PACE
Program of All-Inclusive Care for the Elderly
A combination of our customizable solutions, with population risk stratification, care.coach can effectively reduce costs and sustainably serve entire populations, including those at most risk.
Let us help you with your goals:
PACE Solutions
When you implement our Avatar™ and Video Visits™ solutions, utilize our daily conversations, health coaching programs, chronic conditions support, and 24/7 support features, you see the care.coach Avatar™ operate as an engaging, fully integrated, member of your patients care team.
"care.coach's ability to help participants take medications accurately through daily reminders and encouragement, along with their commitment to notify our program when issues arise, has won me over!"
— Aaron Hoholik, PharmD, BCACP
Care Resources PACE
IDT Integration
Prioritization & Targeted Approaches
We support compliance through fully integrated service delivery.
IDT Use Cases
The Avatar™ and Video Visits™ applications allow you to customize interventions to assist in meeting care plan goals, facilitate "outside of the box" approaches for an individual participant's needs and/or support staff efficiency. Below are a few examples of how we are currently supporting PACE initiatives across the country.
Pharmacy
Step by step medication reminders, delivery confirmation, escalations for non-compliance
Home Care
Homecare tasks completion verification via avatar
Clinic
Vaccination drive support and in-home triage
Rehab
Remote groups and restorative programs
MSW
Wellness calls, caregiver chats
Behavioral Health
Support groups, crisis mitigation
Dietitian
Acquiring grocery orders, dietary education videos, weight tracking
Transportation
Center day and appointment cancellation notification
Recreation
Virtual activity calendars and remote PAC attendance
Administration
HOS-M survey support,
center announcements and closure.
Quality
Interventions supporting KPIs
Fall Prevention
care.coach provides an effective solution to mitigate the number falls and the long-term impact falls have on your participants and your organization. This solution provides the flexibility to target a subset of your census or provide a program wide ongoing fall prevention initiative. Check out the following options to formulate your approach to improve this challenging KPI target.
Exercise Programming
-
Otago exercise program
-
Standing exercises
-
Seated exercise
-
Custom-built exercise offerings
Fall Prevention Support:
-
Fall prevention protocols
-
DME reminders & tracking
-
Falls checks
-
Falls discovery with escalation
Data Collection
-
Falls discovery and checks
-
Exercise data
-
DME usage
-
Task and reminder completion
Method of Delivery:
-
Avatar initiated and led
-
Daily Avatar check-ins
-
Therapist led Video Visit groups
-
Personalized methods
ER Utilization
We help the IDT shift from reactive to proactive.
The Avatar™ can be a direct notifier of any emergencies through the customized escalation protocols. The care.coach Advocate calls the Triage line to notify staff about the client's situation.
Any warning signs can be immediately reported, and staff can be contacted before the situation even begins.
Center Initiatives
The care.coach Avatar™ and Video Visits™ applications mitigate communication barriers and can be used to relay pertinent information to your participants, while capturing confirmation of receipt. This customizable capability is able to supply information to all participants with a device or selected individuals. Below are a few examples of how we are supporting center initiatives and communication.
-
PACE 101 Education
-
Center Closure Announcements
-
Emergency Response Information
-
HOS-M Survey Support
-
Vaccination Drives
-
Utilization Management Efforts
-
Increasing Participant Satisfaction
-
Hospital Readmission - Discharge Support
-
Palliative Care Support
-
Caregiver Chats and Education
"We love how engaging the avatar is! It has made such a difference, especially during the isolation of the pandemic."
— Service Coordinator
"Two of my participants that are struggling with loneliness, medical illness, depression, anxiety and mild cognitive issues have taken to the Avatar and enjoy it immensely. The companionship offered through the program provides much needed grounding."
— PACE Advanced Practice Registered Nurse
Customized Protocols
Our platform utilizes predictive analytics and AI/ML to leverage clinical guidelines and provide health coaching based on personalized conversations and protocols that aim to support individuals to live independently, better self-manage and mitigate healthcare risks.
The avatar enrollment process includes asking questions to help determine which CORE protocols will be assigned to each member. These protocols help personalize each member’s experience to best help them. We can also include additional protocols according to each member’s needs.
care.coach CORE protocols
Heart Failure
Depression
Fall Risk
Hypertension
Diabetes
COPD
Pneumonia
Hydration
Substance Abuse
