Medicare Blog

what does being someone's advocate for medicare mean

by Mr. Jarrod Labadie Published 2 years ago Updated 1 year ago

A patient advocate acts as a liaison between the patient and medical staff. In general, they help cut through red tape and get patients what they need. They act as a supporter, promoter and spokesperson.

Full Answer

Why do I need a medical advocate?

Having an advocate at medical appointments or during a hospital stay can ensure that you get the information you need to manage your health. Ask questions or voice concerns to your doctor for you. Compile or update your medicine list.

How do I choose a health care advocate?

The most important thing is choosing someone you respect and can trust to be both discreet and caring. While your personal health advocate can help if you’re hospitalized, many hospitals also provide patient advocates to assist you. Geriatric care managers, including registered nurses and social workers, often serve as health care advocates.

Can a nurse or Doctor be a patient advocate?

If you can’t locate an advocate before an important medical or hospital visit, you can often find a nurse or doctor to serve in this role. Some professional advocates specialize in researching the best available treatments and can assist you at home or in the hospital.

Where does the patient advocate work in a hospital?

That is, that in most cases, the hospital’s patient advocate works for the Risk Management Department of the hospital. Let me repeat that: the patient advocate works for the hospital (meaning, not for you!) and in the vast majority of hospitals in the US, works for the Risk Management Department – which is the legal department.

What does it mean to serve as a patient advocate?

A patient advocate helps patients communicate with their healthcare providers so they get the information they need to make decisions about their health care. Patient advocates may also help patients set up appointments for doctor visits and medical tests and get financial, legal, and social support.

What does being an advocate for health mean to you?

A Health Advocate is an individual who provides direct and personalized services to a patient and/or their family as they navigate the healthcare system. Health advocates also engage in activities that promote health and access to health care in communities and the larger public.

What does it mean to advocate for a client?

Customer advocacy is the act of putting customer needs first and working to deliver solution-based assistance through your products and services. Businesses that adopt a mindset of customer advocacy are constantly finding new ways to support their customers and ensure their needs are being met.

What powers can be given to a patient advocate?

You can give a patient advocate power to make those personal care decisions you normally make for yourself. For example, you can give your patient advocate power to consent to or refuse medical treatment, or arrange for care in a hospital or nursing home.

What are the responsibilities of an advocate?

An advocate can:listen to your views and concerns.help you explore your options and rights (without pressuring you)provide information to help you make informed decisions.help you contact relevant people, or contact them on your behalf.accompany you and support you in meetings or appointments.

What is the purpose of an advocate?

The role of an advocate is to offer independent support to those who feel they are not being heard and to ensure they are taken seriously and that their rights are respected. It is also to assist people to access and understand appropriate information and services.

Who can be an advocate?

Quite simply, anyone and everyone can be an advocate! Advocacy is the number-one way that nonprofits and community-based organizations advance social change that affects the people they serve.

How do you advocate for a client?

You can advocate for your patients in a variety of ways, including these ten examples:Educate the patient. ... Update the entire team. ... Be present. ... Ensure safety. ... Double-check documentation. ... Give proper care. ... Offer resources. ... Listen to your patient.More items...•

When a person is an advocate for something do they support or oppose it?

An advocate (AD-və-kit) is someone who supports a cause, like an advocate for outdoor recess. Advocate (AD-və-kate) is also a verb meaning to speak in favor of, so you can advocate for that outdoor recess by urging your school to play outside!

What does an advocate do in health and social care?

The role of an advocate in health and social care is to support a vulnerable or disadvantaged person and ensure that their rights are being upheld in a healthcare context. Health and social care advocacy means supporting people who are unable to ensure their best interests are being taken care of.

What are some examples of patient advocacy?

Medical facility advocacy For example, when a patient receives unsafe accommodations, an inaccurate diagnosis or unclear self-care instructions, a nurse alerts the medical facility and the patient's doctor, communicates the issue and helps resolve the issue.

Why is patient advocacy important?

Why Is Patient Advocacy Important? Advocacy is important because it may reduce the chances of errors and harm to patients. Primarily, nurses may need to speak on behalf of their patients and collaborate with the healthcare team if problems occur.

Why is patient advocate important?

This is a situation where the patient advocate can be greatly beneficial in making sure the doctor has all needed information about the patient. For example, if the advocate provides a complete list of medications, supplements and botanicals that the patient takes, the doctor can review the list for conflicts with prescriptions.

What is elder law?

One of the core concepts of elder law is that of advocacy for an elder who needs assistance. We have found that is especially true in the medical arena. Too often an elder does not get sufficient treatment to recover from a condition or to maintain independent living.

Is there consumer help for Medicare?

The answer is be informed about Medicare benefits and the appeal process. Fortunately there is consumer help easily available. The Center for Medicare Advocacy has an incredible store of information and how-to advice. They have consumer self help materials including Comprehensive Tookits, checklists for appeals and up to date information on issues ...

What is a Medicare counselor in Alaska?

Medicare counselors (SHIP counselors in Alaska) can assist you in understanding your Medicare benefits and your Medicare Summary Notices. These are notices that are sent to Medicare beneficiaries every three months that explain the claims Medicare has processed on your behalf under Part A (hospital) or Part B (medical).

Can you take back your Medicare authorization?

You maintain the right to revoke or “take back” your authorization at any time, but it needs to be in writing. Upon receiving the change of authorization, Medicare will no longer recognize the representation of the person or organization that you had previously appointed, however, all actions that Medicare has taken based on your permission will stand. The decision to have an authorized representative does not affect your enrollment, eligibility or the amount Medicare pays for the health services you receive.

What is a patient advocate?

This person is often a nurse, social worker, geriatric care manager or other health care professional who can help you navigate the health care system, including dealing with clinicians, understanding your condition and treatment options, ...

What is a good health advocate?

A good health advocate is someone who knows you well and is calm, organized, assertive, and comfortable asking questions. When selecting an advocate, it’s best to: Clearly explain the kind of help you need and your concerns. Provide details of your medical history.

What organizations provide advocate training?

Several organizations provide advocate training and lists of advocates on their sites, including the Professional Patient Advocate Institute, the Alliance of Professional Health Advocates, and the National Association of Healthcare Advocacy Consultants.

What is advocate education?

Your Advocate as Educator. An advocate is not just for doctor visits or hospital stays. “You can discuss new health issues with that person—for instance, ask if he or she thinks a treatment is working,” advises Burton. “If you’ve got two people on the same page of an issue, it’s helpful.

What are the challenges faced by those who have been called to care?

One of the challenges faced by those who have been called to care is taking good care of themselves. Learn how to manage caregiver stress and take better care of yourself.

Can an advocate access my electronic health record?

You may even want to give your advocate access to your electronic health record so he or she can refer to test results or notes, ask for refills on prescription medication, and even email questions or concerns to the physician. Just make sure you provide permission for the doctor and other health care professionals to share information about you ...

What can advocate do?

Advocates can provide guidance with matters such as living wills, advanced directives, disability or worker's compensation, or malpractice. Additionally, they might help with elder care. Some patient advocates focus on the care of the elderly.

How do patient advocates work?

Patient advocates can work to help patients and their families by providing a variety of services, depending on the patient's needs and the advocate's area of expertise. They may help them to secure health care, manage insurance, or make treatment plan decisions.

What is the role of an advocate in the government?

In a government role, the advocate may work with large agencies, such as the National Institutes of Health or with individuals who need assistance navigating systems such as Medicare or Medicaid. Some private corporations offer healthcare advocacy programs to their employees before a medical emergency arises.

What are the requirements for a patient advocate?

Currently, there are no specific standards or requirements for patient advocates, but most have a background in healthcare or healthcare-related industries, such as insurance. Most advocates have professional experience as nurses, physicians, social workers, or care managers.

What is the training required to be a patient advocate?

There is no current standard training or certification for patient advocates. Advocates typically have experience as nurses, physicians, social workers, or care managers. Training in healthcare-related fields is helpful in securing a position as an advocate and continuing education related to the industry.

What is patient advocacy?

Patient advocacy has always been an important function in healthcare, performed as part of the job by physicians, nurses, social workers, and care managers, among others. However, advocacy is only a small part of these individuals' jobs and often requires more time than is available to these caregivers.

What is the best preparation for a patient advocate?

While on-the-job experience may be the best preparation for the role of a professional patient advocate, completing coursework in related areas can help in securing a position in the field. Many topics are available through certificate programs, as individual courses, or offered as continuing education options.

What can an advocate do for you?

Having an advocate at medical appointments or during a hospital stay can ensure that you get the information you need to manage your health. Health advocates can: Ask questions or voice concerns to your doctor for you. Compile or update your medicine list.

What is a health advocate?

A health advocate can be a family member, friend, trusted coworker, or a hired professional who accompanies you to your appointments and asks questions, writes down information, and speaks up for you so you can better understand your illness and get the care you need. (For more about hiring an advocate, see the sidebar on the next page.)

What to do if your advocate doesn't know you?

If your advocate doesn’t know you well, be certain to let him or her know if your hearing or vision is limited. He or she can alert your medical team to speak clearly and to read instructions aloud if they are not available in large type.

Why is it important to take an active role in health care decisions?

Research shows that quality health care requires taking an active role in decisions about your care. If you’re facing a difficult medical decision, it’s a good idea to bring someone with you who can help focus on your care when you’re not fully up to it.

Advocacy with Walnut Avenue

California state law, which labels an advocate for domestic violence survivors as a “domestic violence counselor,” defines an advocate as “a person who is employed by a domestic violence victim service organization, as defined in this article, whether financially compensated or not, for the purpose of rendering advice or assistance to victims of domestic violence and who has at least 40 hours of training as specified in paragraph (2)” (bolding ours).

Becoming an Advocate

For more information on becoming an advocate yourself, visit our training’s page on our website to learn more!

Questions about being an advocate or about the advocacy certification training?

Contact the Community Engagement Coordinator, Marjorie Coffey (they/them), at [email protected].

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