Healthcare in the twenty-first century is transforming as swiftly as I type these words. Now, more than ever, patients, families, and teams of wellness providers are continuously striving towards comprehensive partnership development, to allow for the best possible patient outcomes. McGregor PACE (Program of All-Inclusive Care for the Elderly), is a managed care program in Cleveland, Ohio that has paved the way for over a decade, in the area of patient and family-centered care. The attached “Patient- and Family-Centered Care Organizational Tool” (Self-Assessment Tool, 2013) displays areas of facility strengths, as well as developmental areas within the organization. This paper serves to evaluate the organization’s gaps in patient-centered care attributes. I will also create a strategy to bridge the gaps, in an effort to enhance patient-centered care.
McGregor PACE is a member of the National PACE Association. The PACE model of care began in the early 1970’s in San Francisco. It was driven by the need for long-term care services to be accessible to immigrants from Italy, China and the Philippines (National PACE website, 2002, p. 2). Due to this need, community leaders joined together and formed a non-profit corporation called On Lok Senior Health Services (National PACE website, 2002, p. 2). In 1973, On Lok opened its doors for the first time as the first adult day center in San Francisco (National PACE website, 2002, p. 2). Over the following seventeen years, On Lok began receiving Medicaid reimbursement for services. They expanded services to include; in-home care, home delivered meals, housing assistance, complete medical care and social support (National PACE website, 2002, p. 2). In 1983, On Lok tested a financing system that would pay the program a fixed amount each month for each person in the program. Federal legislation extended this new financing and allowed 10 additional organizations to open in other parts of the country (National PACE website, 2002, p. 2). The Robert Woods Johnson Foundation and the Retirement Research Foundation also provided funding to On Lok and the first replication sites in order to support the program. Eventually, in 1990, the first Programs of All-Inclusive Care for the Elderly (PACE) received Medicare and Medicaid waivers to operate (National PACE website, 2002, p. 2).
In 1996, McGregor PACE opened its doors to those individuals 55 and over residing in Cuyahoga County. Today, there are over 300 McGregor PACE participants. The program site is located in Cleveland Heights, Ohio. Eligibility requirements also include state certification of the patient’s need for nursing home care and his/her ability to live safely in the community. McGregor PACE provides a multitude of services within the care continuum. Some of these services include adult day care, medical care, medications, transportation, hospital and nursing home care, social services and numerous medical specialties. ...