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Session: Learning from the PACE Experience--Managed Acute and Long-term Care for Community Dwelling Frail Elderly
3120.0: Monday, November 8, 2004: 10:30 AM-12:00 PM
Oral
Learning from the PACE Experience--Managed Acute and Long-term Care for Community Dwelling Frail Elderly
PACE is managed care program, providing acute and long term care services to frail older persons. Its objective is to maintain participants’ independence in a community setting for as long as possible. The program is innovative in its approach to care and service provision, emphasizing the care team and services in a day care setting. It offers a promising alternative to nursing home care. In this session we will present 6 talks. The first will describe PACE, its unique features, and its evolution from a demonstration to a Medicare/Medicaid provider. We will then present 4 studies that examine the inner workings of the program: 1) The relationships between program structure, processes and participants’ risk-adjusted health outcomes; 2) The relationship between the performance of the care team and participants risk-adjusted health outcomes; 3) Disenrollment from PACE – who is leaving and why? And 4) The potential growth for PACE – barriers and facilitators. We will then conclude the session with remarks from the National PACE Association reflecting on the studies presented and discussing the future for PACE and other similar initiatives.
Learning Objectives: Session participants will: 1) Gain an understanding of the structure and unique features of the PACE program 2) Learn about the relationships between program characteristics and participant outcomes 3) Understand the implications for the future of the PACE program and other similar program designed for frail elders.
Moderator(s):Dana B. Mukamel, Ph D
10:30 AM"PACE: An integrated care model"
Helena Temkin-Greener, PhD, Dana B. Mukamel, Ph D
10:42 AM"PACE: The relationship between program structure, process and risk-adjusted health outcomes"
Dana B. Mukamel, Ph D, Derick Peterson, PhD, Rachel Ritz, MS, Stephen Kunitz, MD, PhD, T. Franklin Williams, MD, Alina Bajorska, MS, Diane Gross, PhD, Helena Temkin-Greener, PhD
10:54 AM"The performance of care teams and participants' risk-adjusted health outcomes
Dana B. Mukamel, Ph D, Rachel Ritz, MS, Derick Peterson, PhD, Stephen Kunitz, MD, PhD, Alina Bajorska, MS, Diane Gross, PhD, T. Franklin Williams, MD, Helena Temkin-Greener, PhD
11:06 AM"Disenrollment from PACE - who is leaving and why?"
Helena Temkin-Greener, PhD, Alina Bajorska, MS, Dana B. Mukamel, Ph D
11:18 AM"The potential growth of PACE: Barriers and facilitators"
Diane Gross, PhD, Helena Temkin-Greener, PhD, Stephen Kunitz, MD, PhD, Dana B. Mukamel, Ph D
11:30 AMRemarks by Christine van Reenen, Ph.D. Director of Public Policy, from the National PACE Association
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Gerontological Health
CE Credits:CME, Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA