Welcome back to our eldercare email series. In this installment we talk about one of the major issues facing senior care practitioners today, the lack of insight into what’s happening at the patient’s home. When seniors are in the doctor office or a senior care day center, providers know exactly what’s happening. But when they leave, it’s a mystery what happens in the home. Wouldn’t it be great if seniors, family and providers could collaborate and communicate what happens in those times when seniors are outside of health facilities?
Here’s what we’re hearing from providers.
“We have no idea what happens when the patient leaves the senior center.” Senior Care Program RN
“Half of our seniors don’t even come into the center. We need them to come in.” Senior Care Clinical Supervisor
Today senior care providers try to show families what should happen at home by sending paper instructions home with the senior and family caregiver. For example, some senior care programs send home a paper calendar, which shows what care tasks should be completed when seniors are home. Paper-based solutions depend on visual availability in the home, as well as the memory of the senior or the family caregiver in the time of need. Further, these solutions offer no feedback for the professional care team, there’s no way to know if care tasks are being done.
At Care3, we see the lack of insight into care being delivered in the home as a clinical and financial risk to senior care programs nationwide. We believe it is just as important to capture and use information on care delivered in the home as much as it is for the care delivered in senior care centers. Care3 tracks all of the care that’s delivered in the home by engaging family members around an individual care plan, which we call an Action Plan. Each action is itemized for the caregiver to complete in the home and then is tracked to ensure that those care tasks are completed. If those care tasks are not completed, Care3 notifies the professional care team so that they can make a decision whether to intervene. This is what makes Care3 different from every other care planning and communication solution available to senior care programs and families today.
Plan for Care Delivered in the Home
At Care3, we have the privilege of interacting with many PACE programs. We’re starting this series to share what we’re hearing from PACE programs across the country so you can learn from each other. We want you to see what solutions are in place, as well as what innovations are available to deal with real-world everyday problems. Welcome to PACE3: Insights About PACE from Care3.
To kick off the series, we are going to share a common theme we’ve heard about difficulties of planning for care delivered in the home. Specifically, the challenge of matching care plan assessments with the content of the care plan for home-based needs. Today’s care planning applications are focused on care delivered in the center and do not include tasks that are to be delivered in the home by the family.
CMS care planning guidance requires each IDT discipline to provide instructions for home-based care. Unfortunately, existing care planning applications do not offer an effective way to engage family caregivers and provide them with information to help them care for your participants. So, when the participant leaves the center you hope the family caregiver follows your instructions. Since many, if not most, incidents that lead to ED visits and hospitalization occur outside of the center, the care delivered at home presents the greatest opportunity to avoid negative outcomes.
That’s why PACE organizations are turning to Care3 to help them meaningfully engage family caregivers and gain influence over the important care delivered at home while complying with current and future guidance and regulations.
Please contact us at firstname.lastname@example.org to learn more about how we can help you strengthen the partnership between your families and IDT members.
We know caring for others is hard–and sometimes you just need some help. The Care3 Way is based on families working together to care for loved ones–but we know that’s sometimes, um, difficult. Whether it’s lack of time, interest, personality clashes, or not knowing how to help, Care3 aims to engage those family members to get you the help you need by giving them convenient ways to help.
Every task you can take off your plate gives you more time. How you use that time, we can’t help with, but we know you’ll figure it out.Care3 has a three-step process to get you prepare your family to collaborate on care and communicate progress with a text or a tap. It’s called our Starter Care Plan.
How to Activate Your Starter Care Plan
If you’re one of the 95 million people who watch AMC, you may have seen Care3 today. Newswatch featured Care3 on its Appwatch segment to share how people can care for their families and keep everyone on the same page. Check out the video!
Care3 – Staying on the Same Page of Health History | NewsWatch Review from NewsWatch Television on Vimeo. Download Care3 now! Your loved ones deserve the best care you and your family can give.
Hospitals MUST get better. Paper? A cross-out? Really?? #sendanaction #mhealth #TheCare3Way
Website follows proprietary methodology called The Care3 Way to achieve success in caregiving.
(Los Angeles, CA) – March 29, 2017 – Care3™(www.care3.co/blog), a leading developer of digital health technology, has added a new web-based service to its family caregiving technology suite. The new Care3 website helps family caregivers plan and deliver a holistic set of tasks beyond medication management to keep aging seniors living in their homes and out of the hospital. Family caregivers can use the website to build their care team, create a comprehensive care plan, and communicate for action. This proven three-step approach to caregiving is called The Care3 Way.
“My mother had COPD, heart failure, ulcerative colitis, and was hospitalized 12 times in one year before we developed this approach.” explains Care3 CEO David S. Williams. “The Care3 Way kept my mother out of the hospital for more than a year and she was able to move back into her own home. We want that kind of success for all families.”
The new Care3 website is free and walks each caregiver step-by-step along the path of The Care3 Way. Once the care plan is entered, the system readies the tasks for distribution to the Care3 mobile app. Caregivers can pay a $9.99/month subscription to automatically distribute the care tasks to the Care3 mobile app, track progress with real-time alerts and reminders, and analyze success via daily and weekly progress reports. Care3 also offers paid subscribers 1:1 consulting by a registered nurse to support care plan development and analysis of care plan adherence barriers.
With all of the uncertainty around healthcare at the national and state level, families are seeking low cost, high value solutions to care for their loved ones. Care3 provides these families with complex care situations a better way to manage their loved one’s needs while still meeting their own responsibilities including jobs, children and more.
Families can get started for FREE at www.care3.co/blog.
Founded by three successful digital health executives with a combined 25 years of family caregiving experience, Care3 creates solutions for families to navigate the complex path of caregiving for aging parents, disabled adults, and special needs children. Care3 offers a free mobile messaging app for iOS and android and a web-based care planning subscription service for families with complex care situations. Learn more at www.care3.co/blog.
No matter what side of the political divide you’re on, you have to pay attention to the newly released bill for Affordable Care Act replacement, The American Health Care Act, proposed by House Republicans. As Care3 focuses on reducing health disparities in underserved populations (people of color, the poor, seniors, disabled and rural), we reviewed the proposal through the lens of how these groups would be affected.
Here are some quick insights from a bill that will certainly be amended in the future, but has the skeleton of the approach towards underserved populations:
As the key program that serves the poor and disabled, Medicaid helps 70 million American receive healthcare. 20 million of those subscribers were added as a result of the ACA, also known as Obamacare. Under the AHCA, the Medicaid expansion and all federal funds used to subsidize the program at the state level would be repealed. A fixed grant program would be put in place to determine how much federal aid each state would receive from the government. Here’s what CNN had to say about this change:
…the Republican bill would go beyond just eliminating Medicaid expansion. It would overhaul the whole program, which covers more than 70 million people, by sending states a fixed amount of money per enrollee, known as a per-capita cap. This would limit federal responsibility, shifting that burden to the states. However, since states don’t have the money to make up the difference, they would likely either reduce eligibility, curtail benefits or cut provider payments.
This means lower enrollment and less coverage for the most vulnerable. How does this fix our healthcare system?
Seniors would also be adversely affected if this bill became the law of the land. Again, from CNN:
…adults ages 60 to 64 would see their annual premiums soar 22%, or nearly $3,200, to nearly $18,000, according to a study by the Milliman actuarial firm on behalf of the AARP Public Policy Institute. Those in their 50s would be hit with a 13% increase, or just over $1,500, and pay an annual premium of $12,800.
How can we take care of our aging parents if a greater amount of the financial burden is shifted onto them? If they can’t pay for healthcare, that financial burden shifts onto the family caregivers to cover. If you’re already struggling to make ends meet, an increase in healthcare costs can be devastating.
Please learn as much as you can about the impact of the AHCA and what it could mean for you and your loved ones. Silence is not an option. Let your voice be heard by contacting your local representative and your state senators.
By David Williams, Co-Founder & CEO, Care3.
In this post, I am going to show you how you can take the best care of your loved one, get them to their best health outcome possible, and keep you sane and successful at the same time—all with a simple 3-step formula.
The #1 Struggle Primary Caregivers Face Today…
I have talked to hundreds of family caregivers. They’ve told me their stories about the challenges they face and the emotional toll caregiving can take on themselves and their families. I kept hearing the same thing….I even posted on Facebook and the first three comments confirmed what I was hearing.
- Letting family members know about Care3
and what I hear is the #1 struggle:
- Getting family and friends to help.
Family Caregiving in 2017 (and Beyond)
You already know that caring for a loved one has to result in reaching a goal.
- Stay OUT of the hospital
- Stay ON medications
- Live INDEPENDENTLY as an aging adult
Most family caregivers don’t have a process in place to care. They do like I did at first. All of the medications and care tasks are written on paper.
When things change, though, how quickly does that system work? You spend more time updating the paper than giving care.
In 2017, we all use mobile phones. Why shouldn’t there be a mobile app that can help you care for your loved one and keep everyone in your family updated on the progress?
Shouldn’t the same also help organize the care tasks and get others to help?
I guarantee you that putting a process in place will help your loved one reach a care goal while also making your life smoother and easier. Using technology accomplishes this process even faster.
How My Mom Went from 12 Hospitalizations in a Year to ZERO.
This is us the day we moved mom back into her own home.
It was a happy day. We were a little nervous, but we knew that she could take care of herself. That was huge for our confidence…and her dignity.
This 3-Step Process Helped Us Manage the Care for Mom and Get Others to Help.
Here’s the reality:
Most people don’t use technology like mobile apps to manage the care for loved ones and communicate efficiently to family and friends.
If you aren’t organized then you can’t adhere to the care instructions. If you can’t adhere to care instructions, your loved one will end up in the hospital—or worse.
Don’t let that happen to your loved one. Caregiving is TOO IMPORTANT not to do right.
Step #1: Gather All of the Care Instructions and Make a List
First, gather all of your care instructions from all sources. You may have received care instructions via a brochure or printout after a doctor visit. You may have notes written somewhere like a medication list or something (ridiculous) like the BLANK worksheet I received one time from a hospital at discharge. How was this going to be helpful?
The point is, no matter how big or small, gather all of the care tasks that need to be done in one place and make a list.
For my mom, we had to gather discharge instructions, internet research, and written notes into one master list. We had to go through her prescriptions and medication history which was all on paper.
I entered the list into a spreadsheet and entered when each task needed to be done. It’s a bit of work, but having that list made a HUGE difference in Steps 2 and 3.
Step #2: Decide Who You Trust
Second, think about the people who you trust to help you care for your loved one. Get the email addresses and phone numbers for everyone who wants to be kept updated.
Keep them handy for Step 3.
Think hard about who NEEDS to be kept up to date and who WANTS to be kept up to date. Prioritize the needs first. These people may be your family or maybe even close friends, but they have to be people who will help YOU.
When caring for my mom, my siblings and wife were the main care team, but we added my brother-in-law at times as well as close friends.
We used a group email to keep everyone in touch with the big updates. Day to day we just sent text messages. Using the technology made it easier to keep people in the loop, but also for them to respond. I didn’t spend hours on the telephone telling the same story over and over again.
Step #3: Share Care Tasks with Everyone So They See How To Help
When people visibly see what they can do, even if it’s small, they feel like they can contribute. Most of the time, they just need to see how to help ahead of time so they can work it into their schedule rather than someone trying to tell them what to do.
This worked wonders for us as we cared for my mom. Even my siblings who were thousands of miles away, were able to actively help. We would agree on what each person would do. I emailed the spreadsheet to everyone and managed who would do what. It was a bit of a pain, but better than paper to track things.
When we cared as a team, mom got better and better. Nothing fell through the cracks, which is what was happening when she kept going back into the hospital. Technology was helpful in coordinating all the moving parts. Everyone contributed.
That is the secret!
But something was still bothering me…
There had to be a way to avoid using three different technologies, email, text messaging, and spreadsheets. It was easier to coordinate than using paper, but it wasn’t as easy as I thought it should be.
And it was THAT revelation that led to Care3.
Care3 Makes The 3-Step Process Faster and Easier
Nowadays using mobile phones comes second nature, especially messaging apps. We already create group messaging conversations with family and friends with the popular messaging apps supplied on our phones.
Why not use the same mobile behaviors of messaging, task reminders, and a calendar to care for loved ones?
That’s why we built Care3. To help you be a better caregiver. And we help you get started with the 3-step process as soon as you sign up and install the app.
Care3 helps you complete the 3-step Care-Sharing process
Step 1: Your Care Team
Inviting your Care Team is as easy as adding a phone number or email address. Having your list of family and trusted friends ready will make this go very quickly.
Step 2: Your Starter Care Plan
Care3 helps you compile your care tasks with our Starter Care Plan. This is a list of eight common care tasks performed daily or weekly. Start with our list and add your own to customize in one step. It’s that easy!
Step 3: Your Care Conversation
When you create a Care Team, Care3 automatically starts the group messaging conversation. When you finish your Starter Care Plan, you will be able to send text messages just like you would with any other messaging app.
Care3 is easy to get started, and works like any other popular messaging app.
The difference, however, is ENORMOUS:
With Care3 your text messages are private, confidential, and protected with industry grade security protocols. Rest assured that we treat your loved one’s personal health information with as much care as you treat your loved one!
You Can Do This!
Right now, you have to take action.
Get started Care-Sharing now.
If you haven’t invited your Care Team, do it.
If you haven’t created your Starter Care Plan, do it.
If you HAVE done these things, then more power to you! You’re ready to help your loved ones reach their highest level of health possible.
Good luck! We’re with you every step of the way.
Questions or comments? Drop us a line at email@example.com/blog.
Successful caregiving depends on having the goals set and the tasks (medications, ADLs, etc.) laid in a routine that you can follow every single day. The faster you get into that routine, that groove, the better your caregiving will be and the better your loved one will feel.
To help you get into your caregiving groove fast, we’ve created a Starter Care Plan of eight (8) common care tasks that you can enter into Care3 as sequenced Actions. You can accept the Actions yourself or your Care Team can help out.
But once you receive these Actions, you must accept them—and more importantly, complete them! Once you’ve completed an action, you may just let one person know that it’s done outside of the app. Care3 has an easy way to notify everyone that an Action is complete: the “done” button.
In Part 1 of this two part powerful interview, Dr. Betancourt shares his thoughts on health disparities among racial and ethnic groups and what hospitals and health systems can do to promote equality of care and outcomes.
Learn more about MGH Office of Disparities Solutions.