paid caregiver Archives ⋆ Cathy Cress

Medicare Does Not Fund Long Term Care

Concierge Clients, wanting concierge care providers, are sadly the only clients of GCM or ALCA experts because of income inequity in the US and the fact that Medicare does not cover long-term care, like home care and geriatric care management.

You Are Only As Strong As Your Weakest Link Especially With Concierge Clients!

You must serve the top 10% of aging Americans because those clients make your ALCA business or GCM business make money and thrive. But to deliver the gold standard services that concierge care demands, let’s take the weakest link in your business- your care staff. You are only as strong as your weakest link these concierge care providers. These incredibly important employees’ skills will measure how concierge clients really rate you.

First and foremost to serve Concierge clients you need highly skilled concierge care providers with a CNA background or years of experience. Older generations, especially entitled clients, are likely to be

less trustful of an individual with numerous visible tattoos and a Mohawk. They would rather have their concierge care providers be a clean-cut employee wearing a uniform. You want background-checked employees with tolerant of demanding clients and willing to be servile and assertive and know when to use either.

Concierge Care Providers for Concierge Clients Should Be:

WELL-GROOMED
WELL DRESSED
SERVILE
GOOD COOK
GOOD TABLE SETTERS
WILLING TO BE CONFIDANTE but under GCM supervision

For COMPANION CARE hire

Sophisticated employee
Can Order Opera theater tickets
Accompany to events
Drivers Licence

GCM has to Set Boundaries with concierge clients:

Concierge care providers can cook French Cuisine but if the client“Heavy Care-priority -must have transfer skills and CNA or HHA skills not cooking skills
Cannot often get a gourmet cook who changes diapers
Cannot have careprovider looks like a model who uses Hoyer lift

CONCIERGE Clients-NON-medical

CAREGIVER’S SAMPLE to-do list

Doing grocery shopping or grocery home delivery
Post office run
Pet-care
Waiting in line at the DMV
Taking the car for Car repairs, oil change, car wash
Event planning- GCM
Gift-buying
Plant care
Picking up dry cleaning
Running miscellaneous errands
Making travel arrangements
Mail pickup
chef services
Dinner reservations
What Cannot do
Performing bank transactions, such as depositing or withdrawing money, or shopping for the client without pre-arranged payment through the store could pose a liability
Assist with finances, online banking, bill paying/tracking
pickup of prescription medications -Only GCM to do because of medication abuse and liability
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Free Webinar To Find Concierge Clients
How to Find Concierge Clients Who Can Afford You
WHEN Tuesday, May 17^th, 2022

WHAT TIME_2 PM-3:30 PM Pacific Standard Time

What we will cover
- Why only the top 10% can afford private pay care management.
- Who are the surprising Retired VIP Clients?
- Who Are the 5 types of VIP/Concierge Clients?
- Sales Using Benefits Not Features to ALCA -GCM 3^rd PARTIES
- Understand how to find VIP Concierge Clients Do hot mapping & Market Studies
- How to Use Free Public Relations ( PR) to Find Adult Children of VIP Clients
- How to create or revise a Concierge Geriatric Care Management Strategic Marketing Plan
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Young woman hugging her mother or grandmother and looking at camera.

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.

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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