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School of Medicine
Program of All-Inclusive Care for the Elderly (Hopkins ElderPlus)
As we consider how aging will affect our lives, a common worry is whether we will be able to stay in our homes and who will take care of us if we need medical assistance or help with personal care or housework. This concern is often echoed by our family members.
With Hopkins ElderPlus (also called PACE, or the Program of All-inclusive Care for the Elderly), older adults can continue to live in their homes while receiving medical care and quality of life services from the Johns Hopkins Division of Geriatric Medicine and Gerontology.
Find out more about:
Hopkins ElderPlus (HEP) is a voluntary health program that provides and coordinates all needed preventive, primary, acute, and long-term care services so that older individuals can continue living as independently as possible.
Because the program is founded on an interdisciplinary team approach, every one of HEP's 75 employees—from van drivers to housekeeping aides to escorts—is encouraged to observe participants and share their observations with the clinical staff. This approach allows for medical problems to be caught earlier and chronic illnesses to be better managed.
The program is open to people 55 years and older who have been certified by the state of Maryland for nursing home level care and who live in certain zip codes near the Johns Hopkins Bayview campus. A care coordination team meets with each participant to develop and manage an individual health care plan. Services include:
Day Health Care: The Hopkins ElderPlus day health care center provides health, social, rehabilitative, recreational, and personal care services.
Physician Care and Supervision: A Johns Hopkins geriatrics physician develops, monitors, and supervises each participant’s medical care and treatment plan.
Medications: All prescription medications are provided.
Medical Equipment: Walkers, canes, wheelchairs, hearing aids, eyeglasses, and other equipment are provided (if medically necessary).
Nursing Care: Nursing care treatment, education, and counseling are offered to participants and their families, as well as administration and monitoring of medications.
Rehabilitation: Occupational, physical, and speech therapy are available if prescribed by the care coordination team.
Medical Specialties: Access to podiatry, psychiatry, dentistry, optometry, and audiology services are available, if medically necessary (other specialties are available by referral).
Social Work Services: Social workers assess social and medical needs, offer individual and family counseling, and may assist participants in obtaining community services.
Transportation: Participants receive transportation to and from the day health care center and to medical appointments, including assistance getting from the vehicle to the building when needed.
Recreation: A variety of arts, crafts, restorative exercises, social activities, and entertainment keeps participants active.
Meals: Participants receive a hot, well-balanced noon meal, plus snacks in the day health care center. If needed, Johns Hopkins ElderPlus provides meals at home.
Personal Care: ElderPlus staff assists participants with bathing, grooming, and laundry assistance while they are at the day health care center.
In-Home Care: Personal care and skilled nursing services at the participant’s home are available, as prescribed by the care coordination team.
To be eligible for Hopkins ElderPlus, individuals must:
- Be 55 years of age or older
- Live in one of these zip codes: 21202, 21205, 21206, 21213, 21214, 21217, 21218, 21219, 21220, 21221, 21222, 21224, 21227, 21231, 21237 or 21052
- Be certified by the State of Maryland for nursing-home-level care
- Have the potential to remain safely in the community with Hopkins ElderPlus assistance
Participants agree to:
- Receive all of their health care from Hopkins ElderPlus (except emergency care)
- Pay for the costs of unauthorized or out-of-program-agreement services, if they are liable
Participants may leave the program at any time, subject to certain limitations.
Hopkins ElderPlus participants have the right to protection against discrimination due to:
- National origin
- Gender and sexual orientation
- Manual or physical ability
- Source of payment
A participant who thinks he/she has been discriminated against for any reason may contact a Hopkins ElderPlus social worker at 410-550-7044 or may call the Office of Civil Rights at 1-800-368-1019.
The Hopkins ElderPlus PACE program is available to qualifying participants in and around Baltimore, Maryland. For more information, call 410-550-8093 or 410-550-7047. You can also: