Health Maintenance Committee

1. Health Maintenance Committee

2. Purpose • Through a team approach, identify those individuals (residents) who have demonstrated physical and/or cognitive changes: then communicate and coordinate available options to those residents and their families to support their highest quality of independence.

3. Confidentiality • The Committee follows the Health Insurance Portability and Accountability Act (HIPAA) guidelines as to the use and/or disclose your health information. Generally it is for purposes of treatment, payment, or health care operations.

4. CommitteeMembers • Medical Director (TBD) • Health Centers Administrator • Health Centers Director of Nursing • Health Centers Director of Social Services • Wellness Nurse/Home Care Agency RN

5. At-Large Committee Members • Director of Marketing and Sales • Director of Food and Beverage • Director of Wellness and Activities • Director of Therapy • Executive Housekeeper • Manager of Restaurant Operations • Health Centers Admission/Marketing • Health Centers Villa Coordinator

6. Conditions of Tenancy • PURPOSE OF THIS DOCUMENT: • To provide guidance to the primary care physician and staff in determining eligibility of prospective and current residents for tenancy. • To provide guidance to the staff when a resident no longer meets eligibility requirements. • To provide information to individuals and their families as to eligibility.

7. Health Maintenance Watch List • What type of occurrence would cause someone to be placed on a watch list • Recent surgery • Recent hospitalization • Family concerns • Repeated falls • Increased confusion • Medication errors • Not managing Activities of Daily Living (ADL)

8. Tools for Physical and Mental • Functional Assessment – measures the ability of the resident to care for themselves and/or the amount of care needed. • Mini-Mental State Examination – measures the cognitive ability of the resident.

9. Opportunity for support You’re First Program • Sitter/companion • Dressing assistance • Meal planning and preparation • Medication reminders • Escort to doctor’s appointments • Household affairs • Dog walking

10. Other Agencies • Home Health Agencies • Hospice Agencies • Private Duty Agencies

11. In your IL Apartment Continued Monthly maintenance fee Food Costs $18 to $45 per hour for CNAs to RNs ~$144/8-hour day ~$4320/month In the Health Centers The Villa ~$110.10/day ~$3349/month The Chateau/Abbey ~$178.00/day ~$5340/month Cost of Care

12. Ultimate Goal • Maintain the highest level of independence with dignity and safety.

13. Third Party Service Providers • 3 Categories • General Contractors, Computer technicians, Designers, Decorators, and Carpenters • Non-medical private-duty assistants, housekeepers, companions • Medical-related private-duty assistants, Nurses, and Aides.

14. Third Party Service Providers • Policy – Employment of outside individuals may not begin until all pre-hiring requirements are met. • Purpose – To ensure the safety of residents, family members, and employees.

15. Third-Party Service Providers • Protocol • General Contractor Category • Notify Director of Engineering in advance of contractor performing work in your home • Non-Medical & Medical Category • Notify the Wellness Nurse in advance of hiring individual to perform work in your home

16. Motorized Ambulatory Aides • Montereau supports Resident use of Motorized Ambulatory Aides as an assisted device to meet the Independent Living “Conditions of Tenancy”. • Residents with Motorized Aides are responsible for damage to Montereau or injury to others.