A Team Approach to Complete Care
CenterLight Healthcare is New York's largest Program of All-inclusive Care for the Elderly (PACE). Each day, we deliver care and services to thousands of adults 55+ through the combined expertise of our Interdisciplinary Team (IDT), a group of dedicated professionals who work together to provide our participants with the care they need, when they need it. The IDT includes but is not limited to a nurse, doctor, physical therapist, an occupational therapist, social worker, therapeutic recreation specialist, a dietitian, transportation coordinator, and a PACE center manager. Each participant has a full team dedicated to them, who collaborate to discuss their needs, effective treatment, plan of care, and any other aspects in their lives that affect their well-being.
Like Pieces of a Puzzle Coming Together
Healthcare is often confusing and overwhelming, but it doesn't have to be. At CenterLight PACE, we bring together all services our participants need in their healthcare journey. We coordinate necessary services, so that participants and their loved ones don't have to. Each discipline has a specific role—with every person bringing a different perspective—allowing us to provide holistic, person-centered, and personalized care to our participants and helping them continue to live safely and independently in their own homes for as long as possible.
Because CenterLight PACE medical providers are on-site, they’re able to keep a close eye on participants' health and focus on preventative care. If issues come up, they are always there to see the participants as needed. All PACE centers have a Nurse who can treat the participant if they are not feeling well or if the team sees a change in condition. This helps prevent hospital and urgent care visits. Our centers are equipped to handle minor conditions such as fever, minor headaches, body aches and pains, symptoms of upper respiratory infections, and more. Our medical staff is able to administer specialized treatments and interventions including wound care and IV Therapy. Our team also assists with medication management, hypertension, diabetes management, preventative screenings, and helps participants obtain needed medical equipment, which are also provided by CenterLight PACE.
As part of home care services, a Community Health Nurse visits participants in their home to assess their needs and make sure they receive necessary care.
Beyond medical care, each participant is assigned a Social Worker who provides emotional support, counseling, referrals, and when possible, encourages family involvement.
Therapeutic Recreation (TR) Specialists design activities with our participants’ needs in mind. They coordinate services such as art therapy, music therapy, dance and movement therapy, and pet therapy. There are over 100 activities at each center per month, taking into consideration cultural diversity and the unique preferences of our participants.
Physical Therapists focus on participants' ability to walk, climb up and down stairs, and their ability to go outside in the community. Occupational Therapists, on the other hand, look at Activities of Daily Living (ADL) such as dressing, bathing, and grooming. These rehabilitation professionals also supervise our open gym, which is available to all participants at our PACE centers.
Our Registered Dietitians’ role is to provide nutrition interventions based on each participant’s care plan. This includes helping them manage their diabetes, hypertension, high cholesterol, and weight. They are located in our centers, can answer any questions participants may have and provide nutrition counseling.
Led by the PACE Center Manager, the team meets regularly, develops a plan of care, and works with the participant's community primary care doctor and in-network specialist. A Coordinator schedules transportation to and from medical appointments, as well as the PACE Center.
Imagine all your clinicians, therapists, and care professionals under one roof – listening to you, working together, and communicating as one team. This model of care results in efficient delivery of services, effective preventative care, and high quality care with the participant at the center of everything we do.
To learn more, contact us at 1-833-CL-CARES (TTY 711), 8AM-8PM, Monday-Friday.
H3329 CareTeamBlog Approved 01022025
Updated November 27, 2024
This blog post is written by Tara Buonocore-Rut, President and Chief Executive Officer at CenterLight Healthcare PACE.
