Part II: The Dirty Dozen Skills, Abilities, and Attributes of Successful Health and Patient Advocates and Care Managers

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Yes, Part II, as promised in our first installment last week when we began with the first four attributes of successful advocates.

Find Part I of the Dirty Dozen.

Which of these describe you and your abilities?  Which of them don’t?  Where do you go from here? Do your own assessment! 

 

Part II:  Abilities of Success Health/Patient Advocates and Care Managers

5. Health and patient advocates and care managers have an intimate understanding of the healthcare system. 

Important – I do not mean you must understand medicine. In fact, you really don’t need to understand medicine – as in diagnosis or treatment – to be successful. That’s why you don’t need to be a doctor or nurse or have another clinical background to build a successful advocacy practice. Successful advocacy is about understanding THE SYSTEM, not medicine.

You must understand how to work the system to get your client what she needs. That may mean you know the least expensive MRI locations, or it may mean you know how to get an appointment with Dr. Specialist.  It may mean you know how to work with insurance reps to get a claim approved, or it may mean you know how to find better pricing for Mrs. Smith’s prescription drugs. Maybe you need how to access a hospital’s chargemaster, or line up DRGs, CPTs, and RVUs.

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The Dirty Dozen Skills, Abilities, and Attributes of Successful Health and Patient Advocates and Care Managers – Part I

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That’s quite a title for a blog post, don’t you think? I’ve been working on this one for awhile, and it seems to have taken on a life of its own. In fact, it’s so long, I’ve now divided it into four parts.

Further, you’re about to learn is that I can’t count. I call it the “dirty dozen” because it’s a catchy title and it will compel you to link here to read the post (You’ll read more about this in Part III !). But it’s really a list of 16 (yes, 16!) skills, tasks, and attributes that the most successful advocates are, and employ.

Which of these describe you and your abilities?  Which of them don’t?  Where do you go from here? Do your own assessment! 

 

Part I:  Attributes of Success Health/Patient Advocates and Care Managers

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What Health Advocacy Is, What It Isn’t, and Why Most of It Can’t Be Taught

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One of the websites offered by APHA is a listing of all advocacy educational programs (that we know about).  There are programs offered by colleges and universities, private programs, organizational programs, mentors, and more. Some require in-person attendance, some are offered online. Their quality varies, and their results vary….

Often I hear from someone who tells me they have looked over the available programs, but can’t find what they need. What they are looking for doesn’t seem to exist. Or, here is what they want to learn, and will I tell them whether such-and-such a program will teach them that?

Typically what they want to know boils down to this:  Which program will give them the formula for success?  Which one will provide the protocols, and the processes, and the check-off list of things to do?  Which one is the magic, silver bullet that will shift them from employment today, to successful self-employment as an advocate tomorrow?

To which I answer:  ALL of them. And NONE of them.

Here is the problem:  for most of those who ask, they really don’t get what independent advocacy is. They have this idea in their heads that it’s that magical world where they will get to be the advocates they want to be – because they are. “I’ve been an advocate all my life; now I just want to get paid for it,” they tell me. “My hospital won’t let me tell patients what they really need to know, so if I do this on my own, I can change that.” Or other variations on those themes.

Here’s the point I think they are missing:  Continue Reading →

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The Birdcage: How to Ruin a First Impression

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Many readers know that my husband and I moved last year to Florida from Upstate NY, where – yes, thank you! – we have truly enjoyed this winter. No shoveling, mostly mild temperatures, lots of sun, and golf! – a big change from the past many winters.

So here in our new home in Florida we’ve decided to bring some of the outdoors in. Or maybe we’re going to take some of our indoors out. Whichever way you look at it, we’re getting ready to build a “birdcage,” a screened room which will be attached to the back of our house.

We began by soliciting estimates from four different birdcage builders, inviting them over to discuss our project.

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Channeling Mary Kay

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I heard from a gentleman this week who represents many of you. Specifically, he was trying to decide whether to pursue becoming an independent patient advocate – or not – because he wasn’t sure if he knew enough to be able to handle every client situation that comes his way.

He wanted a pep talk. He wanted me to convince him he knows enough.

Yes, it was time to invoke one of my favorite quotations, provided to us by Mary Kay Ash (presumably when she wasn’t out washing her pink Cadillac)

“If you think you can, you can. If you think you can’t, you’re right.”

The truth is – it’s not really that simple. In fairness, self-doubt about the ability to do anything new plagues all of us. Whether it was your first job babysitting or bagging groceries, or you’re changing careers at mid-life, or even starting up an encore career at age 60+…  you’re putting yourself out there, you’re testing your own mettle, and you’re taking a risk. The very definition of risk taking means it could go badly. 

But something about his question quite bothered me. It noodled around in my head for a little while, and the more I thought about it, the more I realized he had asked the wrong question.

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