Adult Day Health Care - Milwaukee VA Medical Center
Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Milwaukee VA Medical Center

 

Adult Day Health Care

About the Program

Vets’ Club is an adult day health care that provides personal attention in a friendly atmosphere to create a positive environment for elderly Veterans.You will find, Veterans look forward to their time at ADHC and enjoy friendship and activities in a safe, supervised setting.

Provides outpatient, group-centered, therapeutic, day program that helps you stay healthy, safe, and active while living at home.

Helps you and your caregiver develop knowledge, skills, and obtain resources necessary to continue living at home.

Provides creative group activities to encourage physical and mental health, cognitive stimulation, and emotional growth. Activities include exercise, social interaction, music, games, crafts, cooking classes, education, discussions and live entertainment.

Provides support and respite for your caregiver. Maintains caregiver’s health and social contacts.

Provides individualized care by an interdisciplinary team of professionals and support staff. Reduces the need for unscheduled Primary Care clinic visits, ER visits, and hospitalizations through medical monitoring and connection with VAMC health care. The team helps coordinate delivery of outpatient care and prevents premature nursing home placement.

Provides connection to community services that can be used to supplement VA resources and ensure adequate care in the community.

Provides you with the ability to socialize with peers.

The Adult Day Health Care Team will strive to:

  1. Maximize your level of independence and wellness.
  2. Maintain or improve your health. Preventive health care is emphasized.
  3. Provide support to you and your caregiver so that care at home can continue.
  4. Ensure that you are connected to other health and community services you may need.

Eligibility

  • Veteran
  • 60+ years of age
  • Enrolled in VA Health Care and VAMC Primary Care Clinic. You must have a yearly visit with your VA Primary Care Provider to remain eligible for program.
  • Capable of living independently or with a caregiver – arrangement must be adequate to meet your health and safety needs when not at Vets’ Club/ADHC.
  • Has a disability or medical condition that would benefit from therapeutic day care.
  • Able to arrange and pay for transportation
  • Able to tolerate a group setting
  • Able to attend for 6 hours, 8 a.m. – 3 p.m.

Attendance

Upon admission, you will have regularly scheduled days for attendance. This allows us to tailor your plan of care and schedule needed services.

Reporting Absences

  • Please call Vets’ Club at 414-384-2000 ext. 41970 prior to 8 a.m. to report an absence. Due to safety concerns, it is important that you contact staff to report absences. Multiple unreported absences may lead to discharge from the program.
  • If you are unable to attend on your scheduled day(s) please contact your travel company to cancel transportation services.
  • You are encouraged to continue to take trips, visit with family and friends, and take an occasional break from Vets’ Club. Please call in advance to discuss extended absences or special circumstances.

Illness

  • If you are ill with a non-emergency condition, such as cold or flu, it would be best for you to stay home and get extra rest.
  • If you need to see a doctor, please call the Primary Care Clinic to arrange an appointment or come to the ER.
  • Following a significant illness/hospitalization, you must obtain medical clearance from ADHC Program RN prior to returning to the program. If you are hospitalized in a community hospital, please obtain a discharge summary for Vets’ Club staff to review.

Inclement Weather

  • Vets’ Club does not officially close due to inclement weather; however, at no time should you risk your health because of severe weather, extreme temperature, ice or snow. If you think it is unsafe to come to ADHC, please stay at home and call Vets’ Club to report the absence.
  • Vets’ Club cannot control safety decisions made by transportation companies. On days when weather may be a safety concern, your van company may choose not to transport you. Please check directly with your van company if you have questions.

Veteran and/or Caregiver Emergency

  • In the event of an emergency, please contact 911.
  • You should have the number of your primary care physician, VA Emergency Room, local rescue squad or ambulance near your phone. 
  • VA Nurses Helpline (24 hours per day) is 1-800-877-6976

Cost

Vets’ Club/Adult Day Health Care is part of the Long-Term Care Program. Daily charges are based on the Long-Term Care co-payment schedule. Depending on individual circumstances, some Veterans will automatically be exempt from co-payments.

All other Veterans will be required to fill out an Application for Long Term Care Form (10-10EC) and may be charged between $0 and $15 per day for outpatient day care services. If a 1010EC is required and is not completed, you will automatically be charged the daily maximum rate of $15/day.

Program Services

Each Veteran will have a plan of care developed and carried out by our Interdisciplinary Health Care Team. The set of services that are received is individualized and unique to your needs. Included in the program:

Health Care Services

  • Nursing Services: There will be at least one RN in ADHC at all times. Additional nursing staff may include a licensed practical nurse (LPN) or a nursing assistant. Nursing services will complete and coordinate health assessments, health monitoring, health education, and medical care with their Primary Care Provider and their specialty clinics as needed. Nursing may also assist with medications on a case by case basis.
  • Nursing Assistants: Provides showers, assists with feedings, provides pressure breaks and assists with walks, redirects wandering patients, leads small group activities, and completes routine health monitoring.

Social Work Services

  • Social Worker (MSW): Conducts admission screenings, completes your assessments and coordinates discharge plans. Provides education, counseling and information regarding care options. Conducts caregiver support group. Available to provide information regarding community and VA benefits and services. Assists with advance directive completion.

Recreation Therapy

  • Recreation Therapy Assistant: Coordinates and leads the therapeutic activities program. Keeps the daily schedule fun, interesting, and meaningful. This includes reminiscent groups, current events, trivia, discussions, crafts, and memory stimulation.
  • Music Therapist: Coordinates and leads music activities which strengthen your fine and gross motor skills, thinking and memory, leisure enjoyment and relaxation. Includes music trivia/games, experiential music and sing-along. Coordinates socials/parties, guest entertainers and guest speakers.

Nutrition

  • Dietetic Technician: Completes your nutritional assessment, provides individual and group nutrition education, and teaches cooking classes. Orders lunch to meet your individual dietary needs. Monitors food intake, your weight, and changes in nutritional needs.

Program Manager: Manages Community Based Programs, including Vets’ Club/Adult Day Health Care (ADHC) and Home Based Primary Care (HBPC).

Typical Daily Schedule

Arrival time is between 8 a.m. and 9 a.m.

8:30 a.m.   - Vets’ Café and social time
9:30 a.m.   - Exercise
10 a.m. - Therapeutic group activity
11 a.m. - Nursing Care, as needed
11 a.m. - Lunch, please speak with dietary technician if special diet is required.
12 p.m. - Rest, social time, nurses assist patients as needed
1 p.m.   - Therapeutic group activity
2-3 p.m. - Departure time

Therapeutic group activities include: nutrition education, arts & crafts, bingo, current events, health education, movies, cooking, games, reminiscing, music relaxation, sing-along, guest speakers, and much more. An activity calendar will be provided each month.

Transportation

  • Arrangements and costs are your responsibility. Social work will be available to assist and answer questions regarding travel set-up.
  • Options: self or family member drives, take cab or bus, walk, Milwaukee County Department on Aging (289-6874), Milwaukee County Transit Plus (343-1700), Waukesha County Rideline (262-548-7848), and DAV (414-384-2000 x47274).
  • Veterans who are VA travel eligible may be eligible for transport by Transtar, VTS or Able. (414-384-2000 x42057)
  • Transporter must escort Veteran into and out of the Vets’ Club/ADHC center and inform staff of arrival or departure.
  • VA social workers can provide application forms for county handicapped transportation and help with eligibility for other services.
  • Pick-up times must be scheduled before 3 p.m. Routinely scheduling pick-up times for after 3 p.m. may result in discharge from the program.

Shower

  • Available if documented in your Individualized Care Plan.
  • Offered if space is available.
  • Supplement to bath/shower/sponge bath at home. You are still expected to shower/bathe/sponge bathe daily.
  • CNA will shower you if you are not capable of showering yourself.
  • CNA will provide supervision if you are capable of independently showering in handicapped accessible bathroom.
  • Sexual or other inappropriate behaviors are grounds for discharge.

Caregiver Support Group

  • Meets the second Wednesday of every other month from 9 a.m.- 10:30 a.m. in the Vet’s Club Music Room, 70-E136. Reminders will be sent out regarding day and time of meeting.
  • Facilitated by Vets’ Club Social Worker.
  • No cost.
  • Purpose of support group: give and receive support, promote self-care and learn about available resources.
  • Call Vets’ Club/ADHC x41970 in advance to arrange to attend Vets’ Club on this extra morning if your caregiver wants to attend the meeting.

Members' Council Meeting

  • This is a meeting that takes place between you and select day care staff. It gives you an opportunity to have “the floor” to share activity ideas, thoughts or concerns and what you enjoy about the program. This helps us to tailor the program to best meet your needs.
  • This meeting is held the 4th week of every month. The day will vary, in an attempt to give every Veteran the opportunity to participate.

Respite Care

  • If you live at home, respite care provides a break to a spouse or caregiver.
  • The VA contracts with nursing homes in the community to provide respite care.
  • As a Veteran, you are eligible for 30 days of respite care during each January-December calendar year.
  • You must have a VAMC primary care provider and have orders written for respite prior to admission.
  • Contact the Primary Care Clinic Social Worker to request respite care.
  • If you are in respite care, you will not attend Vets’ Club during that time.
  • Cost is variable, depending on your category of eligibility and financial status.
  • If you attend Vets’ Club, you are ineligible for in-home respite.

Vets’ Club/ADHC DOES NOT Provide

  • Podiatry
  • Haircuts or beauty salon services
  • Beds for resting or sleeping
  • Unstructured “senior center” activities
  • Psychiatric day treatment

Physical Therapy, Occupational Therapy, Speech Therapy

Specialized therapies are NOT available at Vets’ Club/ADHC. Your VAMC primary care provider must make referrals directly to the specialty clinics.

Patient Care Plan – Needs Assessment

  • The Vets’ Club/ADHC Team will meet with you, along with your support system to determine whether Vets’ Club/ADHC can meet your needs and interests.
  • The Team will work with you and your support system to establish a comprehensive care plan that addresses your needs and those of your caregiver. This plan will be completed within 2 weeks of your admission.
  • Each discipline will contribute to the completion of your Individualized Care Plan. The care plan will include: nursing needs, social interaction, caregiver support, recreation and music therapy, nutritional needs, fall risk, bathroom needs, pain and mobility/transfers.
  • Your Individualized Care Plan is reviewed quarterly. Yourself and/or caregiver will be requested to be in attendance in-person or by conference call every 3 months. Veteran and/or caregiver will be notified of scheduled meeting in advance.

Discharge and/or Requirement for Reassessment

  • Reasons for Discharge:
    • Veteran/caregiver requests discharge
    • Absent for more than 15 business days
    • Extended hospital stay
    • Admission to nursing home for long-term care
    • Received maximum benefits and/or achieved goals
    • Developed needs beyond capabilities of program
    • Unable or unwilling to participate in group activities
    • Poor hygiene
    • Intoxication
    • Has not met mutually agreed upon treatment goals listed in the Individualized Care plan
    • Does not follow Standards of Conduct and policies set forth in this handbook
    • Dangerous to self or others
    • Home environment no longer safe for independent living
    • Became ineligible for care
    • Moved outside geographic area served by Milwaukee VAMC
  • If you are discharged, the ADHC Team will recommend alternatives for managing your care such as: community adult day care, VAMC Home Based Primary Care, assisted living, in-home services or nursing home.

Medical Appointments

Vets’ Club provides a link to your primary care provider to ensure coordination of  health care.

It is your responsibility to schedule appointments but Vets’ Club nursing staff will be available to assist, if needed. If your Health Care Power of Attorney is activated, your HCPOA/caregiver must accompany you to all VA appointments.  Vets’ Club/ADHC staff cannot accompany Veterans to appointments and cannot relay results of appointments to the caregiver.

If you have an appointment scheduled for before or after Vets’ Club hours, it is your responsibility to contact your transportation company and let them know.

Prescriptions

  • You must have a VAMC primary care provider to obtain prescription medications from the VA pharmacy.
  • You are responsible for any co-pay.
  • You are responsible for obtaining refills through the mail-order prescription service, by pick-up from the pharmacy, or by making appointments with your primary care clinic to obtain new or refill prescriptions from your provider.

Advance Directive

  • You should consider having an Advance Directive, Durable Power of Attorney for Health Care or Living Will, which gives instructions and authority to a designated individual to make health care decisions should you not be capable of communicating your wishes.
  • The Vets’ Club social worker will be available to provide information and assistance with completing any needed forms. Social work can NOT assist with Financial Power of Attorneys or Wills.
  • If you have an Advance Directive, please provide a copy for inclusion in your Vets’ Club/ADHC file.

Lunch

  • Hot lunch is provided. Your diet will be supervised by the dietetic technician.
  • Low salt, low fat, diabetic, mechanical/soft/pureed and some individual preferences/requirements are accommodated.
  • Sharing food is not allowed.
  • If you would like to bring a treat in to share for a special occasion, please consider that there are Veterans that are on special diets. Feel free to call the dietetic technician for suggestions on appropriate treats.
  • Treats must be store bought and not home-made.

Personal Hygiene

  • You are expected to come to Vets’ Club bathed and groomed (shaved, hair combed, teeth brushed). Clothing should be clean, casual and comfortable.  Rubber soled shoes are recommended and slippers are not permitted.
  • If you have difficulty controlling either bowel or bladder, please bring in your own supply of protective undergarments (Depends, etc.) along with a second set of clothing. Nursing staff will assist you with removing soiled clothing, cleaning the skin and changing into clean clothes.

Personal Property

  • Put your name on all clothing, walkers, wheelchairs, and personal belongings.
  • Do not bring money – prepaid Transit Plus tickets are recommended. The VA is not responsible for any lost or stolen property.
  • Do not bring pocketknives or weapons of any type.
  • Cell phone use is for emergencies or during unstructured free time.
  • Do not bring food, unless approved by staff

Smoking

  • All VAMC buildings are smoke-free. Smoking is not permitted inside any building, hallway, dining room, or bathroom.
  • Vet’s Club smoking policy will be reviewed and addressed with you on an individual basis.

Alcohol

Alcohol and other intoxicating substances may not be used while in attendance at Vets’ Club. If you arrive intoxicated, you will be sent home and possibly discharged from the ADHC program.

Medications

  • All medications must 1) be prescribed by your provider, 2) be in its original container and labeled by the pharmacy with your name, the name of the medication, dosage, and how it should be given.
  • If you obtain your medications from the VA pharmacy, Vets’ Club nurses can obtain a supply of the medication for use while at Vets’ Club.  If the veteran obtains the medication from a private pharmacy, please ask the pharmacist to make up an extra bottle of the medication for use while at Vets’ Club.
  • Please remember that if you are having lab work and should not take meds until after the lab work is performed, you should bring the medication along and tell the nurses that meds should be given at Vets’ Club.
  • Medication administration may be available on a case by case basis.

CPR

Staff is trained in CPR. A crash cart is located in the Vets’ Club area. In the event of a medical emergency, a code alert will be called to the main hospital and an emergency response team will be dispatched to the Vets’ Club. In the event of cardiac arrest, all patients, regardless of code status, will be resuscitated unless you are wearing a valid State of Wisconsin DNR bracelet. If you wish to be DNR, please contact Vet’s Primary Care Social Worker about obtaining a DNR bracelet.

Fire Drills

Fire drills are routinely conducted to help staff and participants practice what to do if there is a fire or other disaster. Cooperation with staff and fire officials is mandatory.

Falls/Injuries

If you fall or injure yourself while at Vet’s Club, please promptly report your injury to staff and they will assist you. You will be assessed by a nurse and if needed you may be referred to your primary care provider or the Emergency Department for further evaluation and/or treatment. In the event of a medical emergency or fall, your caregiver will be notified.

Community Outings

On occasion, there will be opportunities for you to attend community outings.

  • A VAMC specially equipped handicap accessible bus is used for trips.
  • Permission slips will be sent home before outings and must be signed and returned by the designated deadline.
  • If you normally attend on the day that an outing is scheduled, you will be invited to sign up for the outing. You may not be able to attend all outings. The recreation coordinators schedule outings on various days of the week over the course of each year, and alternate the schedule every other year whenever possible, to give all Veterans the opportunity to attend.
  • You MUST arrive at Vets’ Club in time to board the bus with the group, and return to Vets’ Club with the group, making changes to ride schedules if necessary. You are not allowed to meet the group at the site or leave the site without the group.
  • In case of an emergency, Emergency Management Services will treat you regardless of code status unless you are wearing a valid State of Wisconsin DNR bracelet.

Inappropriate Behavior

Examples of inappropriate behavior include: shouting, explosive temper, assault, sexual acting-out, dangerous behavior, verbal abuse, disruptive behavior, and refusal to follow instructions.

  • If you do not control your behavior, your HCPOA/caregiver will be notified and you will be sent home for the day.
  • The Vets’ Club/ADHC Team will implement a behavior management plan. If you continue to behave inappropriately, you will be discharged from the program.

Code of Conduct

  • I will treat the Vets’ Club Team and other Veterans with courtesy and respect.
  • I will follow facility and program safety guidelines.
  • I will prevent injury to myself and others.
  • I will keep my scheduled medical appointments.
  • I will avoid interfering with treatment of other Veterans.
  • I will report any illness I may be experiencing.
  • I will respect and welcome all Veterans regardless of gender or race.
  • I will be polite and respectful.
  • I will welcome anyone to sit with me at the lunch table.
  • I will eat only what is on my tray.
  • I will use my feet, cane, walker, and wheelchair safely.
  • I will practice patience.
  • I will respect myself and others by keeping physically clean.
  • I will use appropriate language and behavior for a health care environment.
  • I will actively participate in activities and cooperate with Vets’ Club staff.
  • I will do whatever I can to help myself and ask for help when I need it.
  • I will take responsibility for my words and actions.

Statement of Rights of Adulty Day Care Participants

1. You have the right to be treated as an adult, with consideration, respect, and dignity, including privacy in treatment and in care for personal needs.

2. The right to participate in a program of services and activities designed to encourage independence, learning, growth, and awareness of constructive ways to develop one’s interests and talents.

3. The right to self-determination within the day care setting, including the opportunity to:

  • participate in developing one’s plan for services and any changes therein.
  • decide if you want to participate in any given activity.
  • be involved to the extent possible in program planning and operation.
  • refuse treatment and be informed of the consequences of such refusal.
  • end participation in the adult day care center at any time.

4. The right to be free from harm, abuse, or neglect.

5. The right to be cared about in an atmosphere of sincere interest and concern in which needed support and services are provided.

6. The right to a safe, secure and clean environment.

7. The right to privacy and confidentiality and the requirement for written consent for release of information to persons not authorized under law to receive it.

8. The right to voice grievances without discrimination or reprisal with respect to care or treatment that is (or is not) provided.

9. The right to be fully informed, as evidenced by the participant’s written acknowledgement of these rights, of all rules and regulations participant conduct and responsibilities.

10. The right to be fully informed, at the time of acceptance into the program, of services and activities available and related charges.

11. The right to communicate with others and be understood by them to the extent of your capability.

Concerns or Complaints: You are encouraged and expected to seek help from the ADHC program coordinator, Melanie St. Clair 414-384-2000 x42063 or a patient advocate 414-384-2000 x42604 if you have unresolved issues or complaints. Any privacy complaints will be addressed by the facility Privacy Officer. You may complain verbally or in writing, without fear of retaliation. Each concern is carefully considered and strict confidentiality is maintained. If you believe that you or your family member has been neglected, abused or exploited by VA staff, please report this promptly to ADHC program coordinator or patient advocate. You will receive help immediately.

Closures

Vet’s Club is closed on these observed holidays

  • January - New Year’s Day , Martin Luther King Jr. Birthday
  • February - Presidents’ Day
  • May - Memorial Day
  • July - Independence Day
  • September - Labor Day
  • October - Columbus Day
  • November - Veteran’s Day, Thanksgiving Day
  • December – Christmas Day

 Remember to cancel your transportation for these days.

You will be notified of any other closings or changes in hours-of-operation.

Contact Info

Location

  • Milwaukee VA Medical Center
    Bldg. 70, Wing E, First Floor
    Western end of two-story brick wing, which extends from main hospital building

Contact Number(s)

  • 414-384-2000 Ext. 41970
  • 888-469-6614

Hours of Operation

  • Monday-Friday
    8 a.m.-3 p.m.