Dementia Friends and Family Notice First

Memory loss often described as early onset dementia will be picked up by people closest to the person experiencing the symptoms.  The individual will describe the symptoms as "getting stuck". 

The person with dementia always puts peanut butter on their toast , they can put the plate, silver ware, toast the bread, but unexplainably cannot locate the peanut butter.  Often accepting the solution flashed across the screen of the mind - someone put the peanut butter back in the wrong place.   The individual with dementia is now stuck and demanding to know where the other family members put the peanut butter.

Friends and family by instinct will immediately begin to participate in a more simplified, routine, structured activity with daily life to help support the individual experiencing memory loss.  Family and friends soon discover new is stressful and anxiety is not helpful for an individual experiencing memory loss.

This explains how in Track Memory 2 Zero
https://homecarepath.sharepoint.com/Pages/TrackMemory2Zero.aspx
in increment 3 family and friends recognize the memory loss is requiring the help of another.  This typically occurs before a medical clinic visit is able to establish a diagnosis. 

The needs of a person with memory loss do not take on a medical appearance until the staff at the doctors office can demonstrate evidence with the tests and document a diagnosis.  This simply reinforces the fact that dementia does not display needs an individual discipline can effectively meet on their own.

The individual usually needs help with the more complex instrumental activities of daily living  before a diagnosis is documented in the medical chart.  Family and Friends soon learn the needs are real but do not fit neatly in a medical category. 

Home Care Path is an elder care provider specializing in helping with non-medical supportive care needs.
https://homecarepath.sharepoint.com/Pages/default.aspx

Our elder support partners perform a service where the focus is communication, collaboration, and coordination.  This higher level delivery involves tasks beyond the typical bedside duties an inpatient aide would perform for the patient.

As the dementia process progresses the individual will manifest the need for help with activities of daily living - which reside within the medical category of treatable conditions. 

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2016 "Linking" Trend Changing The Elder Care Theme

The hot new concept in elder care is called "Linking".   The linking trend is evidence of the message repeated by long term care planning committees -The Experience of Aging Does Not Display Needs An Individual Discipline Can Effectively Meet On Their Own - is reaching critical mass.

Linking is the trend that helps address the elder care need which is best met by another being there.

Simply more and more people have started to understand the aging across the United States is creating changes we need to pay attention to.  The underlying message is "be there".  So, the direction of operating industries is to facilitate the right level of assistance for the senior when needed.  Industries are shaping their products to support another person "being there" to help the elder.

The fact that an elder requires another to "be there" has produced a solution style trend called "linking".  Linking is an industries means of participating in the support for our aging population. Linking is born of the understanding that families are scattered and senior's need someone to be there. 

DIVESTMENT and LINKING

Insurance and Real Estate industries are developing technological connections that ease a families ability to divest to help convert household resources that can support needed elder care. The linked benefit process involves cashing in a life insurance product to allow the living elder to benefit from the policy.  The insurance industry is crafting linked benefit products that contain a long term care benefit.   Real Estate providers link families to reverse mortgage solutions or procurement of home equity capital to support long term care needs.  Apps that deliver these types of solutions will soon be common place.

INPATIENT and LINKING

Inpatient is a hospital or nursing home stay.  The insurance industry using legislative regulations has eliminated reimbursement for re-admissions and limited inpatient benefits.  This has incentivized the inpatient providers to strengthen direct links of community support for inpatient community members.  The inpatient service is designed for acute care delivery.  Beyond the hospital or nursing home all the non-medical supports are necessary to successfully recover and reduce the need for a readmission.  This new health care model has inpatient providers strengthening direct links to the services available in the community to help support the discharging patient.

COMMERCE and LINKING

The National landscape involves geographical areas rich with commerce and geographical areas of diminished commerce.  Areas rich with commerce typically have more resources available for the aging population.  Areas of diminished commerce are desperately forging links to innovative elder care delivery providers to bolster access to service and assure adequate care.  Without the links to support discharged patients in the community with non-medical care the risk is a loss of a local hospital location.  The discharged patients unable to be supported in the community return to the hospital to receive non-reimbursed care.  Local community hospital providers do not have the budget to deliver the non-reimbursed care and the location risks being closed.

PUBLIC and PRIVATE LINKING

Public programs help pay for elder care when the seniors financial income and cognitive and physical functional deficits reach the pre-determined measured levels.  Public programming is increasingly dependent upon the participation of private provision to adequately meet the care needs identified in the comprehensive long term care plan.  Elder care involves the simultaneous participation of both public pay sources of care and private pay sources of care.  The care coordinator is challenged to link public and private provision to keep the household intact- safe.  This has fostered integration of services that can maintain care for individuals who transition from private payment to public programming.

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- each individual receives their own secure online portal
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New Family Care IRIS 2.0 Divides State of Wisconsin In 3 Regions

The New Family Care IRIS 2.0 will divide the State of Wisconsin in to 3 regions.  The Department of Health Service Federal Waiver Request to the Centers for Medicare and Medicaid will indicate plans to have 3 different Integrated Health Agencies operating in each region.

The Federal Waiver Request will indicate Family Care IRIS 2.0 beneficiaries will be able to switch to a different operating Integrated Health Agency at any time.  To attract adequate numbers of operating Integrated Health Agencies for each region DHS will publish a Request For Proposal. 

The Integrated Health Agencies will be required to be licensed as a Wisconsin Insurance Company.  The Integrated Health Agency will be required to demonstrate evidence of a local presence with relatively easy access. 

Home Care Path staff encourage readers to watch as the Department of Health Services plans to publish the new Family Care IRIS 2.0 plan in the first week of March on their website.

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- each individual receives their own secure online portal
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Wisconsin AB 788 Four Dementia Care Specialist Positions

Wisconsin Assembly Bill 788 authorizes funds for the Department of Health Services through the Aging and Disability Resource Centers serving Counties with a population of less than 150 thousand for a Dementia Care Specialist position.  The 2016 legislation funds 4 full time Dementia Care Specialist positions.

The Dementia Care Specialist creates applications that educate employers on ways to help employees caring for an elder with memory loss in their home.  The hope is that by expanding awareness through out communities innovative providers will develop services to bolster this cause.  The underlying mission being to help elders with memory loss remain at home as long as possible. 

The Dementia Care Specialist will maintain a list of active providers that families wanting the help of another can contact
https://homecarepath.sharepoint.com/Pages/default.aspx for respite care or ongoing assistance.

The Dementia Care Specialist will connect families seeking help with memory loss with information
https://homecarepath.sharepoint.com/Pages/TrackMemory2Zero.aspx  that has proven to be beneficial.

One of the questions consistently asked of the family seeking help for an elder with memory loss will be when do you think all this started - this is a strategy to answer that repetitively received question
http://homecarepathseniorcare.blogspot.com/2016/02/baraboo-adrc-sauk-county-gets-funds-4.html

Home Care Path is a popular Integrated Senior Living Solutions provider - successfully serving families since 2010- valuing home and human life.
CONTACT:  Call or Text:  608-432-4286
email lkutzke@homecarepath.onmicrosoft.com
   lkutzke.crn@gmail.com

State of Wisconsin's Argument With ACA Lawsuit

The State of Wisconsin has just joined 5 other States in a lawsuit against (ACA) The Affordable Care Act.  The argument of the lawsuit has to do with unclear language. 

Because of unclear language:

- these States have to contribute to fees to cover Federal subsidies

- this provider fee is viewed as an unfunded mandate

- contracted participants (State of Wisconsin) were notified by a private entity appointed as administrator

The States now realize regulatory defined contractual processes facilitated implementation of a service the participants did not understand - unclear language.

An example to help clear this up would be Wisconsin's transition to Family Care IRIS 2.0 and the unclear transportation need.

Because of unclear language:

- contracted providers will have to cover transportation

- the transportation expectation is viewed as an unfunded mandate

- contracted providers will be notified by private (Integrated Health Agency) entity appointed as administrator

The providers will come to realize regulatory defined contractual processes facilitated implementation of a service participants do not understand - unclear language

The Wisconsin Family Care IRIS 2.0 dilemma
http://homecarepathseniorcare.blogspot.com/2016/02/wisconsin-family-care-iris-20.html

These two similar arguments are a common theme in facilitation of contracted services for large areas.  Wisconsin can anticipate very similar activity when the need for transportation with the delivery of Family Care IRIS 2.0 benefit becomes more visible.

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Wisconsin Family Care IRIS 2.0 Transportation

One of the most difficult aspects of delivery is the transportation piece.  Wisconsin Family Care IRIS 2.0 beneficiaries tend to need frequent trips to varied medical providers to manage the symptoms of chronic disease processes.  Individuals with cognitive deficits - memory loss will require another (door to door transport) to accompany them with these trips from home.

Wisconsin is a rural geographical area with no access to taxi cab service in much of the road ways. 
Serving a State wide population is expected to create additional transportation difficulties.

Initially the State through a Federal Waiver will guide the Department of Health Services to assign transportation to the Integrated Health Agencies.  Through contract the Integrated Health Agency will mandate the provider to perform all necessary transportation.  The provider contract will list the inclusion of medical transportation.

The transportation expectation is unfortunately viewed by providers as an unfunded mandate.  Specifically the assessment process which determines the time and task the provider can submit a claim and be reimbursed will not capture the transportation cost.   This is the disconnect. 

Committed providers who adjust their practice to insure longevity will not have the resources to perform the transportation piece at the rate of reimbursement.  This will not be immediately understood by all involved with this State wide heath care transition.

Expect beneficiaries and family, Integrated Health Agency staff, employee's of the third party claims, and care givers of contracted providers to begin to blame each other for the difficulty created with this system deficiency.

This predicted system wide deficit will look like:

- State includes transportation in Federal Waiver request
- DHS explains transportation will be managed by Integrated Health Agencies
- Integrated Health Agencies include transportation in standard provider contract
- Participating providers question precisely how transportation is reimbursed

Home Care Path encourages readers to watch as the State rolls out the new Family Care IRIS 2.0 insurance model. 

When New Wisconsin Family Care IRIS 2.0 Goes State Wide

                                                        NEW FAMILY CARE IRIS 2.0

-          The Centers for Medicare and Medicaid authorize a waiver for Wisconsin

Department of Health Services

-          Department of Health Services authorizes the Aging and Disability Resource Centers  

To screen consumers for eligibility for Family Care IRIS 2.0 benefits

-          The Aging and Disability Resource Centers refer consumers eligible for Family Care IRIS 2.0

To Integrated Health Agencies

-          Integrated Health Agencies are contracted with the Department of Health Services and

The Office of Commissioner of Insurance to administer the defined benefits

-          Integrated Health Agencies will contract with a claims processor entitled to co-manage the

Family Care IRIS 2.0 fund

-          The provider will likely be required to contract with the Centers for Medicare and Medicaid,

The assigned claims processor and the Integrated Health Agencies

-          Being deemed eligible for the Family Care IRIS 2.0 program benefits does not assure

Access to staff that can help

-          The transition across the system to establish productive operating links involves time-

In which eligible consumers will utilize the higher cost skilled medical service for care

-          Please watch as DHS publishes initial Family Care IRIS 2.0 transition plans on their website

In the first week of March

Wisconsin Dementia Bills Under Senate Review

The Assembly has moved a series of bills to treat Alzheimer's and Dementia on to the Senate. 
The bills combined estimated budget impact is 2 million dollars for the biennium.  This can be translated to an investment of  one million dollars per year. 

This one million dollar a year fiscal impact estimate has lawmakers looking closely at the bills. Data demonstrates 110,000. Wisconsin residents would benefit from the positive changes the bills are expected to create.

The process can involve the whittle strategy where the adjustment to achieve passage reduces the size of the projected investment of one million dollars per year.  Readers are encouraged to watch as these memory loss bills experience modification on the road to becoming law.

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Baraboo ADRC Sauk County Gets Funds 4 New Position

The Sauk County Baraboo Wisconsin (ADRC) Aging and Disability Resource Center has received approval from the Board for another full time position.  The fifty thousand dollars will be assigned to hiring an Aging Program Specialist.  This is a piece of Sauk County's ongoing effort to demonstrate compliance with the County Aging Plan.

     PINPOINT ONSET OF ALZHEIMER'S DEMENTIA

The research lab of Home Care Path recently revealed a non-invasive, innovative, family friendly approach to determining the onset of Alzheimer's Dementia.  Finally a down to earth strategy that really works.  This involves:

- The Track Memory 2 Zero demonstrating need for help with IADL's as early symptom

- https://homecarepath.sharepoint.com/Pages/TrackMemory2Zero.aspx

- House hold bill paying as a primary IADL (instrumental activities of daily living)

- Credit Bureau's recording late payment of house hold bills for reporting creditor's

-  The late payments are documented on the individual's credit report

- Credit Bureau's sell this data to credit report monitoring online platforms

-  The credit monitoring service provider gives the family access to information on the elder's credit report

- Family can access the senior's credit report and look back to locate clusters of documented late payments

- The key piece of this diagnostic process is the senior has adequate funds to make timely payments but multiple seemingly missed payments are recorded on the credit report

- Write down or print out the dates the late payment clusters began - to use as evidence of onset

The time of onset for Alzheimer's Dementia has applications when determining eligibility for help.  The "Track Memory 2 Zero" is a copyright of Home Care Path.  This is a 10 level progressive schedule used by care coordinators to understand increments of memory loss related to a diagnosis of Alzheimer's Dementia Disease. 

HOME CARE PATH LLC   Call or text 608-432-4286

email: lkutzke@homecarepath.onmicrosoft.com    lkutzke.crn@gmail.com

Home Care Path employs an innovative, progressive, practice to insure community access to elder care services- with our longevity as a testament to our commitment.  Successfully serving families since 2010. 

   
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Wisconsin Assembly Approves 50k UW Alzheimer's Research

The Wisconsin Assembly has approved a bill that provides 50 thousand dollars for the Alzheimer's Disease Research Center at the University of Wisconsin in Madison.  The focus of the research will involve existing stores of blood and spinal fluid samples.

The plan is to leverage technology and imaging to identify and name abnormal proteins in the blood and spinal fluid samples.  The presence of these newly named abnormal proteins in the blood and spinal fluid of an individual who's brain is known to have Alzheimer's disease is significant for crafting effective treatments.

This is learning how these proteins relate to the manifestation of the Alzheimer's Disease process.  From these analytic tasks researchers can form new theories that transform our approach to more effectively treat the undesired symptoms of Alzheimer's Disease.

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S. 2014 Next Generation Researchers Act

S. 2014 Next Generation Researchers Act is legislation designed to up date policy within the National Institutes of Health to strengthen the United States to better participate in the expanding global bio- tech market.

The Next Generation Researchers Act forges opportunity through the National Institutes of Health with infrastructure of financial investment to build scientifically supported research and practical applications for cutting edge discoveries.

This facilitates administrative policy designed to accelerate an earlier access to research applications that include funding and educational industry involvement.  This is funding for the National Institutes of Health with a mandate for crafting operations that strengthen innovative practices aimed at quicker development of new discoveries for market.

The focus is on bolstering start to end bio-tech products and service for the global economy.  Moving from research to pragmatic consumer use in a much more rapid means. 

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Senior Care Help Reducing Home Contents

More and more families are taking a planned out approach to down sizing for elder's.  Home Care Path understands this is a significant change felt throughout the family and neighborhood.  This link describes a down sizing service
https://homecarepath.sharepoint.com/Pages/ReducingHomeContentsWhenStuffMatters.aspx

Our elder support partners work with the senior when they opt to down size their home.  Reducing the home contents is the piece of the entire process.  Families will likely be working with a Real Estate Agent, a Financial  Lender, an Insurance Agent and more.

Home Care Path charges 20 dollars per hour for the elder support partner who helps organize, pack and ship contents to the receiving family member.  When the elder just needs a helping hand to get things going. 

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Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/  

Supporting Families With Memory Loss

Home Care Path is a leading provider of non-medical supportive care for families helping an elder experiencing memory loss.  The progression of the disease process will manifest immediate needs that do not fall neatly under a medical category.

Track Memory 2 Zero is being down loaded and distributed in record numbers
https://homecarepath.sharepoint.com/Pages/TrackMemory2Zero.aspx

This copyright original model lends significant understanding to the increased appearance of memory loss in the larger community.

Home Care Path employs registered nurses who participate in long term care planning on behalf of the family.  Federal and State efforts involve helping the family support the elder in the home as long as possible.  The familiar setting improves quality of life, while preserving precious resources.

Home Care Path charges families 20 dollars per hour for an elder support partner to come and help.  No scheduling minimum and flexible care plans makes this a more affordable option for families needing some respite.

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Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/  

Wisconsin Family Care IRIS 2.0 Insurance Plans Unexpected Fees

The State of Wisconsin will transition with implementation of Family Care IRIS 2.0 in to an Insurance Plan Administered Model.  The new Family Care IRIS 2.0 will include long term care, primary care, and acute care benefits.

The risk is related to network adequacy, care assurance, and managing unexpected insurance fees. 
Unexpected insurance fees occur when contracted providers use non-contracted services in the necessary care for the beneficiary.

This aspect of care delivery can push an increased cost of placing a proper claim with the insurance plan on to the provider.  Larger medical providers unable to be reimbursed in a timely fashion will stop service creating a gap. 

This gap requires the family and patient to participate in an alternative approach to get their needs met.  Gaps in areas dense with Family Care IRIS 2.0 beneficiaries is described as an under served pocket.  This is typically an area where the participating providers are not reimbursed for submitted claims in a timely fashion.

From a care coordinators view this will be a predictable occurrence with the State wide roll out of the new Family Care IRIS 2.0.  Home Care Path invites readers to watch as the changes occur with the New Family Care IRIS 2.0 programming.

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- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/ 

NHTSA Computer Is Driver 4 Self Driving Cars

The (NHTSA) National Highway Transportation Safety Administration has informed GOOGLE in Autonomous Vehicle Efforts that the computer is the driver not the rider.  The autonomous vehicle is not required to have the positioned occupant seat.

This is public policy aligning mandates with existing safe industry practice. As these coming changes are communicated in to main street conversations the population is better equipped to positively participate. 

This new technology is expected to reduce the need for the back n forth of transporting family to varied destinations.  The high school daughter can be sent by autonomous vehicle to early morning class and the car returns home without a rider for other users to travel later in morning. 

Driverless vehicles will be a perfect fit for seniors residing in Wisconsin's rural country side. 

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- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/