Services

At San Diego PACE we provide all care and services covered by Medicare and Medicaid (Medi-Cal in California) as well as additional services to help maintain the health and well-being of our participants with the goal of helping them live independently in their home and prevent the need for skilled nursing care. San Diego PACE offers easy access to care and closely monitors the healthcare needs of each participant which results in fewer health crises and ER visits and hospitalizations, better management of medications and improved quality of life.

What services are provided at San Diego PACE?

San Diego PACE is a special program that offers experienced, compassionate doctors and staff in a warm and welcoming setting. Services include*:

  • Primary Care Physician
    • On Call 24 hours per day, seven days a week
  • Transportation Services to all medical appointments
  • Home Care Services
  • PACE Adult Day Center
  • Rehab and Durable Medical Equipment
  • Prescription Medication at no cost
  • Medical Specialists
  • Inpatient and Outpatient Services
  • Respite Services for Caregivers

Services covered are in accordance with the individualized care plan and must be approved by the San Diego PACE Interdisciplinary Team (IDT).

Enrolling in San Diego PACE Means Full Coverage

The process for enrollment in San Diego PACE requires an initial home visit and basic clinical assessments. Upon enrollment, PACE participants agree to receive all services from San Diego PACE. In addition, participants will have access to care 24 hours a day / 7 days a week via an after-hours on call system that connects to one of San Diego PACE’s healthcare providers. All services will be offered and coordinated by the PACE Interdisciplinary Team which include, but is not limited to, the following members:

Members of the Inter-Disciplinary Team (IDT):

  • Primary Care Physician (MD)
  • Physical Therapist (PT)
  • Occupational Therapist (OT)
  • Registered Nurse (RN)
  • Activities Coordinator
  • Social Worker (MSW)
  • Certified Nursing Assistant (CNA)
  • Transportation Coordinator
  • Home Care Coordinator (RN)
  • Registered Dietitian (RD)
  • Program Manager

Primary Medical Care and Specialties

San Diego PACE offers a holistic approach to care, we believe that treating the whole person rather than a symptom is vital. Primary Care Physicians (PCP) provide the primary health care on site at the PACE Clinic and necessary referrals are made to appropriate health specialists in a variety of fields for any additional care needed, including dental, cardiology, podiatry, optometry, dialysis, etc.

Nursing Care

In conjunction with the PCP, the San Diego PACE Nursing Team (RNs) specializing in geriatric care provides personalized preventative healthcare services and additional clinical support. RNs also assist with appropriate triage of participants and hospitalization follow up.

Rehabilitation Therapies

San Diego PACE provides Rehabilitation Therapy to help participants remain independent and able to continue living safely in their homes. Comprehensive rehabilitation and skill-building therapies are provided on site at the San Diego PACE Adult Day Center and include the following:

  • Physical Therapy— therapeutic exercise and fitness training
  • Occupational Therapy— making the home environment safe to use, assistance with activities of daily living, and improved self-sufficiency
  • Speech Therapy— speech recovery and improvement, swallowing, and improved cognition

Social Services

San Diego PACE Social Work team provides sensitive and caring support that addresses the emotional, family and social needs of each participant.

Nutritional Counseling and Meals

San Diego PACE Registered Dietitians (RD’s) know how vital a healthy and nutritious diet is to the health and well-being of each participant. San Diego PACE offers personally tailored and monitored meal planning and special diets that support the nutritional needs of each participant.

Adult Day Center

Our Day Center is a designed to offer the care and support services you need in one convenient location. Seniors who attend the day center also have an opportunity to participate in recreational activities, eat healthy meals and develop new friendships and companionship. In addition, trained and specialized staff provide nutritional counseling, physical therapy, occupational therapy, exercise and more. Our goal is to offer comprehensive care and activities that help you stay healthy, active and develop a strong sense of community.

Homecare/Personal Care

In many cases, personal care assistance in the home is an essential part of retaining independence at home. San Diego PACE offers skilled home health and/or home care for participants who meet the need for these services as determined by the Interdisciplinary Team.

Prescription Drugs, Labs, Durable Medical Equipment and Supplies

Prescription drugs are prescribed and provided by the San Diego PACE PCP and at no cost to the participant. The San Diego PACE Pharmacist reviews prescriptions prescribed by all providers including specialists to ensure appropriate, safe and timely medication therapy for our participants. Needed laboratory, diagnostic and x-ray services, and durable medical equipment and supplies are provided as determined by the IDT.

Transportation

San Diego PACE offers safe and efficient transportation services at no cost to ensure access to all needed services. Transportation services assure safe door-to-door travel to and from the San Diego PACE Adult Day Center and PACE Clinic, as well as to and from off-site specialty medical appointments. Transportation vehicles are thoroughly equipped for safety, with special accommodations for passengers with disabilities.

Behavioral Health

Recognizing the multiple needs in the communities we serve, San Diego PACE has moved towards a fully integrated care model in order to provide supportive services beyond the scope of traditional primary care. Our integrated care model allows both primary care and behavioral health to work together.

San Diego PACE Behavioral Health team, works closely with the PCP to address a variety of concerns including depression, anxiety, sleep, substance use, etc.