Narrator: In the United States, the late 60’s and early 70’s
was a time of flower power and protests…
A time of revolution and transformation…
Medicare and Medicaid were new programs…
And baby boomers started breaking tradition,
thinking differently and questioning the status quo.
Narrator: In 1971 an amazing group of pioneers led by
Doctor William Gee and Marie-Louise Ansak took what was a simple idea of a nursing home
in Chinatown and turned it into a healthcare revolution.
Marie- Louise Ansak: “I never worked with the elderly before and so I decided
to go and look at nursing homes
and I didn’t particularly like them. It’s not my style.”
“It was the time that people started to think about the elderly.
San Francisco had an awakening.
The population was aging and something needed to be done.
I guess we hit it at the right time.”
Narrator: In the spirit of these revolutionary times,
Marie-Louise realized they needed something different.
Marie – Louise Ansak: “First we needed to start
a day health center where people could come in during the day.”
“We got the day health center started on Broadway in an old burned out bar…
burned out, terrible, it looked awful!
Finally we opened that center.”
Narrator: They obtained funds to remodel the center
and train healthcare workers.
They also put together one comprehensive system of care with an interdisciplinary team.
Marie-Louise Ansak: “By then we had a small team of
social workers and nurses and a doctor
who had just graduated from medical school. He was almost a volunteer.”
Narrator: The interdisciplinary team that emerged included nursing,
social workers, doctors, dieticians, therapists and even transportation
to pick up participants for appointments and to take them to the day care center.
Judy Baskins: “The role of transportation and the drivers is frankly something
that’s near and dear to my heart.
They are a wealth of information.
They are our eyes and ears in that home environment. I just think they are phenomenal.”
Narrator: In 1973 the nation’s first adult day center
in San Francisco opens.
In honor of the rich culture in their location in Chinatown they decide to name their
newfound organization On Lok…Cantonese for Happy Home.
Narrator: Over the years On Lok continued to advance and expand…
establishing an innovative model of care and financing centered around
the needs of their participants.
This model will come to be known as the Program of All-Inclusive Care for the Elderly or PACE.
They received support from the Dept. of Health and Human Services
and the Robert Wood Johnson Foundation….
PACE also enjoyed significant support from the John A. Hartford Foundation,
which has been a constant partner in its expansion throughout the country.
Once PACE proved to be a successful model of care, congress was moved to act.
Jenny Chin Hanson: “It passed into federal law and so that’s the reason now we
have a Medicare law that has been changed as a result of this program.”
Judy Baskins: “It really is about connecting with that patient and family.
It frames everything differently; from how the staff interact and the fact that this
is a long-term mutual relationship. To me that’s what sets PACE apart.”
Narrator: As On Lok sees the success of PACE,
Marie-Louise Ansak offers her blessing.
Judy Baskins: “She says, you know, you guys are just adolescents but I
really think it’s safe for you to go forth and replicate.
We taught you everything we could teach you to do
and now it’s time for On Lok to hand over to the first generation PACE
programs that passion and vision and mission to spread the word of PACE.”
Narrator: As PACE took off, more and more people noticed its advantages
and adapted it to fit their communities.
Rosemary Castillo: “As I became involved in the Area Agency on Aging
I realized that there was a huge gap in services.
People were going straight from the hospital setting to the nursing home.
So I started looking for an alternative. The decision was very easy.
Once the program was in place there was no other choice for me.
I was going with the new program.
When I found out that On Lok Senior Health Services meant
Happy Peaceful Abode it was so appropriate, it was so fitting.
Bienvivir means The Good Life, Living Well. In fact, it was a manifestation of what
we were allowing our participants to experience.”
Narrator: As PACE grew, so did the need for an association
to help federal, state and local government understand what PACE is all about.
Judy Baskins: “PACE doesn’t fit neatly in a box.
It truly is a hybrid of a provider providing healthcare and an insurer.
And because we don’t fit neatly in that box.
I think there’s a need for engagement at the regulatory level,
certainly at the federal level but also at the state.
It was one of the reasons we needed to form the association.
The National PACE Association has really been the catalyst around engagement.”
Narrator: As the association celebrates its 20th anniversary
PACE has made incredible strides expanding to over 100 programs in more than 30 states
across the country bringing sorely needed health care
and supportive services to the elderly… helping them and their families.
Jack Craddick: “We think that care should be delivered in neighborhoods
so that there is a personal care plan for every patient
that could literally be adjusted every morning.
There is somebody for the caretaker to call.
There is somebody for the home health aid to speak to.
We feel really good about the way we did it.”
Bree DeNordo: “This program is amazing
because they come, they pick
him up and he has activities
and things to do all day long.
If I had to go to a doctor or do his appointments all throughout the week,
refill the prescriptions,
I would be spending many,
many man hours doing that.
So having the ability to have it
all in one building is fantastic.”
Narrator: And today, the PACE program model has proven effective
not only in urban settings but also in the rural community.
Verna Sellers: “I think the PACE model calls for innovation
whether you’re in a rural site or an urban site.
That’s what PACE is all about, innovation.”
Narrator: New PACE leaders are innovating unique ways
to use the model in their own communities.
Craig Conner: “Something that still makes PACE special and differentiates PACE
from, say health plan, is the personalized nature of this program.
By it’s very design this program is about taking care of individual people.
I think that what has made PACE successful
and what allows Riverside as well as all the PACE programs around the country
to be successful in so many different areas, serving so many different populations
for such a relatively small model, is its ability to adapt to the local community.
Some people say that one of the things that is not attractive
about the PACE model is that it’s not a franchise model.
Each PACE center and each PACE team truly is unique
and it truly does take on the character of the community in which it serves.
And to me, though, that’s not a liability about PACE, that’s what makes PACE special.”
Narrator: Many different types of organizations make the decision
to develop PACE programs.
Mission-driven organizations like Trinity Health can adapt PACE to bring the best quality
of life to their participants.
Kelly Hopkins: “CHE Trinity Health
was formed back in May, 2013
and as we came together a new mission and vision for the two
organizations came together which is to be a transforming,
healing presence within the communities that we serve.
PACE as a service focuses on one of our major core values
which is care for the poor and vulnerable.
And we have made significant investments in providing PACE in many of our communities.”
Shawn Bloom: Forty years ago there were very few number of options in the
community that allowed the elderly to remain living at home
when they become frail and need support.
Recognizing that, a group of innovative healthcare pioneers
came together at that time to develop PACE
as we know it today.
PACE continues to attract the best and brightest healthcare leaders in this country
who are interested in finding and improving on ways to keep the elderly in the community
where they can age with dignity and respect in their homes.
Today, these leaders operate over 100 PACE programs throughout the country.
I believe the best days of PACE lie ahead.”
Narrator: Just as innovation led to the creation of PACE-
today innovation is allowing PACE programs to serve people
of all races and ethnic backgrounds…
In cities and towns that span the continuum of communities from urban to rural…
Participant: “I’m more capable of doing things.
And I have met so many people that I have fallen in love with. Everybody is so sweet.
And the people that are here are very, very, very good people, very educated.
They are very good at what they do. And that means a lot to me.”
Narrator: PACE focuses on care that improves each participants’ quality of life…
supports family caregivers…
and is able to minimize the use of hospitals, emergency rooms, and nursing homes…
Kelly: “The model is just unique.
It serves the entire social, medical needs of the individual.
It is population-health, it is person-centered.
I can’t think of another model that would meet the needs
of the participants any better than a PACE program.”
Narrator: Because of the PACE model of care, elderly people
and their families across the country are able to live happier and more fulfilled lives.
Jack Craddick: “I think that what we are able to do is give them hope
that they will have a life of dignity.
Judy Baskins: “For me, it’s not a job it’s a passion, it’s a calling.
And I think that we will continue to evolve and grow.”
Robert Edmondson: “We’ve survived for four decades and we’ll continue to survive.
It’s a bright future.”
Narrator: As the PACE community celebrates its legacy of innovation…
it is important to strive to expand the number of people served…
and to maximize the quality of each life touched by the PACE community.