Introducing PACE3: Insights About PACE from Care3
Plan for Care Delivered in the Home
At Care3, we have the privilege of interacting with many PACE programs. We’re starting this series to share what we’re hearing from PACE programs across the country so you can learn from each other. We want you to see what solutions are in place, as well as what innovations are available to deal with real-world everyday problems. Welcome to PACE3: Insights About PACE from Care3. To kick off the series, we are going to share a common theme we’ve heard about difficulties of planning for care delivered in the home. Specifically, the challenge of matching care plan assessments with the content of the care plan for home-based needs. Today’s care planning applications are focused on care delivered in the center and do not include tasks that are to be delivered in the home by the family.
CMS care planning guidance requires each IDT discipline to provide instructions for home-based care. Unfortunately, existing care planning applications do not offer an effective way to engage family caregivers and provide them with information to help them care for your participants. So, when the participant leaves the center you hope the family caregiver follows your instructions. Since many, if not most, incidents that lead to ED visits and hospitalization occur outside of the center, the care delivered at home presents the greatest opportunity to avoid negative outcomes.
That’s why PACE organizations are turning to Care3 to help them meaningfully engage family caregivers and gain influence over the important care delivered at home while complying with current and future guidance and regulations.
Please contact us at firstname.lastname@example.org to learn more about how we can help you strengthen the partnership between your families and IDT members.