Start Here — "Where Do We Go?"
🧠 Memory Hook
🎯 The 3 questions
A family calls overwhelmed: "Is it assisted living, a care home, or a foster home?" Answer these and the level picks itself:
- How much care do they need? A little help → lighter setting · daily help (bathing, meds, mobility) → care/foster home · heavy nursing → nursing-level.
- Home feel or facility? A 3-person foster home vs a larger care home vs apartment-style assisted living.
- How is it paid? Med-QUEST covers foster homes & Expanded ARCH; assisted living & standard care homes are mostly private pay.
👧 Simple Version
📝 Quiz — 5/5 to complete
1. You pick the ___ first, not the building.
2. The 3 questions are care needed, setting, and…
3. Med-QUEST covers foster homes and…
4. Assisted living is mostly paid by…
5. When an overwhelmed family calls, your first job is to…
The Levels of Care in Hawaii
🧠 Memory Hook
🏠 Assisted Living
Apartment-style for the fairly independent who want help, safety, meals, social life. Minimal medical. Mostly private pay.
🏡 Care Home — ARCH (Adult Residential Care Home)
A state-licensed neighborhood home, 1–5 residents, with daily-living help. Expanded ARCH (E-ARCH) handles nursing-level care.
👨👩👧 Foster Home — CCFFH (Community Care Foster Family Home)
The most intimate: a certified caregiver's own home, up to 3 residents, for people at nursing-home level of care who want a real home. Med-QUEST funded.
🏥 Nursing Facility (SNF)
24/7 skilled nursing for complex medical needs.
| Setting | Size | Care | Paid by |
|---|---|---|---|
| Assisted Living | Larger | Light | Private |
| Care Home (ARCH) | 1–5 | Daily help | Private |
| Foster Home (CCFFH) | Up to 3 | Nursing-level, home | Med-QUEST |
| Nursing Facility | Large | 24/7 skilled | Med-QUEST / Medicare |
👧 Simple Version
📝 Quiz — 5/5 to complete
1. A foster home (CCFFH) holds up to how many residents?
2. CCFFH is funded by…
3. Assisted living is best for people who are…
4. The highest 24/7 medical care is a…
5. "ARCH" stands for…
Guiding a Family Who Calls In
🧠 Memory Hook
🩺 Quick triage — what to ask
- Can they be left alone safely?
- Help with bathing, meds, eating, mobility?
- Memory issues or wandering?
- On Med-QUEST or private pay?
- Small home feel, or facility okay?
🎯 Match the answers to a level
- Mostly independent, wants company → Assisted Living
- Needs daily care, wants a home, on Med-QUEST → Foster Home (CCFFH)
- Needs daily care, private pay / in-between → Care Home (ARCH)
- Heavy medical / skilled nursing → Nursing Facility or E-ARCH
✅ Action Steps (proposed — I'll add to Motion on your OK)
- Run the 3-question triage on your next 3 family/referral calls.
- Build a one-page "Levels of Care" cheat sheet so any staff member can guide a caller.
- Train the office team on the triage + the 4 levels.
👧 Simple Version
📝 Quiz — 5/5 to complete
1. Needs daily care, wants a home, on Med-QUEST → which level?
2. Mostly independent, wants company → which level?
3. Who provides the 24-hour direct care?
4. ACM's role is to…
5. Before recommending a place, you first figure out care needed and…