PACE Program of All-Inclusive Care

for the Elderly

The New Era of Healthcare for North Carolina Seniors

Presented by: Renee Rizzuti, FABC, MHA, LNHA

CEO/Executive Director, PACE of the Southern Piedmont

Overview of Challenges We Face

Rapidly Increasing Numbers of Elders

Overview of Challenges We Face

Rapidly Increasing Numbers of Elders

1%

PACE Population and Resource Risk

Strategies for Service Utilization

1. Preventing Deterioration Post Episode of Care 2. Improve Self-Management of Chronic Condition & Wellness 3. Aligned Network for Optimal Patient Outcomes

Mecklenburg Aging Profile

32% with 1 or more disabilities

Mecklenburg Aging by Groups

PACE is the Solution

What Is PACE?

PACE coordinates and provides comprehensive preventive, primary, chronic, palliative and end of life care and services so that older individuals can continue living in the community. PACE is a full-risk capitated health plan for any medical

care provided in any location.

Alternative to institutional care for the frail elderly

Originated by family members in

1983 in San Francisco, CA

Permanent Medicare program (1997)

Medicaid program since 2008 in NC Capitated, comprehensive,

coordinated, managed care

History of PACE

31 States Have PACE

45,000+ Served

35 North Carolina Counties Have PACE

Growing PACE is a Legilslative priority as study completed viewed as the innovative community medicine model of our future.

Federally regulated by Medicare – CMS

State regulated by Division of Medical Assistance – NC

Department of Health and Human Services

Adult Day Center Certification

State and Federal Regulations

A Not For Profit owned by four (4) other not for profit organizations; health system, home health, continuing care retirement community, and hospice. Opened July 1, 2013 We have served over 350

Participants and their families over five (5) years. Growth plans for 2019 include

alternative care sites for easier access to our services

Our Story

Service Area

Essential Elements

High Functioning Interdisciplinary Team Effective, Ongoing Care Coordination Clinical Utilization Management Presence in the Home Efficient Transportation System Socialization Systems

NC PACE Video

NC PACE Association Video

Who Is Eligible?

Lives in a PACE service area

55 years of age or older

Meets Medicaid criteria for

nursing home level of care

Able to live in a community

setting, when enrolled, without

jeopardizing health or safety

Voluntary enrollment and disenrollment

Who Is Served?

AGE

The Heart of PACE

• Care Management

• Authorization of Care and Services

• Comprehensive Assessment and Care Planning

PACE

Medication Supplies

Specialty Care

DME

Meals Personal Care

Subacute Care

Hospital Care

PACE Network

Medical Clinic Team

Medical Director Rafael Miranda, MD

Board Eligible Internal Medicine

Dawn Owens, DO Board Certified

Family Medicine

Tarra Boyd, DNP-FNP-BC, MSN/MBA-HC

Nurse Practitioner

Pacharo Ndupu, MSN, ARNP, FNP-C

Nurse Practitioner

PACE Day Center Proven quality outcomes

Medical Clinic Therapy Nutrition Recreation Therapy Socialization

PACE is a capitated managed care program with

full-risk for ALL necessary care

NC elected Department of Social Services to

financially qualify PACE participants

Medicare Advantage Plan & Medicaid Benefit Plan

Comprehensive Health Plan Benefits • Primary medical care • Therapy (Physical,

Occupational, Speech, Recreational)

• Specialists (Dentistry, Optometry, Audiology, etc)

• Social Work Support

• Caregiver Respite • Acute hospital care • Emergency care • Long Term Care • Prescription drugs • Medical Equipment &

Supplies

• Transportation • Homecare Services • Dietitian/Nutrition • Behavioral Health

All authorized needs are covered 100%, No Co-Pay.

PACE Success Stories Arden’s Story

Prior to PACE, hospitalized and

frequent falls, told will never walk Enrolled to PACE: Several months of Therapy,

walks today Able to move into apartment and

live independently again with a few hours of in home care provided by PACE

Her daughter is thankful for the support and oversight

“I feel safe with my Primary Care Physician and

spending time with friends at PACE.”

PACE Success Stories Oren’s Story

Prior to PACE, worked for City of Charlotte and

Johnston YMCA. In nursing home as health declined, referred to

Charlotte Housing and Money Follows the Person supported home transition.

Enrolled to PACE: Able to move into independently with Attends Men’s Club and therapy He is thankful to live at home again.

“I’m thankful for the care and support of all these amazing

programs and services.”

PACE Success Stories Gwen’s Story

Prior to PACE, in nursing home as health declined Enrolled to PACE: Able to move into home with friend with special

bed provided by PACE Attends Tai Chi and Chair aerobics Her caregivers are thankful for the transportation

and medical care “”I am functioning at

a higher level than ever before. PACE

has brought me back to life.”

Without PACE, Participants and Their Families are Struggling

Frail Elders • Isolated • Bored • Dependent • Difficulty Accessing

Care • Uncoordinated Care • Fear of Nursing Home

Placement

Family Caregivers • Worried • Tired • Running Around to

seek care • Hard to Maintain

Work Schedule

“I Love Everything about PACE!”

We Are Here To Help

PACE of the Southern Piedmont Referrals (704) 887-3853

PACE Medical Clinic and Day Center Location 6133 The Plaza

Charlotte, NC 28215

Open Monday – Friday 8:00am – 5:00pm