Senior CommUnity Care’s PACE Program: Home-Based Care for Nursing Home Eligible Adults

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VOA - Senior CommUnity Care - Western Colorado's PACE Provider

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Oct 27, 2015

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Colorado - Western Slope

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The Program for All-inclusive Care of the Elderly (PACE) is a Medicare/Medicaid managed care benefit for adults aged 55 or older who choose to live in their homes despite being certified by the state as nursing home eligible. The goal of the PACE program is to extend participant independence and enhance their quality of life. PACE became a Medicare benefit and a state Medicaid option under the Balanced Budget Act of 1997.

Senior CommUnity Care is the Western Slopes PACE provider and manages the program with a staff of paid professionals. Presently, there are two PACE locations Montrose and Eckert, plus a satellite site in Paonia. Enrollees must be able to live safely at home within a PACE sites geographic area.

The core of the PACE program is the interdisciplinary team. The team works to provide comprehensive medical and social services to the PACE participants. This team includes a primary care physician, nurse, dietician, nursing aids, drivers, physical therapists, occupational therapists, recreational therapists and social workers. The interdisciplinary team meets daily and is responsible for determining care needs, allocating resources, coordination of all services, and evaluating the outcomes of a comprehensive care plan, which is developed for each individual participant.

The care plan addresses a set of functional issues that are relevant to the overall health of the older adult participant. These include cognition, emotional status, social activity, mobility, diagnoses, medications, nutrition and other activities of daily living. Payment for services and monitoring of the quality of the services is authorized and directed by the interdisciplinary team.

A PACE Day Center is a location where participants can receive primary care by meeting with a nurse or nurse aide in the clinic, receive therapy to improve strength and balance, enjoy recreational and social activities, participate in one-on-one or group discussions, receive spiritual support and eat a hot meal. The number of days a participant attends the day center will be discussed with the participant and determined through the assessment process.

By caring for frail, older adults through this model, acute illness and conditions can often be prevented, thereby reducing the number of emergency room visits and hospital readmissions.

Editors Note: This article was submitted by Erin Berge, Regional Marketing Coordinator with Volunteers of America and may be reached at 970-275-1220 or by email at eberge@voa.org

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Medicare & Medicaid Information 11485 Colorado 65, Orchard City, Colorado, 81418

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