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How Health Advocates Can Save Money for Their Clients

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Over the past few years, increasingly, I hear from patients who (usually after hospitalization) feel that they have been unfairly billed for medical services.They contact me because they find an article or two I’ve written at my Patient Empowerment site at About.com about medical billing and insurance. When I say increasingly, I mean – since the first of this year the numbers have really spiked. I mean, really spiked. As if the medical billing universe has decided that no one should get a correct bill anymore, and everyone should be required to pay for something they didn’t think they should […]

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How Empowering Your Clients Makes You a Better, and Stronger, Health Advocate

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Those of you who know me beyond my work with AdvoConnection may know that my roots – the reason I started AdvoConnection – came from patient empowerment – specifically the recognition that when we are sick and debilitated, or scared or worried, most of us are unable to process the information we need to assess in order to make the wisest choices for ourselves. I experienced it myself, and I’ve heard stories over and over again – where the illness and emotion just don’t allow for even the most intelligent, rational thinkers to conduct themselves the way they would in

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Client Discussions: Where Do Spirituality and Religion Come In?

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My travels over the past two weeks have ultimately taken me to Florida where I’ll be staying for awhile to spend time with my dad. It’s the latest in many, many visits, which I mention only because that means I have gotten to know many of Dad’s friends over the years, too. In fact, I’ve gotten to know a handful of them very well, so that I actually seek them out once I get here to be sure I have the opportunity to spend some time with them. One such friend is a gentleman I’ll call Jim, who lives next

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Getting Your Clients Past Magical Thinking

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image - magical thinking

Today’s post is very personal, reflecting a situation I believe many families go through, brought on by any number of attitudes and fears. I’m hoping that by sharing it, you can find a role for your advocacy work; a way to help families who need someone to provide a reality check. It’s about providing a gift to some of your patients and their families – in effect, giving them permission to say no to further treatment. As I thought about the situation, I remembered back many years ago when my mother, who at the time was in her 10th year

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What’s a Bad Outcome? And Where Does the Fault Lie?

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Scenario: Joan, age 75, living in Ft. Lauderdale, was diagnosed with Stage IV Ovarian Cancer. Joan’s daughter, Beth, who lives in Kansas, contacts Maxine, a private patient advocate and RN who works in Ft. Lauderdale, to help her mother. Joan, Beth and Maxine have extensive conversations about the care Joan will need. The decision is made that Joan will need surgery and chemo. Maxine is hired to oversee the care since Beth lives so far away. The surgery goes well. The hospital stay is typical. Joan is discharged from the hospital, but three days later begins to show signs of

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Setting New Standards for a New Profession – Your Chance to Help

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As announced to AdvoConnection’s members last week, we have been working on a prescribed process for advocates who find it necessary to terminate their work with a client – in effect, to “divorce” that client, professionally, legally, and with the least amount of difficulty for both parties. (Members will find access to that protocol in this coming week’s Monday Member Mail.) One step in the process is the recommendation about sharing the notes you’ve kept with the client you’re divorcing, and the question about whether or not you, as the professional patient advocate, should be keeping those notes after you

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More on the Paralysis of Analysis – It’s All About the “M” Words

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Last week’s post about Paralysis of Analysis – a situation that many almost-professional private patient advocates find themselves in – those who hesitate to take that last step – the step of reaching out to new people and asking for payment for their services – the switch from volunteer (I can do this, I’ve done it dozens of times before) to paid professional, in business, make no excuses, doin’ it for a living paid patient advocacy…. It really struck a nerve. One advocate wrote and asked whether I’d been reading her diary. Another said she felt like Robert DeNiro in

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