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H5405_9_04/10/06 Introductions Do you know someone in a Nursing - - PowerPoint PPT Presentation
H5405_9_04/10/06 Introductions Do you know someone in a Nursing - - PowerPoint PPT Presentation
H5405_9_04/10/06 Introductions Do you know someone in a Nursing Home? 2 PACE Mission To provide high quality, affordable, integrated health care services to the elderly that promote autonomy, quality of life and individuals ability to
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PACE Mission
To provide high quality, affordable, integrated health care services to the elderly that promote autonomy, quality of life and individuals’ ability to live in their communities. We keep people
- ut of nursing
homes!
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- For more than 40 years, PACE has made a
difference in the lives of Bay area seniors and their families.
- We provide a full range of medical and social
services through the PACE model (Program of All- inclusive Care for the Elderly.)
- PACE Nationally: 87 programs in 29 states.
- We are a choice in the CCI initiative
- TWO PACE programs in Alameda County
PACE Overview
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- CEI operates three
PACE centers in Oakland and one in Berkeley
- We serve residents in
all the communities from El Sobrante and Richmond to South Hayward.
CEI Service Area
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- On Lok Lifeways
- perates two centers
in Fremont
- In Alameda County,
we serve residents in Fremont, Union City, and Newark.
- On Lok Lifeways
also serves San Francisco and most of Santa Clara County
On Lok Service Area
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- Primary/Nursing Care
- Hospital Acute Care
- Emergency Services
- Mental Health
- Nutrition and Hot Meals
- Social Services
- Home Health Care
- Medications
- Recreational/Social Activities
at the PACE Day Center
PACE Offers a Full Range of Services
- Transportation
- Medical Specialists
- Rehabilitation Therapies
- Podiatry
- Dental
- Optometry
- X-ray, Lab work
- Ambulance
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- PACE partners with families by providing:
- Coordination of all medical appointments
- Day care at the PACE center
- Transportation
- Home care
- Much more
- Care coordinators provide
a single point of contact for family members.
Support for Seniors and Families
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- We use an interdisciplinary team approach to
develop customized, individual care plans for each participant.
Interdisciplinary Care Team
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Participant and Family Homecare Nurse Primary Care Doctor
Mental Health
Nurse Practitioners and Clinic Staff Day Center Worker and Activity Therapist Specialist Dietitian Rehabilitation Therapist Case Manager/ Social Worker Driver
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- PACE is funded by Medicare and Medi-Cal.
- Some participants have a share of cost for Medi-Cal
that they have to continue to pay to PACE.
- Participants can also pay an out-of-pocket “private
pay” fee if they don’t have both Medicare and Medi-Cal. (Some Long-term Care policies)
- We also do non-profit fundraising.
How is PACE Funded?
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- 55 years of age or older.
- A resident of PACE’s service area.
- Assessed by the PACE
interdisciplinary team to require nursing home level of care (and certified by the CA Department
- f Health Services as such).
- Able and willing to live in the
community without jeopardizing their health or safety.
Who is Eligible for PACE?
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- Frequent emergency room visits
- Four or more chronic conditions
- Need skilled nursing care
- Need consistent monitoring of a
health condition. (like medication management or wound care)
- High ADLs or IADLs
- Would be safe living in their
environment with the help of PACE
Who is a good candidate for PACE?
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- PACE is one of the three options, but a senior cannot
default into PACE
- In PACE, Medicare and Medi-Cal are bundled, so seniors
use a PACE physician with their coordinated services.
Unique Features and Enrollment Process with Coordinated Care Initiative & PACE
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- PACE enrollees must be assessed by the PACE plan
and certified as nursing level of care by DHCS. (Takes longer to enroll – 30ish days.)
- Seniors interested in PACE will have 60 days to go
through the enrollment process. They still need to indicate a second choice CCI Medi-Cal plan in case they end up not enrolling in PACE.
Unique Features and Enrollment Process with CCI and PACE
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Berkeley PACE Center 1497 Alcatraz Ave Berkeley Co-located with Mabel Howard senior housing (RCD)
CEI PACE Center Locations
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Downtown Oakland PACE Center 1955 San Pablo Ave Oakland Co-located with San Pablo Hotel senior housing (EBALDC)
CEI PACE Center Locations
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Eastmont Center (upper level) Josie Barrow Center (lower level) 7200 Bancroft Ave Oakland Co-located with Miley Gardens senior housing
CEI PACE Center Locations
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Fremont Center
159 Washington Ave., Fremont
On Lok Lifeways PACE Center Locations in Alameda County
Peralta Center
3683 Peralta Blvd., Fremont
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- In-home appointment
- Tour of PACE center
- Health Assessment
- Approval by the State DHCS
- Family Enrollment Conference
- After enrolling, seniors must
receive all of their care from PACE providers. If they use out of network providers, they are personally responsible for the cost of those services.
Enrollment Process
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Please call: CEI Member Services (510) 433 -1150 (510) (433-1165) TDD
8 AM to 5 PM, Mon – Fri
www.cei.elders.org
How to make a referral to CEI
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Please call: Bevi Kothare at (510) 648-5415 or Johara Arduz at (510) 828-2529 TTY (415) 292-8898 8 AM to 5 PM, Mon – Fri Visit our website: www.onlok.org
How to make a referral to On Lok Lifeways
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