PACE Programs

Falls Prevention Awareness Day: How PACE Programs Help Older Adults Age Safely at Home

The Power of Evidence-Based Programs in Keeping Older Adults Healthy and Independent

5 minutes

Key Takeaways

Falls are the leading cause of injuries among older adults, but PACE programs can significantly reduce fall risks and improve overall quality of life. By offering integrated medical care, therapy services, medication management, and home safety support, PACE helps older adults stay healthy, independent, and safely age in their communities. 

  • Falls are a leading cause of injury among older adults, but many fall-related injuries can be prevented through evidence-based interventions and coordinated care.
  • PACE programs help older adults age safely at home through integrated medical care, therapy services, medication management, and home safety support.
  • Research shows PACE improves quality of life, reduces hospitalizations, and helps older adults remain independent in their communities.

September 23 marks Falls Prevention Awareness Day, an annual observance dedicated to raising awareness about one of the most significant health risks facing older adults. As the U.S. population continues to age, preventing falls has become an increasingly important priority for health care providers, Medicaid programs, public health agencies, and community organizations.

There are 202 PACE programs serving 94,500 participants in 33 states and the District of Columbia.
(Source: National PACE Association [NPA].)

Falls can have serious consequences for older adults, affecting physical health, emotional well-being, independence, and overall quality of life. Fortunately, many falls are preventable through evidence-based interventions and coordinated care models. The Program of All-Inclusive Care for the Elderly (PACE) is one such care model. This program focuses on helping older adults remain healthy, independent, and safely living in their communities. Fall prevention is a major focus of PACE, given its disproportionate impact on older adults.

Falls Prevention by the Numbers

According to the National Council on Aging, 25 percent of Americans age 65+ experience a fall each year. Falls are the leading cause of both fatal and nonfatal injuries among older adults and generate significant costs for individuals, families, health care systems, and Medicaid programs. Each year:

  • Approximately 14 million older adults experience a fall.
  • Nearly three million older adults receive emergency room treatment for fall-related injuries.
  • More than 38,000 adults 65+ die from fall-related causes.
  • Annual medical costs associated with falls are projected to exceed $100 billion.

These statistics highlight the importance of proactive falls prevention strategies that support healthy aging and help older adults remain safely at home.

Understanding Fall Risk Factors

Falls are rarely caused by a single issue. Instead, they often result from multiple risk factors, including:

  • Previous falls.
  • Vision or hearing impairments.
  • Muscle weakness and balance challenges.
  • Medication side effects.
  • Chronic health conditions.
  • Home hazards such as poor lighting, clutter, or loose rugs.

Beyond physical injuries, falls can create a fear of falling that causes older adults to limit activity and social engagement. Over time, this can contribute to reduced mobility, isolation, depression, and loss of independence.

How PACE Supports Falls Prevention and Healthy Aging

PACE is an integrated care model that provides comprehensive medical and supportive services to eligible older adults while allowing them to continue living in their homes and communities. PACE uses interdisciplinary care teams (IDT) that may include physicians, nurses, therapists, social workers, and other specialists who work together to create individualized care plans. This coordinated, person-centered approach helps identify and address fall risks before they lead to serious injuries or hospitalizations.

Key Falls Prevention Services Within PACE

PACE programs support falls prevention through:

  • Individualized care plans designed by the IDT that specifically assess and manage each participant’s risk of falls, tailoring interventions to their unique needs.
  • Comprehensive fall-risk assessments upon enrollment and annually thereafter to identify factors such as mobility issues, medication side effects, balance impairments, and environmental hazards.
  • Physical and occupational therapies to improve strength, balance, mobility, and functional independence.
  • Medication management to identify prescriptions that may increase fall risk.
  • Preventive health screenings and chronic disease management.
  • Home safety assessments and environmental modifications.
  • Assistive devices such as walkers, canes, and grab bars, to improve stability and mobility.
  • Transportation services that improve access to care.
  • Social engagement programs designed to promote physical and emotional well-being.
  • Education and training for participants and caregivers about fall prevention strategies.

Because services are coordinated through a single care team, participants receive proactive support that helps prevent health issues from escalating into emergencies.

Evidence-Based Outcomes That Matter

PACE has gained national recognition for improving outcomes among older adults with complex health and long-term care needs. According to the NPA:

  • 97 percent of participants continue living in their communities rather than institutional settings.
  • Participants average fewer than one emergency room visit annually.
  • PACE participants experience lower hospitalization rates than comparable populations receiving traditional long-term care services.

Research also shows that PACE participants often experience improved quality of life, greater stability in physical functioning, and better overall health outcomes. These results demonstrate how coordinated care can help older adults maintain independence while reducing avoidable health care utilization.

Supporting the Future of Aging in Place

As demand for long-term services and supports continues to grow, states and health care organizations are seeking innovative solutions that improve quality while managing costs. PACE offers a proven framework for advancing healthy aging, supporting community-based care, and promoting Medicaid sustainability. Successfully implementing or expanding a PACE program requires careful attention to program design, reimbursement, regulatory compliance, and operational performance.

Reporting by the National Council on Aging

The Importance of Falls Prevention

Falls are the leading cause of both fatal and nonfatal injuries among older adults and generate significant costs for individuals, families, health care systems, and Medicaid programs. Beyond physical injuries, falls can create a fear of falling that causes older adults to limit activity and social engagement.

of Americans age 65+

experience a fall each year.

Working to Support PACE Programs

At Myers & Stauffer, we work with state Medicaid agencies and public health and human services agencies to evaluate, implement, and strengthen PACE programs. Our team provides the financial, operational, and regulatory expertise needed to support sustainable programs that improve outcomes, reduce risk, and help older adults age safely at home.

Get in Touch

Partner With Our Experienced Team

Contact our team to learn how PACE can support your organization’s goals for falls prevention, healthy aging, and high-quality community-based care.

Jared Duzan, CFE
Principal

Email: jduzan@mslc.com
Phone Number: 317-409-4194

Lydia Powell, CPA
Senior Manager
Vicki Bartlett, RN, CCM, COC
Director

Email: vbartlett@mslc.com
Phone Number: 404-524-9052

Megan Wyatt
Senior Manager