Assisting the Elder

About Us

Lead Care Manager and CEO,

Tina Buchanan, MSW 

Hi, my name is Tina, I’m an Aging Life Care Manager and I have been helping people like you for almost 10 years. An Aging Life Care Manager helps older adults and their family members maximize and manage resources for their family members.

How long have you been doing what you do, and how did you become an Aging Life Care Manager?

To answer this question, it’s probably best that I share with you a defining moment, and a resulting “compelling story”, that brought me to where I am today –coaching people like you on exactly what to do to help older adults and their family members maximize and manage resources for their end of life planning. That defining moment in my life happened in late 2016.I come from a very tight-knit family. We were always very close spending most holidays together especially Christmas. These extravagant gatherings were the doing of my grandmother and grandfather mostly. They always went above and beyond and made these times so memorable for all of us. My Grandfather and Grandmother fell ill a few years back and eventually signed onto hospice early 2017.

In leading up to this moment, I watched them struggle endlessly. The Veterans Administration, the policies behind long term care benefits, the overwhelm of deciding if they wanted Advance Directives and of course the red tape. aI stepped up and became their Care Coordinator in my mother's sheer overwhelm. She was aggravated by the systems and all of the paperwork that came with the end of life planning.

When I realized the fragile nature of my grandparents' condition, I knew I needed to provide this support to other family members out there that were struggling with the same issues. I've been working in the field of end of life care in a corporate environment for about 10 years. I started when I was in school as I pursued my degree in Social Work. We didn't get to pick our internships and I knew I didn't want to work with the elderly. They say what you resist most is what you need the most. Right? This internship, which I struggled with wanting to accept, single-handily change my life when I placed in a skilled nursing home.

The very first patient that I was paired with was a Hospice patient "Mary". She had no support system and no living relatives. They asked me to be her support system. I remember so clearly seeing her in a room alone, stuck in bed all day unable to sit or stand and I was the only human that she looked forward to seeing every day. She mentioned that she had nothing to offer me and sometimes there weren’t many conversations between us, but seeing the light that spilled over her face during our time together was even more heartbreaking. She needed to navigate these huge decisions alone. She felt tossed uncomplainingly aside and I was there to help guide through her last days. Mary and I saw each other for a few weeks every day, up until she passed. I was heartbroken and more importantly, forever changed. Mary didn’t realize that she had given me the most important lesson of my life. She didn’t know that she had changed me forever.

While working in skilled nursing facilities as the Director of Social Services and Home Health Agencies I learned, over time, that the industry was severely fragmented. In the nursing facility, I could help older people with certain circumstances, but once they left the facility it was out of my control. I learned that many of them did not understand how they got to where they were and that they were searching for an advocate to guide them.  Alternately, in Home Health the insurance would run out and my services were ended. It was heartbreaking and frustrating because I couldn't create the impact I craved with someone else governing how we worked together.

After my years of helping in a fractured way, I started teaching families how they can seamlessly coordinate their end of life care: I watched their peace of mind increase, they had a clearer understanding of resources available to them, and a built-in support system for themselves too! I have since made a commitment to dedicate the rest of my professional life to helping other families maximize and manage resources for their loved one's end of life planning.

Since then, I’ve worked with many families and individuals in their planning: I lived my dream of supporting, nurturing and guiding families in navigating a complex health care system with ease and I have created programs designed to help you every step of the way.


In 2017, I joined the Aging Life Care Association, I am a founding member of the Golden Age Integrative Network in San Diego CA and in 2018 I co-founded a 501c3 non profit in San Diego that services low income Elders and Veterans. 

What makes Visionary Care different from other “Aging Care Experts?”

Besides having over 25 years of combined experience in the field of aging, social work, nursing and mental health services, our team members have all experienced this personally. We know personally how time-consuming and frustrating navigating these systems can be. The team uses a client centered approach to care advocacy, We are concerned with how to get your loved ones care needs met and thrive on providing ongoing support, no matter what it takes. We work for you and your family, not the government or the systems that leave you lacking and frustrated.  Our HIPPA compliant communication platform is included in all of our programs and this platform streamlines communication making it easy to get a hold of us even after hours. We often have two care managers assigned to cases so that there is a multi disciplined approach to care planning and implementation. You won't find this with any other concierge care management group. 

What type of personality do you work best with and what is expected of me?

Our programs and packages were created for people who are absolutely excited and serious about getting the help they need – it means not running around all day long, beating yourself up anymore saying: “I don’t understand the systems or I don’t have any support ” Our processes are created for you to put systems in place within a few months (sometimes weeks!), which will eventually lead you to peace of mind, ongoing support, and clarity regarding the resources available to you and your loved one. We work best with people who are committed to success and who really want to change the lives of their loved ones for the better. Our clients often say – “Just tell me what to do and I’ll do it!”  You will have the support in place to achieve your loved ones goals, giving you peace of mind and allowing your loved one to age with dignity and integrity. 

Meet The Team

Life Care Manager:

Mary Clapp, MSW

Mary Clapp has a Masters's degree in Social Work from Ohio State University and a Bachelors's degree in Social work from San Diego State University. She has over 22 years of experience working with seniors in various settings. As a result, she draws on her extensive experience to act on her client's behalf. She understands the unique needs and concerns of aging individuals and their families while treating each client with the love and compassion which she would expect for her own family members. Mary is a member of the Aging Life Care Association.


Care Manager, Tina Buchanan, MSW 

Life Care Manager:

Heather O' Boyle, LCSW

Heather O'Boyle, LCSW, MPH is a Licensed Clinical Social Worker with a Master's Degree in Social Work and Public Health from San Diego State University. She has over 15 years experience assisting older adults in various healthcare settings, such as, hospitals, home health and hospice. Heather's work has concentrated on end of life care and aging related issues. She understands the unique needs that individuals have, and uses her experience to provide compassionate and individualized care. She is passionate about providing person centered care where people can work toward their goals. When she's not working, you can find Heather spending time with her family, going to the beach and hiking.

Life Care Manager: 

Amy Hull, MS Gerontology

Amy is originally from the Boston area and spent the last ten years of her career working at a local nonprofit that helps older adults remain independent in their own home. Prior to that, she spent ten years in health care as an Administrative Supervisor at Boston Children's Hospital. 

Amy has worked with all ages; she has an undergraduate degree in Psychology and Elementary Education, and a Master's degree in Gerontology, Management of Aging Services from the University of Massachusetts in Boston.  

She has a passion for helping people live their lives to the fullest, and enjoys getting to know her clients and helping them achieve their goals. She has always enjoyed working with older adults and finds enjoyment in listening to their stories and hearing their wisdom. 

In her free time, Amy enjoys spending time with her husband and two children. They enjoy the beach, being in nature, and attending their children's sporting events. She enjoys reading and learning new things every day.

Life Care Manager: 

Cynthia Smith, LCSW, C-ASWCM

Cynthia has invested over 20 years, as a Licensed Clinical Social Worker (LCSW), in the San Diego medical community. She confidently navigates concerns with medical care coordination, navigating the continuum of care, to promote options and outcomes that did not previously seem possible.


Cynthia will help guide a more secure path for the challenges you, your loved one, or client are facing. We all have experienced being lost, worried about a wrong turn taken, inaction due to fear, or faced a dead end; felt hopeless. Working together, directions and solutions will be identified to overcome perceived and identified obstacles. Her goal is to help you re-imagine your life, or your loved one's life; even, your lives together. With extensive experience in life care management and a vast history of client success, her comprehensive and collaborative approach, with all involved parties, will help improve relationships, age in place, find advocacy with medical and community care providers, transition to a smaller home or a more supportive level of care; let her help you explore all the possibilities of which you may not be aware.


Cynthia is also keen in crisis and high conflict situations, acting as a mediator with family, fiduciaries, attorneys, or protective authorities. She is also a reliable local link for loved ones out of area who are not able to be here to monitor status as desired or readily in times of need. A physician familiar with Cynthia recently commented, “She was one of the most effective social workers that I have ever met. Really looking after patients' best interests and making things happen.” The first step is to identify you need assistance. Or, maybe a concerned party has recommend you seek support.


This is where the team at Visionary Care Consultants can help, even if there is resistance or hesitation. Let us offer you the peace of mind you deserve.

Concierge Physician: 

Stuart B. Kipper, MD

After growing up in Los Angeles and attending UCLA as an undergraduate majoring in Microbiology, Dr. Kipper spent the next five years in the PhD. program in Immunology at UC San Francisco. While at UCSF, he worked on the role of T Cells – their maturation and importance – in autoimmune diseases like Lupus. After his PhD. work, he matriculated to UCLA Medical School, just as his two older brothers had done before him. After medical school, he settled in San Diego where he completed his residency program in Internal Medicine, in which he became Board Certified.

After residency, Dr. Kipper founded Medical Group of North County in 1990. Over the years, MGNC grew to be one of the largest independent and private medical practices in San Diego’s North County, and eventually became a part of the UCSD Healthcare System. In 2010, Dr. Kipper left the practice to pursue his efforts in maintaining committed relationships with his patients by opening his own private concierge practice in Encinitas, Ca. He has been in solo practice there ever since. Visionary Care is thrilled to have him provide concierge medical care to our clients.

Thoughtful Engagement 

Specialist: Heidi Gergurich, BSW

Heidi completed her Bachelor of Arts Degree in Psychology with a minor in Family Studies and Human Development at The University of Arizona. She has worked in various social service fields, such as behavioral health and hospice care.  Heidi has a passion for helping people achieve success in their lives and advocates for people who are unable to speak up for themselves.  Heidi is looking to bring joy to her clients by helping them rediscover their passion in life. Heidi is working toward her Graduate Degree in Social Work at Arizona State University and aspires to help people with their emotional and physical well-being.


Heidi enjoys spending time with her husband and children at the beach or hiking.  She also loves traveling, painting, photography, and art museums.


Visionary Care Consultants believes everyone deserves to age with dignity and integrity. Visionary Care is committed to providing unique intensive care management services in the comfort of your own home.  

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© 2020 by Visionary Care Consultants.