1.  Admission Criteria:

1. HIV/AIDS and

2. The need for a nurse 24 hours as evidenced by any one of the following: epeated hospitalizations/ER visits within the past 3 months

• Inability to manage medication regime

• Change of condition resulting in new or deteriorating ADL deficits

• Complex care plan due to unstable condition/symptoms

• Uncontrolled pain or other symptoms (fatigue, nausea, etc....)

• Unexplained weight loss or gain

• Dementia or behavioral issues that contribute to decreased management of any of the above issues

• Insurance coverage:  Medicaid eligibility or private insurance that will contract for needed services

• Method of payment for Room and Board

​ 3.  Evidence of no communicable TB and

4.  Must meet income restrictions under Our House funding

     agreements.

 

Other assessment considerations for Our House include:

• History of behavior that may jeopardize the safety and comfort of current residents

• Psychiatric instability and resulting behaviors that are not able to be managed by Our House staff

• Current and history of violent/disruptive behaviors related to substance use---assessment includes ability/willingness to participate in behavioral care plan

 

2. Resident Selection Process:

Our House manages a wait list.  Referrals are taken by Social Services.  The following information is obtained: demographics, income and insurance verification, provider’s names, general medical issues, mental health, and substance use disorder needs, living situation, level of functioning with activities of daily living, history of criminal/violent behavior, and how medical care needs are being met.  While Our House acknowledges the chronological order in which people are referred and put on the wait list, priority may be given to someone who has acute medical needs with no appropriate care being delivered in their current living situation.  Priority may be given to someone with a low income, houselessness or access to fewer resources. Selection may also be determined by the Our House nursing staff’s ability to manage a person’s level of care.  Our House does not discriminate against anyone based on race, color, gender, gender identity, marital status, sexual orientation, age, heritage, national origin, political ideology, religion, or creed. 

       

3. Pre-Admission Assessment:  

If a person is determined clinically appropriate for admission, then a pre-admission assessment will be arranged. Pre-admission assessments are done with the person by social services and nurse.  This may happen at the facility, or offsite at the hospital, a person’s home, etc. The person’s care team is consulted. This may include recent OT/PT/SLP notes, Primary or specialty care physicians, former caregivers etc... The assessment includes current and past medical history, combined with mental health and substance use assessment. The assessment determines if the person’s care needs can be met by the facility.  At this time the person is required to provide signature indicating receipt and understanding of the following:

 

• Room and Board obligations

• Uniform Disclosure Policy

• Participation in care: There is expectation that residents participate in basic level of care.

• Medication management policy

• Resident Rights Policy

 

A written copy will be placed in the chart upon admission.