what’s in an aim? - national pace association pace 2.0... · sharing your aim by december 31,...
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USING YOUR PACE 2.0 GROWTH AIM TOOLKIT TO ACCELERATE GROWTH February 19, 2019
What’s in an Aim?
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AGENDA
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Achieving Your Aim
Sharing Your Aim
Setting Your Aim
Growth Aim Toolkits
PACE 2.0 Overview
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PACE 2.0: SCALE AND SPREADScale – serving more people through the growth of currently operating PACE organizations, serving our current target population (Growth Stream 1)
Spread – serving more people through current and new PACE organizations expanding into new service areas, serving our current target population (Growth Stream 2)
New Populations – serving new eligible populations e.g. under age 55, at-risk of nursing home level of care, Medicare-only (Growth Stream 3)
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PACE 2.0 GOAL: 200K PARTICIPANTS BY 2028
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50,000
100,000
150,000
200,000
250,000
Aug'18 Aug-19 Aug-20 Aug-21 Aug-22 Aug-23 Aug-24 Aug-25 Aug-26 Aug-27 Aug-28
GS1 - Current PACE Programs GS2 - New PACE ProgramsGS3 - New Populations Total Baseline Participants
Serve 100K Participants by 12/2021
GOAL
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WHY GROW?
https://www.npaonline.org/pace-you/i-found-pace to view video interview series
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WITHOUT PACE, OLDER ADULTS AND THEIR FAMILIES ARE STRUGGLING
Older AdultsIsolated
Bored
Dependent
Difficulty accessing care
Uncoordinated care
Fear of nursing home placement
Family CaregiversWorried
Tired
Running around (to get to care)
Hard to maintain work schedule
Source: NPA review of PACE participant and caregiver interviews
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PACE QUALITY
Fewer
Hospitalizations Emergency Room Visits Unmet Needs
Better and More• Years of Life• Quality of Life
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WHY SET AN AIM?1. to guide your work: how much how fast by when
2. to plan ahead3. to motivate and engage
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Clear Aims Increase Your Odds of Success
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WHAT IS YOUR AIM?
Total CensusAverage Net Monthly EnrollmentMarket Penetration
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GROWTH AIM TOOLKIT – BASELINE AND BENCHMARKS
Total CensusAverage Net Monthly
EnrollmentMarket Penetration
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GROWTH AIM TOOLKIT - ESTIMATED ELIGIBLE POPULATION
Current Service AreaStatewideCriteria 55+ NH Level of Care Medicaid Eligible
NH: Nursing Home12
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GROWTH AIM TOOLKIT – EXTERNAL FACTORS
Other Health PlansState Policy State Growth Factors
Checklist State Almanac State Scorecard
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GROWTH AIM TOOLKIT – INTERNAL FACTORS
Leadership and Key Staff Infrastructure – Space,
SystemsCommunity RelationshipsFinancial CapacityStrategic Fit
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KNOW BEFORE YOU GO
? Right zip codes for your service area
? Right baseline: enrollment, net enrollment, market penetration
? State policy constraints (e.g. enrollment cap)
? Resources: Space (PACE Center, Alternative Care Sites), Systems, Staff
? Internal Support: leadership, financing
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SETTING YOUR AIM – AMBITIOUS AND ACHIEVABLE
Demographics and Market
Capacity and
Resources
State and Federal Policies
BenchmarksRegionalStateMarket-sizeSpace
StaffSystemsSources of Capital
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SHARING YOUR AIMBy December 31, 2021, [My PACE Organization] will serve a total of [X number] participants, enabling them to live their highest quality of life; this will require an average net monthly enrollment between March 31, 2019 and December 31, 2021 of [Y number] participants and will result in a market penetration of [Z percent].
Please email your aim to: [email protected] by March 31, 2019
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ACHIEVING YOUR AIM: PACE GROWTH MINDSET
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Incremental Growth Exponential GrowthIf they come, we’ll Build it! If we Build it, they’ll come
Enrollment
Revenues
More Capacity
More Capacity
Enrollment
Revenues
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ACHIEVING YOUR AIM: TOOLS
1. Use the PACE 2.0 Growth Model
2. Consider joining or forming a PACE 2.0 Learning Collaborative
3. Participate in PACE 2.0 Webinars
4. Access PACE 2.0 resources on the NPA website: www.npaonline.org
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DISCUSSION
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