Program Characteristics and Enrollees’ Outcomes in the Program of All-Inclusive Care for the Elderly (PACE)
The Program of All-Inclusive Care for the Elderly (PACE) is a unique program providing a full spectrum of health care services, from primary to acute to long-term care for frail elderly individuals certified to require nursing home care. The objective of this article is to identify program characteristics associated with better risk-adjusted health outcomes: mortality, functional status, and self-assessed health. The article examines statistical analyses of information combining DataPACE (individual-level clinical data), a survey of direct care staff about team performance, and interviews with management in twenty-three PACE programs. Several program characteristics were associated with better functional outcomes. Fewer were associated with long-term self-assessed health, and only one with mortality. These findings offer strategies that may lead to better care.
Author(s): Dana B. Mukamel; Derick R. Peterson; Helena Temkin-Greener; Rachel Delavan; Diane Gross; Stephen J. Kunitz; T. Franklin Williams
Keywords: PACE; long-term care; quality; risk-adjusted health outcomes
Volume 85, Issue 3 (pages 499–531)
Published in 2007