I am a new employee working for a health program that specializes in helping long term care clients return to their communites, either through assisted living, independant livings, or in their own homes. I am the programs first and only nurse to date. I was hired on with the specific purpose of managing a case load of medically complex clients. The program has never offered this service before and will only take patient's by referral. I have been asked to choose what criteria qualifies a patient as medically complex, and hence will be choosing what patients will be in my caseload.
The population I serve must qualify for nursing home level of care, so a great majority already have multiple medical complications. Does anyone have suggestions on what type of situations would qualify a patient with nursing home level of care to be "exceptionally" medically complex? Initially I intend to take any patients who are referred to the program, but I would like to provide some general examples to my providers as examples of what a patient they refer might look like?
Any suggestions on criteria or examples of an "exceptionally medically complex" nursing home patient would be appreciated.