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Programs for All Inclusive Care of Elders, or PACE, exist in select communities across the country to help older adults remain in their own homes and communities. In 2015, President Obama signed into law that the “PACE INNOVATION ACT” to expand these programs for all inclusive care of elders, helping qualified adults over age 55 to avoid or delay nursing home care. The PACE Innovation Act also expands home and community services to adults with disabilities who are younger than 55, those with multiple chronic conditions and others who don’t meet some of the original PACE requirements.

 

On today’s HealthCetera program, Co-producer Liz Seegert talks with Eileen Sullivan Marx, RN, PhD, Dean of NYU’s College of Nursing, who managed a highly successful PACE program while at the University Of Pennsylvania School Of Nursing, and with Tara Cortes, Executive Director of The Hartford Institute for Geriatric Nursing and Professor of Geriatric Nursing at NYU, who was instrumental in developing the new law.

 

HealthCetera producer Diana Mason, RN, then rebroadcasts an important program on Choosing Wisely, an initiative to reduce the use of ineffective, unnecessary, and sometimes harmful tests, procedures and interventions that national associations of health professionals have recommended be curtailed, if not eliminated. She interviews Daniel Wolfson, Executive Vice president of the ABIM Foundation, the foundation arm of the American Board of Internal Medicine and the developer of Choosing Wisely;  Karen Cox, RN, Chief Operating Officer of Mercy Children’s Hosptal in Kansas City, MO, and the chair of the American Academy of Nursing’s Task Force for selecting nursing’s list of Choosing Wisely recommendations; and

Lisa Woodward, RN, Director of Education for Doctor’s Hospital at Renaissance, Texas, and director of the Texas Choosing Wisely initiative.

 

To listen to the program, via iTunes, or below. HealthCetera is sponsored by the Center for Health, Media & Policy at Hunter College, City University of New York.

Programs for All Inclusive Care of Elders,

The Heart Team is a concept used to best determine the course of treatment for a cardiac patient–usually surgery or intervention. A team typically includes surgeons, interventional cardiologists, referring cardiologists, imaging specialists, nurses, and PAs but varies considerably depending on the institution. Some teams hold organized weekly meetings and some Heart Team conversations happen ad hoc in the hallways.

As part of an ongoing investigation for tctmd.com into how key players view the Heart Team in concept and in practice, I interviewed several general and interventional cardiology fellows at the recent American Heart Association Scientific Sessions meeting in Orlando, Fla.

They defined the Heart Team as “stronger than a collaboration,” and recognize the importance of the different, yet critical roles assigned to physicians and non-physicians alike. The biggest challenge to the team’s success, they said, will be finding a way to balance the opinions of all involved and potentially regulating its use in the future.

But seeing it implemented successfully during training, said one interviewee, can make fellows “more open to the idea” of incorporating the Heart Team into their practice down the line.

The Heart Team is a concept used

HealthCetera co-producer Liz Seegert attended the recent Gerontological Society of America Conference and spoke with one gerontologist about aging as a life-long process.  With all her expertise with reporting on aging this too sounds like sage advice.

 

This report was supported by a Journalists in Aging fellowship, a collaboration of New America Media and the Gerontological Society of America, sponsored by the Silver Century Foundation.

HealthCetera co-producer Liz Seegert attended the recent