Formal affiliations have been established with 8 skilled nursing facilities as well as several assisted living facilities and group homes to specifically accommodate patients discharged from either the University of Washington Medical Center, Harborview Medical Center, and the VA Puget Sound Health Care System (Average Daily Census~700). About 10% of patients are cared for in their own homes. Fellows working with the Long Term Care Service learn the principles of care for patients in nursing homes, assisted living facilities, and house calls, where fellows have frequent interactions with hospice services and home health agencies in these settings.
The LTCS is directed by a full-time faculty member of the Division of Gerontology and Geriatric Medicine, and consists of ten faculty physicians and eight nurse practitioners. The clinical and teaching program includes longitudinal care for a panel of patients, weekly attending rounds, and twice-monthly conferences on clinical problems in nursing home care or management issues of a nursing home practice. There is also a one-month block experience to reinforce interdisciplinary team care and to learn skills related to the role of a medical director of such facilities.