"The life care plan is a changeable document based upon published standards of practice, comprehensive assessment, data analysis, and research, which provides an organized, concise plan for current and future needs with associated costs for individuals who have experienced catastrophic injury or have chronic health care needs” (International Academy of Life Care Planners, 2003. Established during the 2000 Life Care Planning Summit ). Life care planning is a consistent process for evaluating the patient and disability in order to establish all of the needs dictated by the onset of that disability. Careful consideration is given to the goals, needs and interest of the patient, the needs of the family and the realities of the geographic region in which the patient resides. It takes into consideration the medical records, the patient and family perspective, the treatment team, the clinical practice guidelines, relevant research literature and the carefully established medical, case management and rehabilitation foundation.
A life care plan is a tool of case management and can be used in consultation with patients, families, rehabilitation professionals, and catastrophic case managers. The life care plan specifies the long-term medical, psychological, and rehabilitation needs of an individual throughout his/her lifetime. It has application in the non-judicial as well as judicial arena. It is utilized as a preventative plan for disability management outside the judicial setting. Within the judicial and insurance settings it is used to establish an accurate profile of the long term needs, recommendations and costs associated with the onset of the particular disability involved.
A life care planner does not attempt to “predict” future events, but bases the plan upon all of the steps outlined in industry best practices. This includes but is not limited to review of the medical records, recommendations from members of the individual’s current treatment team, clinical practice guidelines, and evidence-based research relative to the individual’s disability and level of function. In addition, an extensive review of the medical records and clinical interview allow the planner to appreciate the individual’s medical and rehabilitation history while understanding current needs. Recommendations within the life care plan must have a basis in known medical, case management and rehabilitation outcomes as documented within the research literature.
Yes, In addition to achieving certification in their primary disciplines, many professionals choose to pursue board certification in life care planning (CLCP) which is granted by the Commission on Health Care Certification. With its foundation in rehabilitation, life care planning attracts board certified professionals from diverse fields of practice, including rehabilitation counseling, rehabilitation nursing, rehabilitation psychology, physiatry, case management, and other areas.
Vocational Rehabilitation (VR) is a federal-state program that helps people who have physical or mental disabilities get or keep a job. Guided Life Care Planning Services is committed to helping people with disabilities find meaningful careers.
You may be eligible for VR services if your goal is to become employed and:
- Your physical or mental disability interferes with your ability to become employed, and
- You need Guided Life Care Planning Services' help to find or keep a job
The Veterans Access, Choice, Accountability Act (VACAA) of 2014 expands the number of options Veterans have for high quality, timely, care. The Veterans Choice Program (VCP) covers inpatient and outpatient specialty care, which includes vocational rehabilitation services and care/case management, when the local VA medical center (VAMC) cannot provide the services due to the following reasons: • Lack of available specialists • You are told by your local VA medical facility that you will need to wait more than 30 days for an appointment. • Your residence is more than a 40 mile driving distance from the closest VA medical facility with a full time primary care physician Guided Life Care Planning Services is accredited with Triwest and is a preferred provider of the Patient-Centered Community Care (PCCC) network and VCP programs of the US Veterans Administration.
Veterans can access this VA health care benefit through Triwest’s comprehensive network of community-based, non-VA medical professionals who meet strict VA quality standards. Guided Life Care Planning Services meets and exceeds these standards. If you are a Veteran interested in VR&E Care/Case Management please contact your VA doctor and have a discussion with them about obtaining a referral authorization for acupuncture. We look forward to assisting you and take great honor in serving you.
To use your Veteran’s Choice card for vocational rehabilitation services and(or) care/case management at Guided Life Care Planning Services, you must receive a referral for services from your VA. Discuss the need for service with your VA rep so they can evaluate your condition and make an assessment of your eligibility for the Veteran’s Choice program. The VA offers vocational rehabilitation and care/case management services at their facilities. In order for you to be referred to Guided Life Care Planning Services for services at least one of the following must apply: • You are told by your local VA medical facility that you will need to wait more than 30 days for an appointment at a VA facility. • Your residence is more than a 40 mile driving distance from the closest VA medical facility. • Veteran has to travel by air, boat, or ferry to get to the nearest VA medical facility • Veteran faces an excessive burden in traveling to the nearest VA medical facility (such as geographic challenges, environmental factors, or a health problem that makes it hard for you to travel) Once you are assessed and determined eligible for the Veterans Choice Program, the VA will issue the authorization for services. You may call our office after obtaining your authorization to schedule your appointment with us. TriWest/Veterans Choice may also call us on your behalf to schedule an initial appointment and facilitate your care
Case Management is a clinical team approach for clients who have complex medical condition(s). We assess clients health and help them plan and coordinate treatment in collaboration with their health care providers. Case Management reduces costs by coordinating care seamlessly in a more effective manner.
Case Management helps client and their family to:
- Promote access to appropriate and cost-effective care
- Improve health outcomes
- Improve experience of care
Clients may be referred to Case Management through:
- Health Advocacy activities
- Wellness Coaching, Condition (Disease) Management and/or
- Employee Assistance Program referrals (if applicable)
- Utilization Review activities
- Referral by plan, provider, community agency or self
A member is discharged from the program when:
- He or she can self-manage their condition effectively
- Personal health goals are met
- The member decides to discontinue services
- He or she no longer meets health plan eligibility criteria