1.Last year, Old Dominion Health System opened its second Program of All-Inclusive Care for the Elderly (PACE) Center in Richmond, Virginia, with a service area covering the majority of central Virginia. However, after two months of operation, management at Old Dominion is concerned that the Richmond PACE Center will not be able to meet the demand of its large service area. Forecasts indicate that the center will be at full capacity by year-end and that another PACE Center in the Richmond metropolitan area is necessary to meet community demand.

Based on a preliminary analysis, management has narrowed down the potential site locations to five zip codes: 23231, 23005, 23803, 23225, and 23227. The executive director of PACE has determined the factors to be considered in establishing a new PACE Center, including demand factors such as elderly population density and poverty levels. Given that a PACE Center should be easily accessible to community-based providers, hospitals, nursing facilities, and other complementary services, travel and distance factors were also included. This data are displayed in the table below