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Neighborhood PACE

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Danielle Smith

on 26 October 2018

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Transcript of Neighborhood PACE

PACE Offerings
PACE Center
ESP Operates Three Pace Centers
The Massachusetts 8
Pearls of Wisdom
The Trisha Story
Care Plan
Participants in conjunction with Interdisciplinary Team will develop a comprehensive care plan
Neighborhood PACE
Who is Eligible?
To be Eligible for PACE, a person must:
Be 55 years of age or older

Live in our Service Area:
Chelsea, Revere, East Boston, Everett, Winthrop, Melrose, Stoneham, North End, Medford, or Malden


Be assessed by an RN to determine if they meet the Massachusetts Nursing Facility clinical eligibility criteria


Be capable of living safely in the community with services, as determined by their Interdisciplinary Team


PACE Centers provide integrated medical, rehabilitation, geriatric case management, and health services all in one location.
At a PACE Center, participants spend the day in a warm, friendly atmosphere filled with friends and activities designed to engage their interest and promote their agility.
What does PACE Cost?
PACE programs are covered by Medicare and Medicaid (Mass Health) for eligible individuals.

PACE services are also available on a self-pay basis.

Many participants qualify for zero monthly cost share or zero premium based on their income. Some participants may have a monthly share of cost or premium.
 

All services must be provided by or authorized by the PACE
Interdisciplinary Team
(except emergency services).

PACE participants may be held liable for cost for unauthorized or out of PACE program agreement services.


A more detailed description of PACE covered services is included in the individual PACE organization’s Enrollment Agreement.

PACE programs include a wide array of services
Families and Care givers receive:
Assurance that their love done is in a safe and supervised environment, engaged in stimulating activities when at the PACE center
Caregiver Support
Access to a team of professionals in geriatric care who specialize in the care of older adults
Grew up in Winthrop
Interested in being active, teaches, mentors, and is REALLY FIT
Believe it or not, old enough for the program
1971
The 1st PACE program, On Lok Senior Health Services, began in Chinatown-North Beach San Francisco
EBNHC saw the potential in this model for improving care for seniors and created the Elder Service Plan
1990
Dr. William L. Gee a public health dentist headed the committee that hired social worker, Marie- Louise Ansak in 1971 to investigate solutions.

They formed On Lok Senior Health Services, to create a community based system of care.


On Lok is Cantonese for “peaceful, happy abode"
1971
The East Boston ESP was one of the first sites to replicate the On Lok model and granted full provider status under the Center for Medicare and Medicaid Services (CMS)
1991
Origins of
PACE
2016 National Pace Association Award
Christina Cepeda
PACE Services
Doing 6-8 flights of stairs per day, in both directions, helps keep older adults FIT
Keeping FIT Tip:
PACE Interdisciplinary Team (IDT) Composition
Participant
Physician
Nurse Practitioner
RN, LPN
Social Worker
Dietician
PT, OT,
Recreational Therapist
Home Care Coordinator
Pharmacist
Speech Pathologist
Pastoral Counselors,
Chaplains
Health Aides
Transportation
Center Directors
Homemakers
Primary care and specialty medical services
Comprehensive insurance coverage including Medicare Part D prescription coverage
Dental and vision care, including eyeglasses
Transportation to and from appointments, the PACE and Wellness Center
In-home assistance with personal care needs such as bathing, dressing and meal preparation as needed

Inpatient hospitalization care
Participants receive a personalized comprehensive plan of care based on the unique needs of each individual

PACE adult day health care services for individuals with and without cognitive impairment
Full coverage for all approved services with no out of pocket co-payments, deductions or claim forms
Physical, occupational, and speech therapy
24-hour emergency access to PACE medical staff

Nutrition evaluation and guidance

Medical supplies and equipment

Medically necessary over-the-counter health care items

Medication management

Recreational therapy and activities suited to individual interest and emotional needs
East Boston Elder Service Plan
Element Care
Summit
Serenity
Harbor Elder Service Plan
Cambridge Health Alliance
Upham's Elder Service Plan
Mercy Life
Full transcript