Attachment_2_-_Medical_Classifications.pdf

ATTACHMENT 2 - RFPP05081500001

Medical Classification – Care Level Criteria

MEDICAL CLASSIFICATION - CARE LEVEL CRITERIA

Care Level 1

Concept:

Inmates are generally healthy but may have limited medical that can be easily managed by every 6 month clinician evaluations. Needed subspecialty care is limited (not regularly required and completed in < 3 months).

Inmates with mental health conditions are stable and require chronic care appointments and/or individual psychology or health services contacts no more frequently than every 6 months. If more acute services are required, such as crisis intervention, such episodes are short-lived (i.e., less than 3 months duration, and occur no more frequently than every 2 years) and resolve without the need for hospitalization.

Age < 70 years

Care Level 2

Concept:

Inmates are stable outpatients that have chronic illnesses that require at least quarterly clinician evaluations and are independent in ADLs.

Inmates with mental health conditions can be managed through chronic care clinics and/or individual psychology or health services contacts no more frequently than monthly to quarterly.

If more acute services are required, such as crisis intervention, such episodes are short-lived (i.e., less than 3 months duration, and occur no more frequently than every 2 years) and resolve without the need for hospitalization.

Care Level 3

Concept:

Inmates are fragile outpatients with conditions that require frequent clinical contacts (daily to monthly). Inmates with chronic or recurrent mental illnesses or ongoing cognitive impairments which require frequent (daily to monthly) psychiatric/health services and/or psychology contacts to maintain outpatient status. Inmates may require assistance in performing some ADLs, but do not require daily nursing care. Such assistance may include the regular services of inmate companions. Stabilization of the inmate's medical or mental health condition may

ATTACHMENT 2 - RFPP05081500001

Medical Classification – Care Level Criteria periodically require hospitalization.

Care Level 4

Concept:

Inmate requires services available at MRC and may require daily nursing care.

Mental health conditions are acute or chronic and have resulted in severe impairment of functioning. Current symptomology or treatment require 24 hour skilled nursing care or nursing assistance.