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Participants are typically those certified by a state to require nursing level of care (which can be home-based), and need assistance with certain activities of daily life (ADLs). Most PACE participants are reimbursed through the long-termcare programs within Medicare and Medicaid, according to Black.
This was presented back in Tampa at a post-acute long-termcare conference earlier this year, where we looked at the ability of speech recognition to drive down Medicare denials of claims. PPS score, the prognostic statement, the disease progression, the ADLs, whatever it was, it was missing one or a multiple of those.
Randomized trials of ACE units date back to 1996 when Seth Landefeld and colleagues published a study in NEJM showing that they improve basic activities of daily living at discharge and can reduce the frequency of discharge to long-termcare institutions. But if ACE units are so great, why do so few hospitals have them?
Laura Coyle ( 07:01 ): You know, they are going in at the start of care, looking at the home. Is this a, a safe home environment or this client to live in, you know, a thorough fall risk, but really a good look around the home and, you know, how can they do their ADLs? Are they safe? Do they need any equipment?
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