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Patient Advocates –
Dive Masters of Health Care?
How to get professional help
navigating the rough seas of health care.
10/30/2015 © by MedSavvy Health Advocates LLC 2015 1
10/30/2015 © by MedSavvy Health Advocates LLC 2015 2
Fearless Professional Women
•Strong
•Decisive
•Take charge
•In Control!
10/30/2015 © by MedSavvy Health Advocates LLC 2015 3
Except…..Dealing with the
Healthcare System
10/30/2015 © by MedSavvy Health Advocates LLC 2015 4
Most Health Care Encounters
10/30/2015 © by MedSavvy Health Advocates LLC 2015 5
Uncomplicated
Like a child
snorkeling
in a
bathtub.
When Health Issues Get
Complicated = Woman Overboard!
10/30/2015 © by MedSavvy Health Advocates LLC 2015 6
Minus scuba gear, instruction manual, or dive master.
Who Gets Thrown in as the
10/30/2015 © by MedSavvy Health Advocates LLC 2015 7
Life
Preserver?
Professional Women
Because we are:
•Strong
•Decisive
•Take charge
•In Control!
Because we “get things done.”
10/30/2015 © by MedSavvy Health Advocates LLC 2015 8
We’re also
Sand wiched……….
10/30/2015 © by MedSavvy Health Advocates LLC 2015 9
between caring for generations of family
members ……………..
between family and work obligations……
between guilt and self-fulfillment.
Yet we’re the ones who step up to
handle medical situations for:
10/30/2015 © by MedSavvy Health Advocates LLC 2015 10
•Ourselves
•Spouse
•Aging parents
•Elderly in-laws
•Children and adult offspring
•Other extended family members
•Close friends
Where there are too many players and no coordination.
Where everyone is left to their own devices.
Where it is too easy to get lost or hurt.
Where “reform” emphasizes decreasing cost over improving
outcomes.
Where even the most intelligent and capable are confused and
overwhelmed.
10/30/2015 © by MedSavvy Health Advocates LLC 2015 11
Only to be Faced with
a Sick Care System
The More Things Change………
10/30/2015 © by MedSavvy Health Advocates LLC 2015 12
Medical Errors
Errors
Safe
42%
Over 10 years ago the Institute of Medicine
found that medical errors =
100,000 hospital deaths/yr
They also found over 40% of
Americans have suffered a
medical error for
themselves or someone
close to them.
…the More They Stay the Same
and
over 80,000 hospital-acquired
infections/year in the U.S.
These statistics have not improved significantly over the
past decade.
10/30/2015 © by MedSavvy Health Advocates LLC 2015 13
This has been healthcare’s answer.
More Services Fewer Primary Care Docs
Less time/patient More Treatments
More Technology More Drugs
Less Communication Insurance
Electronic Medical Records
More Specialists
Too many CHOICES and DECISIONS!
Tool & Info
Overload
10/30/2015 © by MedSavvy Health Advocates LLC 2015 14
Like Scuba Diving
10/30/2015 © by MedSavvy Health Advocates LLC 2015 15
Lots of
wonderful tools
Information + Tools Knowledge
• 86% of 24-65 year olds with healthcare insurance
DID NOT understand
traditional health insurance concepts — deductible, copay,
co-insurance and out-of-pocket maximum
• 89% of people asked were NOT able to compute the cost of a
four day hospital stay when given the information that should
have enabled them to do so.
-Study reported in Journal of Health Economics, Volume 32, Issue 5, September 2013, Pages 850–862
10/30/2015 © by MedSavvy Health Advocates LLC 2015 16
Where’s that Instruction Manual?
10/30/2015 © by MedSavvy Health Advocates LLC 2015 17
Even Better……………..
10/30/2015 © by MedSavvy Health Advocates LLC 2015 18
…where is the dive master? Someone
who knows all the ins and outs, how
to use the tools. Someone who can
navigate for us.
Navigating the Sick Care System
Takes Resources
 Time
 Knowledge
 Health literacy
 Financial literacy
 Patience
 Clear head
 Ability to detach
 Attention to details
10/30/2015 © by MedSavvy Health Advocates LLC 2015 19
Traditional Help
We have relied on:
 Family and friends
Emotional baggage, family dynamics,
Limited knowledge of healthcare industry
 Employed patient reps and nurse navigators
Mixed loyalties (who pays them?)
Limited service range
10/30/2015 © by MedSavvy Health Advocates LLC 2015 20
A Better Solution
Independent Patient Advocates
Like your own personal
dive master
showing you
the way.
10/30/2015 © by MedSavvy Health Advocates LLC 2015 21
An Independent Patient Advocate
Someone who:
 Supports and promotes patient’s rights.
 Guides and helps you navigate the healthcare system.
 Gives patients a voice, ensuring they are heard and
respected.
 Makes sure patients get the care they need
 Resolves conflicts
10/30/2015 © by MedSavvy Health Advocates LLC 2015 22
Services Might Include
 Care coordination and navigation
 Accompanying to appointments
 Liaison between patient and doctor or other provider
 Diagnosis and treatment option research and explanations
 Coordinating medical records and medications
 Help preparing advanced directives
 Auditing bills and negotiating denied claims
 Help in choosing best insurance coverage
…………and much more……………………
10/30/2015 © by MedSavvy Health Advocates LLC 2015 23
Advantages
Independent advocates:
 Are knowledgeable about healthcare industry
 Are able to move amongst providers and facilities
 Offer a variety of services
 Answer only to you, their client/patient
10/30/2015 © by MedSavvy Health Advocates LLC 2015 24
Benefits (What’s In It For Me)
Save yourself and your “patient” from
lost time, frustration, unnecessary
expenses, aggravation, medical
errors, and poor quality care.
10/30/2015 © by MedSavvy Health Advocates LLC 2015 25
No More
 Missed appointments
 Missed treatment opportunities
 Misunderstandings about medications or treatments
10/30/2015 © by MedSavvy Health Advocates LLC 2015 26
Eliminate
 Doubts and second guessing whether your loved one is
getting the best treatment for his/her condition.
An Advocate Can Ensure
 Patients get the insurance benefits they
deserve
 Patients don’t pay for things they don’t want,
don’t need, or didn’t receive
10/30/2015 © by MedSavvy Health Advocates LLC 2015 27
Conclusion – Up Out of the Depths
10/30/2015 © by MedSavvy Health Advocates LLC 2015 28
An independent patient advocate can
provide you with much-needed
help and relief.
Most importantly, they can give both you
and your loved one safe haven
and Peace of Mind.
Where Do You Go From Here?
10/30/2015 © by MedSavvy Health Advocates LLC 2015 29
For more detailed information about independent patient
advocates and how to locate and choose one, download this
free tipsheet.
MedSavvy Health Advocates LLC
10/30/2015 © by MedSavvy Health Advocates LLC 2015 30
Let us guide you through the healthcare maze
www.medsavvyhealthadvocates.com
info@medsavvyhealthadvocates.com
(719) 481-6440
Better Savvy Than Sorry Blog
https://medsavvyhealthadvocates.wordpress.com/
Some images courtesy of Ambro at freedigitalphotos.net and King at Scuba DiverLife.com
Parting Thought
“The world will be saved by the Western
women.” – The Dalai Lama
10/30/2015 © by MedSavvy Health Advocates LLC 2015 31

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Patient Advocates Dive Masters of Health Care

  • 1. Patient Advocates – Dive Masters of Health Care? How to get professional help navigating the rough seas of health care. 10/30/2015 © by MedSavvy Health Advocates LLC 2015 1
  • 2. 10/30/2015 © by MedSavvy Health Advocates LLC 2015 2
  • 3. Fearless Professional Women •Strong •Decisive •Take charge •In Control! 10/30/2015 © by MedSavvy Health Advocates LLC 2015 3
  • 4. Except…..Dealing with the Healthcare System 10/30/2015 © by MedSavvy Health Advocates LLC 2015 4
  • 5. Most Health Care Encounters 10/30/2015 © by MedSavvy Health Advocates LLC 2015 5 Uncomplicated Like a child snorkeling in a bathtub.
  • 6. When Health Issues Get Complicated = Woman Overboard! 10/30/2015 © by MedSavvy Health Advocates LLC 2015 6 Minus scuba gear, instruction manual, or dive master.
  • 7. Who Gets Thrown in as the 10/30/2015 © by MedSavvy Health Advocates LLC 2015 7 Life Preserver?
  • 8. Professional Women Because we are: •Strong •Decisive •Take charge •In Control! Because we “get things done.” 10/30/2015 © by MedSavvy Health Advocates LLC 2015 8
  • 9. We’re also Sand wiched………. 10/30/2015 © by MedSavvy Health Advocates LLC 2015 9 between caring for generations of family members …………….. between family and work obligations…… between guilt and self-fulfillment.
  • 10. Yet we’re the ones who step up to handle medical situations for: 10/30/2015 © by MedSavvy Health Advocates LLC 2015 10 •Ourselves •Spouse •Aging parents •Elderly in-laws •Children and adult offspring •Other extended family members •Close friends
  • 11. Where there are too many players and no coordination. Where everyone is left to their own devices. Where it is too easy to get lost or hurt. Where “reform” emphasizes decreasing cost over improving outcomes. Where even the most intelligent and capable are confused and overwhelmed. 10/30/2015 © by MedSavvy Health Advocates LLC 2015 11 Only to be Faced with a Sick Care System
  • 12. The More Things Change……… 10/30/2015 © by MedSavvy Health Advocates LLC 2015 12 Medical Errors Errors Safe 42% Over 10 years ago the Institute of Medicine found that medical errors = 100,000 hospital deaths/yr They also found over 40% of Americans have suffered a medical error for themselves or someone close to them.
  • 13. …the More They Stay the Same and over 80,000 hospital-acquired infections/year in the U.S. These statistics have not improved significantly over the past decade. 10/30/2015 © by MedSavvy Health Advocates LLC 2015 13
  • 14. This has been healthcare’s answer. More Services Fewer Primary Care Docs Less time/patient More Treatments More Technology More Drugs Less Communication Insurance Electronic Medical Records More Specialists Too many CHOICES and DECISIONS! Tool & Info Overload 10/30/2015 © by MedSavvy Health Advocates LLC 2015 14
  • 15. Like Scuba Diving 10/30/2015 © by MedSavvy Health Advocates LLC 2015 15 Lots of wonderful tools
  • 16. Information + Tools Knowledge • 86% of 24-65 year olds with healthcare insurance DID NOT understand traditional health insurance concepts — deductible, copay, co-insurance and out-of-pocket maximum • 89% of people asked were NOT able to compute the cost of a four day hospital stay when given the information that should have enabled them to do so. -Study reported in Journal of Health Economics, Volume 32, Issue 5, September 2013, Pages 850–862 10/30/2015 © by MedSavvy Health Advocates LLC 2015 16
  • 17. Where’s that Instruction Manual? 10/30/2015 © by MedSavvy Health Advocates LLC 2015 17
  • 18. Even Better…………….. 10/30/2015 © by MedSavvy Health Advocates LLC 2015 18 …where is the dive master? Someone who knows all the ins and outs, how to use the tools. Someone who can navigate for us.
  • 19. Navigating the Sick Care System Takes Resources  Time  Knowledge  Health literacy  Financial literacy  Patience  Clear head  Ability to detach  Attention to details 10/30/2015 © by MedSavvy Health Advocates LLC 2015 19
  • 20. Traditional Help We have relied on:  Family and friends Emotional baggage, family dynamics, Limited knowledge of healthcare industry  Employed patient reps and nurse navigators Mixed loyalties (who pays them?) Limited service range 10/30/2015 © by MedSavvy Health Advocates LLC 2015 20
  • 21. A Better Solution Independent Patient Advocates Like your own personal dive master showing you the way. 10/30/2015 © by MedSavvy Health Advocates LLC 2015 21
  • 22. An Independent Patient Advocate Someone who:  Supports and promotes patient’s rights.  Guides and helps you navigate the healthcare system.  Gives patients a voice, ensuring they are heard and respected.  Makes sure patients get the care they need  Resolves conflicts 10/30/2015 © by MedSavvy Health Advocates LLC 2015 22
  • 23. Services Might Include  Care coordination and navigation  Accompanying to appointments  Liaison between patient and doctor or other provider  Diagnosis and treatment option research and explanations  Coordinating medical records and medications  Help preparing advanced directives  Auditing bills and negotiating denied claims  Help in choosing best insurance coverage …………and much more…………………… 10/30/2015 © by MedSavvy Health Advocates LLC 2015 23
  • 24. Advantages Independent advocates:  Are knowledgeable about healthcare industry  Are able to move amongst providers and facilities  Offer a variety of services  Answer only to you, their client/patient 10/30/2015 © by MedSavvy Health Advocates LLC 2015 24
  • 25. Benefits (What’s In It For Me) Save yourself and your “patient” from lost time, frustration, unnecessary expenses, aggravation, medical errors, and poor quality care. 10/30/2015 © by MedSavvy Health Advocates LLC 2015 25
  • 26. No More  Missed appointments  Missed treatment opportunities  Misunderstandings about medications or treatments 10/30/2015 © by MedSavvy Health Advocates LLC 2015 26 Eliminate  Doubts and second guessing whether your loved one is getting the best treatment for his/her condition.
  • 27. An Advocate Can Ensure  Patients get the insurance benefits they deserve  Patients don’t pay for things they don’t want, don’t need, or didn’t receive 10/30/2015 © by MedSavvy Health Advocates LLC 2015 27
  • 28. Conclusion – Up Out of the Depths 10/30/2015 © by MedSavvy Health Advocates LLC 2015 28 An independent patient advocate can provide you with much-needed help and relief. Most importantly, they can give both you and your loved one safe haven and Peace of Mind.
  • 29. Where Do You Go From Here? 10/30/2015 © by MedSavvy Health Advocates LLC 2015 29 For more detailed information about independent patient advocates and how to locate and choose one, download this free tipsheet.
  • 30. MedSavvy Health Advocates LLC 10/30/2015 © by MedSavvy Health Advocates LLC 2015 30 Let us guide you through the healthcare maze www.medsavvyhealthadvocates.com info@medsavvyhealthadvocates.com (719) 481-6440 Better Savvy Than Sorry Blog https://medsavvyhealthadvocates.wordpress.com/ Some images courtesy of Ambro at freedigitalphotos.net and King at Scuba DiverLife.com
  • 31. Parting Thought “The world will be saved by the Western women.” – The Dalai Lama 10/30/2015 © by MedSavvy Health Advocates LLC 2015 31