Hawaii Level of Care Evaluation
Physicians, nurses, social workers and others who advise families on where to place their elders in outside-the-home settings use several tools to assess the best fit for their loved ones. The state Medi-QUEST Division evaluation form below is one such tool.
The higher the points, the more likely a senior will need a higher level of medical care, such as provided by a nursing home, but this is not always the case. A professional can best help you make a final decision. This form does provide an example, however, of the kinds of information you will be asked to provide in determining the best setting for your family member. Other information, such as the person's financial resources, medical history and level of family support, also will be considered.