Cathy Cress

Expert in Aging Life and Geriatric Care Management

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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.

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Do You Have An Ethical Dilemma About The Cost Of Private Care Management? $?

March 19, 2020

GCM ETHICAL DILEMMA

Limiting access to geriatric care management to the upper 10% leads most Aging Life or geriatric care managers to an ethical dilemma.  Should we limit resources-?

PHYSICIAN’S ETHICAL DILEMMA LIKE GCM

The physician of the 20th century treated all patients rich or poor and did not have a business model. Today managed care physicians see everyone on Medicare, although many do not take Medicare iStock_000063346301_Medium-1.jpgbecause of the low payments. Access to the physician diminishes even more with the advent of the concierge physician, who uses a business model to only treat those elders who can pay privately, which ends up being the upper 10%

Most aging life or geriatric care managers came to the field with inner core beliefs that health care should be available to all elders, yet they chose to start a business. So here ‘s the rub.

HERE IS THE RUB FOR ALCA OR AGING LIFE

That business cannot prosper if the aging life or GCM does not have long term clients who can pay for it. The federal government does not fund the profession, so elders have limited access.

Should you be part of this?

 Here is an ethical dilemma. It turns out that you must serve clients long term to make your aging life or geriatric care management thrive. You also must serve clients in the upper 10%  because we have no national insurance that covers geriatric care management or any long term care.

Statistics support this financial inequity. Only 8% of Americans have long term insurance Medicare does not cover Long term care. The top 20% of Americans own 86% of the country’s wealth and the bottom 80% of the population owned 14%. In 2011, financial inequality was greater than inequality in total wealth, with the top 1% of the population owning 43%, the next 19% of Americans owning 50%, and the bottom 80% owning 7%.

According to Christopher Ingraham/The Washington Post, in 2019 the 400 richest Americans now own more than the bottom 150 million causing huge financial inequity. (Christopher Ingraham/The Washington Post)The top 0.1% in 2019 own more than than the bottom 80% 

GCM OR ALCA CAN ONLY BILL THE WEALTHY

So only the upper 10% can afford those fees long term. ALCA experts Bob OT’oole explains this quite clearly. Bob Toole a long term member of ALCA, documents this quite clearly in Private Revenue Sources for Fee-Based Care Managers Need vs. Demand in Eldercare in the 4th edition of Handbook of Geriatric Care Management.

Although you began an ALCA or GCM business this is the reality you must practice in. You must reach out to wealthy elders who can afford and sustain you. Find out How

Join me in my newest Free Webinar 

Webinar-Sales and Marketing to Find the VIP Concierge Client

March 31, 2020 -2PM -3:30 PM PST

Concierge Clients are the only way a GCM or ALCA care manager can make a profit and have their business thrive. Find out who are they, how you find them, design GCM Products they will purchase, and create a marketing plan and gold standard services to have them sign your contract and use your services long term

Learn

Who They Are- 4 Types

How to Locate them in your service area

How to create a strategic marketing plan to sell to them

How to Develop Gold Standard GCM Products and Services

Sign Up Now

 

 

Filed Under: Aging, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, billing, Billing 85%, cash flow, Concierge Senior, elder care manager, ETHICAL DILEMMA, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, marketing to the top 10$, marketing to upper 10%, MONEY FOR GCM BUSINESS, nurse advocate, nurse care manager, Webinar Tagged With: Aging Life Ethical Dilemma, care manager, geriatric care manager, My Geriatric Care Management Operations Manual, starting a GCM business

Feed me Feed Me-How Do You Get Conservators to Make Referrals to Your Business ?

February 10, 2020

Why would third parties like conservators or guardians use a care manager to assist with their aging client and family? If you have an Aging Life or GCM business you need to know. 

 

Why do you need to know this? First, you need to create a practice that meets the needs of major referral sources like conservators the term we use in California or a guardian ,  Many clients- usually adult children, call you to start services on their own but a conservator calls you directly. 

A conservator or guardian has the legal choice in hiring a geriatric care manager or ALCA members. These third parties need to know what you will do to help them with their clients if they are to work with your agency. On the feeding chain of referrals, conservators or guardians can be one of your most important sources to feed income into your business. You have to deliver what they need to make money.

Benefits and Features

Features often directly address common problems experienced by users. Benefits are the outcomes or results that users will (hopefully) experience by using your product or service – the very reason why a prospective customer becomes an actual customer.

For example, a conservator is usually a legal entity that manages money and legal guidelines. A geriatric care manager is usually a health professional who specializes in the physical and mental health of an older person. So you benefit a conservator or guardian by offering your in-depth knowledge of of the health care issues and solutions for an older conservatees

How Do you Sell Your Services to a Guardian or Conservator – Benefits

Some Examples of benefits you bring to a conservator guardian

  • You can act as a ‘medical information hub,’ attending doctor appointments and providing Conservator with physician notes, current vital signs, medications information, and treatment directions.
  • You can assess whether care in a facility is delivered as contracted by the Conservator.
  • You allow the Conservator to get out of the ‘hot seat’ when working with families with extreme dysfunction.   

 

 

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 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: Aging Family, aging life business, Aging Life Care, Blog, care management start-up, cash flow, Conservator, elder care manager, GCM Start -Up, Geriatric Care Manager, geriatric care manager, geriatric social worker, Guardian, Legal Guardian, Marketing aging life care, marketing care management, marketing to concierge clients, marketing to conservators, marketing to guardians, marketing to the top 10$, nurse advocate, nurse care manager, Third Party Referral, Trust Officer, Wealth Management Departments Tagged With: aging family, Aging Life Care Association, aging life care manager, aging parent crisis, benefits of ALCA, Benefits of care management, Benefits Of Geriatric Care Managers, care manager, Features and Benefits, Features and Benefits of GCM, Features and Benefits of geriatric care management, geriatric care management, marketing aging life or geriatric carre management, Marketing Care Management, marketing tactics, marketing to 3rd parties, marketing to trust officers, nurse advocate, nurse care manager

-How Do the Benefits You Offer Get Third Parties To Refer to a Care Manager? ?

January 28, 2020

 

What Make’s 3rd Parties Refer to Geriatric Care Managers?

Why would third parties like trust officers, elder law attorneys, conservators or guardians refer a care manager to their aging client and family? If you have an Aging Life or GCM business you need to know. The Journal of Aging Life Care in its March 2017 issue gives care managers some critical clues to solve this question.   Why do you need to know this? First, you need to create a practice that meets the needs of your clients and major referral sources. Many clients- usually adult children, call you to start services on their own. But a good majority of clients will call you because their attorney, bank trust officers, CPA referred them. These third parties need to know what benefits you offer them and their clients if they are to make referrals to your agency. On the feeding chain of referrals, they are one of your most important sources to feed income into your business. You have to deliver what they need to make money.

Great Research Results on What 3rd Parties Want

The Florida Chapter of Aging Life invested in a 7-year research project to get some of these answers, published in the Aging Life Journal. in March 2017. This is the first research study on Aging Life Care that pinpoints what third parties who refer clients want and value in a care manager. It is groundbreaking.   Reading this tells the care manager, not only what benefits to include in their services but in their marketing material, and sales pitch or elevator pitch to the third party. The study tells you what 3rd parties are looking for in a senior advocate for their in a very clear table. They found the number one reason third-party clients use care managers is they assess and monitor their clients and update the third parties on a regular basis. This is a key benefit you can use when you market to third parties, like wealth managers, elder law attorneys, or guardians. Get a copy of this important Journal if you belong to ALCA or join, as this type of information is one of the many many benefits of the Aging Life Care Association by joining. 

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

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   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: Aging Family, aging life business, Aging Life Care, billing, Blog, care management start-up, cash flow, elder care manager, Elderlaw Attorney, GCM Start -Up, Geriatric Care Manager, geriatric care manager, geriatric social worker, Guardian, inquiry call, Marketing aging life care, marketing care management, marketing to concierge clients, marketing to the top 10$, nurse advocate, nurse care manager, Third Party Referral, Trust Officer, Wealth Management Departments Tagged With: aging family, Aging Life Care Association, aging life care manager, aging parent crisis, care manager, geriatric care management, marketing aging life or geriatric carre management, Marketing Care Management, marketing tactics, marketing to 3rd parties, marketing to trust officers, nurse advocate, nurse care manager

Small Business Failure Rate 50% – Create a Time Line Before Launch a Aging Life or Geriatric Care Management Agency

January 8, 2020

 

 

WHAT STARTS FIRST IN A STARTUP?

Wondering what you have to do to get a new aging life or geriatric care management business started? What should you do first? What next? A startup timeline tells you the steps you need to take when starting a new care management business.

YOU NEED A TIMELINE
A care management business start-up timeline is meant to remind you of the tasks you may have to perform when starting your business. – before you open your doors

Not every care management business will have to complete each step. For instance, you may decide to get a NACCM credential instead of an NASW credential or no credential at all

MORE THAN HALF OF STARTUPS FAIL IN FIRST TWO YEARS

According to the Small Business Administration (SBA), only 66 percent of small businesses will survive their first two years.

Opening a care management business takes, in aging, what we call executive skills. You have to have a

timeline with a logical order to open any business. What do you do first, second????

Do you have a timeline to open your geriatric care man agent business? You know you have to purchase client software, market, rent an office, get forms, get a website, create a brand, get a marketing database- but in what order.

Learn How to Create Your Timeline to Open plus all the Business Skills you Need to Open Your New GCM Business

Sign up for my New On-Line GCM Business Class at a very low introductory Price of $450

Skills you will learn

  • GCM marketing survey skills to pinpoint your area’s upper 10% clients and 3rd-party referrals to market to, to make your business profitable
  • GCM competitive analysis skills to set the fee per hour your market will bear for your services and to gather information from each, to position your services vs your competition’s so clients will choose you
  • GCM timeline skills to identify and list (in a manageable, doable order), major tasks to complete before you open your business
  • GCM organizational design skills to create your business flow chart and job descriptions, and outline how power flows down your staff to deliver gold standard care to clients
  • GCM business planning skills to write a 13-part business plan to create a blueprint of measurable goals for your business’s financial success
  • GCM marketing skills to create a marketing plan to develop lead sources, conduct lead generation, launch social media, and conduct content marketing to gain new customers
  • GCM sales skills to position your agency to sell your menu of services
    through benefits to 3rd parties and clients though cold calling, 1-1 sales meetings, and inquiries, by knowing how to close the sale and sign the contract
  • GCM ALCA billing skills to develop a billing system that allows you to bill 85% of your time, control your cash flow, invoice promptly to make a profit
  • GCM financial forecasting skills to develop a 3-year financial forecast Excel spreadsheet to track your basic profit and expenses, and to track the number of clients and billable hours needed to break even make a profit, pay back loans, hire new staff, and take a salary yourself

Taught through Blackboard CourseSites

  • Self-paced course
  • Tech support
  • 10 video PowerPoints
  • 10 video intros to modules
  • 1-1 coaching with Cathy Cress
  • Chat room
  • Templates to follow with each module
  • Pre-test
  • Post-test
  • Bibliography
  • Assignments with each module graded by Cathy Cress
  • Facebook group to interact with other students, Cathy Cress and 25 other ALCA GCMs who have already purchased the manual
  • Signed contract must be completed before purchase

 

 

    • SIDESTEP THE 8 OUT OF 10 ENTREPRENEURS WHO START BUSINESSES AND FAIL WITHIN THE FIRST 18 MONTHS

     

     

    Find out more in the YouTube from My Geriatric Care 1 Channel.

     

     

 

Filed Under: Aging, aging life business, Aging Life Care, aging life care manager, care manager, cash flow, GCM Start -Up, Geriatric Care Manager, nurse advocate, nurse care manager, Timeline Tagged With: aging family, aging life and geraitric care manager, aging life care manager, aging parent crisis, care manager, geriatric care management, geriatric care manager, nurse advocate, start a geriatric care manager business

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