Comprehensive Elder Care Management

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Comprehensive Elder Care Management
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Overview

• Our Elder Care Management Program offers services
  to families and professionals who are caring for
  an older adult, through assessment, plan of care
  development, and on-going monitoring process.
  Individualized professional consultation provides
  families and professionals with tangible
  solutions, resources and care options.

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Our Philosophy

• We will ethically advocate for quality cost
  effective medical treatment for clients who have
  declining health and welfare. We will advocate
  for our clients healthcare needs through an
  assessment, care plan, coordination and
  monitoring of medical needs and services to
  achieve the optimum quality of life.
•  

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Our Mission

• To assist families struggling with the needs of
  aging relatives by providing services enabling
  the elderly to live independently in a safe
  environment, without sacrificing their dignity,
  respect, or quality of life and to give families
  a peace of mind and a support system they can
  rely on.

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Our Guarantee

• We assure you that each client will be evaluated
  as an individual and our team of Nurses, Social
  Workers and Office Staff will devise a plan
  specific to meet the needs of every client.

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Questions families need to ask themselves to
determine if a Care Manager is needed

• Are the problems that you or your loved ones are
  facing becoming larger and more complex than you
  can comfortably manage?
• Are other demands and responsibilities now so
  great that you are not able to provide the
  desired level of supervision and attention to
  your loved ones problems?

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Purpose of Care Management

• To interject objectivity and information where it
  is lacking.
• To maximize efficiency in utilization of
  available
• resources.
• To work collaboratively with patient, physician,
  family/significant other and provider of
  healthcare to implement a plan of care which
  meets the individuals needs.
• To ensure the utmost quality of care is provided
  utilizing the available financial resources to
  include Medicaid, private health insurance,
  long-term care insurance, and private pay.

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Goals of Care Management

• Through early assessment, ensure that services
  are generated in a time and cost-effective
  manner.
• Assist clients to achieve an optimal level of
  wellness and function by facilitating timely and
  appropriate health services.
• Assist clients to appropriately self direct care,
  self advocate and make decisions to the degree
  possible.
• Maintain cost effectiveness in the provision of
  health services.
• Maintain dignity for the client in most
  appropriate setting with ensuring safety is
  adhered and risks are minimized.
• Foster self-determination to enable the client to
  live in accordance with his or her personal
  values and goals.

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Questions a family may ask when hiring a Care
Manager

• Is the Care Manager licensed in their profession?
• What additional certifications does the Care
  Manager have? i.e. Care Manager Certified (CMC),
  Certified Care Manager (CCM, Certified Advanced
  Social Work Care Manager (C-ASWCM), Certified
  Social Work Care Manager (C-SWCM).
• Length Care Manager has provided Care Management
  services?
• How is the Care Manager going to communicate and
  provide reports as needed?
• What are the Care Managers fees and can I
  receive them in writing?
• Can I obtain references?

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Care Manager Role
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Initial Consultation

• Initial Consultation with the elderly individual
  and/or family members regarding available
  services and options.

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Assessment

• In-Person Assessment of the elderly individual
  relevant to their health and living environment.
  This may include, but is not limited to

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Care Manager Assessment

• Functional analysis
• Assessment of nutritional needs
• Identification of safety issues
• Assessment of social functioning
• Physical and mental limitations
• Review of overall quality of life
• Review of health and mental status

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Develop Care Plan

• Development of written care management
  recommendations to meet identified needs, as well
  as accommodate the entire family. Care Plan
  addresses the results of the assessment. Care
  plan includes, but is not limited to

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Care Plan

• Recommendations of best housing option
• Connection to community resources
• Recommendation of best care option
• Links to transportation, legal assistance,
  financial services, home modification,
  counseling, etc.

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On-going Elder Care Management

• To help set up, monitor, and coordinate
  services. This may include, but is not limited to

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Care Management

• Maintaining records, including physician
  appointments
• Monitoring elders capabilities and functions
• Communication with family members
• Acting as elders advocate with family,
  physician, home health and/or other providers

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Comprehensive Elder Care Management

• For additional information, contact
• [phone]