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 1 st 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 of ca care re as defined by th the State tate.  Deliv livers comp omprehensiv ive, in inte tegrate ted acu cute an and long t g ter erm c car are s ser ervices dire irectly or or via ia ou our 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 of Ore regon is is a a le leader in th in the a adop optio ion an and in inte tegratio ion of of PACE.  Part rtnership ip w with ith th the St Stat ate a and AAAs AAAs.  PACE is is an an op optio tion f for all or all nursing h home ome elig ligib ible le p persons – role role of of ch choic oice cou counseling.

 Cu Curre rrently ly, our ra r ratio io is is 1: 1:110 110 enrollees ees per er PC PCP P – This is Driv Drives ou our 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% 3 rd 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 ortan tance o ce of Preven enti tion on & & Socializati ation on  Interdisciplinary T Team eam M Managi ging g Comp omple lex Care are ac acro ross E Enti tire C Con onti tinuum  Pallia lliativ ive C Care are is is a Key D Dime imensio ion of of Care re  Focu ocus on on Qual alit ity O Outc tcom omes  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 oots on on th the G Gro round” M Mod odel