Realtime MI with Dr. Rupert
 May 2012

       FOR A CARE AUDIT, DON'T CALL YOUR ACCOUNTANT 

 

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Greetings!   

 

When a family is paying for care delivered at home or in a residential setting for a client with special needs , 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 and a review of the budget for the care.

 

This score ranges from 1 to 100 ( 70 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, and 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 of the total costs for the services being delivered.

 

Once we had reviewed the costs, 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 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

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. At times, RCM will even manage the talent required by the client.

   

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 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 adequate capital for the purposes of funding future needs for care. 

To Start the Conversation Call  800-620-7551

It all starts with a conversation.  We are always pleased to help.

 

So call at any time.

 

800 620 7551

 

 

 

           Raymond Rupert MD. MBA.
           Founder/Medical Director
           Rupert Case Management Inc.
           1006 Avenue Road
           Toronto, ON M5P 2K8
           direct:     416-488-9412 ext. 103
           24*7:        800-620-7551
           fax:         416-981-3322
           cell:        416-543-6514
           email: info@rupertcasemanagement.com
           Skype: raymondrupert
           www.rupertcasemanagement.com 
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