Certified Guardians and the National Guardianship Association Standards of Care
Professional fiduciaries continue to be in the news related to actions or non-actions on behalf of wards. Concerns may be related to financial matters, poor care, or interactions with interested parties including disgruntled family members. A common area of concern is professional fees.
Certified guardians and conservators are questioned about fees specific to efforts completed on behalf of their wards. In some situations, the variance may be attributed to certified versus non-certified professionals and adherence to standards of care. In other situations, fiduciaries participated in actions not beneficial to the ward due to a lack of knowledge of fiduciary responsibility or simple disregard.
Many times, questions about fees arise due to a lack of familiarity by the general public and some professionals about the existence of the National Guardianship Association and the Standards of Care. Since the fiduciary industry has been relatively unregulated specific to the roles of guardian and conservator, there has been little discussion of the qualifications and background of fiduciaries entering the profession.
While the general public and professionals including attorneys are very familiar with standards of the American Bar Association, the National Academy of Elder Law Attorneys, and similar associations, unfamiliarity exists about the National Guardianship Association. Absent of membership in the National Guardianship Association, and a commitment to the NGA Standards of Care, a guardian or conservator may take short cuts, ignore care needs, and purposely charge low fees to obtain the reputation of being a more reasonable option.
While low fees may make family, awaiting their inheritance ecstatic, or may appeal to other interested parties, the ward may be at risk from short cuts specific to potential care needs and oversight. Attorney fees are fairly standard with higher fees attributed to more experienced or specialized attorneys. The time committed to an effort results in the final determination of fees.
It is understandable that some wards have limited or non-existent estates. These wards may be served by the office of public guardianship or a volunteer guardianship association. Conservators resign when funds run out. Guardians are committed for life. Rarely discussed is the number of pro-bono cases that many guardians carry because clients were accepted and funds ran out.
The National Guardianship Association Standard 13 requires ongoing assessments of physical, social, psychological, direct service, health, and personal care needs as well as the need for evaluating and recommending additional services. Substantive communication is required with service providers. Care planning and care conference meetings are required as well as receipt and review of care plans from all service providers. Regular examination of services, charts, notes, logs and other documents is required. Adhering to the Standards may be time consuming, resulting in greater total fees, depending on the situation and needs of the ward.
Many of the activities to support the NGA Standards can be time consuming when wards have complicated health conditions or a change in condition. For wards with stable health conditions and few needs, the time involved and the related billing is not as significant. The challenge in life is that as we age, we do not become healthier or more able. Over time we experience greater health concerns, become increasingly frail, require more time and attention to receive good care.
The ward’s living environment contributes to time and fees. An individual living in a skilled nursing community where medical care is readily accessible and the client is in stable health may not require as much care oversight versus an individual in a rehabilitation situation as the result of a change in condition who expects to return to a prior living environment. Wards living independently, depending on medical care needs, may require significant oversight. Each situation is different and should be outlined in the care plan with annual budget updates.
Membership in the National Guardianship Association is for professional fiduciaries seeking to voluntarily participate in providing higher standards of care. Continuing education is required as well as agreement to support the care standards and ethics identified by the organization as beneficial. This is not to say that non-certified guardians or conservators are not equally as qualified.
Membership in any organization is a choice based upon the personal goals of the company or the individual as is the pursuit of higher education, skills, and experience. There is a difference in the education and skills of an individual with a high school diploma versus an individual with a college or post graduate degree. Education is good—a combination of education experience is better. An educated individual without experience may still not perform to expectations. Book sense may not be practical sense. When choosing a professional or a colleague to act on your behalf these little differences can make a big difference depending on the expectation.
©2017 Pamela D. Wilson. All Rights Reserved.Return to the Advocacy Category Page
Return to the All Category Page