FOR CARE AUDITS DONT CALL YOUR ACCOUNTANT:

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PRESS TO LISTEN TO AUDIO

When a family is paying for care for a client with special needs delivered at home or in a residence , they may not understand if they are getting value for their money.

RCM responds to this need by providing CARE AUDITS which involve a review of the quality, relevance and timeliness of care with a determination of the client’s Quality Of Care Score.  This score ranges from 1 to 100 ( 7o is good, 80 is better, 90+ is excellent) and helps families understand if they are getting value for their money.

Case study:

C.J. was an 81 year old male with dementia. His two closest friends ( ages 83 and 85) were the administrators of his estate and responsible for his financial affairs. They had chosen a care provider who staffed his condo with two full time care providers 24*7. They also provided meals and other necessities. The problem was that this care was too expensive for C.J.

We were asked to provide a CARE AUDIT by C.J’s lawyer.

We reviewed the type(s) of services provided, the qualifications of the staff providing the care, the consistency, appropriateness and relevance of the care provided. We also calculated the client’s QUALITY OF CARE SCORE out of 100.

In addition, the CARE AUDIT included a review the total costs for the services being delivered.

And because the client’s needs were dynamic and changed over time, a CARE AUDIT was  required twice per year.

Once we had reviewed the care, it was clear that the care provider organization was “double teaming” the case and driving costs way up to their financial advantage.

We recommended a small, friendly and specialized nursing home with 22 beds that was able to take a dementia patient. The costs to C.J.’s estate were reduced by 75% with this move.

The CARE AUDIT is best done working with the investment managers and trustees who are responsible for the management of capital for the client with special needs.

A CARE AUDIT reviews and reports on the quality of the care and the costs of care. The investment managers job is to manage the capital in a prudent manner.  RCM works with the investment managers to ensure that the expenditures are appropriate.

In C.J.’s case, the friends who were trustees were not capable of either assessing the care or watching the dollars.

The CARE AUDIT is proving to be a very worthwhile service with RCM’s staff working hand in hand with investment managers and trustees from banks and from other financial institutions in order to protect their clients’ short and long term needs.

In the future, more families will be purchasing care. Some insurers are abandoning the long term care insurance market. The public sector is cutting back on services.  An awareness of these trends, will encourage families to allocate capital for the purposes of funding future needs for care.