By D.A. Reed
WKTV Contributor
Everyone wants to age at home.
“There is nothing like coming home, putting your key in the door, and opening it and smelling your smells and understanding where you are…and feeling comfortable. We all want that. We can help make that dream come true longer,” said Veronica Horsley-Pettigrew, Community Outreach and Marketing Supervisor at Care Resources.
A 2021 AARP Home and Community Preferences Survey showed that 77 percent of adults 50 and older want to remain in their homes for the long term, a number that AARP noted has been consistent for more than a decade.
As noted by the National Library of Medicine, culture plays a role in shaping individuals’ attitudes toward elder care. Asian cultures have emphasized family elder care at home and as a result, 50 years ago the Program of All Inclusive Care for the Elderly or PACE was created.
In 1994, Michigan became one of the first pilot programs and today, the state has 14 PACE programs at 21 centers and nationwide, there are 273 sites in 32 states.
“We are committed to our participants,” Horsley-Pettigrew said. “We are an aging society, and we need to take care of each other.”
Growing Interest Creates a Growing Demand
The second PACE program to launch in the state of Michigan was Care Resources, which has been helping to keep West Michigan seniors out of nursing homes since 2006.
A community-based program for people 55 years or older, Care Resources provides comprehensive care to the senior citizens of Kent County, as well as portions of Allegan, Barry, Ionia, and Ottawa counties, while promoting healthy, independent living and helping prevent nursing home placement.
Care Resources has grown over the years. In 2018, to meet expansion needs, the organization renovated the former John Knox Presbyterian Church, 4150 Kalamazoo Ave. SW, with the express purpose of caring for the aging community of West Michigan.
“We are the glue,” said Tom Muszynski, chief operating officer of Care Resources. “Overall, we are their case managers. We always look to family first, because family generally wants to know what is going on and be a part of it, but if there is no family available, then we take that piece of it too.”
Since opening its Kalamazoo Avenue headquarters in 2019, Care Resources is looking to expand yet again, having almost doubled its service area in November 2021 due to an ever-increasing need for care of local senior citizens.
In 2022, Care Resources served 374 participants, provided 3,048 meals, distributed 702 activity bags, traveled 349,569 miles transporting participants, and totaled 36,554 home care hours for an average 46 months of participant care.
Interest in PACE programs continues to grow with some discussion of adding more programs in Michigan’s Northern Lower Peninsula and expanding into the Upper Peninsula, where there currently are no programs.
Locally, interest in Care Programs has increased with Muszynski stating there are plans to open a second location in Grand Rapids with Care Resources planning to seek federal and state approval at the end of June.
‘Bingo’ and More
Care Resources provides transportation with a fleet of 20 vehicles; an on-site physician, medical clinic, and 2,200 square-foot pharmacy; vision, dental, audiology, and foot care services; laundry and shower facilities; an extensive therapy gym; and grocery shopping services.
Also at its Kalamazoo Avenue location is a fully-staffed day center, which currently serves about 100 participants at various levels. There are various activities, such as stretching programs, classic car shows, and visiting animals along with two outdoor courtyards, a meditation room, and a walking trail.
“Our goal is to really treat people with dignity, but to also get them up and moving,” said Muszynski. “The building is specifically designed to be spread out, so they have to get up and move a little bit.”
The highlight, however, is Bingo.
“They can purchase items at our Bingo store,” Muszynski said as he opened a room lined with shelves and stacked to the brim with an assortment of items. “Fun items, as well as items they can’t get with their Michigan Bridge Card.”
Eligibility
Care Resources PACE eligibility requirements include being 55 or older, meeting the nursing facility level of care, being able to be safe in their home with PACE services at the time of enrollment, and qualifying for Medicaid according to PACE Medicaid requirements.
“When they first enroll in the program, they have to be deemed safe in the community with PACE services,” said Muszynski, adding he encourages people to think about when they might need PACE services and strive toward early identification. “PACE is not crisis intervention—there is a process to get into the program. With Medicaid, it could be 30 days or so because we can only enroll on the first of the month. Without Medicaid, it could potentially be a couple of months.”
Muszynski also said to remember that there are several factors that qualify people for skilled nursing, and that it is not always an extreme of going from a hospital to a bed-ridden state. It could include a myriad of things from forgetfulness to treatment such as feeding tubes or dialysis.
Horsley-Pettigrew agreed that having a medical assessment completed is vital before making long-term decisions on care. “It could simply be coordination of care and medication that is needed, and that person may not need to be put in a nursing home,” said Horsley-Pettigrew. “The coordination of care and the proper medication really keep away some of the seriousness of (issues) escalating.”
Continuing to Build Awareness
One of the benefits Muszynski said he has seen in Care Resource participants is a sense of belonging.
“They get involved in our program, and people who weren’t even getting dressed are now getting dressed and doing their hair because they are coming to see their friends,” he said. “It really allows them to get involved in the community and get out of the house.”
Muszynski and Horsley-Pettigrew are continually meeting and working with state legislators to keep them educated on the benefits of PACE programs. In May of 2022, the PACE Association of Michigan (PAM) hosted its Day at the Capitol in Lansing, allowing PACE staff and participants to share their personal stories about how the program is impacting their lives.
“We’ve got some real champions in Lansing,” said Muszynski. “That’s part of (our) success in Michigan, is the support of the state. It’s phenomenal.”
To find out more about the Care Resources PACE program, visit Care Resources PACE. Volunteer opportunity inquiries at Care Resources can be directed to Karen Altom at 616-913-2036 or karen.altom@careresources.org.
