December 2018 Newsletter Print

President's Report

Greeting CMSA-SCC members and guests, Thank you all for attending our meetings throughout the year. We have had excellent speakers who provide us with education and knowledge we can share with our colleagues and clients. We thank our endors who bring their products to keep us informed of new trends and new technology advances which are critical for our profession.

CMSA-SCC Board of Directors had our annual meeting the end of July, 2018. CMSA-SCC has had membership and financial growth over the past year. The growth is a tribute to all of our members, marketing directors, Vendors and speakers. 

MSA-SCC offers CCM prep courses throughout the year to prepare for your certification. We also have four quarterly conferences per year which are great opportunities for networking. You can find out more from our website

We are in the process of voting for new members, we will announce the new members at our February meeting. As the year comes to an end, way too fast, CMSA-SCC wishes everyone happy and safe holiday season. Next year will be an exciting year for the CMSA-SCC as we welcome new members and a new President!!

I will end with a big thank you to case managers out there for their tireless work and dedication to the profession.

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Welcome New Members

Manija Adli, Diego Echevern, Leny Gapasin, Lizette Guerrero, Suzanne S Harvey, Randy Kimsey, Rachel Lambert, Elizabeth Mendez, Michelle Merritt-Hill, Carlos Moreno, Catherine Petry, Gladys Pulido Jacqueline Ward-Rowens

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Calendar of Events

CMSA Quarterly Meeting
February 21st at The Proud Bird, Los Angeles

Providing Affirming Care for Your Transgender Patients
Marnee Reiley, MFT
Lost in Transition: Navigating the Transgender Experience
Christopher Wilson
Getting the Most Out of Your Care Management Model
Mary Kay Thalken, RN, MBA

Preparing for Case Management Certification
February 22 and 23 at Orange County Global Medical Center Bash Auditorium.

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Editor's Notes

One of my goals with our Newsletter is to provide our Members with resources to better serve our patients. I recently attended a small convention, “Successful Aging” sponsored by a local newspaper. The intent was, as a case manager, to find out what resources were available to help our patients. The event provided me the opportunity to talk with representatives I wouldn’t usually have met, and I learned a lot. So much is happening, new ways to offer residential services to seniors, advanced improved aids for vision problems, including blindness (Braille Institute) and many other available resources for seniors to maintain their independence. 

We plan to invite some of these representatives to future events so they can share all these advancements with you...

We hope that you have an enjoyable, safe, holiday season and look forward to seeing you in 2019.

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More and more Americans are turning 65 on a daily basis. According to AARP, there are 10,000 baby-boomers turning 65 every single day, and will continue at this rate until the 2030s. The baby-boomer population is a massive part of the American population, which is made up of almost 80 million people.

The Center for Medicare and Medicaid Services estimates there will be 81 million beneficiaries in 2030. This explosive volume of Americans qualifying for benefits place extraordinary pressure on government spending on Social Security and Medicare. The significant growth in spending on retirement benefits and health care for the elderly are the main drivers for the national debt. Around 15 percent of the $3.95 trillion of federal spending in 2016 alone went for Medicare for older Americans. A majority of older Americans require some type of home health service, whether it be skilled or non-skilled.

Medicare was created in 1965 as an amendment to the Social Security Act.The original statute focused on covering older adults’ acute health care needs. Both home health care and nursing facility care were part of the original law. All patients under the original law and currently have to meet certain eligibility criteria to have Medicare pay for home health care. They have to be homebound, in need of intermittent skilled care, have a physician certify and review the plan of care, the agency delivering services have to be Medicare-approved. Home health care will be covered by either Part A or Part B.

Skilled home health care includes nursing services, physical therapy services and if necessary, social services on a need basis. Home health aides Provide help in activities of daily living such as bathing, dressing, personal hygiene, and basic housekeeping. Home health care is usually less expensive, more convenient and just as effective asare one would get in a hospital or nursing home facility. To qualify for home health care by Medicare, one must meet the following criteria:

- Be considered “homebound” ( it must be a taxing effort to leave home on a regular basis)
- Require skilled care on a part time or intermittent basis to improve, maintain, prevent, or further slow a health condition;
- Be under the care of a physician, who completes and documents a face-to-face encounter either;
   1) three months prior to the start of home health care, or
   2) within one month after the home health care benefit has begun.
- Receive home health care from a Medicare approved agency.

One might ask, who qualifies for home health care under Medicare? If you are 65 and older and receiving Part A and Part B, you are eligible to receive home health care under Medicare. If you are under 65 and have a permanent disability under Medicare, you are eligible for home health care under Medicare. While enrolled in original Medicare, you pay nothing for home health careservices. For durable medical equipment, you may be responsible for 20% of the Medicare-approved amount. Cost and benefits may be different for beneficiaries enrolled in Medicare Advantage Plans.

If you or a loved one are enrolled in Medicare and are in need of home health care services including:

- Skilled Nursing
- Physical Therapy
- Occupational Therapy
- Speech Therapy
- Wound care
- Psychiatric services- Social services (IHSS, meals on wheels, counseling)
- Pharmacy services
- Nutritional support
- Home health aide
- Durable medical equipment
- Incontinence supplies
- IV infusion
- Oxygen therapy
- Respiratory care
- Labs
- Diagnostic services ( ultrasound, EKG, EEG, xray)
- Sleep study

Home Health providers come to your home and make a thorough assessment of your home health needs, in the most expedient fashion. A plan of care is created based on our assessment of your medical needs and is submitted to a physician for review and approval. Your physician, friend or neighbor may also refer to our agency for home health services as long as they meet the criteria mentioned above.

For an initial evaluation in the comfort of your own home, please contact our office @ 818 431-1700. We are conveniently located @ 535 N. Brand Blvd. Suite 510 Glendale CA 91203. Our office hours are Monday thru Friday from 9 am to 530 pm. All times Pacific. We are on-call 24/7/365. Please visit our website at . Or send us an email at [email protected]

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Ads 2

Preparing for Case Management Certification

Friday, February 22 & Saturday, February 23, 2019
Orange County
Global Medical Center
Bash Auditorium
1001 N. Tustin Avenue
Santa Ana, CA 92705-3577
Co-sponsored by:

CCMI Associates & Southern California Chapter of CMSA

14 contact hours have been approved by the Georgia Nurses Association, which is accredited as an approver of Continuing Education in Nursing by the American Nurses Credentialing Center’s Commission on Accreditation. CCMI Associates is an approved CE provider by the California BRN

Questions: Call 603-329-7481 or email [email protected]
or contact Dale Prince at 714-222-2664 cell or email [email protected]

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Opportunities Abound

Advertise in Southern California CMSA’s Quarterly newsletter. Reach 400 Case Managers practicing in the Southern California area that needs to know about your products and Services.
Business card size ad - $40
1/3 page ad - $225
Full page ad - $350

Exhibit Space
Our conferences have vendor tables available for your firm to display your products and services.
$250.00 includes two attendees

Full Sponsorship/$1500
5 guests
- Full Page Newsletter Article
- ½ Page “Thank You” next Newsletter
- Vendor Table
- Attendee List

Half Sponsorship/$750
2 guests
- ½ Page “Thank You” in next newsletter
- Vendor Table
- Attendee List

Web Banner Ad
Ad for 6 Months - $1000

The Sky’s The Limit
We are not limited by the above, if you have an idea to provide opportunities to our membership please contact our website


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The Family Caregiver Resource Center, St. Jude Medical Center
November brings us the beginning of the holiday season and also National Family Caregiver month. According to AARP, there are 34.2 million family caregivers who are caring for a loved one 50 years of age or older. These caregivers are an average age of 49 years old with approximately 56% working full time. These unpaid caregivers are an important part of their loved ones care team and are sometimes overlooked.
Family caregivers matter…

• To their loved ones and to each other. Family caregivers are the only people who are consistently present with their loved ones across all care settings and around the clock. They provide assistance every day to manage healthcare and personal care, spending an average of up to 45 hours per week providing help and support. Family caregivers are full partners and advocates for their loved ones emotional and physical support.

• By making sure that medications are taken and doctor appointments are kept.
Day in and day out, family caregivers fulfill a vital role in long-term patient care. No one else is in a better position to ensure continuity of care. They are the most familiar with their care recipients’ treatment and medicine regimens. 

• In reducing healthcare costs and avoiding hospital readmissions.
Family caregivers often give much more to those in their care. The services and support they provide to those with chronic care needs can actually be valued at about $470 billion of unpaid care each year.

The Family Caregiver Resource Center, a program of St. Jude Medical Center, is a trusted partner for Orange County families coping with the physical, emotional, and financial responsibilities of family caregiving. Since 1988, the FCRC has assisted unpaid family, free of charge, who care for a frail adult over age sixty or care for a loved one with an adult onset brain impairing condition including: Alzheimer’s disease, Parkinson’s disease, multiple sclerosis (MS), Lou Gehrig’s disease (ALS), traumatic brain injury, and Huntington’s disease. Services are provided free of charge and in certain cases, grants are made available to address specific challenges a family caregiver may be facing.

FCRC social workers provide case management and an intervention model based on promoting self-care and wellness. Services include: family consultation, assessment and care planning, individual counseling, support groups, respite care and education. Federal and state grant funding allows FCRC to contract with eleven (11) community based non-profit agencies in Orange County as partners to identify and serve family caregivers in need. The collaborative partners are, Alzheimer’s Association, Alzheimer’s Family Center, Alzheimer’s Orange County (AlzOC), Abrazar Inc., Age Well Senior Services, SeniorServ, Council on Aging of Southern California, Rehabilitation Institute of Orange (RIO), South County Adult Day Services, and Acacia Adult Day Services and Southland Integrated Services (formerly VNCOC). 

So, be sure to appreciate family caregivers as a valuable resource in providing the comfort and care that their loved ones depend on daily. Also, remember that there is support and help available here locally and can be found by calling (800) 543-8312 and at

“Family caregivers matter…” adapted from the National Family Caregivers Association (2013)
Visit and share why a family caregiver matters to you.
AARP, Public Policy Institute data from “Caregiving in the U.S.”, June 2015.

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Before Becoming Your Parent’s Caregiver. Things you should think about and do.
It’s an all-too-familiar scenario for millions of adults: Dad and Mom
are getting older and can no longer complete their day-to-day activities without some assistance. “But” they say, “please don’t put me in a home.”

Here are FIVE Important Steps before caregiving is needed:

Start the conversation. Start the conversation before anything happens. Start the conversation on values and preferences, wishes for health care details of finances etc. When starting the conversation it is important to:

- Look for an opening.
- Respect your loved ones wishes.
- Size up the situation.
- Review finances.
- Counter resistance.

Form your team. No one should try to approach the responsibilities of caregiving alone. While other family members are likely resources of support, don’t overlook friends, colleagues, clubs, or religious and other organizational affiliations as resources.

Make a plan. Putting together a family caregiving plan now will help to respond more quickly and effectively should the need arise.

Find support. Many issues may arise during the care giving experience that require additnal information and resources. Care givers should be encouraged to reach out to organizations and professionals with experience in helping the caregiver.

Many seniors prefer to age in place, but when a senior parent’s health declines and they need immediate or sudden help, then we may be faced with the critical decision of whether or not to provide that care ourselves.

Many of us do end up deciding to become family caregivers, a demanding role that often includes advocating for your loved one, coordinating providers and performing home medical care tasks.

These are a few of the questions one should ask prior to taking on the responsibility of caregiving.
1. Am I financially prepared for the extra costs of caregiving?
2. Am I really capable of taking care of Dad or Mom all by myself? Do I need to hire outside help or consider assisted living?
3. Do I have the social support and resources I’m going to need?
4. How will caregiving affect my physical and mental health?
5. If a loved one has dementia and can no longer filter their behavior, will I be able to cope with potentially hurtful words or actions?
6. Will I be able to allow myself to accept help and take breaks?
7. Will I be able to cut back on work responsibilities during those times when I need to.

Resources for caregivers
1. Caregivers: MedlinePlus 22, 2018 ... Are you a caregiver? If so, you may have to help with cooking, paying bills, and more. Learn about caregiving and how to find support for ...
2. Family Caregiving - AARP for those either just beginning their caregiving journey or veteran caregivers looking for more tools and resources online. Everything from home ...
3. AARP’s Helpful Guide for First Time Caregivers
time-caregiving/It includes advice, resources and checklists to help you get organized and find support on your caregiving journey. Remember: Just take it one step at a time.
4. Caregiving | National Institute on Aging how you can be an effective caregiver and how to take care of yourself.
5. Caregivers: Successful Caregiving | Cleveland Clinic tips for successful caregiving from Cleveland Clinic. Learn about the different strategies you can use to take care of yourself as well as your loved ones.

Searches Related to CARE GIVING
- Caregiving
- Family Caregiving
- Successful Caregiving
- National Alliance for Caregiving
- Golden Caregiving Service,s Inc.
- What is caregiving
- Caregiving Index


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Meeting Sponsor


Absolutely Always Amazing Tender Loving Care


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AAA T.L.C. Health Care, Inc. is the Agency that leading hospitals and Physicians and families turn to aid their patients or loved ones so that they can remain in their homes, where they want to be whether they have a balance issue, cognitive impairment, or medical need. AAA T.L.C. is the most trusted Agency in the industry.

They offer:
• Over 5,000 Care Providers consisting of RNs, LVNs, CNAs, & Experienced Caregivers.
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• Companion Care to the most critical cases.
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• Transportation Services available.
• We are Licensed, Bonded & Insured. Caregivers are cleared by the Dept. of Justice and the FBI, and have been TB tested
• Our offices are open 24 hours a day 7 days a week, serving all over Southern California.
• We are accepted by Long Term Care Insurance, Worker’s Compensation, and the Veterans Administration.
• Call for Free Assessments and speak to one of our Patient Coordinators.

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Absolutely Always Amazing Tender Loving Care

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