Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-106 - Long-term care services › CARE CLASSIFICATION › Section 388-106-0095 - How does the CARE tool measure clinical complexity?

Current through Register Vol. 24-14, July 15, 2024
The CARE tool places you in the clinically complex
					 classification group only when you have one or more of the following criteria
					 and corresponding ADL scores:
Condition
AND an ADL score of
ALS (Lou Gehrig's Disease)
>14
Aphasia (expressive , receptive, or both)
>=2
Cerebral Palsy
>14
Diabetes Mellitus (insulin dependent)
>14
Diabetes Mellitus (noninsulin dependent)
>14
Emphysema & shortness of breath (at rest or
								exertion) or dizziness/vertigo
>10
COPD & shortness of breath (at rest or
								exertion) or dizziness/vertigo
>10
Explicit terminal prognosis
>14
Hemiplegia
>14
Multiple Sclerosis
>14
Parkinson Disease
>14
Pathological bone fracture
>14
Quadriplegia
>14
Rheumatoid Arthritis
>14
You have one or more of the following skin
								problems:
* Current pressure injuries, with areas of
								persistent skin redness;
* Current pressure injuries with partial loss of
								skin layers;
* Current pressure injuries, with a full thickness
								lost;
* Skin desensitized to pain/pressure;
* Open lesions (not cuts, rashes); or
* Stasis ulcers.
AND
You received one of the following types of skin
								care or treatment:
* Pressure injury care;
* Pressure relieving device;
* Turning/repositioning program as defined in WAC
								388-106-0010;
* Application of dressing; or
* Wound/skin care treatment.
>=2
You have a burn(s) and you received one of the
								following:
* Application of dressing; or
* Wound/skin care
>=2
You have one or more of the following
								problems:
* You are frequently incontinent daily with some
								control present (bladder);
* You are incontinent all or most of the time
								multiple times per day having no control (bladder);
* You are frequently incontinent two to three
								times per week (bowel); or
* You are incontinent all or most of the time
								(bowel).
AND
One of the following applies:
* The status of your individual management of
								bowel bladder supplies is "Uses, needs assistance, has incontinence";
* The status of your individual management of
								bowel bladder supplies is "Does not use, has leakage onto skin"; or
* You use "Any scheduled toileting
								plan."
>10
You have a current swallowing problem, and you are
								not independent in eating.
>10
You have edema.
>14
You have pain daily.
>14
You need and received a bowel program as defined
								in WAC
								388-106-0010.
>10
You need dialysis.
>10
You require IV nutritional support or tube
								feedings; and
Your total calories received per IV or tube was at
								least 25%; and
Your fluid intake is greater than 2 cups.
>=2
You need hospice care.
> 14
You need injections.
>14
You need intravenous medications.
>10
You need management of IV lines.
>10
You need ostomy care.
>=2
You need oxygen therapy.
>10
You need radiation.
>10
You need and received passive range of
								motion.
>10
You need and received walking
								training.
>10
You need suction treatment.
>=2
You need tracheostomy care.
>10
You need a ventilator/respirator
>10
You are <18 and you have pain related to your
								disability and you complain of pain or show evidence of pain daily. (If you are
								under eighteen and do not have pain related to your disability, you may be
								placed in the clinically complex classification based on other factors
								above.)
>14
Key:
< means less than.
>= means greater than or equal to.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 07-10-024, §
						388-106-0095, filed 4/23/07, effective 6/1/07; 05-11-082, § 388-106-0095,
						filed 5/17/05, effective 6/17/05.