PCP / Medical Director Orientation to PACE
September 2024

• Session One (two hours)
• Thursday, Sep 5 | 2:30-4:30 p.m. (EDT) Introduction to the PACE Way
  • Introduce the history, philosophy, and basic structure of the PACE model of care, emphasizing the importance of the inter-disciplinary team and the provider’s role within this team.

Subsequent sessions meet for one hour, 3:30-4:30 p.m. (ET)

• Tuesday, September 10 – Assessments and Care Plans
  • Discuss the governing regulations and components of an initial and six-month evaluation, the ways that assessments relate to IDT care planning, and the provider’s role in the IDT care planning process.
• Thursday, September 12 – Advance Care Planning
  • Review the process for advance care planning discussions including prognostication, decisional capacity, and what makes for a successful family meeting.
• Tuesday, September 17 – PACE Regulations, Service Delivery Requests
  • Review pertinent CMS regulations including the participant bill of rights, the process for service delivery requests, appeals, and grievances, and the role of a PACE quality improvement team.
• Thursday, September 19 – Utilization Management in PACE
  • Discuss successful pro-active strategies for optimizing medication management and external referrals, and avoidance of unnecessary ED visits and hospitalizations.
• Tuesday, September 24 – Geriatric and Palliative Care Principles
  • Discuss the concept of frailty and its association with other geriatric syndromes, basic palliative care principles, and the right to self-determination.
• Thursday, September 26 – The PCP’s Role in Revenue and Expenses; Your PACE Day
  • Discuss the basics of risk adjustment and how PACE programs bring in revenue, as well as strategies to improve your day-to-day efficiency in the PACE clinic.