Ellen Garcia MPH and Christina Jaramillo May 1, 2013 Providence - - PowerPoint PPT Presentation

Ellen Garcia MPH and Christina Jaramillo May 1, 2013

 Providence ElderPlace is a PACE –

Program of All Inclusive Care for the Elderly.

 Established in 1990 -one of the 1st PACE sites  Currently serving 1000 frail elders in

Multnomah County, 97% are dually eligible

 Providence ElderPlace Sites

• 7 Health and Social Centers

 1 Assisted Living Facility  2 Residential Care Facilities

 Serv

rves e elderly rly p pers rsons w who require ire n nurs rsin ing fac acilit ility le level l of

• f ca

care re as defined by th the State tate.

 Deliv

livers comp

• mprehensiv

ive, in inte tegrate ted acu cute an and long t g ter erm c car are s ser ervices dire irectly or

• r via

ia ou

• ur

r con contr tracte ted n netw twork.

 Interdi

discipl plinary y team eam c car are m man anagement.

 Rec

ecei eives c cap apitated p pay ayments – Full lly at at ris risk

 Legi

egislation au authorizing g PAC ACE as as a per ermanent provider en enac acted in 19 1997.

• 7. Prov

roven mod model.

 Three w

way ay a agr gree eement b bet etween State tate, CMS an and th the P Prov rovider - th the S Sta tate te of

• f Ore

regon is is a a le leader in in th the a adop

• ptio

ion an and in inte tegratio ion of

• f PACE.

 Part

rtnership ip w with ith th the St Stat ate a and AAAs AAAs.

 PACE is

is an an op

• ptio

tion f for all

• r all nursing h

home

• me

elig ligib ible le p persons – role role of

• f ch

choic

• ice cou

counseling.

 Cu

Curre rrently ly,

• ur ra

r ratio io is is 1: 1:110 110 enrollees ees per er PC PCP P –

This is Driv Drives

• u
• ur Q

r Quali lity

 Participant Satisfaction - Overall - 96%

• Based on I-Sat administered by CalPACE in June 2012

 Caring Behaviors Index 95%

• Based on I-Sat administered by CalPACE in June 2012

 End of Life Overall Satisfaction - 95.5%

• Fall 2012 - Survey instrument mailed 6 months after death

 Family Satisfaction “Would Recommend” -94%

• 2012 – Annual mailed survey with 45% Response Rate

 % includes Agree and Strongly Agree



 Palliative Care at death (Goal >=75%) 78%  POLST Completion Rate (>=95%) 97%  P of Attorney Health Care (>=80%) 91%  Pneumovax (>=95%) 97%  Influenza (>=95%) 97% ( Annual measure: Reported Q1-12)  Rate of Fractures from Falls(<0.015%) 0.013%  30 Day Unplanned Readmissions(<10%) 9.9%  High Risk Warfarin (98% INR <4.5%) 98.7% 3rd Quarter 2012 Results Reported in Blue

 Hand Hygiene - clinical (Goal >=95%) 100%  Hand Hygiene - CNA (>=95%) 100%  Anticoagulation Avg TTR (>=60%) 65%  Pressure Ulcer Prevalence (<=3.25%) 2.41%  Pressure Ulcer Prevention (>=95%) 93%  Polypharmacy (2 or more antipsychotics) (<1%) .9%  Antipsychotic Use in Dementia (<=12%) 17% 3rd Quarter 2012 Results Reported in Blue

PACE focuses on prevention and maintaining function. Studies have demonstrated slower functional decline for PACE enrollees and delayed mortality.

Hallmarks of a PACE Program

 Impor

• rtan

tance o ce of Preven enti tion

• n &

& Socializati ation

• n

 Interdisciplinary T

Team eam M Managi ging g Comp

• mple

lex Care are ac acro ross E Enti tire C Con

• nti

tinuum

 Pallia

lliativ ive C Care are is is a Key D Dime imensio ion of

• f Care

re

 Focu

• cus on
• n Qual

alit ity O Outc tcom

• mes

 Inte

tegrated F Fin inanci cing allow allows th the Te Team to m to Del eliver t truly P Per erson C Cen entered C Car are

 “B

“Boots

• ots on
• n th

the G Gro round” M Mod

• del