Team Managed Care
Key to the vigorous management of care that is central in the PACE Model is the interdisciplinary team that manages, integrates and provides care. Together team members assess need, plan treatment, provide most care, oversee contract services, monitor care and the participant's changing situation and make adjustments to the care plan as needed on a continuous basis. Care can be provided in a variety of settings— home, day center, nursing home or hospital. At least semi-annually the team reassesses each participant. The team also meets at the beginning of each day to review changes in participants during the previous 24 hours and to make any adjustments to the care plan that may be indicated. Thus, the team's care planning is continuous.
NOTE: The PACE CNY Team strives to preserve and support the family unit.