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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If Need How Top 10% to Make a Profit at Care Management- Find Them.

March 23, 2020

Why Do a Market Survey before you decide to open a geriatric care management business?

Numerous small geriatric care management businesses have failed after only a few years.

Many of these enterprises made a faulty assumption when developing their business plans. When they looked at the large volume of research and demographic data published in dozens of studies funded they saw a well-documented need for the services provided by private care managers to the tune of 65 million people.

Looking at this large and growing need for services, they confused “need” with “demand.” The fact is that the services of private fee-based geriatric care managers are only affordable to a very small percentage of the population.

Income inequity in the US means top 10% of the US population controls most of the wealth

Only this 10% can afford geriatric care management

 

The target market for a GCM or ALCA business is not the 65 million families who need geriatric care man­agement services but the much smaller subset of those families, who can afford to hire a care manager, which is a huge ethical dilemma but what we face with income inequality in this nation.  

Learn about Private Revenue Sources for GCM’s and why you have to work with the top 10% who can afford GCM’s

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

 

Get the new Handbook of Geriatric Care Management 4th edition   now– out in Kindle or Hardcover

 

 

Filed Under: Aging, Concierge aging clients, Concierge Client, Concierge Senior, ETHICAL DILEMMA, FREE MARKETING WEBINAR, FREE WEBINAR, GCM Start -Up, geriatric care management emergency proceduress, geriatric care manager, geriatric care manager start up, geriatric social worker, Marketing aging life care, marketing ALCA /GCM, marketing care management, marketing geriatric care management, marketing to concierge clients, marketing to the top 10$, marketing to wealth managers, nurse advocate, nurse care manager, Sales in geriatric care management, Selling GCM Business, Webinar ALCA GCM Tagged With: adult children of concierge parents, aging concierge Clients, aging family, aging life care manager, care manager, case manager, Concierge Care management, Concierge Client Sales, concierge marketing, Handbook of Geriatric Care Management, My Geraitric Care Management Operations Manual, nurse advocate, nurse care manager, reaching top 10% elder, top

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

Well Heeled Seniors Who Bought Payless Shoes Are Concierge Clients Too

March 9, 2020

You Need Concierge Clients

 

Geriatric care manager need inquiries about services from adult children of concierge seniors. These are the older adults who can afford long-term geriatric care management and home care

Well Heeled Seniors Who Used to Buy Payless Shoes

You may be surprised that this upper 10% of the populations include teachers and subway workers.

Well-heeled seniors, according to the New York Times, include middle-class retirees who buy shoes from Payless but have a defined pension that can afford care at home when they need it and private care management.

Defined Pensions Directly Affect the Quality of Aging Care

They rode the post-war economy, held jobs long term and through that defined pension (no 401K) face a very healthy financial picture in aging.  They worked for city, county, state government are teachers, truck drivers, social workers or were union members in all trades. They had a career at Xerox, IBM, Campbell Soup and big Fortune 500 companies.

These middle-class concierge clients and their adult children call a geriatric care manager when they visit Mom and Dad and find care problems – or their aging parents have a health crisis. But they will really shop around as they have been raised by frugal parents on limited budgets during their childhood even if their parents now have excellent retirement through defined pensions.

They want the best service and seamless points of the compass that an aging life or geriatric care manager can give each client. These retirees lived on small salaries. Teachers who graduated in 1967 made $5000 a year. So they lived a working life of cautious shopping and tight family budgets. Now in retirement, they can sail down the Danube with their generous defined pensions and afford private duty home care and long-term geriatric care management when they need it or their adult kids who visit home or the emergency room and know Mom and Dad need help.

Learn More about Marketing to Concierge Clients

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 including defined pensioners like teachers and subway workers.   

SIGN-UP         

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Sign up for this limited enrollment webinar that will teach you to sidestep the 8 out of 10 entrepreneurs who start businesses and fail within the first 18 months.

 SEE You There 

Cathy Cress MSW

 

 

 

 

 

Filed Under: Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, ALCA Beneifits, Blog, care manager, case manager, Concierge Senior, elder care manager, ETHICAL DILEMMA, Families, FREE MARKETING WEBINAR, FREE WEBINAR, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, Long Distance Care, Long distance caregiver, marketing care management, marketing pitch, marketing to concierge clients, marketing to long distance adult children, nurse advocate, nurse care manager, Webinar Tagged With: affording care management, Aging Concierge client, aging life and geraitric care manager, aging life care manager, aging life or geraitric care manager, care manager, case manager, Concierge Care management, Concierge Care Manager, Concierge Geriatric care manager, geriatric care manager, geriatric social worker, LCSW aging, nurse advocate, nurse care manager, retire with defined pension, retiree defined pension

Webinar: Break Through Barriers to Billing & Profit: Financial Management for Aging Life Care Managers

August 20, 2019

Avoid A Bleeding Balance Sheet & Bill 85% of Your Time To Make a Profit

Care managers often have difficulty billing or hiring care managers who can bill. As social workers and nurses they were trained to give services away. This webinar will show you barriers to billing. It will teach you financial reality that aging care managers need to bill 85% of their time or go out of business. The webinar will identify behaviors to help you bill and implement s fiscal system to assure your agency will make a profit. This class will teach how to identify the ethical dilemma they may have in billing, establish a fee for services mindset, choose right billing software, and design subsystems and software to bill 85% of their time.

I cover how to convert you and your staff to a profitable fee for service mindset.

In this one-hour webinar you will learn how to:

  • Identify the ethical dilemma you may have with billing as RN SW

  • Choose the right billing software to bill 85% of your time
  • Design Systems to allow your staff to bill 85% of their time
  • Identify ways to determine if your business is making a profit
  • Identify a system to ensure customers will pay you

 

What Should I Do? sign

ONE DAY LEFT TO SIGN UP

 

FREE WEBINAR-

Break Through Barriers to Billing & Profit: Financial Management for GCM &Aging Life Care Managers

 

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THIS WEBINAR BEGINS: Wednesday August 21 2 PM PST Ends 3:15PM PST

 

DURING THIS FREE WEBINAR YOU WILL LEARN

How to Give Your Customers Have a Commitment to Pay You                     

 

 

 

 

 

 

 

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Filed Under: bankruptcy, billing, Billing 85%, care manager, case manager, cash flow, elder care manager, ETHICAL DILEMMA, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, Hurricane Maris, marketing geriatric care management, marketing to the top 10$, MONEY FOR GCM BUSINESS, nurse advocate, nurse care manager, patient advocate, Profit, Sales in geriatric care management, Webinar Tagged With: aging life care manager, aging life geriatric care billing data base, barrier to billing, Billi\, Billing 85%, billing for geriatric care management, billing in the field, care manager, case manager, GCM billing, geriatric care manager, Handbook of Geriatric Care Management third edition, nurse advocate, nurse care manager

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