Dhara Shah1, Qian Li Xue2, Matthew K. McNabney2
1Department of Psychiatry, Osceola Regional Medical Center, Kissimmee, FL, USA
2Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Assisted living (AL) facilities are increasing in popularity as a place for long-term residence among older adults who need some assistance with daily living. However, short-term use of AL is not common and the benefits unclear. The Program of All-Inclusive Care for the Elderly (PACE) is a capitated model of care that coordinates care for frail older adults living in the community. Shortterm use of AL could help PACE achieve that goal of maintaining people in the community. We analyzed short-term AL use (< 100 days) by one PACE program over a 3 year period. We found that the primary reasons for this utilization were respite (60%) and increased attention to medical needs (33%). Analysis of selected adverse outcomes following short-term AL found lower rates (better outcomes) among those with depression and higher rates (worse outcomes) among those with congestive heart failure (CHF). This study provides important information to PACE providers who are considering short-term AL use in the management of participants.
Shah D, Li Xue Q, McNabney MK. Short-Term Use of Assisted Living by the Program of All-Inclusive Care for the Elderly (PACE). Am J Gerentol Geriatr. 2018; 1(3): 1013.