PACE. Program of All-Inclusive Care for the Elderly. Sandra J. Yoro, APD PACE Policy Analyst May 2015

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1 PACE Program of All-Inclusive Care for the Elderly Sandra J. Yoro, APD PACE Policy Analyst May 2015

2 The PACE Model PACE is a Medicare and Medicaid national program that offers an array of health and wellness services in a consolidated all-inclusive service model. Medicare and Medicaid funds cover all medically necessary services. There are no co-pays or deductibles. Medicare recipients pay a monthly premium for the long-term care and drug benefits. Recipients can also pay privately for the PACE program if they do not qualify for Medicare or Medicaid. Services are coordinated with the service recipient and their team of healthcare professionals referred to as an Interdisciplinary Team.

3 The PACE Model PACE services include but are not limited to: Long-term Care Primary Care Laboratory Tests & Procedures Emergency Medical Services Hospital Care Nursing Home Care Hospice/Palliative Care Specialty Medical Care: Audiology/Optical/Podiatry Therapeutic Services: Physical/Occupational/Speech/Recreational Dental Services Mental Health Services Social Services Medication: Prescription & Over the Counter Medical Supplies Medical Equipment Adult Day Services Transportation

4 The PACE Recipient & Care Team The PACE Service Recipient is: 55 years old or older Living in a PACE service area Able to reside safely in the community At Nursing Home Level of Care (SPL 1-13) The PACE Interdisciplinary Team may include: Medical Doctors Registered Nurses Licensed Therapists Licensed Social Workers Therapeutic Aides Dieticians Other Relevant Healthcare Professionals

5 The PACE Recipient & Care Team Together the Service Recipient & Interdisciplinary Team: Develop a plan of care that is comprehensive and responsive to the individual s healthcare and social service needs. The PACE provider is responsible for meeting all of the healthcare and social service needs identified in the plan of care.

6 PACE Across the Nation PACE is a national program currently available in 31 states. Approximately 23,000 people nationwide participate in a PACE program. Oregon s PACE program is one of the first and largest in the country. Currently Oregon PACE service areas include Multnomah and Clatsop counties and parts of Washington and Tillamook counties with expansion efforts currently underway in Clackamas county. Approximately 1,100 Oregonians participate in the PACE program. "PACE did the impossible for my mother. I never thought she would be able to live with us again."

7 PACE In Oregon The State of Oregon supports the expansion of the PACE program and PACE providers statewide. The Department of Human Services-Office of Aging and People with Disabilities currently contracts with Providence Health & Services to provide PACE program services in the current PACE service areas in Oregon. Providence identifies/brands the PACE program as Providence ElderPlace. Services are delivered by Providence ElderPlace staff and/or contractors that make up a network of hundreds of healthcare providers. About Providence Health & Services Providence Health & Services in Oregon is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and affiliated services guided by a Mission of caring that the Sisters of Providence began in the West nearly 160 years ago.

8 PACE In Oregon Providence ElderPlace Service Areas ALL OF MULTNOMAH COUNTY CLATSOP COUNTY Arch Cape, Astoria, Cannon Beach, Hammond, Seaside, Tolovana Park TILLAMOOOK COUNTY Manzanita, Nehalem, Wheeler WASHINGTON COUNTY Beaverton, Tualatin, Cornelius, Forest Grove, Hillsboro, Sherwood, Portland CLACKAMAS COUNTY (2016) Portland, Happy Valley, Clackamas, Lake Oswego, Marylhurst, Gladstone, West Linn, Tualatin, Oregon City

9 ElderPlace Health & Social Centers ElderPlace Health and Social Centers offer service recipients comprehensive integrated care from an ElderPlace team of healthcare and social service professionals. If service recipients are unable to attend a Health and Social Center, their team will visit them at home. In addition to receiving healthcare services at the Center, recipients have the opportunity to participate in social and recreational activities to include a nutritious lunch. Transportation is provided to and from ElderPlace Health and Social Centers and may be available for medical appointments outside of the Center.

10 ElderPlace Service Sites Cully Residential Care Facility & Health and Social Center 5119 NE 57 th Avenue Portland, OR Ph.: Glendoveer Residential Care Facility & Health and Social Center NE Glisan Avenue Portland, OR Ph.: Irvington Village Assisted Living Facility & Health and Social Center 420 NE Mason Street Portland, OR Ph.:

11 ElderPlace Service Sites Health & Social Centers Only Beaverton Brigaddon Court Beaverton, OR Ph.: Gresham E. Burnside Avenue Portland, OR Ph.: Lambert House 2600 SE 170 th Avenue Portland, OR Ph.:

12 ElderPlace Service Sites Health & Social Centers Only Laurelhurst 4540 NE Glisan Street Portland, OR Ph.: Marie Smith Health & Social Center 4616 N. Albina Avenue Portland, OR Ph.: North Coast 1150 N. Roosevelt Drive Suite 104 Seaside, OR Ph.:

13 PACE Resources Sandee Yoro, PACE Policy Analyst Direct Line: PACE Oregon Toll-free: Providence ElderPlace Administration: Medicare.gov PACE Overview Centers for Medicare & Medicaid PACE Fact Sheet National Pace Association

14 Honoring PACE This video was produced in 2014 by the National PACE Association. The Centers for Medicare & Medicaid Services incorporated the video in a PACE training program. PACE On August 19, 1988, President Ronald Reagan issued Proclamation 5847 designating August 21 st as National Senior Citizens Day.