ICHS PACE at Legacy House: Now accepting applications

International Community Health Services (ICHS) is now accepting participants into its new Program of All-Inclusive Care for the Elderly (PACE) at Legacy House. PACE services allow patients to “age in place,” meaning they can stay in their homes as they grow older instead of living at a nursing home. A team of doctors, therapists and specialists work together to provide and manage care, most or all of which is provided at the PACE center or at home. Transportation to and from ICHS PACE at Legacy House is also included.

“PACE is team based,” said Dr. Ric Troyer, ICHS PACE medical director. “The team talks together about patients and their concerns. A team-crafted care plan that is individualized is a much more robust way to take care of a person to help them meet their goals. The beauty of PACE is that it is inclusive of medical, social and long-term care services.”

PACE is geared specifically for people who are nursing-home eligible, having difficulty staying independent and need assistance with their daily function or activities. It is open to seniors age 55 with disabilities, or those age 65 or older, who reside in the PACE service area and are able to live safely in the community with PACE services. There are no costs or out-of-pocket expenses for Medicare and Medicaid-eligible participants. The first step is meeting with an enrollment specialist.

“You’ll complete paperwork and we’ll talk about the program and if it fits your needs. After that, we’ll arrange for a home visit to determine if modifications at home need to be made,” said Dr. Troyer. “The entire interdisciplinary team meets as a group to determine if you can safely live in the community, including the number of caregiving hours, when you will come into the center and if you need durable medical equipment.”

Preparing for a silver wave
ICHS took over the operation of Legacy House, a 75-room assisted living facility, from the Seattle Chinatown International District Preservation and Development Authority (SCIDpda) earlier this year. The facility is the center for the ICHS Healthy Aging and Wellness program, which manages PACE along with the assisted living center, an adult day care program and daily meal program at the Bush Asia Center.

“It’s been exciting to bring the two organizations together,” said Dr. Troyer. “ICHS’s medical expertise has enhanced the great programs already in place at Legacy House, as well as creates new opportunities to increase services.”

ICHS is helping Washington state prepare for an upcoming “silver tsunami” as the population becomes older and more racially and culturally diverse. The U.S. Census estimates nearly 25% of King County’s total population will be 65 years or older by 2040 — up from about 18%. ICHS plans to meet the area’s needs for affordable and culturally competent senior health services by establishing additional PACE programs. These include AiPACE, a new non-profit organization that partners Kin On and ICHS to open a $20 million PACE center in North Beacon Hill.

“ICHS is stepping up to serve the needs of a multicultural and aging population,” said Teresita Batayola, ICHS CEO. “We recognize the best way to care for people is to consider their full spectrum of needs, and especially for services to be delivered in a culturally and linguistically competent way.”

 For more information about enrolling in ICHS PACE at Legacy House, call: 206.462.7100.

Doris Chung

Doris Chung, PACE Dietitian, International DistrictLocations:

International District, ICHS Legacy House


English, Cantonese


BS in Chemistry & Biochemistry; MPH in Nutrition


University of Washington


Registered Dietitian

Why I Work at ICHS:

I enjoy working with a diverse community and also appreciate the philosophy that drives the PACE model.

Patient Care Philosophy:

Patient-centered, interdisciplinary and holistic. All foods fit, in moderation.

Interesting Note about myself:

I was born in Hong Kong and lived in San Francisco for a year before moving to Seattle with my family.

Eric ‘Ric’ Troyer

Eric 'Ric' Troyer, MD, Physician, ID ClinicLocation(s):

ICHS Legacy House


English, Spanish, Portuguese




BA, Goshen College (Indiana), Economics and Intercultural Studies
MD, Medical College of Virginia


Family Medicine at 45th Street Clinic and Swedish Medical Center


Geriatric Medicine at Swedish Family Medicine, Faculty Development Fellowship at University of Washington


Family Medicine and Geriatric Medicine


I was drawn to ICHS by its commitment to service to and advocacy for underserved populations. I appreciate an organization that is committed to social justice and community engagement. And, I’m excited to join an organization supportive of programming for frail, older adults.


I believe it is vital to sit down with my patients to understand their health goals and work with them to craft a care plan that helps them achieve those goals. By providing a thorough assessment that considers all aspects of their health (physical, functional, cognitive, cultural, and psychosocial) as well as conducting a complete survey of their medical concerns and treatments, I can propose a comprehensive plan to manage their chronic conditions to help them maintain their function and independence. I particularly enjoy doing this with an interdisciplinary team (key to our model in PACE) so that each patient can benefit from the perspectives of a group of healthcare professionals working together.


I love experiencing other cultures and have traveled, lived, and volunteered on five continents (I still need to get to Oceania). I love to bicycle and ski, cook and craft, sing, and cheer for our hometown and children’s teams.