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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Is the person on Hospice also on Medicare? If so, Medicare must think the cost is reasonable to pay it. They may have only been there 6x in 6 months but a Nurse was on call 24/7. An aide should have been provided for bathing at least 2x a week. Durable equipment is provided. Depends, wipes and chuxs are provided. As is Morphine and anxiety meds. Those 6x was probably RN checking in once a week. With my Mom on Hospice in a NH, I never received a statement of the cost of the care. Probably because she owed nothing.
We brought in Hospice the last month and a half of my mothers life. It did help her as she felt that she was getting more care than that which AL itself could provide.
Medicare covered the cost. She was happy to stay in her own room and not have to go to either the Hospice facility or the hospital.
Most hospices have become the darlings of hedge funds. They are down now to rote routine. Two to three bedbaths per aid per week. One RN visit per week. One phone call from Social Worker. One phone call from clergy. Medications. Equipment rentals. For this they are paid enormous amounts out of Medicare directly. They used to be more flexible and to be there according to needs and be there more for the family. That said it is the best we have and we have little of it left, which is very sad. I was so thrilled to get Hospice from across the pond in the late 70s. It was once marvelous. It is, unless you can find rare in facility care, a shadow of what it was and remains very lucrative to the big pockets guys. Just the American way. Like our can sizes, we are all about giving you less and less and charging you more and more. That's how we roll.
Medicare, Medicaid and most insurance will cover the cost of Hospice. If there is no insurance most Hospice have a "Foundation or charitable" arm that can help cover the cost. To be compliant with Medicare guidelines a Nurse is REQUIRED to see the Hospice patient each WEEK, So in 6 months that nurse should have seen the patient at least 24 times. A CNA will typically see a patient 2 times a week (the CNA is not a Medicare requirement so they do not have to see the patient if the patient or family does not want the CNA) But the CNA visits would be a total of 48. Also part of the Team is a Social Worker, Chaplain and other "therapies" are also part of the team. Part of the cost also is all the equipment and supplies that are part of what Hospice provides. Hospital bed, commode, wheelchair, walker, briefs, absorbent under pads, medications. oxygen and other items as needed by the patient.
If you are not getting what you are supposed to be getting you should.. 1) Talk to the Hospice Team Care Manager. 2) File a complaint with Medicare, 3. If you are not satisfied with the response from the Hospice care manager PLEASE contact another Hospice . All Hospice are not created equal and there are some great ones and some not so great. You and your Loved One deserve to get the quality care from compassionate people that care about what they do and about their patients.
I don’t know the details but I expect that covers staff time managing medications and communications. It’s not a fee per service, it’s taking full responsibility for the patient.
Medicare is willing to pay hospice fees because it's still a lot less expensive than hospitals, ERs, ambulance rides and medical treatment fees an elder would rack up in a month. The charges are between the hospice company and Medicare.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Medicare covered the cost. She was happy to stay in her own room and not have to go to either the Hospice facility or the hospital.
Worked for her and us.
Just the American way. Like our can sizes, we are all about giving you less and less and charging you more and more. That's how we roll.
If there is no insurance most Hospice have a "Foundation or charitable" arm that can help cover the cost.
To be compliant with Medicare guidelines a Nurse is REQUIRED to see the Hospice patient each WEEK,
So in 6 months that nurse should have seen the patient at least 24 times.
A CNA will typically see a patient 2 times a week (the CNA is not a Medicare requirement so they do not have to see the patient if the patient or family does not want the CNA) But the CNA visits would be a total of 48.
Also part of the Team is a Social Worker, Chaplain and other "therapies" are also part of the team.
Part of the cost also is all the equipment and supplies that are part of what Hospice provides.
Hospital bed, commode, wheelchair, walker, briefs, absorbent under pads, medications. oxygen and other items as needed by the patient.
If you are not getting what you are supposed to be getting you should..
1) Talk to the Hospice Team Care Manager.
2) File a complaint with Medicare,
3. If you are not satisfied with the response from the Hospice care manager PLEASE contact another Hospice . All Hospice are not created equal and there are some great ones and some not so great. You and your Loved One deserve to get the quality care from compassionate people that care about what they do and about their patients.