Bailey Boushay House (BBH) is a specialized care nursing facility that meets the complex needs of people living with HIV/AIDS.
Proven Success
Their outpatient program consists of health care, medication management, rehabilitation, education, and social services and it serves some of the most medically frail and socially isolated individuals in our community. The medical problems of their clients are often exacerbated by homelessness, mental illness, and substance abuse. Clients are provided with flexible, tailored care that promotes their independence and overall health.
Their inpatient program serves more than just HIV/AIDS patients. 40% of their patients are non HIV/AIDS and includes people suffering from ALS, Huntington’s Disease and cancer.
Use of Best Practices
They developed a new way for HIV/AIDS patients to keep track of medications throughout the day through pre-packaged medication strips – increasing medication adherence and reducing the chances of dosage errors. They have a 96 percent rate of success with medical adherence. They are very successful in assisting individuals with managing multiple medications – the medication compliance in the general population is only 50 percent.
Sustainability
The patients they serve have decreased benefits due to state budget cuts. Bailey-Boushay House continues to struggle under state reimbursement restrictions. At the same time that reimbursement is going down, the cost of staffing and supplies is rising.
Bailey Boushay maintains a strong partnership with Virginia Mason Medical Center, which operates Bailey-Boushay House, employs its staff, and provides financial and fundraising support. Bailey Boushay operates at a deficit ($630,000 in 2010) that Virginia Mason Medical Center covers. Due to this financial support Bailey Boushay is able to be thoughtful and plan for future programming and activities.
Currently both of their inpatient and outpatient programs are facing reductions in revenue. The inpatient Residential Care Program’s nursing home reimbursement is threatened to be cut. Their Outpatient Program lost federal funding over a misunderstanding about the unique nature of the program. Washington State DSHS and Bailey Boushay have joined forces to appeal the process and regain the funding. They do have diverse support from donors, foundations and corporations.
Next year they are celebrating their 20th anniversary.