance. They are ” concentrated” as in concentration camps or death camps.

Do SOMETHING – HELP NURSING HOMES PREVENT MORE CARNAGE

So, as someone who has spent her career in aging, I am calling out to everyone, especially professional in aging – do something. Since the feds appear to be doing little- call your congressman, write a letter to the editor.

BE KIND LIKE RACHEL MADDOW REPORTS LA JEWISH HOME LA WAS

Rachel Maddow suggests calling your local nursing homes and see what they need. Be kind like the LA Jewish Home was to a smaller nursing home LA Brier Oaks. They wanted to test their residents and had no tests and the larger LA Jewish Home had tests and shared them with the smaller as a good neighbor. What they found was ravaging but it also showed caring and generosity. Care and be generous and show the helpless elders in nursing homes in your town you are opposed to -nursing home being prisons or concentration camps.

Filed Under: 4th of july, 7 touches marketing, adult child physical abuse, Adult children, adult emotional abuse, ADULT SIBling, Aging, Aging Alcohol Abuse, Aging Community & Covid-19, Aging deaths, Aging Family, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA & Skilled Nursing Facility, ALCA Beneifits, ALCA business Loans, ALCA Cobtract, ALCA COVID-19 Crisis, ALCA Disaster Plan, ALCA Ethical Dilemma, ALCA Financial literacy, ALCA Products for COVID_19, ALCA sales, Alcohol Abuse and Aging, Angela Jolie, Aretha Franklin, Assisted Living, Assisted Living & Geriatric Care Managers, Assisted Living Crisis, Assisted Living sales, bankruptcy, Barack Obama, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Bill Clinton, billing, Billing 85%, billing 85% of GCM 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How Do You Sell Care Management to Elderlaw Attorneys?

February 12, 2020

WHO IS YOUR TARGET MARKET

As a geriatric care manager, do you want to have success in marketing to elderlaw attornies? Starting or sustaining an aging life or care management business depends on selling care management to customers who will buy will your product /service. Many are customers like adult children of aging parents who will purchase your care management services/products directly because their hair is on fire. But your business ‘s financial success also depends on third parties like elderlaw attorneys, who will refer these sometimes-desperate adult children and their aging parents.

They include good targets who will refer elders and their families to you in you have a really good marketing campaign to reach them. This ” golden” group includes elder-law attorneys, trust officers, upscale assisted living and concierge physicians.  More third parties for you to contact to grow your business include county and state senior services,  information and referral agencies in each county, funded by the Older Americans Act, hospital-based care managers, and physicians, including geriatricians and internists.

All of these marketing targets serve the same demographic as you do. However, the first group serves the same financial demographic as you do elders in the top 10%

.The more elder law attorneys who will refer adult children to you, the better the chances of your financial success at your GCM or aging life business. But how do you design your marketing campaign?

HOW DO YOU SELL GCM OR ALCA TO AN ELDERLAW ATTORNEY?

Once you make an appointment with an elder law attorney, how do you sell your services or products to her? First, you describe the facts about services and position your business so show them you are the best care management agency in your area to serve her or him.

But what is most important is you show the elderlaw attorney how using your agency will benefit him or her in his and her practice. What is your value to this key 3rd party? For example, elder law attorneys are skilled in their field of law but not skilled in working with dysfunctional families, rife with divorce, sibling rivalry, and bad parents. Many entitled parents did not care for them as children and now they are expected to care for that parent. Care Managers are skilled in dealing with these angry adult kids from a broken nest.

WHAT BENEFITS  SELL GERIATRIC CARE MANAGEMENT TO ELDERLAW ATTORNEYS?

Here are some benefits you can show an elderlaw attorney you can offer her or him by referring to you.

You are a health care professional who can assess capacity BENEFIT you will always advise whether the older client has the ability to make legal  decisions

You are expert  with dysfunctional  families BENEFIT–You can take therapy off att plate and help family members support the client’s legal care decisions

You Can Facilitate family meetings over non-titled assets like the salt and paper collection BENEFIT  so the attorney can work on more important legal titled assets like property

LEARN TO SELL THE BENEFITS NOT THE FEATURES OF CARE MANAGEMENT

Find out many more benefits your care management skills care managers bring to an elder law attorney and other key third-party targets you meet with to garner their business and referrals.

Sign up for my free webinar coming up very soon and already nearing the 100 person limit

Join me in my new FREE Webinar  
Learn to Sell Benefits not Features to Third Parties to Grow Your Care Management Bottom Line

When: March 6, 2019
2 PM-3 PM PST
Learn

The problems you solve for 3rd parties so they will refer to you.  

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems you solve for wealth managers, elderlaw attorneys, and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the  sale

  • •Sign -Up – 

 

 

Filed Under: Adult children, Aging Family, Benefits, Benefits of Care Management, Benefits of Geriatric Care Management, Benefits vs Features, Blog, GCM Benefits, Marketing aging life care, marketing ALCA /GCM, marketing care management Tagged With: aging family, aging life care manager, aging parent crisis, ALCA marketing, Benefits vs Features, Care Management marketing plan, case manager, geriatric care manager, home care business, Home care marketing, marketing geriatric care, marketing target, marketing to 3rd parties, MARKETING TO ELDERLAW ATTORNEYS, nurse advocate, nurse care manager

3 Award Winning Ways to Get Your Care Management Contract Signed in Assisted Living.

February 3, 2020

Do You Want Offer Geriatric Care Management  Benefits to Assisted Living?

If you are a geriatric care manager, do you want to get your Assisted Living client contract signed? Harry Beckwith, who wrote one of the 100 best business books, “Selling the Invisible,  has some great ideas to get that signature.

Since ALCA members and geriatric care managers sell the invisible-

Listen up to Harry Beckwith

To make the sale on a care management Assisted Living service that folks cannot touch or see

  1. Fix your service- Do it before you even think of making a sale to Assisted Living Director. Make sure it is gold standard like the top 10% of adult children want for their parents and the Assisted Living Director needs. Fix it and fix it until it is “Flawless “Service in Assisted Living– just the way the top 10% expect it to be. They want a 5-star hotel service and will buy when you try to sell to them.
  2. Let your clients’ set the standards. Your clients in the upper 10% want the best of the best. They want you to fix their mother’s care and their pain as a caregiver. The Assisted Living Director wants you to supplement their care so they will not lose the resident. So, find out how you can help the assisted living Director in the marketing meeting by explaining how depressed lonely, isolated residents will be happier at the facility and have more joy when your Assisted Living services are added.
  3. Give the prospect one good reason to sign your contract. Tell the Assisted Living Director what you will do to relieve the pain they are having by losing unhappy residents. Give them that one good reason to sign up with you by explaining how you will remove their pain by offering activities for their aging depressed, lonely, isolated or just unsatisfied residents that the facility does not offer. 
  4. Use Benefits to Sell Your GCM Services to Assisted Living

     

    • The assisted living and retirement community sometimes has needs that cannot be met in these non-medical, non-one-on-one living arrangements

     

    • You (as a geriatric care manager) will help the facility with residents who are not adjusting to the facility or considering moving, by engaging them in activities that will enhance their quality of life

     

    • You will help residents not engaging in activities to participate in activities programs, outside activities, and socialization programs through the Quality of Life Assessment and through a Concierge Companion

    Find out more GCM ALCA Benefits Assisted Living, plus Benefits to Conservators, Elderlaw attornies and many more,

     

    Join me in my new FREE Webinar
    Learn to Sell Benefits not Features to Third Parties to Grow Your Care Management Bottom Line

    When: February,20th 2020


    2 PM-3:30 PM PST
    Learn
     

    What is a benefit vs features and how to find benefits for each 3rd party you market to?

    What specific problems you solve for wealth managers, elderlaw attorneys, and concierge physicians  

    What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

    Step by Step how to set up meetings with 3rd parties to make the sale

    SIGN UP

     

     

     

    New Free Webinar

     

     

     

     


      to

  5.  Benefits Use When Selling Geriatric Care Management to Assisted Living

 

  •  

Filed Under: Adult children, aging family crisis, aging life business, Aging Life Care Assocaition, aging life care manager, ALCA Cobtract, Benefits, Benefits vs Features, Blog, care management start-up, care manager, case manager, Contract signed, elder care manager, Features vs Benefits, GCM Constract, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, inquiry call, Marketing aging life care, marketing ALCA /GCM, Marketing copy, marketing pitch, marketing to concierge clients, marketing to the top 10$, marketing to upper 10%, nurse advocate, nurse care manager, Webinar Tagged With: aging life care manager, aging life care sales, ALCA contract, ALCA sales, Assisted Living, care manager, case manager, GCM contract signed, geriatric care manager, Geriatric Care Sales Assisted Living, Harry Beckwith, Marketing to Assisted Living, new client, nurse advocate, nurse care manager, Quality of Life in Assisted Living, Recreational Therapy in Assisted Living, sell the invisible

What Marketing Tactics Work Best to Reach Aging Life or GCM customers?

February 1, 2020

What Are Your Marketing Tactics ?

Marketing your existing or new Aging Life or GCM business is vital to growth, but where you spend your marketing dollars or do you use free public relations like showing targets the benefits of ALCA or GCM? What marketing tactics make the most sense for you? Where will you reach your client base best? This is where your marketing strategy comes into play. Before the business can start generating revenue, a marketing strategy and sales techniques must be in place.

A marketing message, like benefits, must be communicated to the public about your business

 

To get new GCM, ALCA clients your marketing  message must say your business offers these benefits

  •  concierge solutions to the grueling aging care decisions families and clients must make.
  •  expert professional assistance with the tough choices aging family members must make about elder housing, medical care, personal care, finances, end of life and the myriad mind-boggling decisions they face.  
  •  support to the aging client and the whole aging family to transform the family to get care for the client 
  •  support and care  to the caregiver to keep them from burnout
  •  the exact product they will need to solve their problem like dementia care, moving an elder, quality of life, VIP care

Example -Benefits of Geriatric care manager to an Elder Law attorney

  • Assess capacity –you are are a health professional and they are not
  • Work with Dysfunctional families – often their clients
  • Do facilitation with dysfunctional families
  • Facilitate family meetings over non-titled assists, health care decisions( death and dying)
  • Expert in sibling wars facilitating  decisions to help parent care
  • Can advise on the current and future costs of care. 
  • Extra set of eyes for the attorney and can monitor the client’s     medical status, address safety issues keep them updated
  • Prepare written geriatric assessment as evidence in a guardianship or conservatorship if admissable in your state

Join me in my new FREE Webinar


Learn to Sell Benefits not Features to Third Parties to Grow Your Care Management Bottom Line

When: February,20th 2020
2 PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems you solve for wealth managers, elder law attorneys, and concierge physicians, assisted living  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s   and many more

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP

Filed Under: Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, aging life care manager, ALCA Beneifits, Benefits, Benefits vs Features, care manager, case manager, Concierge aging clients, Concierge Client, Concierge Senior, elder care manager, FREE MARKETING WEBINAR, FREE WEBINAR, GCM Benefits, GCM Start-Up, GCM Webinar, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, Marketing aging life care, marketing care management, marketing to concierge clients, marketing to the top 10$, nurse advocate, nurse care manager Tagged With: aging concierge Clients, aging life care manager, aging parent crisis, benefits of ALCA, Benefits of care management, Benefits Of Geriatric Care Managers, Benefits vs Features, care manager, case manager, concierge marketing, geriatric care manager, Marketing Care Management, marketing services, marketing tactics, nurse care manager, webinar concierge care

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