Year Program Started:   Starting in 1994, the Broadway House for Continuing Care became a sub-acute, long-term care facility specifically treating HIV-positive patients recently discharged from the hospital. Located in an historic, one hundred year old building with marble columns and etched ceilings, the Broadway House for Continuing Care provides comprehensive medical care for adult HIV-positive patients from as little as one week to as long as several years, depending on need. 

Principal RD: Marsha Rosa, MS, RD

Web Site: http://www.BroadwayHouse.org

Service Provisions: Full-Time 

Patient Referral Source:  Most patients are referred to this facility by local hospitals.
 
Number of Clients and Population Served: Of the 66 clients served at the Broadway House for Continuing Care, 65% of the population is male and 35% are female. In terms of nationality, 76% are black, 14% Hispanic, and 10% White.  In terms of age, 1% of clients are between 20-30 years old, 25% are 30-39 years old, 51% are 40-49 years old, 19% are 50-59 years old, and 4% are 60 and over.

Funding Source: Medicaid is the primary funding source for the Broadway House for Continuing Care. In addition, there is some funding from the Ryan White Care Act Title I Program.

How often are patients seen? Patients are seen upon admission and as needed.

Are all patients screened for nutritional risk? Yes 

How often do you provide nutritional assessments and follow-ups? Upon admission, a complete nutritional assessment is completed.  Follow-ups are performed at least once a month or every 3 months as needed.

Other Provided Nutritional Services: The Broadway House for Continuing Care provides bioelectrical impedance analysis (BIA) and various nutrition classes.

Patient Education Materials: The center provides printed pamphlets on various topics to clients. Topics such as  “Excerpts from Eat Up” by Serono and “Help Yourself” by Ross are included.

What was the most difficult issue you had to deal with when you started? The most difficult issue encountered was the ability to grasp a firm handle on the disease and the disease process. Secondly, it was challenging to fully understand the nutritional implications and/or complications.

Who is your best ally?  Ms. Rosa considers her co-workers, especially the Nurse Practitioner, and other dietitians met through the HIV/AIDS Dietetic Practice Group as her best supporters. 

What differences exist between current clientele and that of the HIV-positive person in the early 1980s?   Since the opening of Broadway House for Continuing Care in 1994, there have been numerous changes to the patient population (Table 1).