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Navigating the Health Care System

Navigating the Health Care System

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Navigating the Health Care System

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Presentation Transcript

  1. Navigating the Health Care System Brenda Wilson, LCSW, CEAP Geriatric Care Manager UVA Faculty and Employee Assistance Program

  2. Its all about: Speed, Communication & Expectations

  3. The Facts in Outpatient: • Physicians & Nurses are stretched VERY thin • Don’t assume anything • Be thankful they check and recheck • Speak up

  4. Inpatient Facts: • Physicians & staff are stretched VERY thin • Hospitals make money when inpatients turn over rapidly • Average LOS is 5-7 days for >65 • Discharge planning starts at or before admission • What are reasonable expectations?

  5. Long Term Care Facts: • Continuum of LTC options • Age in place – services at home • Senior/Independent Living • Assisted Living • Dementia Care • Nursing Facility • Skilled Nursing Facility

  6. Long Term Care Facts Cont: • Medicare doesn’t pay much for LTC • SNF days are normal • Assisted Living is private pay • Long Term Care Insurance should be considered

  7. Communication Strategies with Health Care Providers • Be focused – what are the 1-2 main issues to cover today • Be concise – don’t wander • Make notes & take notes • Be assertive • Be proactive

  8. What is? • 15 – 19 minutes • 15 – 20 minutes • 23 seconds

  9. Ask Me 3 • 1. What is my main problem? • 2. What do I need to do? • 3. Why is it important for me to do this? www.npsf.org/askme3

  10. Medical Information Mgmt • HIPAA – Right to privacy • Managing your medical information: • Getting copies • Release of Information/Signed Consent • Medication & Allergy List

  11. Important Resources: • Outpatient nurse • Inpatient Discharge Planner/Social Worker • Geriatrician • Physical & Occupational Therapists • Pharmacist

  12. In Summary • Advocate for yourself • Ask questions • Try to understand the system and who your point people are.