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.

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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Stop -Before Starting Geriatric Care Management Business – Do a Competition Survey

September 24, 2019

 

If you are thinking of starting private geriatric care management, a competition survey is critical to decide if you can make a profit in this business.     

You are surveying who your competition is in the geographic area you want to serve. You are discovering if you can achieve market share in the area you choose to serve.

You want to create a survey  in excel that tracks the individual care manager’s in your services area, and find out what their hourly fee is, do they  include homecare, what geriatric care management services does each  GCM offer, do they answer in two rings, how is their customer service, are they on call 24 hrs a day, are their care managers certified.

Use a staff member or outside person to be a secret shopper and make the calls, as you are doing market research. You must find someone who feels comfortable impersonating someone else. You need to give that person a customer story- they are a daughter looking for services in your area and calling around and a description of the fake mother and her problems

This will also tell you if the local market is too saturated for your new business to compete with the other care management agencies. It will test whether you can make a profit- can you make money, pay your bills, actually go to the next step while doing good?

Fewer businesses are failing in 2019 for many reasons. One is the tendency of would-be entrepreneurs to evaluate business opportunities more carefully before taking the plunge, by doing a competition survey.  Potential company founders are more selective than they used to be.  This means fewer marginal companies – businesses whose products are not needed or whose markets are already being served by other businesses –  are being formed. As a result, the average American company is stronger and more likely to survive than it once was. This means doing a competition survey to find out if your product care management is really needed in your market and are too many geriatric care management competitors, in your area for you to successfully compete as a new business.

Learn how to do your market sizing and competition survey and discover whether you have enough customers in your area to start your care management business. Don’t Guess and fail.

 

Sign Up for My Newest Free Webinar 

5 Critical Steps to Start or Restart a GCM/ALCA Business

 THIS WEBINAR BEGINS: Tuesday, October 22  at 2 PM PST Ends 3:15 PM PST

 Learn how to transform your GCM entrepreneurial dream into a money-making business with 5 profit driven steps!

 

  • How to Do A Competition Survey
  • How to Learn GCM Financial Literacy
  • How to Give GCM Concierge Service
  • How to Bill 85% of your time
  • What GCM Products Services to Sell
  • SIDESTEP THE 8 OUT OF 10 ENTREPRENEURS WHO START BUSINESSES AND FAIL WITHIN THE FIRST 18 MONTHS
  • Subscribe to my YouTube Channel Geriatric care 1 to get more care management information to help your business

Filed Under: Aging, Blog, care management market sizing, care management start-up, care manager, case manager, competition survey, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, marketing, Marketing aging life care, marketing care management, marketing geriatric care management, nurse advocate, patient advocate, Sales in geriatric care management, Webinar Tagged With: aging life and geraitric care manager, business plan for aging life or geraitric care management, care management, case management, competition survey, geriatric care manager, home care care manager, nurse advocate, nurse care manager, small business failure, start up geriatric care manager

Afraid of Your Competition ??-You Can Learn How to Position Your Business From Them

January 14, 2019

 

Your competitors can show you how to position your business so you stand out from the competition. Positioning is how you make clients in your area choose you over others in the area you serve. Your ALCA or Care management competition survey, ( which should so yearly by getting a mystery shopper). The Trump administration says there are lots of people out there be a mystery shopper since he shut the government down. These mystery shopper calls ( the coast guard or your staff) let you identify and survey other direct GCM competitors like the area agency on aging which may have a GCM arm or for-profits like accountants or elder law attorneys who include geriatric care management in their service mix.

Identify substitute providers like hospitals, often through their home health services.   These can also be part of your competition to take market share from you. Private duty home care agencies offer geriatric care management to their web site. But you have to discover whether they have a certified aging life geriatric care manager as part of their staff. Tracking this down takes having a secret shopper calling all of these agencies and talking to the actual geriatric care manager and asking for their credentials, prices, services, and many more variables.

Professional Patient advocates in your area should also be tracked as possible competitors.

Non-profits often spin off for profit geriatric care management arms to help with the more needy clients they serve. Many religious denominations have geriatric care as a choice so you can learn how they are leveraging their brand. Area Agencies on Aging offer private geriatric care management and can do a good job of leveraging their respect and brand in the community.

Trust departments or wealth management services can have care management to assist with their elderly clients or the adult children in wealth management, who care for their parents.

All these competition surveys will show you marketing/positioning alternatives in your this competitive landscape. They will show how to better brand and shape your branding message- so you are the top choice of customers.

Find out how you can position your own GCM/ALCA  agency, over your competition and be chosen by clients seeking care for loved ones.

Join me in my new FREE Webinar
Learn to Market Like Your Business Depended on it!
When: January 23, 2019
2PM-3PM PST
Learn

How to position your agency so it stands out from your competitors
How to develop or rewrite a strategic marketing plan in 2019 that brings more customers
How to use branding to build positive gut feelings about your agency
How to develop lead generation and tactics through third parties
How to set up leads generation with both a speakers bureau to do co-presentations & join the rubber chicken circuit to reach adult children and targeted audiences:
•
• Sign -Up –

Filed Under: Adult children, ADULT SIBling, Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, aging life care manager, Blog, brand, branding, care management market sizing, care management start-up, care manager, case manager, competition survey, Concierge aging clients, Concierge Client, Concierge Senior, elder care manager, Families, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, Hurricane Irma, Hurricane Maris, ife care manager, inquiry call, Intake, Intellectual Quality of Life, John Mc Cain, Jose, Late Life remarriage, LGTB elders, Long Distance Care, marketing, Marketing 4P's, Marketing aging life care, marketing ALCA /GCM, marketing care management, Marketing plan, marketing to concierge clients, marketing to long distance adult children, marketing to the top 10$, Mission, Narcissistic Personality, Nearly Normal Aging Family, News, nurse advocate, nurse care manager, Nursing home abuse, Nursing Home disaster plan, Oral History, Palliative care manager, patient advocate, Poor Nursing home staffing, positioning, postioning, Private Duty Home Care, Quality of Life, Quality of Life for elders, Quality of Life in Dying, Quality of Life with Dementia, Reminiscence Therapy, Respect, SIBLING, sibling rivalry, sibling sharing care, Siblings, Social Media, Social Media for Care managers, Social Media for eldercare, Speaker's Bureau, Spiritual Quality of Life, Stepmonster, Sweetheart scam, Thanksgiving, Thanksgiving Parent crisis, Third Party Referral, Timeline, Town Hall, Transgender Elders, Trust Officer, Wealth Management Departments, Webinar, Written Geriatric Assessment Tagged With: aging family, aging life care manager, care manager, case manager, competition survey, geriatric care management, geriatric care manager, nurse care manager

If you Are A Start-Up Geriatric Care Management Agency – Do You Have Business Skills?

October 14, 2018

You need clinical skills to start and run an aging life or geriatric care management agency but you must have business skills as well.

Geriatric care managers need to understand revenue- how they make money to be financially to make a profit. Revenue does come from billing – but poor billing is very unprofitable billing. Money-losing billing is anything less than 85% of your client’s time. When you bill less than 85% you actually start losing money. Revenue is the high tide of money and is calculated by the number of client’s you serve, new client’s per month, number of clients canceling service. % of time billed (the goal is 85%) and what you charge for travel time.

You need to know how to do a competition survey to measure whether you have too much competition and what your competitors off so you can offer more and be chosen. You should also identify and survey other direct GCM competitors like the non-profit area agency on aging which may have a GCM arm or for-profit like accountants or elderlaw attorneys who include geriatric care management in their service mix .

You need to know branding. Aging life or geriatric care manager must use different branding and a  marketing approach that messages hyper-attention to seamless care to attract these top 10% concierge clients who can afford your services long term.

Marketing your existing or new Aging Life or GCM business is vital to growth, but where you spend your marketing dollars? What marketing tactics make the most sense for you? Where will you reach your concierge client base best?

This is where your marketing strategy comes into play. Before the business can start generating large revenue, a concierge marketing strategy and sales techniques must be in place.

Your marketing message must be communicated to the concierge customer. You need to how to write a business plan, use social media to attract customers, how to do 1-1 marketing to third parties-

Find out more

  • How do you attract Concierge upper 10 % of clients you need to keep your business afloat and really profitable?
    • Want to know more about what you need to start or restart a Care Management Agency?
      Join me Wednesday, October 17 Pacific Time for my latest webinar Pacific Time 2:00 PM 

      • Reach our target concierge audience
      • Design products that exactly meet their needs
      • Obtain adult children’s buy-in                                                                       
      • Use marketing that will make them choose you
      • Get the contract signed with ease
      • Create a brand that tells concierge clients they will get Four Seasons Service      
      • If you really want to run a GCM business that makes money by targeting concierge clients then you don’t want to miss this free training.

      Sign -Up 

    •  In this FREE  1-hour webinar, you will learn how to:             
    • 5 Steps to Sign Up the Profitable GCM Concierge Client

 

Filed Under: Aging, aging life business, aging life care manager, Blog, care management market sizing, Care Management Products, care management start-up, case manager, cash flow, competition survey, Concierge Client, elder care manager, Families, GCM Start -Up, Geriatric Assessment, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, marketing care management, nurse advocate, nurse care manager, Webinar Tagged With: aging life care manager, care manager, case manager, geriatric care manager, nurse care manager eldercare manager start-up

How Do You Finance a Geriatric Care Management Business ?

October 10, 2018

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The financial projection may be mind-numbing to care managers who started an Aging Life or geriatric care management business with an awesome idea and a toolbox of care management skills. But beware– without the tools and skills to make money- your great idea of a private geriatric care management business may end up bankrupt.

Geriatric care managers need to understand revenue- how they make money to be financial to make a profit. Revenue does come from billing – but poor billing is very unprofitable billing. Money-losing billing is anything less than 85% of your client’s time. When you bill less than 85% you actually start losing money. Revenue is the high tide of money and is calculated by the number of client’s you serve, new client’s per month, number of clients canceling service. % of time billed (the goal is 85%) and what you charge for travel time.

Geriatric care managers can become more financially literate about making money by doing a financial projection over a three-year period. You can calculate the number of clients you need to make a profit when you will break even when you can hire new staff.

You can find out awesome facts before you open a care management business by doing this mind-numbing financial projection. Facts you can forecast are how much investment you will need for your business, what the cash flow consumed in the business will be, the number of client’s you need to make a profit and most of all when you will break even and rise above low tide– moving to the all-important high tide, through your excellent financial management and care management skills.

So use this financial decision tool for financial projection. Find it chapter 13 of the Handbook of Geriatric Care management 4th edition and watch youtube 5 Financial Projection below. Become a geriatric care manager with financial skills to make a Profit.

  • Want to know more about what you need to start or restart a Care Management Agency?
    Join me Wednesday, October 17 Pacific Time for my latest webinar Pacific Time 2:00 PM 

    • Reach our target concierge audience
    • Design products that exactly meet their needs
    • Obtain adult children’s buy-in                                                                       
    • Use marketing that will make them choose you
    • Get the contract signed with ease
    • Create a brand that tells concierge clients they will get Four Seasons Service      
    • If you really want to run a GCM business that makes money by targeting concierge clients then you don’t want to miss this free training.

    Sign -Up 

  •  In this FREE  1-hour webinar, you will learn how to:             
  • 5 Steps to Sign Up the Profitable GCM Concierge Client

 

 

  • Subscribe to My Geriatric Care 1 Youtube channel 

Filed Under: Aging Life Care, aging life care manager, Blog, care management market sizing, care management start-up, care manager, case manager, competition survey, elder care manager, Geriatric Care Management Business, Geriatric Care Manager, nurse care manager, Webinar Tagged With: aging family, aging life care manager, aging parent care, care manager, elder care manager, geriatric care manager, nurse care manager

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