Title: A Partnership To Help You
1- A Partnership To Help You
- Keep Your Residents Longer
- Joy Cornelius, MS, PACE 916-446-3100
- Mark John Crews, CSA 916-224-6688
2High Maintenance assisted living client
- Polypharmacy
- Personal assistance with ADLs and IADLs
- Pays 1500 to 4000 per month for assisted care
- Pays for health insurance and prescriptions out
of pocket (100 to 1000s per month) - Frequent utilization of ER, physician, and other
health services - Needs transportation to and from medical
appointments - Has medical needs that cannot be taken care of in
the Assisted Living Facility - Doesnt want to go to a nursing home but might
3Typical PACE participant
- Polypharmacy
- Needs personal assistance with at least 3 ADLs
or IADLs - Has an income from 200 to thousands per month
- Frequent utilization of ER, physician, and other
health services - Needs transportation to and from medical
appointments - Medical appointments as often as needed
- Doesnt want to go to a nursing home
4Asst Living Facility services
Polypharmacy
Client pays for health needs insurances
ADLs IADLs
Frequent medical visits
ALF provides Transportation to medical
Client pays for assisted care
Room, Bed Meals
Has additional medical needs
5 PACE services WRAP AROUND
Adult Day Care Environment
Majority of clients have 0 cost
At least 3 ADLs IADLs
Medical visits as needed
Eliminated
Geriatrician MD Dr to client 1100 Complete TEAM
of Professionals
Provides transportation
Provides, Rx, Dental, Vision, Rehab
6PACE eligibility
- Live in our 21 zip code service area
- (or move to an RCFE in service area)
- Be 55 years of age or older
- Be at a Skilled Nursing or Intermediate Care
Facility level of care - Be able to live safely in the community with the
help of PACE services
7PACE - dispelling the myths
- None of the criteria has anything to do with
income. - Unlike popular belief, PACE is not only for low
income seniors. - Our mission is to keep frail seniors in the
highest level of care possible and prevent
nursing home placement for as long as possible
through quality coordinated health care.
8Partnering at its best!
- Assisted Living Facility provides the personal
care needs for the client as well as a safe
living environment - PACE provides all-inclusive medical services
(Medical, Rx, Vision, Hearing, Therapy, etc)
through a multidisciplinary staff, an adult day
health center, transportation, and coordinated
health services to work to maintain a person in
his or her current living environment - The services are complementary
9Why work with PACE?
- PACE will help your residents stay with you
longer. - PACE provides a interdisciplinary team of
doctors, nurses, social workers, therapists,
pharmacist, nutritionist, and others who will
work with the Asst Living Facility to personalize
and complement the care issues of your resident.
10continued
- The PACE Adult Day Health Care is a place where
your more frail and difficult residents go and
allows your staff to spend more quality time with
the residents who are in your facility - With PACE coordinated, comprehensive services,
your residents will be more stable and balanced
because they receive health care as frequently as
they need it.
11Can your residents afford PACE?
- PACE is regulated by the Center for Medicare and
Medicaid Services in Washington DC - We receive capitated funds from Medicare and
Medi-cal for each PACE participant through which
we provide the health services they need - If a person uses all of their income for rent in
assisted living, there is no cost to your
resident to be a PACE participant. If they use
part but not all of their income for rent, then
there is a partial share of cost for the program. - Medi-Cal provides a waiver for residents in a RCFE
12Continued
- A Partnership with PACE can
- Reduce a clients costs (Rx, medical co-pays
premiums, etc) allowing them to stay longer! - Keep a client healthier, allowing them to stay
longer! - Reduce stress on RCFE staff because client is at
PACE 1-5 days a week - Reduce RCFEs costs