National Health Foundation. Recuperative Care Program. Presented By: Kelly Bruno VP of Programs, National Health Foundation

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Transcription:

National Health Foundation Recuperative Care Program Presented By: Kelly Bruno VP of Programs, National Health Foundation

What is Recuperative Care? Recuperative Care is a program that provides shortterm medical care & case management to homeless persons who are recovering from an acute illness or injury, whose conditions would be exacerbated by living on the street or in a shelter. *Although there is 24-hour nursing coverage, it is not a skilled nursing facility.

Services Offered Nursing Care Health Assessment Confidential HIV Counseling & Testing 3 meals a day Support groups Crisis intervention Life skill classes Referrals for placement into transitional and / or permanent housing

Weingart Recuperative Care Program 515 E. 6 th Street 2 nd Floor Los Angeles, California 90021 Telephone #: 213-689-2132 Fax # - 213-624-2302

Weingart Center

Weingart Center

Recuperative Care Program at Bell 5600 Rickenbacker Road Bldg 1-E Bell, California 90201 Telephone #: (323) 263-8840 Fax #: (323) 263-8348

Recuperative Care Program at Bell

Recuperative Care at Bell

Who is eligible: Admission Criteria Homeless Have an acute medical illness. Independent in ADL s and medication administration. Medically & psychiatrically stable. Patient can t be suicidal or homicidal. Willing to see licensed staff daily & comply with medical recommendations. Continent of urine and feces. Have acute medical condition with identifiable end point of care. Independent in mobility (walkers, canes & crutches acceptable)* *Bell Shelter is wheelchair accessible.

Who is not eligible: Exclusion Criteria Sex offender History of child molestation, arson or assault on a police officer. Chronic in-dwelling foley with no provisions for follow-up care. Oxygen Recent active tuberculosis without evidence of negative conversion Untreated MRSA Unstable medical or psychiatric conditions requiring inpatient level of care. Patients in need of IV hydration. Patients requiring IV Antibiotics must be able to self administer or arrange for Home Health to visit the site. Active substance abusers unable or unwilling to abstain.

Who can make a referral A social worker, registered nurse or health care provider may call to initiate a referral and check on bed availability.. Patients may not self-refer.

Who can make a referral Referrals are accepted from 7am 5pm Monday through Friday.

How to make a referral Contact the Recuperative Care operator at 213-689-2131 or 213-689-2132. Fax a complete Recuperative Care referral packet to (213) 624-2302.

Recuperative Care Referral Packet Forms: 1. Recuperative Care referral form 2. Medication Reconciliation form 3. Public Health Communicable Disease Disclosure 4. Certification of Homelessness (on hospital letterhead)

Recuperative Care Referral Packet Copies: 1. Latest lab results 2. Psychiatric or substance abuse consult reports. 3. Social service case notes. 4. Follow up appointments print out (if applicable) 5. TB or CXR results 6. History and Physical

Recuperative Care Referral Packet MISC: 1. Discharge Summary Plan 2. Discharge medications (with frequency and dosage of administration)

Additional admission information Patients must be given a 30 day supply of all necessary medications at discharge. Patients considered for admission to the program must have a medical reason for admission. Patients will not be admitted for the sole purpose of housing placement and/or non-medical case management. Must be able to arrive within set admission hours (by 4:30pm).

Common Admission Scenarios Post surgical/post traumatic care Ulcers requiring wound care Fractures Cellulitis Abscesses S/P I&D Musculoskeletal impairment Pneumonia / Bronchitis (on antibiotics) Diabetes requiring close monitoring

Question & Answers For additional information or assistance, please contact: Kelly Bruno, MSW VP, Programs, National Health Foundation (213) 538-0708 Recuperative Care Bed Control (213) 689-2131 or (213) 689-2132