Implementing PACE at Health Centers

Implementing a Program of All-Inclusive Care for the Elderly (PACE) at Federally Qualified Health Centers (FQHCs) provides an opportunity to serve the growing 55+ patient population (up 80% since 2010) with chronic needs, while allowing them to continue to live independently in the community. The FQHC tradition of understanding the communities they serve, innovating service delivery, and partnering with others provides a strong foundation for developing a PACE program.

What is PACE? 

PACE 1PACE coordinates and provides high-quality preventive, primary, acute, and long-term care and social services for frail, community-dwelling elderly individuals, most of whom are dually eligible for Medicare and Medicaid benefits. 

The program provides services to accommodate all aspects of the patient’s health including medical transportation, implementation of safety measures, and provision of food through meal services.

PACE interdisciplinary care teams provide care for enrollees, coordinating with the team and families to solve problems as the conditions and needs of each individual change—all with the objective of allowing the patient to live independently in the community for as long as possible.

Currently there are approximately 124 PACE programs across the country, eight of them at FQHCs in three states: California, Massachusetts, and North Carolina. Other FQHCs are beginning to consider adding PACE programs and can learn from those that already have programs.

 

 Benefits of PACE

 PACE patient benefits flyer graphic  Benefits of PACE for FQHCs flyer graphic
  • Patients are empowered through comprehensive support of the care team in coordination with family caregivers.
  • Careful management of chronic disease improves health status and lengthens life.
  • Patients experience higher quality of life.
  • Enables safe community living for as long as possible.
  • PACE is aligned to the mission of community health centers providing high quality care to patients regardless of income.
  • PACE serves a fast growing patient segment – the population of health center patients 60 and over is growing twice as fast as patients under 60.
  • PACE provides an opportunity to build capacity to coordinate care and manage risk through providing intensive services to a targeted population.
  • PACE programs are an opportunity to diversify services and increase market share by meeting the needs of existing and new frail, low-income elders.


PACE Technical Assistance Services

Capital Link and Galway Group have developed a unique partnership to provide technical assistance and resources to health centers considering, or already in the process of, implementing a PACE program.

PACE program development and implementation can be time-consuming and complex; completing the process can take 1-3 years. Whether your health center is in the preliminary planning phase, developing necessary applications, or ready to find capital funding sources, our team of experts can help you bring your PACE program to fruition.

Assistance from Galway Group and Capital Link includes:

Making the Decision
  • Market assessment for PACE programs
  • PACE feasibility analysis
  • Preliminary capital planning
Preparing for Operations
  • Design the clinical and operational practices and policies for a working PACE program
  • State and federal application development and licensure processes
Capital Project Planning & Budgeting
  • Business plan development
  • Capital and operating budgets
  • Financing assistance, including structuring and leveraging advantageous capital sources for facilities and working capital 

PACE at Health Centers Leadership Team

Staff Photo Allison Website

Allison Coleman, MBA is the CEO of Capital Link, an organization that assists Federally Qualified Health Centers with capital development, growth planning and performance improvement on a national basis.  She also serves as CEO of Community Health Center Capital Fund, Capital Link’s CDFI lending affiliate. 

As a founder of both organizations, Allison is responsible for overseeing services provided through six offices nationally. Established more than 20 years ago by leaders in the health center movement, including from several Primary Care Associations, the National Association of Community Health Centers and individual health centers, Capital Link and Capital Fund serve the FQHC sector exclusively. She holds an MBA from the Yale School of Management and a BA from Yale College and is located in Capital Link’s Boston office.

Staff Photo Jonathan Website

Jonathan Chapman, MBA is the Director of Community Health Center Advisory Services at Capital Link. In this role, he leads the organization's project consultants in capital development and operational analyses with communith health centers.

Jonathan formerly served as Executive Director of a Primary Care Association, where he developed various technical assistance programs and helped member health centers and partner organizations navigate the complex health care, political, and financial environments. Prior to that, he worked for Capital Link as a Project Consultant and assisted Primary Care Associations and health centers around the country with market assessments, capital campaigns, and financial feasibility studies. In addition to having earned both a BA degree in marketing and MBA from Southeastern Louisiana University, he has completed multiple health care executive programs and is currently enrolled in a predictive analytics program.

 j craddock

Jack Cradock, CEO Emeritus, East Boston Neighborhood Health Center and Principal, Galway Group has over 40 years of leadership experience in community development. For 36-years he served as the President/CEO at East Boston Neighborhood Health Center. His skill in partnering with other organizations led to new ways of delivering care that addressed the health needs of individuals of all ages and have served as models of care across the nation. Through Jack’s leadership, East Boston was the first PACE organization in the country to be sponsored by a community health center. He has served as Vice President of the National PACE Association and continues to work closely with national staff on issues concerning the PACE program. His commitment to the PACE model within a health center delivery system and his perseverance, track record and leadership within the PACE program resulted in the receipt of a Robert Wood Johnson grant for the first statewide PACE replication project.

 d driscoll

Dan Driscoll, Consultant at the Galway Group, was the founding Chief Executive Officer of Harbor Health Services, Inc. a community health agency that was developed originally through the merger of Neponset Health Center, where Dan served as Administrator, and Columbia Point Health Center, the nation’s first FQHC. In 1996, Driscoll lead Harbor Health through the implementation and opening of a PACE. Prior to serving as Administrator of the Neponset Health Center, Dan was the Director of Health Resources for the Massachusetts League of Community Health Centers and the Assistant City Planner for Quincy Massachusetts. Dan has served as Chair of the Massachusetts League of Community Health Centers Board of Directors as well as Chair of the Government Affairs Committee. He also served nearly 20 years as the Vice Chair of the Legislative Affairs Committee for the National Association of Community Health Centers and as a member of the National PACE Association’s Public Policy Committee. After receiving a Bachelor’s degree in Economics and Political Science from Tufts University, Dan was awarded a Comprehensive Health Planning Traineeship to pursue a Master’s degree from Cornell University.

 j levinson

Jan Levinson, Consultant at the Galway Group, has over 35 years of experience in program development at the local, state, and national levels in the areas of primary care, managed care, and long-term care. Most recently, Jan was a member of the Executive Leadership Team at Commonwealth Care Alliance as Senior Vice President for Clinical Program Development and, prior to that, Senior Vice President for Senior Care Options (SCO) Program. Prior to joining Commonwealth Care Alliance, Jan was Project Director for Neighborhood Health Plan (NHP), providing technical assistance and oversight to community health centers to address issues of primary care access, particularly for those with complex health care and social service needs. She also served as NHP’s Director of Population-Based Programs, where her primary focus was ensuring the effective operations of the managed care organization’s nationally recognized specialized Community Medical Alliance programs for those with HIV, severe physical disabilities, and children with special health care needs. Additionally, Jan was the Director of Planning at East Boston Neighborhood Health Center where she was involved with the dissemination of the health center's Program for All Inclusive Care for the Elderly.

About the Organizations

Capital Link is a non-profit organization that has worked with hundreds of health centers and primary care associations for over 20 years to plan for sustainability and growth, access capital, improve and optimize operations and financial management, and articulate value. We provide an extensive range of services, customized according to need, with the goal of strengthening health centers—financially and operationally—in a rapidly changing marketplace.

Galway Group has decades of experience working with community health centers that offer PACE programs to their patients. They introduce the basic requirements of beginning a health center-sponsored PACE program. Galway uses demographic tools to assess the feasibility of opening a successful PACE program in the centers’ service areas, helps the centers to look at their own organizational capacity to develop the program and, working with Capital Link, develops a financial pro forma which lays out the financial questions that need to be answered.

 

CL logo 2c  galway group logo 

 

For more information on implementing PACE at health centers, please contact Allison Coleman, Chief Executive Officer, Capital Link, at This email address is being protected from spambots. You need JavaScript enabled to view it. or 617-422-0350 or Jack Cradock, Principal, The Galway Group, at This email address is being protected from spambots. You need JavaScript enabled to view it. or 617-719-8900. 

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