Is on ARVs, in care, and being Has detectable VL and is working Has detectable VL and CD4 monitored by medical team, but towards viral suppression with the Is virally suppressed below 200 unable to achieve viral medical team suppression Has history of OI in last 6 months Has current OI and is not being Has no history of OIs in last 6 Has no history of OIs in last 12 which are treated and/or client treated months months using prophylaxis (if indicated) Current HIV Health Status Has had no hospitalizations or Has been hospitalized or visited the Has been hospitalized or visited Has no history of hospitalizations visited the ER in last 6 months, ER in last 30 days due to HIV the ER in last 6 months due to or visits to the ER in last 12 months but at least 1 hospitalizations or related illness HIV related illness due to HIV related illness visit to the ER in the last 12 Newly diagnosed within last 6 Newly diagnosed within the last 6 months and concurrently months and/or is new to the diagnosed with AIDS MCM program Demonstrates minimal Demonstrates some Demonstrates understanding/ Demonstrates no understanding Acuity Score: understanding of HIV labs and understanding of HIV labs and Knows of HIV labs and lab of HIV labs and lab results lab results lab results results Comments (include referrals needed): Intensive Need Moderate Need Basic Need Self Management Area of Functioning (3) (2) (1) (0) Has had no non-HIV related Has been hospitalized or visited Has been hospitalized or visited Has no history of non-HIV related hospitalizations or visits to the the ER for non-HIV related the ER in last 6 months due to hospitalizations or visits to the ER in last 6 months, but at least 1 illness in last 30 days non-HIV related illness ER in last 12 months in the last 12
Current HIV Health Status Has detectable VL and CD4 below 200 Has detectable VL and is working towards viral suppression with the medical team Is on ARVs, in care, and being monitored by medical team, but unable to achieve viral suppression Is virally suppressed Has current OI and is not being treated Has history of OI in last 6 months which are treated and/or client using prophylaxis (if indicated) Has no history of OIs in last 6 months Has no history of OIs in last 12 months Has been hospitalized or visited the ER in last 30 days due to HIV related illness Has been hospitalized or visited the ER in last 6 months due to HIV related illness Has had no hospitalizations or visited the ER in last 6 months, but at least 1 hospitalizations or visit to the ER in the last 12 Has no history of hospitalizations or visits to the ER in last 12 months due to HIV related illness Newly diagnosed within last 6 months and concurrently diagnosed with AIDS Newly diagnosed within the last 6 months and/or is new to the MCM program Acuity Score: Demonstrates no understanding of HIV labs and lab results Demonstrates minimal understanding of HIV labs and lab results Demonstrates some understanding of HIV labs and lab results Demonstrates understanding/ Knows of HIV labs and lab results Comments (include referrals needed): Area of Functioning Intensive Need (3) Moderate Need (2) Basic Need (1) Self Management (0) Has been hospitalized or visited the ER for non-HIV related illness in last 30 days Has been hospitalized or visited the ER in last 6 months due to non-HIV related illness Has had no non-HIV related hospitalizations or visits to the ER in last 6 months, but at least 1 in the last 12 Has no history of non-HIV related hospitalizations or visits to the ER in last 12 months