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Which best describes their mobility?
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How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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Ed: thank you for shedding some COMMON SENSE on this all too confusing subject.
Why in God's good name can't families understand that others may have something constructive to contribute? Care meetings should be held so ALL concerned can discuss the options of care for a loved one. There are OMSBUDSMANs available too that can help families so information can be shared and the COMMON GOOD for the 'patient' prevail!!
My hands were tied when it came to getting information about my mother's medical care, and trying to get information from the sibling in our family who set himself up as Health Care Advocate was pointless. Then he claimed that information was NOT being provided to him!! Well that point is moot now, since Mother has passed, and I will never know what 'could have been done' to make her time on earth more pleasant. All I could do was be there, and spend time with her, and offer ANY help I could to make life easier for her.
I guess I won't ever understand why it is so difficult to share information when there is a common concern for the care of a loved one! God Bless us ALL!
Are you asking about does not have medical POA for Durable POA concerns finances and a Medical POA is focused on health? Those who abide by the letter of the medical POA will normally not give such information out to anyone but the medical POA. You can give your input, but they are not going to discuss it with your if you don't have medical POA.
Esther---Without having the advance directive from a sibling in place--I would think that the HIPPA act would come into play, unless you have been permission, in advance, to interceed. I am NOT an attorney, but this is my 5 cents worth.. The nursing home staff or hospital staff, is given a copy of such records, in advance--in case a medical decision has to be made. Hap
If I'm not mistaken, a NH can disclose "protected health information" (PHI) to a family member, a personal representative, or another individual directly responsible for the Resident's care -- especially if they're paying for it.
Also with the Resident's consent of course, the NH may also share limited information (e.g., name, location in the NH, general condition) so that family and friends who visit know how well the individual is doing.
In sum, a NH may disclose PHI to facilitate treatment, payment, or health care operations, or if the NH has obtained authorization from the individual. When a NH or covered entity, however, discloses any PHI it must make a reasonable effort to disclose only the minimum necessary information required to achieve its purpose. Unfortunately, HIPAA still remains one of the most misinterpreted and misapplied laws -- by everyone, not just health care providers.
At the risk of sounding blunt, I must say that caring for a parent shouldn't be a competition but a shared responsibility from the heart. And if this individual/sibling is enhancing the quality of your mother's life and care while in the NH I don't see anything wrong with accessing her medical records. You can always dispute it by filing a formal complaint as long as you believe you're acting in the best interests of your mother. But keep in mind that NHs are also mandated reporters and can disclose situations that are detrimental to the Resident's health and overall well-being. That alone can shake the foundations of anyone's POA.
Like Ed said you can get very limited info, but unless u are actual POA, even with your parents concent you cant get much............just went through this! so I know, but each State could be different, I am in Florida, and since its the retirement district of the world they really make us go through all kinds of red tape,etc,,,,,,,,,, to get anything at all!!!! Maybe its totally different where u are!! worth checking online too, what u can and cannot get with or without POA in your situation..........
In my experience, my family has been asked to list, on a special form, the names of those who can receive medical information about the patient. Ideally the patient should be the one who decides who goes on that list. I was my mom's medical POA and always listed my all my siblings.
For Caregivers who may run into this in the future, I would suggest making a list identifying those the patient (or their representative, in the best interest of the patient) would want to know about the patient's medical condition. This list, though not a legal document, could help the person with POA, eliminate any disagreements that might come up, when everyone is more emotional. This list should be kept with the Living Will or incorporated into the LW itself -- when it is drawn up.
THE MORE YOU KNOW ABOUT THE PATIENT'S WISHES, THE BETTER. It helps when they are sick and helps bring the caregiver peace after the patient is gone.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Why in God's good name can't families understand that others may have something constructive to contribute? Care meetings should be held so ALL concerned can discuss the options of care for a loved one. There are OMSBUDSMANs available too that can help families so information can be shared and the COMMON GOOD for the 'patient' prevail!!
My hands were tied when it came to getting information about my mother's medical care, and trying to get information from the sibling in our family who set himself up as Health Care Advocate was pointless. Then he claimed that information was NOT being provided to him!! Well that point is moot now, since Mother has passed, and I will never know what 'could have been done' to make her time on earth more pleasant. All I could do was be there, and spend time with her, and offer ANY help I could to make life easier for her.
I guess I won't ever understand why it is so difficult to share information when there is a common concern for the care of a loved one! God Bless us ALL!
I am NOT an attorney, but this is my 5 cents worth..
The nursing home staff or hospital staff, is given a copy of such records, in advance--in case a medical decision has to be made.
Hap
If I'm not mistaken, a NH can disclose "protected health information" (PHI) to a family member, a personal representative, or another individual directly responsible for the Resident's care -- especially if they're paying for it.
Also with the Resident's consent of course, the NH may also share limited information (e.g., name, location in the NH, general condition) so that family and friends who visit know how well the individual is doing.
In sum, a NH may disclose PHI to facilitate treatment, payment, or health care operations, or if the NH has obtained authorization from the individual. When a NH or covered entity, however, discloses any PHI it must make a reasonable effort to disclose only the minimum necessary information required to achieve its purpose. Unfortunately, HIPAA still remains one of the most misinterpreted and misapplied laws -- by everyone, not just health care providers.
At the risk of sounding blunt, I must say that caring for a parent shouldn't be a competition but a shared responsibility from the heart. And if this individual/sibling is enhancing the quality of your mother's life and care while in the NH I don't see anything wrong with accessing her medical records. You can always dispute it by filing a formal complaint as long as you believe you're acting in the best interests of your mother. But keep in mind that NHs are also mandated reporters and can disclose situations that are detrimental to the Resident's health and overall well-being. That alone can shake the foundations of anyone's POA.
I truly appreciate it....
Esther
For Caregivers who may run into this in the future, I would suggest making a list identifying those the patient (or their representative, in the best interest of the patient) would want to know about the patient's medical condition. This list, though not a legal document, could help the person with POA, eliminate any disagreements that might come up, when everyone is more emotional. This list should be kept with the Living Will or incorporated into the LW itself -- when it is drawn up.
THE MORE YOU KNOW ABOUT THE PATIENT'S WISHES, THE BETTER. It helps when they are sick and helps bring the caregiver peace after the patient is gone.