Handbook of Geriatric Care Management

by Cress, Cathy Jo

• ISBN13: 9780834216679
• ISBN10: 0834216671
• Format: Hardcover
• Copyright: 2001-01-01
• Publisher: Wolters Kluwer Law & Business

Summary

This book is a reference which addresses the many settings that geriatric care managers find themselves in, such as hospitals, long-term care facilities, and assisted living and rehabilitation facilities. It also includes case studies and sample forms.

Table of Contents

Contributors	ix
Foreword	xi
Acknowledgments	xiii
Introduction	xv
PART I---INTRODUCTION TO GERIATRIC CARE MANAGEMENT	1	(22)
Overview and History of Geriatric Care Management	3	(10)
Cathy Cress
Overview of a GCM's Responsibilities	4	(2)
History of Geriatric Care Management	6	(3)
The Birth of Geriatric Care Management Organizations	9	(2)
Conclusion	11	(2)
Ethics and Geriatric Care Management	13	(10)
Cathy Cress
What Is an Ethical Dilemma?	15	(2)
Ethical Conflicts between the Client's Needs and the Client's Wants	17	(1)
The Ethical Conflict Regarding Client Exploitation	18	(1)
Conflict between the Client's Safety and the Client's Autonomy	19	(1)
Conflicts around Confidentiality and Disclosure	20	(1)
Analyzing Ethical Dilemmas	20	(1)
How To Resolve Ethical Dilemmas	21	(1)
Conclusion	22	(1)
PART II---BEGINNING, EXPANDING, OR ADDING A GERIATRIC CARE MANAGEMENT BUSINESS	23	(74)
How To Begin or Add a Geriatric Care Management Business	25	(18)
Cathy Cress
Entrepreneurial Risks	25	(1)
Types of Geriatric Care Management Businesses	26	(4)
Creating a Business Plan	30	(2)
Financing a Geriatric Care Management Business	32	(1)
Professional Consultants	33	(1)
Developing Procedures	34	(1)
Business Insurance	35	(1)
Setting Up an Office	36	(1)
Hiring Good Staff Members	37	(1)
Billing	38	(1)
Integrating a Geriatric Care Management Business into Another Practice, Business, or Agency	39	(2)
GCMs and Managed Care Organizations	41	(1)
Conclusion	42	(1)
After the Start-up: Issues for Mature Care Management Organizations	43	(18)
B.J. Curry Spitler
Laura Spitler Hansen
Introduction	43	(1)
Defining a Niche	43	(1)
Models of Geriatric Care Management	44	(1)
Maintaining the Organization's Image	44	(1)
Marketing	45	(7)
Organizational Development	52	(5)
Establishing Working Relationships with Key Organizations in the Community	57	(1)
Joining Organizations and Networking Nationally	58	(2)
Conclusion	60	(1)
Fee-for-Service Care Management in Not-for-Profit Settings	61	(8)
Monika White
Robyn L. Golden
Cathy Cress
Introduction	61	(1)
Terminology	62	(1)
Brief History of Case Management	62	(1)
Private Practice Care Management versus Public and NFP Care Management	63	(1)
NFPs' FFS Program Development Challenges	64	(3)
Costs, Rates, and Billing	67	(1)
Conclusion	68	(1)
Improving Care and Profitability through Integrated Information	69	(28)
Rick Zawadski
Michael Zawadski
Introduction	69	(1)
Information and Geriatric Care Management Organizations	69	(2)
Information System Basics	71	(2)
Different Models for How Organizations Use Information	73	(3)
The Role of Information in Specific Care Management Functions	76	(2)
A Model Information System Plan for Geriatric Care Management Organizations	78	(5)
Information Sharing and the Value of an IIS	83	(1)
Barriers and Benefits of an IIS	84	(3)
Communications and Computing: The Internet and the World Wide Web	87	(3)
Conclusion	90	(7)
Hardware Fact Sheet	92	(2)
What Does My Agency Need To Get Started?	94	(3)
PART III---GROWING AND MANAGING THE BUSINESS OF GERIATRIC CARE MANAGEMENT	97	(50)
Marketing Geriatric Care Management	99	(16)
Cathy Cress
Being a Care Manager as Well as a Salesperson	99	(1)
Seeing the Client as a Customer	100	(1)
What Is Marketing?	100	(2)
Developing an Image	102	(1)
Positioning the Agency	103	(4)
Revamping an Agency's Image	107	(1)
Writing a Mini Marketing Plan	107	(1)
Doing Public Relations	108	(5)
Advertising	113	(1)
Conclusion	114	(1)
Revenue Sources for Geriatric Care Managers	115	(16)
Robert E. O'Toole
Payment by Private Individuals and Their Families	116	(1)
Limitations of Third-Party Reimbursement and the Rise of Long-Term Insurance	117	(6)
Non-Insurance-Related Third-Party Revenue Sources for GCMs	123	(4)
Formation of Regional Trade Associations and Informal Provider Networks	127	(1)
Conclusion	128	(3)
Care Management Credentialing	131	(16)
Rona S. Bartelstone
Monika White
Introduction	131	(1)
Motivation	132	(2)
History	134	(1)
Overview of Selected Credentialing and Certification Organizations	135	(6)
Current and Future Issues	141	(3)
Conclusion	144	(3)
PART IV---CLINICAL	147	(140)
Geriatric Care Management with Families	149	(28)
Anne Rosenthal
Introduction	149	(1)
Geriatric Care Management with Families	149	(3)
Working with Long-Distance Caregivers	152	(3)
Helping Adult Children and Families Manage the Overwhelming Demands of Caregiving	155	(2)
Working with Dysfunctional Family Systems	157	(1)
Helping Families Develop Solutions for Their Needs	158	(1)
Building Partnerships with Professionals	159	(2)
Helping Caregivers Diffuse Conflict	161	(1)
Helping Caregivers Establish Good Communications	161	(1)
Encouraging Families To Communicate Their Needs	162	(1)
Helping Caregivers Strike a Balance	162	(1)
Assisting Spousal Caregivers and Working with Couples	163	(3)
Continuum of Care Resources---Working as Part of a Team	166	(1)
Helping Families Make the Decision To Place	167	(7)
Conclusion	174	(3)
How To Find a Qualified Geriatric Care Manager	175	(2)
Geriatric Assessment	177	(30)
Carolyn Barber
Introduction	177	(1)
Elements of the Assessment	178	(1)
Case Study in Assessment	179	(1)
Nursing Assessment	179	(3)
Functional Assessment	182	(2)
Thought Processes	184	(1)
Vision	185	(1)
Hearing	186	(1)
Urinary Incontinence	186	(1)
Nutrition	186	(1)
Height	187	(1)
Assessment Tools	187	(16)
Writing the Assessment Findings and Designing the Care Plan	203	(2)
Conclusion	205	(2)
Dementia and the Older Adult: The Role of the Geriatric Care Manager	207	(48)
Karen Knutson
Introduction	207	(1)
Defining and Diagnosing Dementia	208	(3)
Dementia Experienced	211	(5)
The GCM Role in Dementia Care	216	(18)
Communicating with Other Professionals	234	(2)
Training Family and Paid Caregivers about Dementia Care	236	(8)
Conclusion	244	(11)
Evaluating Functional Assessment Instruments	247	(4)
Key Target Area Impairments: Impact on Dementia Clients' Abilities	251	(3)
Referral Checklist	254	(1)
Depression and the Older Adult: The Role of the Geriatric Care Manager	255	(14)
Miriam K. Aronson
The Case of Mrs. W	255	(2)
Suicide	257	(1)
Screening Instruments	258	(1)
Diagnosing Depression	258	(1)
Depression and Dementia	259	(1)
The Case of Mrs. C	259	(2)
Depression and Caregivers	261	(1)
The Case of Ms. A	261	(2)
The Case of Ms. H	263	(1)
Depression and the Role of the GCM	264	(1)
The Role of the GCM in Training	265	(1)
Conclusion	266	(3)
Incorporating a Spiritual Perspective into Geriatric Care Management	269	(18)
Leonie Nowitz
The Purpose of Life's Last Stages	269	(2)
Spiritual Tasks in Old Age	271	(1)
Ways To Facilitate the Spiritual Process in Geriatric Care Management	272	(2)
GCMs Look at Their Own Values, Spiritual Beliefs, and Family History	274	(1)
Assessment of Clients' Values and Sources of Meaning	275	(6)
Facilitating Spiritual Connections with People Who Have Dementia and Theri Families	281	(3)
Conclusion	284	(3)
PART V---THE FUTURE	287	(24)
The Future of Geriatric Care Management	289	(22)
Merrily Orsini
Managing Care as a Mainstream Business, not a Boutique Business	290	(2)
Diverse Professional Delivering GCM Services: The Lawyer, the Accountant, the Trust Department	292	(8)
The Impact of Changes in the Insurance Industry: The Deep Pockets of Third-Party Reimbursement	300	(2)
Integrating Technology into In-Home Monitoring: 21st-Century Changes	302	(2)
Ensuring Future Success in Geriatric Care Management: Thinking Ahead	304	(5)
Conclusion	309	(2)
Appendix A---Contact Information	311	(2)
Appendix B---Assessments	313	(8)
Sources	321	(4)
Index	325