Unlock the secrets to forging strong partnerships in the home care industry with our special guest, Kathy Jacobs, owner of Together in Caring Geriatric Care Management. Kathy shares her expert insights on what geriatric care managers look for in home care agencies, the habits behind their referrals, and the factors that influence their choices. Learn how to enhance communication and trust to elevate client care, understand clients' readiness for home care, and navigate their resistance to accepting help.
Dive into the pivotal role adult children play in the transition to home care and discover how geriatric care managers collaborate with them to ensure comprehensive support for their elderly parents. We'll also discuss the crucial challenges family caregivers, especially spouses, face and how introducing home care services can prevent burnout and provide much-needed relief. You'll hear from Annette and Gabby on the additional support needed in various care facilities and get practical advice on selecting a qualified geriatric care manager.
Finally, we explore the positive impact Geriatric Care Managers (GCMs) have on healthcare outcomes, from reducing hospitalizations to better chronic disease management. Celebrate wellness with creative ideas for special occasions and learn about strategies for team appreciation and caregiver support. Don't miss Kathy's invaluable advice on fee structures, matching the right professional to specific needs, and ensuring ongoing support tailored to each family's unique circumstances. Join us for a comprehensive discussion packed with essential information to enhance your approach to geriatric care management.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:08):
today is june 7th.
Welcome to mastery circle.
We're going to go through ourwhat do we call this?
Our I don't know rule ofregulation like housekeeping the
road, that's it.
That's what valerie calls.
She usually does this part, soI'm a little out of my realm
here.
Okay, so keep your minds mutedand less speaking.
Share stories and tips.
We do want to hear from you guystoday, especially because we
(00:29):
have a special guest and we arehoping there will be questions
at the end, and so we would lovefor you to ask some questions
of our special guests, whichwe'll announce here in a little
bit.
Make recommendations, tell uswhat you want to know.
A lot of our masteries willcome from your input, comes from
the things that you want toknow, things that you're curious
about, things you're havingtrouble with.
(00:50):
We're here for all of it.
I'm Dawn Biela.
I have been with the PruneSaving your Network for two
years now.
I've been in home care.
For close to 20 years.
I've been in sales, marketing,retention, recruiting I don't
know all of it.
In home care.
You can't escape all the hats,right?
We're all wearing hundreds ofhats.
And then go ahead, lisa, youintroduce yourself please.
Speaker 2 (01:16):
I'm Lisa Marcella.
I feel like I have a similarstory.
I was in home care for justever in a day and never stay in
your own lane, so I've doneevery little piece of it.
I'm happy to be here with youguys, love being on the other
end too and just being involvedwith you.
Annette, hello.
Speaker 3 (01:27):
I'm Annette Ziegler Ditto.
I have to say I have over 20years of experience in home care
and home care marketing, sowe're really happy to have you
on this Friday.
I'm in our special guest.
Speaker 1 (01:38):
And Valerie is off today.
Gay Valerie, she's off at theocean somewhere in a couple of
pictures, a little envious buthappy for her.
And so how do you watch themeetings that you have missed?
Some of you are here live andsome of you probably are
watching a meeting that you'vemissed.
Right now You're going to login to the Home Care Sales Forum.
Your username is your emailaddress.
(02:00):
Your password is whatever we'veemailed to you.
You can use the workout yourpassword feature if you don't
remember the password.
When you're in the forum there'sdiscussion.
This is where we're chattingabout everyday things.
You guys should be using theforum, any questions that come
up throughout the week.
You've got stuck.
A social worker said I don'tneed to see you, I have other
home curators to talk to.
(02:21):
What do I do?
What do I do?
This is where you ask thosequestions.
Up here on the left, you'reunder discussions here.
If you go to learning, that'swhere you're going to find the
meetings that we've alreadytalked about.
You'll see mastery circle.
You'd click on that and thenall of the classes that we've
done so far this year are here.
With the click on it, you'llsee the video and you'll have
access to the slides with thehyperlinks for all of the
(02:43):
documents that we've shared withyou.
So today we have a special guest.
I've been so excited about this.
Her name is Kathy Jacobs.
She's the owner of Together inCaring Geriatric Care Management
.
Today we're going to discoverwhat geriatric care managers are
looking for in a home careagency, if geriatric care
managers consistently refer tothe same home care agency and
why.
And then we're going to gothrough our June, july, august
(03:06):
lead behinds and we will havesome times for questions so that
you guys can ask Kathy some ofthe questions maybe you've had
for years about geriatric caremanagement and their role and
how we can help them.
So I'm going to let Annette goahead and do introductions here.
Speaker 3 (03:22):
Yeah.
So I'm really happy tointroduce our guest speaker
today, kathy Jacobs.
And while I was in home care, Ipersonally worked with Kathy
and her team.
We had a great partnership andI'm just really excited for her
to share what works and howgreat it is partnering and
working with home care agencies.
So Kathy is a proven leader incare management.
(03:42):
She's certified by the NationalAcademy of Certified Care
Managers, advanced ProfessionalMember with the Aging Life Care
Association.
Certified Aging in PlaceSpecialist through the National
Association of Home Builders,essential ALZ.
Certified by the Alzheimer'sAssociation.
Extensive experience workingwith people with disabilities
and those with chronic and orterminal illnesses.
(04:04):
Experience working with peoplewith disabilities and those with
chronic and or terminalillnesses.
She has a bachelor's degree inpsychology, an MBA from the
Simon School of Business focusedon healthcare administration,
and a Gerontology certificatefrom St John Fisher.
So welcome Kathy.
Yes, welcome Kathy.
Thank you.
Speaker 1 (04:20):
Thank you for being here today.
Do you have anything to add toall of this?
This little lie?
You're certified for sure.
Speaker 4 (04:28):
No, I think that's more than enough about me.
Speaker 1 (04:32):
Thank you again for joining us today and tell us a
little bit about your businessand the services that you offer.
Speaker 4 (04:38):
Thank you.
I'm happy to, I'm very happy tobe here with all of you today
Together.
In Caring is a privategeriatric care management
practice.
We have offices in Rochesterand Syracuse, new York, and we
essentially cover the greaterFinger Lakes region of New York
State between the two locations,and we're pretty comprehensive
(05:05):
in the services that we offer.
So we have nurses and socialworkers, but we also have
financial care managers.
We have RNs who offerassessments for placement and
wound care as well.
We have nurses who will dorelocations, so we really cover
(05:26):
a lot of different areas of needwhen it comes to geriatric care
management.
But we're growing and we'rejust so excited.
I'm thrilled that Annetteallowed me to be here today.
Speaker 1 (05:38):
Oh, that's great, and it does sound like you offer a
full circle kind of service.
That's wonderful.
So explain to us your fees andhow you're paid.
I've often wondered that myselfas a home care agency.
How is it that you get paid andhow does you take insurance?
Is it private pay, like how allof that works?
Speaker 4 (05:56):
Absolutely so.
We are private pay.
We do not have any servicesthat would be covered by
traditional insurance, but we dooften work with long-term care
plans to help our clients beable to submit the claims and
get some of their care coveredin that way.
(06:17):
Private pay we do typicallyjust charge the seniors directly
, but if I'm being honest,honestly, it's the families who
are typically hiring us in orderto provide services for their
aging parents and loved ones,okay, okay.
Speaker 1 (06:36):
And how do they come to you?
How do you gain clients?
Speaker 4 (06:41):
We have many referral sources, home care certainly
being one of the top ones.
We also work very closely withpeople that we refer to in the
community, professionals such aselder law attorneys, other
providers such as neurology,ortho, people that we typically
have to connect our clients tofor services.
(07:03):
We also work very closely withsenior housing all levels from
independent up through skilledand I mean those are our typical
sources, but certainly we havemarketing in place, so we do get
people directly from socialmedia or a website, and word of
mouth is definitely one of ourtop referral sources.
Speaker 1 (07:26):
That's great.
Wait, explain who your typicalclient is and where oh, we just
did where your referrals comefrom.
So who is your typical client?
Speaker 4 (07:35):
So it's hard sometimes to say who a typical
client is, but I can tell youwhat the typical situations are
that come to us.
Certainly one of the ones andthis is a great collaboration
that we have with home carecompanies is folks who are
trying to age in place, and sothey may already be getting
(07:55):
support, or the family isconcerned that things are not
safe and so they're looking forsupport.
So this is where we'll go in andwe will do a thorough
assessment and we'll see whatneeds to happen in the
environment, the physicalenvironment, the supports that
are needed, any medical issuesthat are not being addressed,
(08:15):
and we'll come up with a careplan.
And this is really one of themost common situations where we
partner with home care agencies.
Where we partner with home careagencies, but we also deal with
crisis situations.
So we work very closely withhospital discharge teams.
If someone is needing to leavethe hospital, but they really
are not prepared to go home ortheir home is not safe, they
(08:39):
will call us in.
And, again, one of the mostcommon needs that we have to
fill is home care.
So, again, I'm just so thrilledto talk to you about it because
it really is a greatpartnership you.
Speaker 1 (09:06):
So what are you looking for in an agency?
What makes you feel likethey're the real deal, or I can
trust them, or they've got thishandle?
What does that look like?
Speaker 4 (09:12):
So certainly we have to build that experience over
time and build that trust.
But really there are three orfour things that are key for us.
One of them is consistency.
So do we always get what we'rehoping to get?
Are we able to get coverage forthe staffing hours that we set
(09:33):
up, and do we always get thesame type of response?
And can we count on a personthere who's our contact to
return our calls and have goodcommunication?
So that consistency is reallyhuge for us.
The communication is key and Iwould imagine that that's really
a reciprocal thing.
(09:54):
I'm sure that the home careagencies feel the same way.
Yes, so we really try toestablish the proper channels.
Understanding because everyhome care agency is different.
They have different roles.
So sometimes there might be acare manager within the home
care agency, Sometimes it's thescheduler that we work with.
So we just try to establishthat communication up front.
(10:17):
Cooperation each of usrespecting the roles that we're
playing and knowing that therewill be times where there are
issues and having that opendialogue and just having that
spirit of cooperation is huge.
So that is absolutely somethingwe look for.
And then I think the last thingI would say is commitment.
(10:38):
As a company, we have acommitment to our mission and
our desire to have high qualitypersonal care, and that's what
we would look for in partneringwith a home care agency as well.
Speaker 1 (10:52):
And so if I'm a new home care agency or new to you,
haven't met you yet and wehaven't established that trust,
what would be the best way toapproach you and maybe get your
attention so that you wouldtrust me one time at least, just
to give me a shot?
What is it?
And even if I am brand newbecause sometimes people will
say reputation, but if I'm brandnew I don't have that yet
(11:14):
either what might make you sayI'm going to give this one a
shot?
Speaker 4 (11:19):
So typically if we haven't worked with somebody, we
require having a meeting withthem, with their ownership or
with their leadership team, andwe talk about what their hiring
practices are, we ask them abouttheir training, we ask them
about their supports to thecaregivers If a caregiver has an
issue kind of what's yourprocess, and that really gives
(11:41):
us a good feel for whether ornot they've prepared themselves
and their employees for successin the home care field.
Speaker 1 (11:49):
So that's typically how we do it Okay, and that
seems fair, because then you'regetting an inside look at the
company, maybe their backup plan, or if a caregiver calls out
sick because you don't want foryour client to kind of be left
tie and dry, you need to knowthat things are going to be
handled and if the caregiver issupposed to be there, they're
going to be there or there's abackup plan.
(12:09):
So that's great.
It's great that you giveeverybody that fair shot and you
sit down and you have thatmeeting with them so that you're
able to learn more about them.
Why did you think home care anddirect care management
partnerships are so effective?
Speaker 4 (12:22):
Yes, as I shared earlier, home care services are
really the top thing that wehave to put into place in gosh,
I would say at least 60 to 70percent of our cases.
So it really is the keyresource and it has to be
successful for us to besuccessful.
So that's why that partnershipis just so important.
(12:44):
Annette shared that we workdirectly together is just so
important.
Annette shared that we workdirectly together, so the
company that she was working forwe actually were sharing office
space and her care manager wascoming to our in-person weekly
meetings just for a few minutesat the beginning, and that could
certainly be done remotely aswell, but just to talk through
(13:05):
those shared clients and seewhat's the status.
Was there anything that's goingon that we need to discuss?
And I really can't tell you howhelpful that was Again,
building that trust, creatingways to have communication that
work both ways.
It just I even we learned andwe were surprised at how
effective that could be indeveloping that relationship.
Speaker 1 (13:29):
Yeah, and I have found that too, because the
caregiver even for a home careagency, the caregiver knows more
than we do too, because they'rein the home and so if we needed
, if we had anybody asking usany questions, the caregiver
knows.
So I could see where that wouldbe valuable to sit down and kind
of, and then we would hear fromyour side what's going on with
(13:49):
the other pieces of their life,because we again are in one
window.
So I can imagine those meetingsare really good, and I had a
couple of geriatric caremanagers that I worked with too
in the past, and it's nicebecause it is a reciprocal
relationship.
It really is a relationshipwhere both parties are equally
able to refer back and forth,and it's always like that when
(14:11):
we have other kinds of referralsources.
I guess that would be how Ifeel about it too.
Is that you really can havethis, and I know that you and
Annette, did you get this greatpartnership where you're able to
refer back and forth and youtrust each other?
You know enough to do that.
Once you start working with ahome care agency, do you
consistently refer the samecompany, or why do you choose
(14:32):
one company over another?
How does that work?
Speaker 4 (14:37):
So for our experience , we definitely stick with
people who we know, and I thinkit's just that trust and the
consistency and thecommunication that we talked
about before.
But there are certainlysituations where every home care
company is different.
For instance, if we are workingwith someone who has a minimum
requirement for the shift andfor the week and we have a
(15:00):
client who really needs to getstarted, just on a much lower
scale maybe a day a week or acouple hours there are times
when we have to work withanother company that may not
have the same restrictions inplace.
So it certainly is important tohave the ability to do that and
I think again, that would bereciprocal.
(15:20):
If a geriatric care managercouldn't accompany or couldn't
accommodate a need from the homecare agency, I think you'd have
the same thing.
But typically it has to do withaccessibility, and the just
restrictions on hours and shiftsis typically why we would need
to work with a different company.
Speaker 1 (15:39):
Okay, yep, and that makes sense too.
Communication you mentionedthat between the geriatric care
manager and home care agency.
Who do you communicate withregarding clients' that between
the geriatric care manager andhome care agency who do you
communicate?
Speaker 4 (15:50):
with regarding clients' needs and the home care
team.
So we found that typicallythere is somebody at the home
care agency who is functioningin that care manager or
communication role, and so we'llwork directly with them, and
just from experience we'velearned that it's really
important to establish thatchain of command, if you will,
(16:13):
or that communication channel.
It's really important becausethen the caregivers understand
who to go to when they have aquestion and it allows the care
manager to know, respectfully,how much involvement they have
and who to contact if they'rehaving a concern, because anyone
who's had that experience witha care manager knows that the
(16:36):
care manager can certainly getvery proprietary about their
clients and so you justeveryone's working towards the
same goal.
So establishing the correctpath for communication is really
important when you start upwith somebody.
Speaker 1 (16:51):
Yeah, and I think setting those expectations on
the front end, like you said, isreally important, and just
everybody knowing who'sresponsible for what too, I mean
that's another piece of it.
When do you so?
If you're with a client, Idon't know that they always need
home care right away, but whendoes that criteria hit and
you're thinking I need, thisperson needs home care.
(17:11):
What does that look like?
When do you make that decisionwhere I need to get a home care
company involved with thisclient?
Speaker 4 (17:20):
For us.
Honestly, it's usually theinitial assessment that we do
determines whether or not.
So we talk to them about whatare you able to do by yourself,
what are the challenges thatyou're facing.
But even more importantly, wetalk to them about how do you
feel about having people in yourhome, and a lot of times it's
just that counseling session andthat's you kind of prepare them
(17:43):
for what is it going to feellike when you have strangers
coming in and we talk to themabout even though it might be
hard at first that thoserelationships you build with the
caregivers.
They become like family to you.
It's kind of scary and you mayhave some resistance initially.
Then it will feel verycomfortable over time and they
(18:04):
come to depend on them.
So a lot of what we do findingout what the real need is during
the assessment, but then alsotalking through the challenges
that we face typically when wetry to bring in care to the home
.
Speaker 1 (18:18):
And do you see a lot of resistance where they don't
want a stranger in the home andit's hard to get over that,
unfortunately, yes, Because, Imean, we all want to pretend
that we can do everything forourselves.
Speaker 4 (18:31):
So we go and you all know, because you've had so much
experience, it goes so farbeyond understanding that you
might have the need acceptingthat you aren't who you were and
that you can't do everythingfor yourself.
So it's that loss ofindependence that it's really
hard, it's really hard.
Yeah, it's that loss ofindependence that is really hard
, it's really hard.
Speaker 1 (18:49):
Yeah, it's really hard.
Do you find yourself because Iknow with myself and home care
tag teaming with the adultchildren to try to get mom or
dad to just give them one chance, just have the care to work and
for one day let's just see howit goes?
And I'm guessing, I mean,they're probably more open to
your services maybe than theywould be to home care, but you
(19:11):
probably get very close, I wouldimagine, with the adult
children.
Speaker 4 (19:16):
Yes, we do, and of course, every family is
different.
Sometimes the message of howhome care could be beneficial is
better coming from us, becausewe're more objective and, let's
face it, any of us who have kids, even if we're not there yet,
the idea of them telling us whatwe need is kind of hard to
swallow.
Speaker 1 (19:36):
Yes, it is, and children don't want to be that
person either when they come tothe home care agent.
This is their mom.
Can you take this and fix it?
It's not like they don't wantto care for them, they just are
out of their realm.
They've not been in charge,right?
Mom has always taken care ofeverything, and now they're just
bewildered, right?
And so I would imagine workingwith a home care agency that
(19:58):
understands that piece too andcan kind of take the baton.
Do you ever sit in on theassessments with the home care
agency when they do theirassessment?
Is that something that youwould like to do?
Okay, okay, yeah, I've oftenwondered if that was something
that you do.
So I know with everybody onright now they're probably
(20:19):
wondering this sounds wonderful.
How do I find a genetic caremanager that I can work with?
Because sometimes, annette, doyou want to share?
When you called Kathy, when didyou get Kathy involved in some
of your, with some of your, andwhy?
When was it time to pull thetrigger there and get Kathy
involved?
Speaker 3 (20:37):
When things got really when they really needed
more assistance that we couldoffer, we were there providing
the home care.
But they had so many thingsgoing on not going to their
doctor's appointments, financialsituation, money situations, so
many things that was so complexand they really needed help.
They had nobody to help themand it just got to the point
where we could not be thatperson.
(20:59):
So we would contact Kathy andthey would come in and take over
that part and help this ourclient get on track.
Also, too, there were manytimes when I would talk to
people the inquiries, prospectsthat called looking for our
services and they were out ofour scope or we could not help
(21:20):
them.
But I also referred Kathy toTogether in Caring Many of those
people that called because theydidn't know where to turn and I
said you should call ageriatric care manager.
They're going to be able tohelp you and guide you and help
with the best route for carers.
It could be the adult, children, it was maybe the spouse.
(21:40):
So I also would send a lot ofreferrals.
I think that weren't my clientsand I think that helped our
partnership grow too, becauseKathy had trusted me.
I would refer to her and thenif she had a client she would
call me or her company, becauseshe knew we were referring them
as well.
I mean, kathy, do you think, amI sounding?
Speaker 4 (22:03):
No, absolutely.
I think that's kind of a keypiece is that if it's coming
from the home care agency to us,it's typically that things are
becoming very complex and thatcould be medical, it could be
financial, could be behaviorswith dementia, anything like
that, that you really just needsome more resources.
That's a great tipping point,if you will, for bringing in a
(22:26):
GCM.
Yeah, absolutely.
Speaker 1 (22:29):
And Kathy, do you I mean just in the general terms
of everything are you guys morelike home care, like wanting to
keep them home longer?
Is it based on what the familyis wanting, or are you more?
Do you better at home?
I mean, of course, if there'sbehavior and it's time to go
into memory care or somethinglike that.
How, I mean, do GCNs feel ingeneral about being like aging
(22:53):
in place?
I guess?
Speaker 4 (22:55):
So I think that and obviously I can't truly speak
for everyone, but I thinkwhenever it's safe, it's the
desire of the family and thepeople.
I think we always are trying toprioritize aging in place.
But aging in place may or maynot be in like home.
They've been in 50 years.
It could be in an independentfacility or an apartment.
(23:19):
But I think the key piece isthat sometimes we also have to
recognize, say, it's a spousalrelationship and the one spouse
is the caregiver and that roleis really taking a toll on them
and they don't want to give up.
They don't want to feel like afailure.
If we can get them to agree tohome care, you might be able to
(23:40):
help them continue and have morelongevity to staying at home.
And when they finally have toface that maybe it doesn't work
anymore, it's not a safe plan,then we're there to help them
through that, because that's avery difficult transition.
Speaker 1 (23:55):
Okay, and so that might be a good time too to get
you involved is when the homecare agency has tried everything
, and, believe me, we tryeverything because, they want to
stay at home, they love theircaregiver and it's going great.
And sometimes a new conditionpops up or something.
The spouse dies, and now iteither needs to be 24 or they
(24:17):
need to move because the spouseisn't there when we're not, when
we're not there, and I thinkthat would be a really good time
also, and so I, yeah, that'sgreat.
And, annette, did you have somemore things to?
Speaker 3 (24:28):
I was just going to share too many times.
Kathy would place people they'dbe in memory care, assisted
living nursing homes.
We would get referrals manytimes to go where they are Maybe
somebody that just moved intomemory care.
They were having a hard timeadjusting.
They needed 24-7.
I felt like we got a lot of24-7 clients through Together in
(24:49):
Caring because they had a lotof crisis situations and like it
doesn't necessarily have to behome, it could be in a hospital,
just bed sitting, skillednursing facility, assisted
living memory care.
So all those included were manyof the referrals too.
Speaker 1 (25:05):
And so if you're looking to work with a geriatric
care manager, this is a greatplace to go to find some in your
area.
Gabby, what would you?
Maybe not warn us, but whatshould we be looking for?
Is it enough that they're apart of this association?
Is that enough for us to belike, OK, they're in this
association, they're good.
(25:25):
What would you?
What should our criteria kindof be if we're looking for
somebody to work with in ourarea?
Speaker 4 (25:32):
Okay, there are three levels of membership at ALCA.
There's advanced professional.
You can only get to that levelif you have the qualifications
to sit for one of thecertification exams.
That would be a certified casemanager or a care manager
certification.
So that's you know.
The advanced professional istruly the highest level of
(25:55):
education and experience.
So you can at least know, ifyou're pulling someone from
their list which goes by zipcode, that if you are choosing
an advanced professional, theyat least have the experience and
education that's at the top oftheir field.
Now there also is theprofessional level, so that
would be people who still have alot of education and experience
(26:16):
but have not sat for thatlicense or not licensing, but
certification exam.
And then there are alsoassociate members, and it isn't
that they aren't good, it's justthat they may be just starting
out or they just don't have theyears of experience yet to go
into the professional category.
So the great thing is thatevery member of ALCA has to meet
(26:37):
minimum requirements and theyare pretty stringent.
And then the cost of it isenough to make you.
You definitely want to becommitted to that.
But as far as finding the rightperson, I think it's really
important to look at their sites, because every care management
practice might focus ondifferent things.
(26:58):
Background you're going to findthat there are a lot of care
management practices that aretruly social work, and so they
may very well have enoughexperience just helping people
through medical situations, butif there are no nurses on board
if that's a piece that you needthen I would certainly make sure
(27:20):
, before you call them, thatthey have nurses on their team.
Speaker 1 (27:24):
Oh that's, I would have never thought about that.
That's a really good point.
Oh that's, I would have neverthought about that, that's a
really good point.
And so we have some questionscoming in.
Somebody's asking what yourfees are so?
Speaker 4 (27:37):
typically we just charge our hourly fee, except
for our initial consultation.
Speaker 2 (27:47):
So our initial consultation is $300, and then
our hourly fee is $165.
Speaker 1 (27:50):
Okay, okay, and what would a typical?
And then is there ongoing?
I mean, are there you're theirgeriatric care manager, kind of
ongoing?
Is there like a contract tokeep you in the mix, or do you
get them all set up and thenthey come back to if they need
more later on?
How does that part work?
Speaker 4 (28:07):
Dawn, it can work either way.
So some people we keep.
I think a lot of it depends onwhether or not the family is
local or the age of the family.
If they have a career thatreally takes a lot of their time
, so then they want us to bethat oversight.
So it might be a weekly visitor we go to all the doctor
appointments because that's whatthe family wants.
So it really depends on thesituation.
Speaker 1 (28:30):
Okay, but there's that flexibility.
It sounds like where they couldhave it, because I think I
would want you in my back pocketjust in case, especially so
many of these adult children, Imean and they are.
I mean they feel like they'rein crisis.
It's not like someone's goingto die tomorrow, but this is a
whole new world for them.
It's the first time they'vebeen through it and they're
(28:52):
really needing as many partnerson their team as they can get,
and sometimes I would connectwith the adult daughter and with
the senior, and now it's timeto add hours and the adult
daughter is calling me.
My mom's not going to do itunless you talk to her.
She's just not going to.
So I'd imagine people getattached to you that in that way
too and that they need you tocome back.
My mom needs a talking to Notlistening again.
(29:13):
Kathy, can you please come haveanother sit down with us, so I
can imagine that your back andforth was many of them probably
through their journey.
Speaker 4 (29:22):
It's very flexible that way, but I can't say that
all care management practiceswould be like that.
Some of them just may be alittle bit more strict with
having to be signed up.
Some of them take retainers.
Speaker 1 (29:42):
We don't happen to do that, but I do know that some
of them will do retainers, okay.
Okay, that's good to know too.
Does anybody have any questionsfor Kathy?
You can either kind of speak upor send it in a chat.
If you don't want to, you don'twant to talk.
I don't know if Lisa has anyquestions, or Annette has
anything kind of to add, or,kathy, do you have anything else
?
You think we should know thatwe didn't ask you.
Speaker 4 (30:03):
I think honestly, from a marketing standpoint
right now I don't know Everyarea of the country I'm sure is
different I can tell you in ourpart of New York that staffing
is just so dire in thefacilities.
I mean it's literally scarythat we are calling on home care
companies and especiallycompanion agencies, because a
(30:25):
lot of the assisted living won'tallow licensed care to come in.
They can't because of New YorkState regulations, but just
having eyes on them during theday because they're not taking
them down to meals or they'regetting their medication wrong.
And it's just so scary that Ithink there's a huge opportunity
to really focus on thispartnership between GCMs and
(30:49):
home care.
So at least in our marketthat's happening right now and
again it just provides moreopportunity for both companies
to thrive across the entirecountry and as home care
(31:10):
agencies you can also offer tohelp staff their communities.
Speaker 1 (31:12):
I mean, that's another avenue.
We did that quite a bit duringCOVID because they were
short-handed.
So even if in assisted livinghere in Arizona you have to have
your assisted livingcertification as a caregiver to
do hands-on and assisted living,but what they would do is they
would hire us to deliver meals.
Will people to the meal room doall of that stuff so that their
people could do the hands-onpiece?
(31:32):
So there's always kind of a wayto work around if you need to.
So that's a really good point.
And in GCM, even if they havesomebody in assisted living, it
sounds like you would feel morecomfortable having a caregiver
with them for the eyes on,because they're short staffed,
probably in skilled nursingfacilities too.
Everybody's feeling this staffcrunch across the country.
Yeah, that makes a lot of sense.
(31:53):
Do we have any questions in thechat, anybody?
No one has anything else to ask.
Kathy, maybe we were justreally thorough guys.
Speaker 2 (32:00):
I had so much.
Lisa, did you have something?
No, I just wanted to say that Idid send in the chat the Find a
GCM near you.
You go to aginglifecareorg.
I put the URL there for youguys to look, maybe find someone
.
Maybe you can go on.
Once you find someone, go onLinkedIn and then go request
them and maybe get to meet them.
Speaker 1 (32:21):
That's smart.
Yes, and Annette, did you haveanother something else to add?
Speaker 3 (32:25):
Yeah, I also found, as Kathy said, making sure you
have the right caregivers.
We worked really closely withKathy and her team of making the
right fit of a caregiver forthe clients and I know that was
really important.
So there were times that wewould set up services and pick
the caregivers.
We felt our scheduler pickedthe best people, our scheduler
(32:47):
picked the best people, and thenwe would talk, we would the
care managers Kathy or some ofour other team members would
call and say this person isn'tthe right fit for this client.
So we worked a lot with maybeswitching things around, but I
know that was a big importantthing and I know that is
important to the care managertoo that they get very this is
like their family, their clientand there are sometimes Kathy
(33:07):
was sometimes our person that weonly spoke to.
We never spoke to the familymembers.
We just really made sure thatwe had the right people and had
the right care in place andsometimes it took a little while
to get things going, but itusually did and worked out great
.
So I just wanted to add that.
Speaker 1 (33:24):
Yeah, that's good, kathy, thank you so much.
Speaker 3 (33:27):
And we're going to go through.
Speaker 1 (33:29):
if anybody has any questions, feel free to put it
in the chat.
We are going to share our leadbehinds.
Lisa's going to go throughthese, but if anybody thinks of
a question that you have, youput it in the chat.
We are happy to answer thosewhile Lisa can kind of stop and
Lisa can, and we'll get thoseanswered for you.
Go ahead, Lisa.
Yeah.
Speaker 2 (33:50):
And feel free to interrupt me too.
If you don't want to put it inthe chat.
You can just say, hey, I have aquestion.
But so it is June and I want tosee pictures of you guys using
all of these different Junehandouts here.
So National Hydration Day wedid this one last year too, but
I just like this.
Water is life.
You add the flavors, theyhydrated on us.
You can take this out toanywhere that you're going out
(34:13):
and doing your weekly visits toGoogle and Canva.
Links are on the bottom here.
You can click on those and makeyour changes.
Just remember to make a copyand save, or download and save
and you can make any changesthere.
Next slide You're going to wantto pair this with.
You can grab some bottled watersand take them out individually
to a social worker or whomeveryou're visiting.
(34:34):
You can slap your logo ontothat water bottle and then maybe
I don't know if you guys haveever seen those little.
They're little like gluestickers Slap a little glue
sticker on the water bottle andput one of those drink packs
there one or two, who knows.
But I just thought this was areally good way to show everyone
that, yes, we need to drinkwater.
We need to stay hydrated,because a lot of us just don't
(34:55):
do that because we are runningaround all the time.
Or what you could do is takelike a bottle or a box of these
drink packets there's 50 inthere and then maybe like a
couple of packs of water andtake it out to a whole team and
just let them know that you careabout them.
You want them to drink theirwater and feel good and stay
hydrated.
So there's that idea.
Another one all we have is nowthat june is alzheimer and brain
(35:18):
awareness month, sorry, and sothis one we just kind of I just
did a general message here.
You can change these messageshowever you want.
And the next page I kind ofstayed with more of the
traditional silicone braceletshere, but I also we did
something back in May, if youguys remember the Older
Americans Month, where we hadthese extra large print
(35:39):
paperback brain games and wordsearches and things, so you
could repurpose those and givethose out.
Make sure that you do.
Also slap your sticker on therewith your contact info, your
logo, and it looks like we havea question.
Speaker 1 (35:49):
Okay, Kathy, how do you help responsible parties who
have a loved one with dementiaovercome the resistance of
accepting help?
Any tips that have helpedresponsible parties to step up
care for their loved one whenthey have anosagnosia Sorry and
will never realize they needhelp?
(36:09):
Okay.
Speaker 4 (36:11):
So it depends on the situation.
One of the first things that wewill do is we will talk to the
family about what some of themotivators are for the person.
So if the motivation is to stayhome or if that's the concern,
(36:35):
sometimes we'll talk about sometherapeutic fibs where we talk
about oh, the first 30 days isfree, it's a trial.
So that way the person doesn'thave that ability to resist
because of the money piece piece.
(36:59):
And also, sometimes we aregoing to give a referral.
If the person is not beingfollowed by someone in neurology
, we will often refer them andget that set up, because
sometimes the primary carephysicians are not great about
being able to help withmedications that can reduce
anxiety, and anxiety istypically the driver of the fear
that people have about losingcontrol, losing independence.
(37:20):
So often medication is a piecethat we need to manage.
So it's not just one thing, butit's quite often finding what
will kind of hit home with them,what are their motivators, and
then making sure that on themedical side we have good
support from the doctors.
Speaker 1 (37:39):
I love that, and that's a really good question,
carla.
It is hard to get responsibleparties to overcome that
resistance, and sometimesthey're in denial that mom isn't
functioning the way that sheused to, and so that can be a
part of it too.
Okay, any more questions?
All right, lisa, we're headingon to snappy discharge, okay
(38:02):
we'll go to snappy discharge andthen I'll go back.
Speaker 2 (38:04):
Carla had another question, so I don't know if we
want to stay there or snappydischarge.
Speaker 1 (38:07):
Oh yeah, let's stay there.
I guess I missed it.
I'm sorry, that's okay.
Where I'm sorry, where is that?
Speaker 2 (38:17):
question.
I'm not seeing it.
It's not on my screen.
Go ahead, lisa.
Can you perform the cognitiveeval testing right now, because
their neurologist takes monthsto get in and the testing is
four hours and nobody wants towait through a four-hour test.
So can you help with that too,or is that something that GCMs
can help facilitate, or is thatsomething that?
Speaker 4 (38:34):
GCMs can help facilitate.
Some can.
So I'm certified to administerthe MOCA, but that's not a
requirement for GCMs or forbeing part of ALCA, so that will
vary from place to place.
Speaker 1 (38:49):
Okay, yeah, I don't have that question.
So everyone else check thechats too.
For some reason I don't havethat part of it.
Speaker 2 (38:56):
It went straight to me.
Oh, that's fine, all right.
I didn't realize that to you,sir.
Okay, national Lobster Day isJune 15th.
I know probably no one caresabout that, but this is the
cutest.
I mean, lots of people lovelobster actually.
But I wanted to bring thissnappy discharges into play
because we want people to knowthat they can call us for this.
It's not a burden, it's.
(39:16):
We're going to do it.
We're going to do it reallysnappy Home in time for dinner.
Give us a call now for snappydischarges and we have Okay,
we'll do the next slide.
Speaker 1 (39:26):
and then we have another question Go ahead, be so
, if you're, if you're leavebehind.
Speaker 2 (39:36):
Okay, okay, oh, I just wanted to kind of play on
words.
Here she's snapped.
Or you can go for the little, alittle more healthier harvest
snaps, but that's just a greatway to tie in the snappy
everything.
And you can find that stuffhere.
Speaker 1 (39:44):
Okay, next question.
Next question how do yousuggest approaching a GCM in a
near in my nearby area about myhome care services?
What would first steps be?
Speaker 4 (39:56):
So I would go to their website first see if they
have a marketing person on theirteam.
If they do, that's who I wouldfirst approach, because they're
usually responsible for thatcommunity development.
But on smaller teams thereisn't always a marketing person.
So then I would go to theirleadership person, the owner
they're typically the persondoing business development and I
(40:19):
would take a look at theirwebsite and glean from what
they're writing what some oftheir key things are, what their
key services are, and then Iwould just approach them on how
your team would be a great fitand I wouldn't hesitate to talk
about.
You were at a meeting when Elkamember was speaking and talked
about the great relationshipthat home care and GCMs have and
(40:42):
use that as your lead in.
I mean, it's just such a keyrelationship that there
shouldn't be a hesitation.
But I think finding that eithercommon mission or something
that you guys specialize in thatfits to what they provide, I
think is a good way to approachit and, Cappy would you say,
scheduling an appointment,calling, emailing, what works
(41:05):
best for you If someone were tostop in?
Speaker 1 (41:08):
what would be the best first approach If you don't
have a computer, I guess?
Speaker 4 (41:13):
Yeah, so I don't.
Not.
All GCMs, especially a smallerpractice, won't have an office
to stop in or won't staff thatoffice very often.
So I would say, if there's anemail available, that's the best
way, because even if they arelooking at it after hours, they
can reply to you and you can getsomething scheduled.
Speaker 1 (41:33):
Okay, great, thank you.
Okay, we'll keep going.
Any more questions?
Keep sending them in Anotherone.
Oh, another one.
Do you have any metrics or datayou could share that you track
for families with GCM?
Improve health care outcomesfor providers.
Urgent alerts handled in thehome.
Reduction in hospitaladmissions decrease in total
(41:55):
positive care.
Speaker 4 (41:57):
I would have to check and see.
Alca would certainly be theorganization that would have
that information.
So I am certainly happy tocheck and then I can get back to
Annette or Dawn or Lisa andgive you that information.
I can tell you, in ourparticular market we have a
nonprofit.
It's called Lifespan and I knowthat they contracted with
(42:17):
government agencies and they diddo research into their services
, which are very similar to GCMsbut just on the nonprofit side,
and they did find that the datashowed that there were improved
outcomes, fewerhospitalizations, better
management of chronic diseaseand things like that.
Speaker 1 (42:36):
I can just share that , that they had that done and it
did prove to be a positiveexperience and I can imagine it
would be yeah, because you'remanaging all the things, the
things that that, all theproblems that could arise, so
that, yeah, that makes sense.
The things that fall throughthe cracks.
Yes, fall through the cracks,and just having someone managing
all of that would definitelymake be very impactful.
(42:59):
All right, lisa, go ahead.
If there's questions, keepsending them sure we'll sure,
okay.
Speaker 2 (43:05):
So, yes, we want to celebrate fathers and father's
day and doesn't have to be afather like you can give it to
me, you can come into my office,give it to me and I'm gonna
just recant it or maybe eat thecandy that comes with it.
But just wanted to recognizefather's day and I wanted to
pair it with a couple littlebottle opener, key chains and
maybe a little baggie of rootbeer barrels.
(43:26):
You can get a little littlebaggie, tie it up and have all
this stuff inside and attach orleave behind to that.
Um.
Next the line uh's cool to care.
So now we're in July, it's coolto care.
We did this one last year too.
If you want to go to the nextslide, this is the one where we
use the Otter Pops and you takethem out just like this.
(43:46):
You don't want them frozenbecause they'll be getting all
over the place, but take themout like this.
Your social workers will keepthem in the freezer and they'll
use them later on.
But I just think it's a reallycute idea, nice and colorful,
very summery.
Next one is yes, definitelycelebrating our independence
since 1776.
(44:07):
You can go in and again, withthe canva and the google docs.
You can change this and make ityours and next slide.
So I found these little lapelpins and I thought were really
super cute.
You can, you know, add those.
You can change this and make ityours and next slide.
So I found these little lapelpins that I thought were really
super cute.
You can, you know, add those on.
You can pin them into the leavebehind even and add that to
something.
Or the little handheld Americanflags.
I had one in my pencil holderforever and ever and I totally
(44:28):
loved it.
And we do have quite a fewCanadian clients, so I did want
to do something for them as well.
I felt that in the past I justdidn't even think about it, so I
was thinking about it for them.
I think it's on the first theyhave Canada Day, so we'll look
at that too, and same type ofthing.
I did find some lapel pins andlittle flags that I thought were
really cute.
You can take those out anywhere.
People will really appreciatethese.
(44:50):
Next National Wellness Month.
So this one here.
I know Dawn did this one lastyear and I just loved it.
Because the finger and thelittle if you forget something,
you tie a string around yourfinger and it's supposed to help
you remember stuff.
So I thought it was really cute.
But we need to remember to takecare of ourselves.
So when you go out to thesocial worker or whomever you're
visiting, just let them know totake five.
Research shows that self-caredoes help.
(45:12):
But here's all the stuff thatyou could use.
You could come up withdifferent ideas too, but taking
this stuff out with that leavebehind would be really cute.
And you can again a little meshbag.
You tie a ribbon around thisstuff and it'll look.
Or even use this twined.
I think it would look reallycute together.
Next, this one for nationalwellness month.
This is a prescription forself-care take, take 10 minutes
(45:34):
break, preferably outside.
Take a deep breath and pop opena capsule for maximum wellness.
So pair these with these little.
I thought these were so cuteand I was trying, I was thinking
about this for like months.
Like how do I use these?
They're so cute.
And so what you do is when youpop open a capsule, it has
little messages of affirmationsand just really cute positive
(45:54):
messages here, and so I thinklike a little drawstring bag,
maybe three or four, but you canadd anything else to it too
Full punch.
This little lead behind andmaybe attach it with that ribbon
that's already there and takethis out, and I just think
people will love it.
It's super cute.
You can get maybe a couple ofbottles of those pills there.
Another one for NationalWellness Month, the importance
(46:14):
of exercise we're wanting,promoting health and wellness.
You see, here you know yourspiritual, your body, of course,
your mental, your social, youremotional, moral.
And then I wanted to give anote here that kind of touched
on what we do.
So we're trained in guidingpatients through their
prescribed home exercise regimen.
Call today.
(46:35):
So that's a good take on.
Yes, of course we're not PT,but we can guide you through
that little one sheet that youget that comes home with you.
We can guide you.
And so we want the socialworker or a discharge planner or
whomever to understand that.
We understand that and we canhelp continue that so the person
continues to progress.
And then with this I just Iwanted to use those same little
(46:57):
baggies.
I think if you buy a wholebunch you'll have these for lots
of different giveaways.
But there's these littlemotivational stress balls.
I just thought they were reallycute, kind of keeping up with
the positivity theme there, andthere were some bracelets too
that come with this.
I just didn't like how theylooked on the page so I didn't
include them, but they do comewith it as well.
And also August is National Safeat Home Week.
(47:19):
It's the last week of Augustand so we wanted to light the
way, and of course, I paired itwith a couple of different
little keychains that havelights on them.
But I've seen a whole bunch ofdifferent lights that I found
that kind of, I guess, anywhereyou're looking, even if there's
a one step up or something at ahome, and you can just kind of
they're this big and you canjust stick them, I guess, to the
(47:41):
surface, and it really wouldlight up and keep someone safe
at home.
I just thought it was a goodidea.
But here a little key changeyou can add your logo.
If you have some stickers, youcan cut it to size, and I think
that would be really cute too.
Want to get your logo onanything you possibly can.
Speaker 1 (47:56):
The other thing about this is call me out for a free
home safety assessment.
Why is that?
All it takes to kind of get inthe home.
We've talked, even here withKathy, that many of them are
resistant to having anyone evencome in and talk to them, so
this could be the how to get in.
Do a free home safetyassessment.
We've been in several homes toknow, though they're not.
They've got extension cordsrunning across the living room.
(48:17):
Throw rugs over the extensioncord.
I've seen so many hazards goinginto homes, so offering a free
home safety assessment, I think,is a really smart thing to do
as well.
Speaker 2 (48:29):
Yes, thank you for mentioning that.
I think I was trying to go fast.
Oh, we're good.
And then this one is super cutebecause I mean, who wouldn't
want to have coffee?
Talk, right?
So I'm on me, redeemed by textonly, so to set a date, text me
and we can get together and takethis out to your social workers
(48:49):
or anyone that you know thatyou would have a connection with
.
And because you guys do thesame type of thing, you're in
the same market.
So why not connect and becomereferral, refer to each other
and if this goes to someone whojust really can't leave their
community or where they'reworking, offer to bring it to
them and maybe take an order.
Maybe this turns into anin-service or a lunch and learn
(49:10):
or something.
But I just think this is supercute and maybe the little
handwritten note the back andI'd really love to connect with
you or something.
But I like it because it'sredeemable and it's just a
really cute idea and redeemingby text only gets you on a
texting basis.
Speaker 1 (49:24):
With this referral source and with social workers,
that can be a powerful thingbecause they're very fast and
very busy and if they can textyou really quick about a
discharge coming up, that'swonderful.
And if they have to call otherpeople, they might choose you
because they can text you andit's quick and you can certainly
(49:44):
edit this to say coffee or teaon me, I'll bring it by.
I mean, you can edit the wordsso that it can say what makes
the most sense for you.
And so again, we have Kathywith us.
Does anybody have any questions?
I know some of you came alittle bit later to the meeting.
There might have been somesign-in issues, I'm not sure.
If you missed this, though, wewill be sending out a replay.
It'll be out on all of thepodcasts.
We have Kathy Windus.
She's a geriatric care manager.
(50:05):
I don't know if anybody elsehas any questions.
Before we end, we want to thankher for coming.
For sure, you just have so muchknowledge, kathyathy.
This was helpful for me beingin home care all this time.
I I learned a lot today.
If you have a question forkathy, feel free to put it in
the chat or just speak, unmuteyourself and any questions.
You've always been dying toknow.
(50:26):
Any answers to questions?
No, okay, now or forever.
Hold your peace here we have it.
Call us later.
Speaker 2 (50:39):
Let's see.
Speaker 1 (50:39):
We always have been team appreciation during the CNA
week of June.
Has anyone had successful staffevents that caregivers attend
and you could still step everyshift that day and responded
well to and was affordable, okay.
So she's asking us for cna weekif we've ever held appreciation
at the office for ourcaregivers, our cnas, and that
(51:01):
they actually came and theyattended and we could still
staff all the shit.
So that's a tall order, carla.
But we had caregiver partiesand it was an open.
She said I know all right, itwas an open event.
So said I know right, it was anopen event.
So it was 12 hours, guys.
I mean we buckled up, we gotready for it and it was an open
house and we were open for 12hours.
(51:22):
Caregivers popped in and outthroughout the day.
They got a gift, we had food onstaff and we were constantly
replenishing the food.
We had crockpots of food,mostly the staff.
We had a great staff that lovedto cook and I'm telling you I
gained 15 pounds working at thatcompany.
Everyone was cooking all in abig kitchen and because we were
teaching the carvers how to cooktoo during training sometimes
(51:43):
the 24-hour carvers we'd bringthem in to show them like meals
that they could create, but wecooked in there all that.
I was always eating, but anyway,we had crockpots of food and
cookies and dessert and we wouldjust keep replenishing and it
was a 12-hour open house, comeyou want.
They always brought their kids,so you have to have a lot of
food because the kids are comingwith them.
(52:04):
It's just the way that it isand they would eat and we would
always have some kind of giftfor them to take back with them
and appreciate them T-shirts,polos, hand sanitizer.
We had one event where you knowif they were celebrating their
one year, their three month orwhatever, we had that gift for
them too.
That's what worked for me.
(52:24):
How about Annette and Lisa?
You have anything to add?
Speaker 3 (52:27):
we used to do the same type of thing.
I don't know if we did 12 hoursbut we did 12, so they went
missing.
We were hoping some we did acouple drop ins.
I remember one that we had thatwas really nice, that they
really enjoyed.
It was for Valentine's Day.
So they stopped in and we hadValentine treats and the whole
room was decorated forValentine's Day and we had
(52:50):
little gifts for them and candyand when they were, they can
come in between this time andthat time and I think they like
that.
They said, oh, this is I mean.
They would say it was so niceand sometimes you're really busy
and you don't have time to dothis.
It takes a lot.
Speaker 1 (53:03):
It's a whole day that you're scheduling this, but
they really do appreciate it.
Yeah, caregivers need to feellike they have that sense of
community, like they're a partof something, and I think that
they really it energized them.
We did it a couple of times ayear and they were like
re-energized.
Some of them brought theirclients with them, which was
fabulous.
The clients got to see us andmeet everybody in the office too
(53:26):
.
Elisa, how about you?
Speaker 2 (53:28):
Yeah, we actually did several caregiver appreciation,
had the office kind of open.
We also had before, especiallybefore COVID, we had the office
open.
We had a kitchen with snacksand they could actually come
anytime and get water, snacks,little care package if they
needed.
But yeah, we had a wholecaregiver appreciation day.
We also did a Thanksgivingwhere we served them and we had
(53:53):
tables out in our, I guess whereour conference room slash where
we used to train everybody,with our dummy in the background
in the back in the bed and ourlawyer back there.
But yeah, we definitely didthat and they loved that because
we would give them gifts, ofcourse, and we just were an
appreciation.
They would bring their family,their kids, even their clients,
which we love, because justhaving that engagement and
(54:13):
interaction was really great foreveryone to see that we were
doing this for the caregiversand how many people came.
Lots of people came and theyloved it.
I know one time we even did ataco cart outside.
I want to say that was maybeafter COVID.
I want to say we did some openhouses and yeah, all the same
thing.
I think they really appreciatethat.
(54:34):
We did do a couple taking maybeflowers to a client or a
caregiver on shift if they werereally close and they've been
there for a while.
But yeah, I made sure it's okayand all that.
But yeah, we love the littlethings like that too.
Speaker 1 (54:47):
Yeah, but we did a holiday party and then one
opposite party, like summerytime kind of thing, barbecue or
something.
So I hope that answers yourquestion, carla.
And and still, not everybodywas able to come.
There are people on 12s 24s.
It was hard and if we felt ifthey really wanted to come
they're like I have to work orwhatever sometimes we would send
(55:07):
a lead caregiver to give them abreak so they could run it all
in part of it and I could be, orsomeone from the staff would go
be with their clients so theycould come to the parties.
If it's a caregiver who's beenwith you a long time and they're
really sad to be missing it, Iguess you just do whatever you
can so that they get to be apart of it and they get to feel
that.
And there's just so much reallywarm, passionate energy in that
(55:29):
office when everybody's there.
I can't explain it.
We're all on the same passion,right?
We're all on the same missionand it just feels really good
and I think they need thatrejuvenated the office too, not
just the caregiver.
So well, kathy, I again want tothank you for coming.
You were just full of knowledge.
It was so helpful.
We really appreciate it, and ifyou guys think of questions
(55:50):
later on, I'm sure we can sendKathy questions and she would be
happy to get those back and wecan add those to the replay or
something too.
So thank you again, kathy, forcoming.
We really appreciate it.
Thank you so much for having me.
Of course, everyone have agreat weekend.
We're going to stay on herejust a little bit with Kathy,
but have a great weekend andthank you.
(56:12):
Bye, everybody, bye.
today is june 7th.
Welcome to mastery circle.
We're going to go through ourwhat do we call this?
Our I don't know rule ofregulation like housekeeping the
road, that's it.
That's what valerie calls.
She usually does this part, soI'm a little out of my realm
here.
Okay, so keep your minds mutedand less speaking.
Share stories and tips.
We do want to hear from you guystoday, especially because we
(00:29):
have a special guest and we arehoping there will be questions
at the end, and so we would lovefor you to ask some questions
of our special guests, whichwe'll announce here in a little
bit.
Make recommendations, tell uswhat you want to know.
A lot of our masteries willcome from your input, comes from
the things that you want toknow, things that you're curious
about, things you're havingtrouble with.
(00:50):
We're here for all of it.
I'm Dawn Biela.
I have been with the PruneSaving your Network for two
years now.
I've been in home care.
For close to 20 years.
I've been in sales, marketing,retention, recruiting I don't
know all of it.
In home care.
You can't escape all the hats,right?
We're all wearing hundreds ofhats.
And then go ahead, lisa, youintroduce yourself please.
Speaker 2 (01:16):
I'm Lisa Marcella.
I feel like I have a similarstory.
I was in home care for justever in a day and never stay in
your own lane, so I've doneevery little piece of it.
I'm happy to be here with youguys, love being on the other
end too and just being involvedwith you.
Annette, hello.
Speaker 3 (01:27):
I'm Annette Ziegler Ditto.
I have to say I have over 20years of experience in home care
and home care marketing, sowe're really happy to have you
on this Friday.
I'm in our special guest.
Speaker 1 (01:38):
And Valerie is off today.
Gay Valerie, she's off at theocean somewhere in a couple of
pictures, a little envious buthappy for her.
And so how do you watch themeetings that you have missed?
Some of you are here live andsome of you probably are
watching a meeting that you'vemissed.
Right now You're going to login to the Home Care Sales Forum.
Your username is your emailaddress.
(02:00):
Your password is whatever we'veemailed to you.
You can use the workout yourpassword feature if you don't
remember the password.
When you're in the forum there'sdiscussion.
This is where we're chattingabout everyday things.
You guys should be using theforum, any questions that come
up throughout the week.
You've got stuck.
A social worker said I don'tneed to see you, I have other
home curators to talk to.
(02:21):
What do I do?
What do I do?
This is where you ask thosequestions.
Up here on the left, you'reunder discussions here.
If you go to learning, that'swhere you're going to find the
meetings that we've alreadytalked about.
You'll see mastery circle.
You'd click on that and thenall of the classes that we've
done so far this year are here.
With the click on it, you'llsee the video and you'll have
access to the slides with thehyperlinks for all of the
(02:43):
documents that we've shared withyou.
So today we have a special guest.
I've been so excited about this.
Her name is Kathy Jacobs.
She's the owner of Together inCaring Geriatric Care Management
.
Today we're going to discoverwhat geriatric care managers are
looking for in a home careagency, if geriatric care
managers consistently refer tothe same home care agency and
why.
And then we're going to gothrough our June, july, august
(03:06):
lead behinds and we will havesome times for questions so that
you guys can ask Kathy some ofthe questions maybe you've had
for years about geriatric caremanagement and their role and
how we can help them.
So I'm going to let Annette goahead and do introductions here.
Speaker 3 (03:22):
Yeah.
So I'm really happy tointroduce our guest speaker
today, kathy Jacobs.
And while I was in home care, Ipersonally worked with Kathy
and her team.
We had a great partnership andI'm just really excited for her
to share what works and howgreat it is partnering and
working with home care agencies.
So Kathy is a proven leader incare management.
(03:42):
She's certified by the NationalAcademy of Certified Care
Managers, advanced ProfessionalMember with the Aging Life Care
Association.
Certified Aging in PlaceSpecialist through the National
Association of Home Builders,essential ALZ.
Certified by the Alzheimer'sAssociation.
Extensive experience workingwith people with disabilities
and those with chronic and orterminal illnesses.
(04:04):
Experience working with peoplewith disabilities and those with
chronic and or terminalillnesses.
She has a bachelor's degree inpsychology, an MBA from the
Simon School of Business focusedon healthcare administration,
and a Gerontology certificatefrom St John Fisher.
So welcome Kathy.
Yes, welcome Kathy.
Thank you.
Speaker 1 (04:20):
Thank you for being here today.
Do you have anything to add toall of this?
This little lie?
You're certified for sure.
Speaker 4 (04:28):
No, I think that's more than enough about me.
Speaker 1 (04:32):
Thank you again for joining us today and tell us a
little bit about your businessand the services that you offer.
Speaker 4 (04:38):
Thank you.
I'm happy to, I'm very happy tobe here with all of you today
Together.
In Caring is a privategeriatric care management
practice.
We have offices in Rochesterand Syracuse, new York, and we
essentially cover the greaterFinger Lakes region of New York
State between the two locations,and we're pretty comprehensive
(05:05):
in the services that we offer.
So we have nurses and socialworkers, but we also have
financial care managers.
We have RNs who offerassessments for placement and
wound care as well.
We have nurses who will dorelocations, so we really cover
(05:26):
a lot of different areas of needwhen it comes to geriatric care
management.
But we're growing and we'rejust so excited.
I'm thrilled that Annetteallowed me to be here today.
Speaker 1 (05:38):
Oh, that's great, and it does sound like you offer a
full circle kind of service.
That's wonderful.
So explain to us your fees andhow you're paid.
I've often wondered that myselfas a home care agency.
How is it that you get paid andhow does you take insurance?
Is it private pay, like how allof that works?
Speaker 4 (05:56):
Absolutely so.
We are private pay.
We do not have any servicesthat would be covered by
traditional insurance, but we dooften work with long-term care
plans to help our clients beable to submit the claims and
get some of their care coveredin that way.
(06:17):
Private pay we do typicallyjust charge the seniors directly
, but if I'm being honest,honestly, it's the families who
are typically hiring us in orderto provide services for their
aging parents and loved ones,okay, okay.
Speaker 1 (06:36):
And how do they come to you?
How do you gain clients?
Speaker 4 (06:41):
We have many referral sources, home care certainly
being one of the top ones.
We also work very closely withpeople that we refer to in the
community, professionals such aselder law attorneys, other
providers such as neurology,ortho, people that we typically
have to connect our clients tofor services.
(07:03):
We also work very closely withsenior housing all levels from
independent up through skilledand I mean those are our typical
sources, but certainly we havemarketing in place, so we do get
people directly from socialmedia or a website, and word of
mouth is definitely one of ourtop referral sources.
Speaker 1 (07:26):
That's great.
Wait, explain who your typicalclient is and where oh, we just
did where your referrals comefrom.
So who is your typical client?
Speaker 4 (07:35):
So it's hard sometimes to say who a typical
client is, but I can tell youwhat the typical situations are
that come to us.
Certainly one of the ones andthis is a great collaboration
that we have with home carecompanies is folks who are
trying to age in place, and sothey may already be getting
(07:55):
support, or the family isconcerned that things are not
safe and so they're looking forsupport.
So this is where we'll go in andwe will do a thorough
assessment and we'll see whatneeds to happen in the
environment, the physicalenvironment, the supports that
are needed, any medical issuesthat are not being addressed,
(08:15):
and we'll come up with a careplan.
And this is really one of themost common situations where we
partner with home care agencies.
Where we partner with home careagencies, but we also deal with
crisis situations.
So we work very closely withhospital discharge teams.
If someone is needing to leavethe hospital, but they really
are not prepared to go home ortheir home is not safe, they
(08:39):
will call us in.
And, again, one of the mostcommon needs that we have to
fill is home care.
So, again, I'm just so thrilledto talk to you about it because
it really is a greatpartnership you.
Speaker 1 (09:06):
So what are you looking for in an agency?
What makes you feel likethey're the real deal, or I can
trust them, or they've got thishandle?
What does that look like?
Speaker 4 (09:12):
So certainly we have to build that experience over
time and build that trust.
But really there are three orfour things that are key for us.
One of them is consistency.
So do we always get what we'rehoping to get?
Are we able to get coverage forthe staffing hours that we set
(09:33):
up, and do we always get thesame type of response?
And can we count on a personthere who's our contact to
return our calls and have goodcommunication?
So that consistency is reallyhuge for us.
The communication is key and Iwould imagine that that's really
a reciprocal thing.
(09:54):
I'm sure that the home careagencies feel the same way.
Yes, so we really try toestablish the proper channels.
Understanding because everyhome care agency is different.
They have different roles.
So sometimes there might be acare manager within the home
care agency, Sometimes it's thescheduler that we work with.
So we just try to establishthat communication up front.
(10:17):
Cooperation each of usrespecting the roles that we're
playing and knowing that therewill be times where there are
issues and having that opendialogue and just having that
spirit of cooperation is huge.
So that is absolutely somethingwe look for.
And then I think the last thingI would say is commitment.
(10:38):
As a company, we have acommitment to our mission and
our desire to have high qualitypersonal care, and that's what
we would look for in partneringwith a home care agency as well.
Speaker 1 (10:52):
And so if I'm a new home care agency or new to you,
haven't met you yet and wehaven't established that trust,
what would be the best way toapproach you and maybe get your
attention so that you wouldtrust me one time at least, just
to give me a shot?
What is it?
And even if I am brand newbecause sometimes people will
say reputation, but if I'm brandnew I don't have that yet
(11:14):
either what might make you sayI'm going to give this one a
shot?
Speaker 4 (11:19):
So typically if we haven't worked with somebody, we
require having a meeting withthem, with their ownership or
with their leadership team, andwe talk about what their hiring
practices are, we ask them abouttheir training, we ask them
about their supports to thecaregivers If a caregiver has an
issue kind of what's yourprocess, and that really gives
(11:41):
us a good feel for whether ornot they've prepared themselves
and their employees for successin the home care field.
Speaker 1 (11:49):
So that's typically how we do it Okay, and that
seems fair, because then you'regetting an inside look at the
company, maybe their backup plan, or if a caregiver calls out
sick because you don't want foryour client to kind of be left
tie and dry, you need to knowthat things are going to be
handled and if the caregiver issupposed to be there, they're
going to be there or there's abackup plan.
(12:09):
So that's great.
It's great that you giveeverybody that fair shot and you
sit down and you have thatmeeting with them so that you're
able to learn more about them.
Why did you think home care anddirect care management
partnerships are so effective?
Speaker 4 (12:22):
Yes, as I shared earlier, home care services are
really the top thing that wehave to put into place in gosh,
I would say at least 60 to 70percent of our cases.
So it really is the keyresource and it has to be
successful for us to besuccessful.
So that's why that partnershipis just so important.
(12:44):
Annette shared that we workdirectly together is just so
important.
Annette shared that we workdirectly together, so the
company that she was working forwe actually were sharing office
space and her care manager wascoming to our in-person weekly
meetings just for a few minutesat the beginning, and that could
certainly be done remotely aswell, but just to talk through
(13:05):
those shared clients and seewhat's the status.
Was there anything that's goingon that we need to discuss?
And I really can't tell you howhelpful that was Again,
building that trust, creatingways to have communication that
work both ways.
It just I even we learned andwe were surprised at how
effective that could be indeveloping that relationship.
Speaker 1 (13:29):
Yeah, and I have found that too, because the
caregiver even for a home careagency, the caregiver knows more
than we do too, because they'rein the home and so if we needed
, if we had anybody asking usany questions, the caregiver
knows.
So I could see where that wouldbe valuable to sit down and kind
of, and then we would hear fromyour side what's going on with
(13:49):
the other pieces of their life,because we again are in one
window.
So I can imagine those meetingsare really good, and I had a
couple of geriatric caremanagers that I worked with too
in the past, and it's nicebecause it is a reciprocal
relationship.
It really is a relationshipwhere both parties are equally
able to refer back and forth,and it's always like that when
(14:11):
we have other kinds of referralsources.
I guess that would be how Ifeel about it too.
Is that you really can havethis, and I know that you and
Annette, did you get this greatpartnership where you're able to
refer back and forth and youtrust each other?
You know enough to do that.
Once you start working with ahome care agency, do you
consistently refer the samecompany, or why do you choose
(14:32):
one company over another?
How does that work?
Speaker 4 (14:37):
So for our experience , we definitely stick with
people who we know, and I thinkit's just that trust and the
consistency and thecommunication that we talked
about before.
But there are certainlysituations where every home care
company is different.
For instance, if we are workingwith someone who has a minimum
requirement for the shift andfor the week and we have a
(15:00):
client who really needs to getstarted, just on a much lower
scale maybe a day a week or acouple hours there are times
when we have to work withanother company that may not
have the same restrictions inplace.
So it certainly is important tohave the ability to do that and
I think again, that would bereciprocal.
(15:20):
If a geriatric care managercouldn't accompany or couldn't
accommodate a need from the homecare agency, I think you'd have
the same thing.
But typically it has to do withaccessibility, and the just
restrictions on hours and shiftsis typically why we would need
to work with a different company.
Speaker 1 (15:39):
Okay, yep, and that makes sense too.
Communication you mentionedthat between the geriatric care
manager and home care agency.
Who do you communicate withregarding clients' that between
the geriatric care manager andhome care agency who do you
communicate?
Speaker 4 (15:50):
with regarding clients' needs and the home care
team.
So we found that typicallythere is somebody at the home
care agency who is functioningin that care manager or
communication role, and so we'llwork directly with them, and
just from experience we'velearned that it's really
important to establish thatchain of command, if you will,
(16:13):
or that communication channel.
It's really important becausethen the caregivers understand
who to go to when they have aquestion and it allows the care
manager to know, respectfully,how much involvement they have
and who to contact if they'rehaving a concern, because anyone
who's had that experience witha care manager knows that the
(16:36):
care manager can certainly getvery proprietary about their
clients and so you justeveryone's working towards the
same goal.
So establishing the correctpath for communication is really
important when you start upwith somebody.
Speaker 1 (16:51):
Yeah, and I think setting those expectations on
the front end, like you said, isreally important, and just
everybody knowing who'sresponsible for what too, I mean
that's another piece of it.
When do you so?
If you're with a client, Idon't know that they always need
home care right away, but whendoes that criteria hit and
you're thinking I need, thisperson needs home care.
(17:11):
What does that look like?
When do you make that decisionwhere I need to get a home care
company involved with thisclient?
Speaker 4 (17:20):
For us.
Honestly, it's usually theinitial assessment that we do
determines whether or not.
So we talk to them about whatare you able to do by yourself,
what are the challenges thatyou're facing.
But even more importantly, wetalk to them about how do you
feel about having people in yourhome, and a lot of times it's
just that counseling session andthat's you kind of prepare them
(17:43):
for what is it going to feellike when you have strangers
coming in and we talk to themabout even though it might be
hard at first that thoserelationships you build with the
caregivers.
They become like family to you.
It's kind of scary and you mayhave some resistance initially.
Then it will feel verycomfortable over time and they
(18:04):
come to depend on them.
So a lot of what we do findingout what the real need is during
the assessment, but then alsotalking through the challenges
that we face typically when wetry to bring in care to the home
.
Speaker 1 (18:18):
And do you see a lot of resistance where they don't
want a stranger in the home andit's hard to get over that,
unfortunately, yes, Because, Imean, we all want to pretend
that we can do everything forourselves.
Speaker 4 (18:31):
So we go and you all know, because you've had so much
experience, it goes so farbeyond understanding that you
might have the need acceptingthat you aren't who you were and
that you can't do everythingfor yourself.
So it's that loss ofindependence that it's really
hard, it's really hard.
Yeah, it's that loss ofindependence that is really hard
, it's really hard.
Speaker 1 (18:49):
Yeah, it's really hard.
Do you find yourself because Iknow with myself and home care
tag teaming with the adultchildren to try to get mom or
dad to just give them one chance, just have the care to work and
for one day let's just see howit goes?
And I'm guessing, I mean,they're probably more open to
your services maybe than theywould be to home care, but you
(19:11):
probably get very close, I wouldimagine, with the adult
children.
Speaker 4 (19:16):
Yes, we do, and of course, every family is
different.
Sometimes the message of howhome care could be beneficial is
better coming from us, becausewe're more objective and, let's
face it, any of us who have kids, even if we're not there yet,
the idea of them telling us whatwe need is kind of hard to
swallow.
Speaker 1 (19:36):
Yes, it is, and children don't want to be that
person either when they come tothe home care agent.
This is their mom.
Can you take this and fix it?
It's not like they don't wantto care for them, they just are
out of their realm.
They've not been in charge,right?
Mom has always taken care ofeverything, and now they're just
bewildered, right?
And so I would imagine workingwith a home care agency that
(19:58):
understands that piece too andcan kind of take the baton.
Do you ever sit in on theassessments with the home care
agency when they do theirassessment?
Is that something that youwould like to do?
Okay, okay, yeah, I've oftenwondered if that was something
that you do.
So I know with everybody onright now they're probably
(20:19):
wondering this sounds wonderful.
How do I find a genetic caremanager that I can work with?
Because sometimes, annette, doyou want to share?
When you called Kathy, when didyou get Kathy involved in some
of your, with some of your, andwhy?
When was it time to pull thetrigger there and get Kathy
involved?
Speaker 3 (20:37):
When things got really when they really needed
more assistance that we couldoffer, we were there providing
the home care.
But they had so many thingsgoing on not going to their
doctor's appointments, financialsituation, money situations, so
many things that was so complexand they really needed help.
They had nobody to help themand it just got to the point
where we could not be thatperson.
(20:59):
So we would contact Kathy andthey would come in and take over
that part and help this ourclient get on track.
Also, too, there were manytimes when I would talk to
people the inquiries, prospectsthat called looking for our
services and they were out ofour scope or we could not help
(21:20):
them.
But I also referred Kathy toTogether in Caring Many of those
people that called because theydidn't know where to turn and I
said you should call ageriatric care manager.
They're going to be able tohelp you and guide you and help
with the best route for carers.
It could be the adult, children, it was maybe the spouse.
(21:40):
So I also would send a lot ofreferrals.
I think that weren't my clientsand I think that helped our
partnership grow too, becauseKathy had trusted me.
I would refer to her and thenif she had a client she would
call me or her company, becauseshe knew we were referring them
as well.
I mean, kathy, do you think, amI sounding?
Speaker 4 (22:03):
No, absolutely.
I think that's kind of a keypiece is that if it's coming
from the home care agency to us,it's typically that things are
becoming very complex and thatcould be medical, it could be
financial, could be behaviorswith dementia, anything like
that, that you really just needsome more resources.
That's a great tipping point,if you will, for bringing in a
(22:26):
GCM.
Yeah, absolutely.
Speaker 1 (22:29):
And Kathy, do you I mean just in the general terms
of everything are you guys morelike home care, like wanting to
keep them home longer?
Is it based on what the familyis wanting, or are you more?
Do you better at home?
I mean, of course, if there'sbehavior and it's time to go
into memory care or somethinglike that.
How, I mean, do GCNs feel ingeneral about being like aging
(22:53):
in place?
I guess?
Speaker 4 (22:55):
So I think that and obviously I can't truly speak
for everyone, but I thinkwhenever it's safe, it's the
desire of the family and thepeople.
I think we always are trying toprioritize aging in place.
But aging in place may or maynot be in like home.
They've been in 50 years.
It could be in an independentfacility or an apartment.
(23:19):
But I think the key piece isthat sometimes we also have to
recognize, say, it's a spousalrelationship and the one spouse
is the caregiver and that roleis really taking a toll on them
and they don't want to give up.
They don't want to feel like afailure.
If we can get them to agree tohome care, you might be able to
(23:40):
help them continue and have morelongevity to staying at home.
And when they finally have toface that maybe it doesn't work
anymore, it's not a safe plan,then we're there to help them
through that, because that's avery difficult transition.
Speaker 1 (23:55):
Okay, and so that might be a good time too to get
you involved is when the homecare agency has tried everything
, and, believe me, we tryeverything because, they want to
stay at home, they love theircaregiver and it's going great.
And sometimes a new conditionpops up or something.
The spouse dies, and now iteither needs to be 24 or they
(24:17):
need to move because the spouseisn't there when we're not, when
we're not there, and I thinkthat would be a really good time
also, and so I, yeah, that'sgreat.
And, annette, did you have somemore things to?
Speaker 3 (24:28):
I was just going to share too many times.
Kathy would place people they'dbe in memory care, assisted
living nursing homes.
We would get referrals manytimes to go where they are Maybe
somebody that just moved intomemory care.
They were having a hard timeadjusting.
They needed 24-7.
I felt like we got a lot of24-7 clients through Together in
(24:49):
Caring because they had a lotof crisis situations and like it
doesn't necessarily have to behome, it could be in a hospital,
just bed sitting, skillednursing facility, assisted
living memory care.
So all those included were manyof the referrals too.
Speaker 1 (25:05):
And so if you're looking to work with a geriatric
care manager, this is a greatplace to go to find some in your
area.
Gabby, what would you?
Maybe not warn us, but whatshould we be looking for?
Is it enough that they're apart of this association?
Is that enough for us to belike, OK, they're in this
association, they're good.
(25:25):
What would you?
What should our criteria kindof be if we're looking for
somebody to work with in ourarea?
Speaker 4 (25:32):
Okay, there are three levels of membership at ALCA.
There's advanced professional.
You can only get to that levelif you have the qualifications
to sit for one of thecertification exams.
That would be a certified casemanager or a care manager
certification.
So that's you know.
The advanced professional istruly the highest level of
(25:55):
education and experience.
So you can at least know, ifyou're pulling someone from
their list which goes by zipcode, that if you are choosing
an advanced professional, theyat least have the experience and
education that's at the top oftheir field.
Now there also is theprofessional level, so that
would be people who still have alot of education and experience
(26:16):
but have not sat for thatlicense or not licensing, but
certification exam.
And then there are alsoassociate members, and it isn't
that they aren't good, it's justthat they may be just starting
out or they just don't have theyears of experience yet to go
into the professional category.
So the great thing is thatevery member of ALCA has to meet
(26:37):
minimum requirements and theyare pretty stringent.
And then the cost of it isenough to make you.
You definitely want to becommitted to that.
But as far as finding the rightperson, I think it's really
important to look at their sites, because every care management
practice might focus ondifferent things.
(26:58):
Background you're going to findthat there are a lot of care
management practices that aretruly social work, and so they
may very well have enoughexperience just helping people
through medical situations, butif there are no nurses on board
if that's a piece that you needthen I would certainly make sure
(27:20):
, before you call them, thatthey have nurses on their team.
Speaker 1 (27:24):
Oh that's, I would have never thought about that.
That's a really good point.
Oh that's, I would have neverthought about that, that's a
really good point.
And so we have some questionscoming in.
Somebody's asking what yourfees are so?
Speaker 4 (27:37):
typically we just charge our hourly fee, except
for our initial consultation.
Speaker 2 (27:47):
So our initial consultation is $300, and then
our hourly fee is $165.
Speaker 1 (27:50):
Okay, okay, and what would a typical?
And then is there ongoing?
I mean, are there you're theirgeriatric care manager, kind of
ongoing?
Is there like a contract tokeep you in the mix, or do you
get them all set up and thenthey come back to if they need
more later on?
How does that part work?
Speaker 4 (28:07):
Dawn, it can work either way.
So some people we keep.
I think a lot of it depends onwhether or not the family is
local or the age of the family.
If they have a career thatreally takes a lot of their time
, so then they want us to bethat oversight.
So it might be a weekly visitor we go to all the doctor
appointments because that's whatthe family wants.
So it really depends on thesituation.
Speaker 1 (28:30):
Okay, but there's that flexibility.
It sounds like where they couldhave it, because I think I
would want you in my back pocketjust in case, especially so
many of these adult children, Imean and they are.
I mean they feel like they'rein crisis.
It's not like someone's goingto die tomorrow, but this is a
whole new world for them.
It's the first time they'vebeen through it and they're
(28:52):
really needing as many partnerson their team as they can get,
and sometimes I would connectwith the adult daughter and with
the senior, and now it's timeto add hours and the adult
daughter is calling me.
My mom's not going to do itunless you talk to her.
She's just not going to.
So I'd imagine people getattached to you that in that way
too and that they need you tocome back.
My mom needs a talking to Notlistening again.
(29:13):
Kathy, can you please come haveanother sit down with us, so I
can imagine that your back andforth was many of them probably
through their journey.
Speaker 4 (29:22):
It's very flexible that way, but I can't say that
all care management practiceswould be like that.
Some of them just may be alittle bit more strict with
having to be signed up.
Some of them take retainers.
Speaker 1 (29:42):
We don't happen to do that, but I do know that some
of them will do retainers, okay.
Okay, that's good to know too.
Does anybody have any questionsfor Kathy?
You can either kind of speak upor send it in a chat.
If you don't want to, you don'twant to talk.
I don't know if Lisa has anyquestions, or Annette has
anything kind of to add, or,kathy, do you have anything else
?
You think we should know thatwe didn't ask you.
Speaker 4 (30:03):
I think honestly, from a marketing standpoint
right now I don't know Everyarea of the country I'm sure is
different I can tell you in ourpart of New York that staffing
is just so dire in thefacilities.
I mean it's literally scarythat we are calling on home care
companies and especiallycompanion agencies, because a
(30:25):
lot of the assisted living won'tallow licensed care to come in.
They can't because of New YorkState regulations, but just
having eyes on them during theday because they're not taking
them down to meals or they'regetting their medication wrong.
And it's just so scary that Ithink there's a huge opportunity
to really focus on thispartnership between GCMs and
(30:49):
home care.
So at least in our marketthat's happening right now and
again it just provides moreopportunity for both companies
to thrive across the entirecountry and as home care
(31:10):
agencies you can also offer tohelp staff their communities.
Speaker 1 (31:12):
I mean, that's another avenue.
We did that quite a bit duringCOVID because they were
short-handed.
So even if in assisted livinghere in Arizona you have to have
your assisted livingcertification as a caregiver to
do hands-on and assisted living,but what they would do is they
would hire us to deliver meals.
Will people to the meal room doall of that stuff so that their
people could do the hands-onpiece?
(31:32):
So there's always kind of a wayto work around if you need to.
So that's a really good point.
And in GCM, even if they havesomebody in assisted living, it
sounds like you would feel morecomfortable having a caregiver
with them for the eyes on,because they're short staffed,
probably in skilled nursingfacilities too.
Everybody's feeling this staffcrunch across the country.
Yeah, that makes a lot of sense.
(31:53):
Do we have any questions in thechat, anybody?
No one has anything else to ask.
Kathy, maybe we were justreally thorough guys.
Speaker 2 (32:00):
I had so much.
Lisa, did you have something?
No, I just wanted to say that Idid send in the chat the Find a
GCM near you.
You go to aginglifecareorg.
I put the URL there for youguys to look, maybe find someone
.
Maybe you can go on.
Once you find someone, go onLinkedIn and then go request
them and maybe get to meet them.
Speaker 1 (32:21):
That's smart.
Yes, and Annette, did you haveanother something else to add?
Speaker 3 (32:25):
Yeah, I also found, as Kathy said, making sure you
have the right caregivers.
We worked really closely withKathy and her team of making the
right fit of a caregiver forthe clients and I know that was
really important.
So there were times that wewould set up services and pick
the caregivers.
We felt our scheduler pickedthe best people, our scheduler
(32:47):
picked the best people, and thenwe would talk, we would the
care managers Kathy or some ofour other team members would
call and say this person isn'tthe right fit for this client.
So we worked a lot with maybeswitching things around, but I
know that was a big importantthing and I know that is
important to the care managertoo that they get very this is
like their family, their clientand there are sometimes Kathy
(33:07):
was sometimes our person that weonly spoke to.
We never spoke to the familymembers.
We just really made sure thatwe had the right people and had
the right care in place andsometimes it took a little while
to get things going, but itusually did and worked out great
.
So I just wanted to add that.
Speaker 1 (33:24):
Yeah, that's good, kathy, thank you so much.
Speaker 3 (33:27):
And we're going to go through.
Speaker 1 (33:29):
if anybody has any questions, feel free to put it
in the chat.
We are going to share our leadbehinds.
Lisa's going to go throughthese, but if anybody thinks of
a question that you have, youput it in the chat.
We are happy to answer thosewhile Lisa can kind of stop and
Lisa can, and we'll get thoseanswered for you.
Go ahead, Lisa.
Yeah.
Speaker 2 (33:50):
And feel free to interrupt me too.
If you don't want to put it inthe chat.
You can just say, hey, I have aquestion.
But so it is June and I want tosee pictures of you guys using
all of these different Junehandouts here.
So National Hydration Day wedid this one last year too, but
I just like this.
Water is life.
You add the flavors, theyhydrated on us.
You can take this out toanywhere that you're going out
(34:13):
and doing your weekly visits toGoogle and Canva.
Links are on the bottom here.
You can click on those and makeyour changes.
Just remember to make a copyand save, or download and save
and you can make any changesthere.
Next slide You're going to wantto pair this with.
You can grab some bottled watersand take them out individually
to a social worker or whomeveryou're visiting.
(34:34):
You can slap your logo ontothat water bottle and then maybe
I don't know if you guys haveever seen those little.
They're little like gluestickers Slap a little glue
sticker on the water bottle andput one of those drink packs
there one or two, who knows.
But I just thought this was areally good way to show everyone
that, yes, we need to drinkwater.
We need to stay hydrated,because a lot of us just don't
(34:55):
do that because we are runningaround all the time.
Or what you could do is takelike a bottle or a box of these
drink packets there's 50 inthere and then maybe like a
couple of packs of water andtake it out to a whole team and
just let them know that you careabout them.
You want them to drink theirwater and feel good and stay
hydrated.
So there's that idea.
Another one all we have is nowthat june is alzheimer and brain
(35:18):
awareness month, sorry, and sothis one we just kind of I just
did a general message here.
You can change these messageshowever you want.
And the next page I kind ofstayed with more of the
traditional silicone braceletshere, but I also we did
something back in May, if youguys remember the Older
Americans Month, where we hadthese extra large print
(35:39):
paperback brain games and wordsearches and things, so you
could repurpose those and givethose out.
Make sure that you do.
Also slap your sticker on therewith your contact info, your
logo, and it looks like we havea question.
Speaker 1 (35:49):
Okay, Kathy, how do you help responsible parties who
have a loved one with dementiaovercome the resistance of
accepting help?
Any tips that have helpedresponsible parties to step up
care for their loved one whenthey have anosagnosia Sorry and
will never realize they needhelp?
(36:09):
Okay.
Speaker 4 (36:11):
So it depends on the situation.
One of the first things that wewill do is we will talk to the
family about what some of themotivators are for the person.
So if the motivation is to stayhome or if that's the concern,
(36:35):
sometimes we'll talk about sometherapeutic fibs where we talk
about oh, the first 30 days isfree, it's a trial.
So that way the person doesn'thave that ability to resist
because of the money piece piece.
(36:59):
And also, sometimes we aregoing to give a referral.
If the person is not beingfollowed by someone in neurology
, we will often refer them andget that set up, because
sometimes the primary carephysicians are not great about
being able to help withmedications that can reduce
anxiety, and anxiety istypically the driver of the fear
that people have about losingcontrol, losing independence.
(37:20):
So often medication is a piecethat we need to manage.
So it's not just one thing, butit's quite often finding what
will kind of hit home with them,what are their motivators, and
then making sure that on themedical side we have good
support from the doctors.
Speaker 1 (37:39):
I love that, and that's a really good question,
carla.
It is hard to get responsibleparties to overcome that
resistance, and sometimesthey're in denial that mom isn't
functioning the way that sheused to, and so that can be a
part of it too.
Okay, any more questions?
All right, lisa, we're headingon to snappy discharge, okay
(38:02):
we'll go to snappy discharge andthen I'll go back.
Speaker 2 (38:04):
Carla had another question, so I don't know if we
want to stay there or snappydischarge.
Speaker 1 (38:07):
Oh yeah, let's stay there.
I guess I missed it.
I'm sorry, that's okay.
Where I'm sorry, where is that?
Speaker 2 (38:17):
question.
I'm not seeing it.
It's not on my screen.
Go ahead, lisa.
Can you perform the cognitiveeval testing right now, because
their neurologist takes monthsto get in and the testing is
four hours and nobody wants towait through a four-hour test.
So can you help with that too,or is that something that GCMs
can help facilitate, or is thatsomething that?
Speaker 4 (38:34):
GCMs can help facilitate.
Some can.
So I'm certified to administerthe MOCA, but that's not a
requirement for GCMs or forbeing part of ALCA, so that will
vary from place to place.
Speaker 1 (38:49):
Okay, yeah, I don't have that question.
So everyone else check thechats too.
For some reason I don't havethat part of it.
Speaker 2 (38:56):
It went straight to me.
Oh, that's fine, all right.
I didn't realize that to you,sir.
Okay, national Lobster Day isJune 15th.
I know probably no one caresabout that, but this is the
cutest.
I mean, lots of people lovelobster actually.
But I wanted to bring thissnappy discharges into play
because we want people to knowthat they can call us for this.
It's not a burden, it's.
(39:16):
We're going to do it.
We're going to do it reallysnappy Home in time for dinner.
Give us a call now for snappydischarges and we have Okay,
we'll do the next slide.
Speaker 1 (39:26):
and then we have another question Go ahead, be so
, if you're, if you're leavebehind.
Speaker 2 (39:36):
Okay, okay, oh, I just wanted to kind of play on
words.
Here she's snapped.
Or you can go for the little, alittle more healthier harvest
snaps, but that's just a greatway to tie in the snappy
everything.
And you can find that stuffhere.
Speaker 1 (39:44):
Okay, next question.
Next question how do yousuggest approaching a GCM in a
near in my nearby area about myhome care services?
What would first steps be?
Speaker 4 (39:56):
So I would go to their website first see if they
have a marketing person on theirteam.
If they do, that's who I wouldfirst approach, because they're
usually responsible for thatcommunity development.
But on smaller teams thereisn't always a marketing person.
So then I would go to theirleadership person, the owner
they're typically the persondoing business development and I
(40:19):
would take a look at theirwebsite and glean from what
they're writing what some oftheir key things are, what their
key services are, and then Iwould just approach them on how
your team would be a great fitand I wouldn't hesitate to talk
about.
You were at a meeting when Elkamember was speaking and talked
about the great relationshipthat home care and GCMs have and
(40:42):
use that as your lead in.
I mean, it's just such a keyrelationship that there
shouldn't be a hesitation.
But I think finding that eithercommon mission or something
that you guys specialize in thatfits to what they provide, I
think is a good way to approachit and, Cappy would you say,
scheduling an appointment,calling, emailing, what works
(41:05):
best for you If someone were tostop in?
Speaker 1 (41:08):
what would be the best first approach If you don't
have a computer, I guess?
Speaker 4 (41:13):
Yeah, so I don't.
Not.
All GCMs, especially a smallerpractice, won't have an office
to stop in or won't staff thatoffice very often.
So I would say, if there's anemail available, that's the best
way, because even if they arelooking at it after hours, they
can reply to you and you can getsomething scheduled.
Speaker 1 (41:33):
Okay, great, thank you.
Okay, we'll keep going.
Any more questions?
Keep sending them in Anotherone.
Oh, another one.
Do you have any metrics or datayou could share that you track
for families with GCM?
Improve health care outcomesfor providers.
Urgent alerts handled in thehome.
Reduction in hospitaladmissions decrease in total
(41:55):
positive care.
Speaker 4 (41:57):
I would have to check and see.
Alca would certainly be theorganization that would have
that information.
So I am certainly happy tocheck and then I can get back to
Annette or Dawn or Lisa andgive you that information.
I can tell you, in ourparticular market we have a
nonprofit.
It's called Lifespan and I knowthat they contracted with
(42:17):
government agencies and they diddo research into their services
, which are very similar to GCMsbut just on the nonprofit side,
and they did find that the datashowed that there were improved
outcomes, fewerhospitalizations, better
management of chronic diseaseand things like that.
Speaker 1 (42:36):
I can just share that , that they had that done and it
did prove to be a positiveexperience and I can imagine it
would be yeah, because you'remanaging all the things, the
things that that, all theproblems that could arise, so
that, yeah, that makes sense.
The things that fall throughthe cracks.
Yes, fall through the cracks,and just having someone managing
all of that would definitelymake be very impactful.
(42:59):
All right, lisa, go ahead.
If there's questions, keepsending them sure we'll sure,
okay.
Speaker 2 (43:05):
So, yes, we want to celebrate fathers and father's
day and doesn't have to be afather like you can give it to
me, you can come into my office,give it to me and I'm gonna
just recant it or maybe eat thecandy that comes with it.
But just wanted to recognizefather's day and I wanted to
pair it with a couple littlebottle opener, key chains and
maybe a little baggie of rootbeer barrels.
(43:26):
You can get a little littlebaggie, tie it up and have all
this stuff inside and attach orleave behind to that.
Um.
Next the line uh's cool to care.
So now we're in July, it's coolto care.
We did this one last year too.
If you want to go to the nextslide, this is the one where we
use the Otter Pops and you takethem out just like this.
(43:46):
You don't want them frozenbecause they'll be getting all
over the place, but take themout like this.
Your social workers will keepthem in the freezer and they'll
use them later on.
But I just think it's a reallycute idea, nice and colorful,
very summery.
Next one is yes, definitelycelebrating our independence
since 1776.
(44:07):
You can go in and again, withthe canva and the google docs.
You can change this and make ityours and next slide.
So I found these little lapelpins and I thought were really
super cute.
You can, you know, add those.
You can change this and make ityours and next slide.
So I found these little lapelpins that I thought were really
super cute.
You can, you know, add those on.
You can pin them into the leavebehind even and add that to
something.
Or the little handheld Americanflags.
I had one in my pencil holderforever and ever and I totally
(44:28):
loved it.
And we do have quite a fewCanadian clients, so I did want
to do something for them as well.
I felt that in the past I justdidn't even think about it, so I
was thinking about it for them.
I think it's on the first theyhave Canada Day, so we'll look
at that too, and same type ofthing.
I did find some lapel pins andlittle flags that I thought were
really cute.
You can take those out anywhere.
People will really appreciatethese.
(44:50):
Next National Wellness Month.
So this one here.
I know Dawn did this one lastyear and I just loved it.
Because the finger and thelittle if you forget something,
you tie a string around yourfinger and it's supposed to help
you remember stuff.
So I thought it was really cute.
But we need to remember to takecare of ourselves.
So when you go out to thesocial worker or whomever you're
visiting, just let them know totake five.
Research shows that self-caredoes help.
(45:12):
But here's all the stuff thatyou could use.
You could come up withdifferent ideas too, but taking
this stuff out with that leavebehind would be really cute.
And you can again a little meshbag.
You tie a ribbon around thisstuff and it'll look.
Or even use this twined.
I think it would look reallycute together.
Next, this one for nationalwellness month.
This is a prescription forself-care take, take 10 minutes
(45:34):
break, preferably outside.
Take a deep breath and pop opena capsule for maximum wellness.
So pair these with these little.
I thought these were so cuteand I was trying, I was thinking
about this for like months.
Like how do I use these?
They're so cute.
And so what you do is when youpop open a capsule, it has
little messages of affirmationsand just really cute positive
(45:54):
messages here, and so I thinklike a little drawstring bag,
maybe three or four, but you canadd anything else to it too
Full punch.
This little lead behind andmaybe attach it with that ribbon
that's already there and takethis out, and I just think
people will love it.
It's super cute.
You can get maybe a couple ofbottles of those pills there.
Another one for NationalWellness Month, the importance
(46:14):
of exercise we're wanting,promoting health and wellness.
You see, here you know yourspiritual, your body, of course,
your mental, your social, youremotional, moral.
And then I wanted to give anote here that kind of touched
on what we do.
So we're trained in guidingpatients through their
prescribed home exercise regimen.
Call today.
(46:35):
So that's a good take on.
Yes, of course we're not PT,but we can guide you through
that little one sheet that youget that comes home with you.
We can guide you.
And so we want the socialworker or a discharge planner or
whomever to understand that.
We understand that and we canhelp continue that so the person
continues to progress.
And then with this I just Iwanted to use those same little
(46:57):
baggies.
I think if you buy a wholebunch you'll have these for lots
of different giveaways.
But there's these littlemotivational stress balls.
I just thought they were reallycute, kind of keeping up with
the positivity theme there, andthere were some bracelets too
that come with this.
I just didn't like how theylooked on the page so I didn't
include them, but they do comewith it as well.
And also August is National Safeat Home Week.
(47:19):
It's the last week of Augustand so we wanted to light the
way, and of course, I paired itwith a couple of different
little keychains that havelights on them.
But I've seen a whole bunch ofdifferent lights that I found
that kind of, I guess, anywhereyou're looking, even if there's
a one step up or something at ahome, and you can just kind of
they're this big and you canjust stick them, I guess, to the
(47:41):
surface, and it really wouldlight up and keep someone safe
at home.
I just thought it was a goodidea.
But here a little key changeyou can add your logo.
If you have some stickers, youcan cut it to size, and I think
that would be really cute too.
Want to get your logo onanything you possibly can.
Speaker 1 (47:56):
The other thing about this is call me out for a free
home safety assessment.
Why is that?
All it takes to kind of get inthe home.
We've talked, even here withKathy, that many of them are
resistant to having anyone evencome in and talk to them, so
this could be the how to get in.
Do a free home safetyassessment.
We've been in several homes toknow, though they're not.
They've got extension cordsrunning across the living room.
(48:17):
Throw rugs over the extensioncord.
I've seen so many hazards goinginto homes, so offering a free
home safety assessment, I think,is a really smart thing to do
as well.
Speaker 2 (48:29):
Yes, thank you for mentioning that.
I think I was trying to go fast.
Oh, we're good.
And then this one is super cutebecause I mean, who wouldn't
want to have coffee?
Talk, right?
So I'm on me, redeemed by textonly, so to set a date, text me
and we can get together and takethis out to your social workers
(48:49):
or anyone that you know thatyou would have a connection with
.
And because you guys do thesame type of thing, you're in
the same market.
So why not connect and becomereferral, refer to each other
and if this goes to someone whojust really can't leave their
community or where they'reworking, offer to bring it to
them and maybe take an order.
Maybe this turns into anin-service or a lunch and learn
(49:10):
or something.
But I just think this is supercute and maybe the little
handwritten note the back andI'd really love to connect with
you or something.
But I like it because it'sredeemable and it's just a
really cute idea and redeemingby text only gets you on a
texting basis.
Speaker 1 (49:24):
With this referral source and with social workers,
that can be a powerful thingbecause they're very fast and
very busy and if they can textyou really quick about a
discharge coming up, that'swonderful.
And if they have to call otherpeople, they might choose you
because they can text you andit's quick and you can certainly
(49:44):
edit this to say coffee or teaon me, I'll bring it by.
I mean, you can edit the wordsso that it can say what makes
the most sense for you.
And so again, we have Kathywith us.
Does anybody have any questions?
I know some of you came alittle bit later to the meeting.
There might have been somesign-in issues, I'm not sure.
If you missed this, though, wewill be sending out a replay.
It'll be out on all of thepodcasts.
We have Kathy Windus.
She's a geriatric care manager.
(50:05):
I don't know if anybody elsehas any questions.
Before we end, we want to thankher for coming.
For sure, you just have so muchknowledge, kathyathy.
This was helpful for me beingin home care all this time.
I I learned a lot today.
If you have a question forkathy, feel free to put it in
the chat or just speak, unmuteyourself and any questions.
You've always been dying toknow.
(50:26):
Any answers to questions?
No, okay, now or forever.
Hold your peace here we have it.
Call us later.
Speaker 2 (50:39):
Let's see.
Speaker 1 (50:39):
We always have been team appreciation during the CNA
week of June.
Has anyone had successful staffevents that caregivers attend
and you could still step everyshift that day and responded
well to and was affordable, okay.
So she's asking us for cna weekif we've ever held appreciation
at the office for ourcaregivers, our cnas, and that
(51:01):
they actually came and theyattended and we could still
staff all the shit.
So that's a tall order, carla.
But we had caregiver partiesand it was an open.
She said I know all right, itwas an open event.
So said I know right, it was anopen event.
So it was 12 hours, guys.
I mean we buckled up, we gotready for it and it was an open
house and we were open for 12hours.
(51:22):
Caregivers popped in and outthroughout the day.
They got a gift, we had food onstaff and we were constantly
replenishing the food.
We had crockpots of food,mostly the staff.
We had a great staff that lovedto cook and I'm telling you I
gained 15 pounds working at thatcompany.
Everyone was cooking all in abig kitchen and because we were
teaching the carvers how to cooktoo during training sometimes
(51:43):
the 24-hour carvers we'd bringthem in to show them like meals
that they could create, but wecooked in there all that.
I was always eating, but anyway,we had crockpots of food and
cookies and dessert and we wouldjust keep replenishing and it
was a 12-hour open house, comeyou want.
They always brought their kids,so you have to have a lot of
food because the kids are comingwith them.
(52:04):
It's just the way that it isand they would eat and we would
always have some kind of giftfor them to take back with them
and appreciate them T-shirts,polos, hand sanitizer.
We had one event where you knowif they were celebrating their
one year, their three month orwhatever, we had that gift for
them too.
That's what worked for me.
(52:24):
How about Annette and Lisa?
You have anything to add?
Speaker 3 (52:27):
we used to do the same type of thing.
I don't know if we did 12 hoursbut we did 12, so they went
missing.
We were hoping some we did acouple drop ins.
I remember one that we had thatwas really nice, that they
really enjoyed.
It was for Valentine's Day.
So they stopped in and we hadValentine treats and the whole
room was decorated forValentine's Day and we had
(52:50):
little gifts for them and candyand when they were, they can
come in between this time andthat time and I think they like
that.
They said, oh, this is I mean.
They would say it was so niceand sometimes you're really busy
and you don't have time to dothis.
It takes a lot.
Speaker 1 (53:03):
It's a whole day that you're scheduling this, but
they really do appreciate it.
Yeah, caregivers need to feellike they have that sense of
community, like they're a partof something, and I think that
they really it energized them.
We did it a couple of times ayear and they were like
re-energized.
Some of them brought theirclients with them, which was
fabulous.
The clients got to see us andmeet everybody in the office too
(53:26):
.
Elisa, how about you?
Speaker 2 (53:28):
Yeah, we actually did several caregiver appreciation,
had the office kind of open.
We also had before, especiallybefore COVID, we had the office
open.
We had a kitchen with snacksand they could actually come
anytime and get water, snacks,little care package if they
needed.
But yeah, we had a wholecaregiver appreciation day.
We also did a Thanksgivingwhere we served them and we had
(53:53):
tables out in our, I guess whereour conference room slash where
we used to train everybody,with our dummy in the background
in the back in the bed and ourlawyer back there.
But yeah, we definitely didthat and they loved that because
we would give them gifts, ofcourse, and we just were an
appreciation.
They would bring their family,their kids, even their clients,
which we love, because justhaving that engagement and
(54:13):
interaction was really great foreveryone to see that we were
doing this for the caregiversand how many people came.
Lots of people came and theyloved it.
I know one time we even did ataco cart outside.
I want to say that was maybeafter COVID.
I want to say we did some openhouses and yeah, all the same
thing.
I think they really appreciatethat.
(54:34):
We did do a couple taking maybeflowers to a client or a
caregiver on shift if they werereally close and they've been
there for a while.
But yeah, I made sure it's okayand all that.
But yeah, we love the littlethings like that too.
Speaker 1 (54:47):
Yeah, but we did a holiday party and then one
opposite party, like summerytime kind of thing, barbecue or
something.
So I hope that answers yourquestion, carla.
And and still, not everybodywas able to come.
There are people on 12s 24s.
It was hard and if we felt ifthey really wanted to come
they're like I have to work orwhatever sometimes we would send
(55:07):
a lead caregiver to give them abreak so they could run it all
in part of it and I could be, orsomeone from the staff would go
be with their clients so theycould come to the parties.
If it's a caregiver who's beenwith you a long time and they're
really sad to be missing it, Iguess you just do whatever you
can so that they get to be apart of it and they get to feel
that.
And there's just so much reallywarm, passionate energy in that
(55:29):
office when everybody's there.
I can't explain it.
We're all on the same passion,right?
We're all on the same missionand it just feels really good
and I think they need thatrejuvenated the office too, not
just the caregiver.
So well, kathy, I again want tothank you for coming.
You were just full of knowledge.
It was so helpful.
We really appreciate it, and ifyou guys think of questions
(55:50):
later on, I'm sure we can sendKathy questions and she would be
happy to get those back and wecan add those to the replay or
something too.
So thank you again, kathy, forcoming.
We really appreciate it.
Thank you so much for having me.
Of course, everyone have agreat weekend.
We're going to stay on herejust a little bit with Kathy,
but have a great weekend andthank you.
(56:12):
Bye, everybody, bye.
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