Ongoing discussions regarding prioritization of NVMHI admissions occur in several forums, including meetings with CSB Emergency Services Managers, CSB Aftercare Managers, and Private Hospital Partners. As a result of these discussions, stakeholders have decided not to make any process changes regarding NVMHI Admissions at this time. The following practices remain in place:

• Continue to reserve 2 TDO beds at NVMHI
• Continue to prioritize TDO admissions at private hospitals in the community
• Insured individuals at private hospitals require regional review for transfer to NVMH
• Retain the existing Western State Hospital transfer process
• Post-hearing individuals take priority over insured individuals on Ready To Transfer List

Although multiple factors determine who is admitted to NVMHI, the stakeholders consensus for admission priorities is as follows:

1. No bed available in Commonwealth
2. Post-hearing (if not at a facility) and TDOs
3. LIPOS transfer Level II first, then Level I
4. Level II uninsured voluntary admissions
5. Insured transfers
6. Forensic transfers

Note: “Medically cleared” from an emergency room is different from the medical acceptance by NVMHI Primary Care staff. The NVMHI Primary Care staff must accept the individual before admission can occur.