Can Advanced Care Planning Help Everyone?

Posted on

Feb 26, 2018

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Im sure that youre asking how can any ONE thing help everyone? In this age where there are a multitude of different solutions for everyone, its hard to think that everyone taking the same action would be good. Well, lets suppose that you were so hurt or ill that you couldnt speak. What would your loved ones do? How would they know what treatment options and medical decisions to make for you? For that matter of fact, who would you want making those decisions? What personal values or beliefs do you have that you would want considered when making these types of decisions? Wouldnt you need them to know what you would want? Of course, you would!
This process that Ive begun to outline is called Advanced Care Planning or ACP for short. ACP involves several issues and is for all adults over the age of 18. It means that you think about and plan for future healthcare decisions if you had sudden health event, such as above. While everyone should document their healthcare decisions, the decisions that each of us would make will be different! There are many distinct types of individuals that help you to identify and document your decisions such as Social Workers, Care Managers and Advanced Care Planning Facilitators.

Why should you plan for yourself and your family members? If your loved one was hurt or ill, wouldnt you want to know what their wishes are? For you, if you care about the burden your family and/or loved ones would be under or if you care about your wishes being heard, then please look at the Advanced Care Planning process. Both Chris and I at Seniors Blue Book are Advanced Care Planning Facilitators thanks to the partnership between Lancaster General Health and Gundersen Lutheran Medical Foundation so you can ask us to help! Alternatively ask a Social Worker or Care Manager at any hospital that is close to you. If youd rather, you can go to www.yourlifeyourwishes.com or www.lghealth.org/advancecareplanning/ to learn more.

Contact Chris or Cynthia for help with Advance Care Planning at pa-info@seniorsbluebook.com.

Cynthia Gartman, Publisher
First Steps ACP Certified Facilitator
Certified Senior Advisor (CSA)

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The permission slip for medical records is called a release or sometimes just referred to as the HIPAA Authorization. When you sign one of these, you are stating (1) Who can request medical information; (2) What information they can request; and (3) When the permission expires.In a car accident setting, insurance adjusters need your medical information to evaluate your claim. The medical records and bills are how you prove what your injuries were and how severe your injuries were. The adjuster cannot make a settlement offer without the medical records and bills in the file. However, there are limitations that should be put in place to ensure the adjuster doesnt access more than they are entitled to. If you dont want to provide a medical release, you can request your records and bills yourself and send them to the adjuster. 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Often the adjusters will send blank forms for you to sign, which allows them to fill in the blanks for any provider they choose. If you do sign a release, make sure it is very specific set out the particular provider, date range, and expiration date.Theres a risk that the insurance company may use your past medical history to argue that your current injuries are not related to the accident. If you have medical history that might open yourself up to this kind of response from an adjuster, its best to talk with a lawyer about how to handle your claim.Important ConsiderationsBefore signing any release, its advisable to consult with a personal injury attorney. Attorneys have experience in the many excuses insurance adjusters make. We know what kinds of questions to ask and how to anticipate possible problems down the road. Unless your treatment is very simple, talk with an attorney before signing anything from the insurance company.You can provide a release that is limited in scope, focusing only on records related to the accident. This is all the adjuster is entitled to. If they try to convince you otherwise, you should involve an attorney. Theres a good chance the insurance company is trying to take advantage of you if this happens. Know that you are not obligated to immediately provide a release; you can take time to understand its implications. You have 3 years to settle your claim or file a lawsuit. Its ok to take some time to carefully read the documents or talk with an attorney.The Role of Insurance AdjustersRemember, insurance adjusters work for the insurance company and their primary aim is to minimize the companys payout. They can and will use everything they can against you. Thats where a personal injury attorney can help you have someone on your side who understands how the insurance game is played.Alternatives to Full ReleaseInstead of a full release, you might consider providing specific documents that are relevant to the accident. Or you can request the records and bills from the doctor yourself. Since theyre your medical records, you are entitled to them. No doctor or hospital can say that you cant have your medical records.If your case involves psychological injuries and you treated with a therapist, a summary or letter from your doctor regarding the accident-related injuries can be a compromise. You are not legally obligated to provide complete mental health records in order to pursue a claim for psychological injuries.ConclusionDeciding whether to provide a medical release to an insurance adjuster after a car accident is a nuanced decision. Balancing the need for a prompt and fair settlement with the protection of your privacy and rights is key. 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        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#66seniorsbb_db_dev1.9msselect `books`.*, `bookeditionmapping`.`recordId` as `pivot_recordId`, `bookeditionmapping`.`bookId` as `pivot_bookId` from `books` inner join `bookeditionmapping` on `books`.`id` = `bookeditionmapping`.`bookId` where `bookeditionmapping`.`recordId` = 5184 and `bookeditionmapping`.`type` = 'article'
        Bindings
        • 0: 5184
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:66
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#85seniorsbb_db_dev3.03msselect * from `listingcontacts` where `listingcontacts`.`listingId` = 5184 and `listingcontacts`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 5184
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:85
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#141seniorsbb_db_dev1.5msselect * from `listingattachment` where `listingattachment`.`listingId` = 5184 and `listingattachment`.`listingId` is not null and `type` = 'article' limit 1
        Bindings
        • 0: 5184
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:141
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#146seniorsbb_db_dev1.86msselect * from `listingattachment` where `listingattachment`.`listingId` = 5184 and `listingattachment`.`listingId` is not null and `type` = 'article' limit 1
        Bindings
        • 0: 5184
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:146
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev2.17msselect * from `listingattachment` where `listingattachment`.`listingId` = 15289 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15289
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev3.2msselect * from `listingattachment` where `listingattachment`.`listingId` = 15282 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15282
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev1.79msselect * from `listingattachment` where `listingattachment`.`listingId` = 15275 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15275
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 6162bf581736fa7f4e9b70a52a1034b4.php#2seniorsbb_db_dev2.96msselect * from `articles` where `articles`.`deleted_at` is null order by `id` desc limit 3
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/6162bf581736fa7f4e9b70a52a1034b4.php:2
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      App\Models\Article
      7Article.php#?
      App\Models\ArticleCategory
      6ArticleCategory.php#?
      App\Models\ListingAttachments
      3ListingAttachments.php#?
      App\Models\Category
      1Category.php#?
          ClearShow all
          Date ↕MethodURLData
          #12025-07-08 08:11:45GET/articles/can-advanced-care-planning-help-everyone-can-advanced-care-planning-help-everyone-241817