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Bailey-Boushay House 

Description

Bailey-Boushay House (BBH) is the first specialized care nursing facility in the nation to meet the complex needs of people living with HIV/AIDS. We serve the most vulnerable people in our community. Many of our clients suffer from mental illness, addiction and/or homelessness in addition to having HIV/AIDS. This makes it nearly impossible for them to manage their disease on their own.            

Through our residential and outpatient programs we are able to keep our clients healthy for as long as possible. Our outpatient program is open 7 days a week, 365 days of the year to provide medication management and support for our clients who do not need round the clock care. Our residential program has 35 beds and provides specialized care to our clients. When beds are available, we provide care to non-AIDS patients, with such diseases as ALS, Huntingtons Disease and cancer who are in need of specialized care.

Mission Statement
The mission of Bailey-Boushay House is to provide exceptional care to people with HIV/AIDS, promoting their health, well-being, and functional independence. The ultimate goal of our organization is for every person with HIV/AIDS in our community to have equal access to positive outcomes.
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Bailey-Boushay House
2720 E Madison Street 
Seattle 
WA
98112-4739 
(206) 583-2303 

Brian Knowles 
Executive Director 

Programs

Bailey-Boushay House Programs

The Outpatient Program offers rehabilitative, educational and social services that are staffed by a multi-disciplinary team specially trained to address the needs of people living with HIV/AIDS and other life threatening diseases. The team includes nurses, occupational therapists, chemical dependency counselors, social workers, recreation workers, a registered dietician, psychiatrist, client advocates and volunteers. Within the Outpatient Program are two distinct, long-standing programs - the Nutrition and Medication Management Programs - which are designed to meet the basic nutritional and complex medication needs of our clients.               

Through the Nutrition Program, clients are served twice-daily meals. BBH dieticians are also available to work with each client to create a personalized nutrition plan, which takes into account all of his or her health and life circumstances, including the medications being taken. Through the Medication Management Program, clients receive all of their medications, including the drug names and dosages, prescribing doctor, and the day/time to take the pills. Nurses are available on-site to educate clients about their medication plan, such as the potential side effects and best timing of taking their medications.

Recent Successes and Current Challenges

Through our Outpatient Program, we have been able to effectively reach our target population--serving over 250 clients a year who are living with HIV/AIDS within and beyond King County. Last year, through the Outpatient Medication Management Program, over one million doses of medication were provided to clients and through the Nutrition Program, more than 30,000 meals were served. Graduation from the Outpatient Program is the primary indicator of program success. Requirements for graduation include a variety of ways clients need to again be able to care for themselves, including the ability to adhere to their nutrition plan and medication regimen. This means the client can successfully take HIV/AIDS medications (and medications for other chronic health conditions), in the right dose and at the right time of day, at least 90 percent of the time, in conjunction with proper meal/snack times.           

Over the past 3 years, we have had a consistent rate of above 80 percent of outpatient clients who have had an adherence score greater than 90 percent, and 14 percent of clients who have had an adherence score between 65 and 89 percent. The statistic that we are the most proud of is that the average medication score for a client served during this time period is 96 percent. The Outpatient Program has again proven that it is successful in assisting individuals with managing multiple medications--particularly given that medication compliance in the general population is only 50 percent.

Evaluation


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.

Grant History with The Seattle Foundation:

Grants Awarded through The Seattle Foundation Grantmaking Program:

DateAmountPurpose
12/10/2011 $25,000.00support general operating expenses.
3/10/2010 $25,000.00support general operating expenses.
12/10/2007 $35,000.00support general operating expenses.
12/15/2005 $25,000.00support general operating expenses.
12/18/2003 $40,000.00purchase 5 hospital beds for the Residential Care Program.

Financials

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