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Published August 01, 2008 08:35 am - Cherokee Nation Elder Care touts the state’s only PACE, holistic care program, which is available to non-Indians.
Seniors staying on PACE
By TEDDYE SNELL
Area residents driving west on Fourth Street may notice Cherokee Nation Elder Care and immediately dismiss it as a nursing home for Cherokee citizens.
Actually, it’s neither.
CNEC is Oklahoma’s first facility to participate in the federal Programs of All-inclusive Care for the Elderly (PACE), and the first to be sponsored by an Indian tribe. But sponsorship is where the tribal affiliation ends, according to CNEC Program Director Ben Stevens.
“I have a board of directors I report to, and I don’t answer to the chief or the tribal council,” said Stevens. “Cherokee Nation was very generous in providing the funding for the startup so we could qualify for the federal and state grant funding to become a PACE facility.”
PACE is a federal program designed to keep elders living in their homes, connected with their communities and out of nursing home facilities. The PACE center consolidates the services of an adult day health center, primary care office and rehabilitation facility into a single location.
“My catch-phrase to anyone who thinks we’re a nursing home or adult day center is ‘we’re similar, but different,’” said Stevens.
According to Stevens, the application process to become a PACE facility is quite rigorous, and requires that the agency have a facility, staff, supplies and equipment – essentially lacking only participants – before ever making the application.
Service include, but aren’t limited to, primary care, rehabilitation, prescription medication, meals and nutritional counseling, respite services, caregiver training, home health and transportation.
“We provide team-base care management,” said Stevens. “The interdisciplinary team consists of a full-time physician, clinical nurses, physical therapist, occupational therapist, adult day center nurses, activities director, dietitian and transportation director, and they all have equal say in planning for a participant’s care. No decision can be made without the agreement of the team, the participant, the participant’s caregiver and family. We treat participants holistically. All of these people come together, compare notes and customize a plan of care for the participant.”
Any services not provided by CNEC are contracted out, and vendors are paid directly by CNEC – not Medicare, Medicaid or private insurers, said Stevens.
Currently CNEC partners with Tahlequah City Hospital and Northeastern State University’s College of Optometry and its audiology and speech pathology lab.
TCH CEO Brian Woodliff is pleased with the arrangement.
“The citizens of Cherokee County are fortunate to have the Cherokee Nation seeking out and being awarded grants and funding like the PACE program,” said Woodliff. “Tahlequah City Hospital is proud to partner with PACE to provide ancillary services such as laboratory, radiology and hospital services. Providing access to healthcare is one of the barriers to a healthy senior lifestyle, and PACE provides unique programs that include transportation, nutrition and pharmaceuticals for this population.”
Prospective participants must:
• Be 55 years or older.
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