Geriatric Care Managers Partnerships


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Presentation of the use of Geriatric Care Managers working alongside other Elder Care Specialists to improve quality of life of Elders.

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  • Geriatric Care Managers Partnerships

    1. 1. E. Tina Cheplick , RN Geriatric Care Manager <ul><li> </li></ul><ul><li>CARE SOLUTIONS FOR ELDERS </li></ul><ul><li> </li></ul><ul><li>Rosenblatt Carolyn </li></ul><ul><li>RN ESQ </li></ul><ul><li>HELP WITH ELDERS </li></ul><ul><li> </li></ul>Care Solutions for Elders Carolyn Rosenblatt, RN Attorney at Law Help With Elders, San Rafael, CA
    2. 2. Financial Planners Partnering with Geriatric Care Managers and Attorneys
    3. 3. <ul><li>To give your client resources in making the best decisions for long term care planning </li></ul><ul><li>To help in understanding the elder client </li></ul><ul><li>To provide choices to the elder client for planning long term care. </li></ul>Why consider Other Professionals to assist with clients?
    4. 4. What is a Geriatric Care Manager? <ul><li>Are health and human service specialists </li></ul><ul><li>Trained in fields relating to Long Term Care ( including but not limited to Nursing, SW, Gerontology) </li></ul><ul><li>Act as guides and advocates </li></ul><ul><li>Identify problems offering solutions </li></ul>
    5. 5. Professional Geriatric Care Managers Impact Quality of life <ul><li>We provide objective evaluations and plans </li></ul><ul><li>Coordination and supervision of in home care and companion services </li></ul><ul><li>On going management and oversight of care </li></ul><ul><li>A single point of access to the range of eldercare options </li></ul><ul><li>Liaison service to families at a distance </li></ul><ul><li>Consumer education, advocacy and promotion of independence </li></ul><ul><li>Costs savings </li></ul><ul><li>Counseling and support </li></ul>
    6. 6. <ul><li>Healthcare needs undermine the client’s ability to manage money and make decisions. </li></ul><ul><li>Input to you from a GCM and an attorney can help you protect and prioritize your client’s assets. </li></ul><ul><li>Planning for your client’s diminished physical and mental health can save your client money and save you from unnecessary aggravation later </li></ul><ul><li>On Going Re-Assessment can help you know what your client doesn’t know </li></ul>OUR PROFESSIONAL PROCESSES
    7. 7. THE CURRENT SITUATION <ul><li>America is graying fast </li></ul><ul><li>This year over 9 million Americans over the age of 65 will need Long term care services. </li></ul><ul><li>By 2020 over 12 million will need them </li></ul><ul><li>60% of individuals over age 65 will require at least one type of LTC service over their lifetime </li></ul><ul><li>Who decides when elders will need services? </li></ul>
    8. 8. <ul><ul><ul><ul><ul><li>Age-risk increases as we age </li></ul></ul></ul></ul></ul><ul><li>Singles are more likely to need assistance </li></ul><ul><li>Women live longer </li></ul><ul><li>Life style risk factors </li></ul><ul><li>Genetics as a risk factor </li></ul>HEALTH TRENDS
    9. 9. HOW MUCH CARE WILL ONE NEED <ul><li>On average someone 65 today will need LTC for three years </li></ul><ul><li>Women need care lasting 3-7 years </li></ul><ul><li>Men need care lasting 2.2 years </li></ul><ul><li>20% will need care for more than 9 years such as care in the home, care in the community, care in Skilled nursing facility </li></ul>
    10. 10. COSTS <ul><li>Based on national surveys in 2007 the national average costs for a semi-private room was $66,000 </li></ul><ul><li>One year at home with periodic care 16,000/year </li></ul><ul><li>$2,714 a week for assisted lvg facility </li></ul>
    11. 11. IMPORTANCE OF PLANNING <ul><li>Anticipating that one will need to spend assets on care or placement is essential to good financial planning </li></ul><ul><li>Its likely one will need some type of care service </li></ul><ul><li>Understanding the costs associated with LTC should be part of what you help your clients plan for </li></ul><ul><li>Planning reduces stress </li></ul><ul><li>Preserving independence requires that you help your client plan for possible incapacity </li></ul>
    12. 12. “ we both have strong feelings about what type of treatments we would want, but we’d never bothered to put those wishes in writing. Now that we have all of the necessary legal documents, our children and our doctors won’t have to guess about what we want and don’t’t want in case we can’t speak for ourselves”
    14. 14. Resources Medicare Rights Center( for clients) NAPGCM Western and National chapters Area Agency on Aging Eldercare Locator 1800-677-1116 State Medical Assistance Office
    15. 15. How Can A Lawyer Help You Help Your Client? <ul><li>Once the estate plan is done, the lawyer can provide ongoing advice, assessment and support to your aging clients. </li></ul>
    16. 16. TEAM APPROACH .
    17. 17. The Team Approach <ul><li>FP, Geriatric Care Manager, Lawyer: can this work for you and your client? </li></ul><ul><li>When is it time to back off? </li></ul><ul><li>When is it time to step up? </li></ul><ul><li>Get advice from other professionals when you are not sure. The security and safety of our elders is at stake. </li></ul>
    18. 18. Case Study: “Mary”, the son, and loss of mental capacity <ul><li>“ Mary”, an 87 year old with dementia, was trustee of her estate, consisting of a home in Marin County and cash assets, invested by her financial planner. She began to decline in physical health. Her memory was so-so. Her son contacted attorney Carolyn Rosenblatt because he was concerned that the bills were not getting paid by the CPA, Mary’s successor trustee. </li></ul>
    19. 19. Documents we all need to understand Trusts: who is the trustee, successor trustee Issue: if the elder is the trustee, when is it time for the successor trustee to take over? The lawyer can help you here! Durable power of attorney (DPOA) for finances Power of attorney for health care (also called a “health care directive”, “living will”, etc.). Limitations: trust may not address care, where to live, who will decide where the incapacitated elder should live. We like the DPOA which addresses these things.
    20. 20. Case Study, cont’d <ul><li>The successor trustee was a CPA who had known Mary for years. He had her best interests at heart, but he had no knowledge of her true mental status, which was rapidly worsening. Her son was an alcoholic, and was incapable of handling her money. Mary lived in a board and care home. She wanted to return to her house to live. What to do? </li></ul>
    21. 21. Case Study cont’d <ul><li>Mary needed a manager or power of attorney who could visit her, check her progress and also protect her assets. She was supporting her son, who lived in her home. He had many unrealistic ideas about what was best for her. He wanted access to her checkbook. The CPA had taken away access. He had also prevented Mary from having control of her funds. The CPA visited Mary once. </li></ul>
    22. 22. Case Study cont’d <ul><li>Son, Mary, and Mary’s friend met with attorney Rosenblatt </li></ul><ul><li>Interventions </li></ul><ul><ul><li>Interview Mary, friend, son together and apart </li></ul></ul><ul><ul><li>Psychological assessment obtained </li></ul></ul><ul><ul><li>Draft Durable Power of Attorney </li></ul></ul><ul><ul><li>Communicate with CPA </li></ul></ul><ul><ul><li>Refer to GCM for health assessment </li></ul></ul><ul><ul><li>Appoint fiduciary who could visit Mary Encourage fiduciary to hire GCM Cheplick </li></ul></ul>
    23. 23. Case Study cont’d <ul><li>Result of interventions </li></ul><ul><ul><li>CPA resigned and fiduciary was hired. </li></ul></ul><ul><ul><li>Mary’s son had limited access to funds </li></ul></ul><ul><ul><li>Attorney coordinated GCM, fiduciary, son </li></ul></ul><ul><ul><li>Mary received the care she needed as a result of the GCM’s regular visits </li></ul></ul><ul><ul><li>Mary finally passed away, safe and at peace. </li></ul></ul>
    24. 24. Knowing Your Limitations <ul><li>Don’t expect that you can do everything. Use other professionals to handle the areas in which they have expertise. </li></ul><ul><li>Make referrals to the right help </li></ul><ul><li>Do expand your role as money manager to compassionate professional who is willing to “be involved” in the elder client’s safety issues. </li></ul><ul><li>Start with your intake information. </li></ul><ul><li>Do you know the client’s estate planning attorney </li></ul><ul><li>Do you have a record of whom to contact if your client’s mental status declines? </li></ul>
    25. 25. E. Tina Cheplick , RN Geriatric Care Manager <ul><li>415-456-3439 </li></ul><ul><li>[email_address] </li></ul><ul><li>Rosenblatt Carolyn </li></ul><ul><li>RN ESQ </li></ul><ul><li>415-459 4513 </li></ul><ul><li>[email_address] </li></ul>Care Solutions for Elders Carolyn Rosenblatt, RN Attorney at Law Help With Elders, San Rafael, CA