All speakers and session descriptions can be viewed by clicking on the accordion dropdowns below. This program is continually updated and times are listed in Eastern Time.
9:00 AM - 10:00 AM - Welcome and Keynote
Gwendolyn Graddy-Dansby, MD, FACP
Chief Medical Officer, PACE Southeast Michigan
Session description TBA
10:00 AM - 11:15 AM - Break / Visit Virtual Exhibit Hall
10:15 AM - 11:15 AM - Breakout Sessions
What Makes PACE Successful. Let's Find Out Session Track:
Paul Socynski, MBA
Senior Vice President, Healthcare Program Development Volunteers of America National Services
Being successful doesn’t just happen! In this session we will discuss those factors that are contributing to successful PACE organizations. We will discuss what is contributing to your PACE organizations success and what is holding you back.
Integrating Clinical and Financial Processes to Optimize Your PACE Program Session Track:
Tracey McKnight, RN, BSN, MM
Chief Executive Officer, Care Resources PACE
Assuring that your clinical and financial teams are working together to assure the best outcomes for the participant and the organization has never been more essential. This session will outline best practices for structure, membership, areas of focus and metrics that will help the organization achieve it's desired results. Attendees will leave the session with proven strategies and real time tools to support this critical work for the organization.
Integrating a Transitional Care Intervention into the PACE Model of Care for Preventing Repeat Hospital Utilization Session Track:
Bethany McQuade, MSN-PH, RN
Education Coordinator/Infection Control Officer, Care Resources PACE
Community-residing participants are at higher risk of repeat/frequent hospitalizations and emergency department visits within 30 days of discharge from the hospital. The Transitional Care Intervention (TCI) is an evidence-based practice model for connecting routine PACE interdisciplinary team (IDT) post hospital actions and ensuring they are happening consistently and timely for these participants. The TCI focuses on participant-driven goals for post hospitalization and creates partnership in achieving these goals between the participant, their family/caregiver, and the IDT. Care Resources PACE implemented the TCI in January of 2020 and has seen success in reducing repeat ED visits and hospital readmissions among our community-residing participants. This session will provide background and identification of the need, support for the TCI from the literature, discussion of the implementation process at Care Resources PACE, review of the outcomes, and next steps.
11:15 AM - 11:30 AM - Break / Visit Virtual Exhibit Hall
11:30 AM - 12:30 PM - Breakout Sessions
Repositioning Organizations Session Track:
Chief Executive Officer, Senior Care Partners PACE
Session Description Coming Soon.
Increasing Enrollment Using All the LOCD Doors Session Track:
Sonya Love Felton, LMSW, MPA
Executive Direcotr, Huron Valley PACE
This session will provide information and training for PACE organizations to enroll participants in all 7 LOCD doors and the Secondary Review process (Door 8). Additionally, this session will provide information on MDHHS Deeming Process.
Implementation of Essential Care Packages for PACE Participants during COVID-19 Pandemic Session Track:
Samantha Barash - Registered Dietician, Rachel Robinette - Social Worker, and Anna Sherry - Social Worker
PACE Southeast Michigan
We will discuss how PACE Southeast Michigan implemented the development and distribution of Essential Care Packages for PACE participants during the pandemic. PACE Southeast Michigan received an Oakland County Grant providing essential care packages, GrandPads, home activity kits, COVID-19 care kits, COVID-19 testing costs, and rent/utility assistance. Totaling over $100,000 of services for our participants.
12:30 PM - 1:00 PM - Lunch / Visit Virtual Exhibit Hall
1:00 PM - 2:00 PM - Breakout Sessions
From a Moment to a Movement: PACE4Black Lives and Making Diversity, Equity, and Inclusion a Part of PACE Culture Session Track:
Sonya Love Felton, LMSW, MPA
Executive Director, Huron Valley PACE
Susan Decker, MM, LBSW, NHA
Executive Director, Thome PACE
Faye Askew-King, MSW
Lecturer, Eastern Michigan University
Founder, Change Works Consulting
Following the murders of George Flyod, Ahmed Aubrey, and Breonna Taylor, Huron Valley PACE gained national attention for their PACE4Black Lives statement. Wanting to do more than just issue a statement, they and Thome PACE began a process to advance diversity, equity, and inclusion in their own organizations. Their efforts have catalyzed changes in their parent organization. Hear from the Huron Valley and Thome PACE Executive Directors and their partners from Change Works Consulting to learn how you can move DEI forward in your organization.
The Care Team Advantage: A Key to a Successful IDT Session Track:
Christine Jodoin, MSN, RN, NE-BC
Center Director, Senior Community Care of Michigan
Implementation of the care team model strategy at Senior Community Care of Michigan is proving to be an effective strategy for optimizing the function of the IDT. Each care team is comprised of designated staff from the following disciplines: PCP, RN, SW, PT, and OT. These care teams are responsible for overseeing the day to day care of their empaneled participants. Each care team meets daily prior to the full IDT meeting to identify urgent issues that have arisen from the previous day, discuss the needs of their participants, and review utilization concerns related to recent ED visits and hospitalizations. The IDT meeting immediately follows and a summary of the important details that were discussed during the care team meetings is provided. This model has provided our IDT with an effective manner to address the concerns of our participants in a timely and efficient manner. This session will provide the learners with an overview of how SCCM has successfully implemented a care team model in order to enhance the effectiveness of the IDT and improve participant care.
Multi-disciplinary Approach to Fall Prevention Session Track:
Lucinda Gardner, PT
Physical Therapist, Care Resources PACE
This session will provide an in-depth fall assessment. We will examine some of the factors that can contribute to a fall: medical changes, medications, personal choices, or the environment. Recommendations and examples of fall interventions by discipline will be discussed, as well as fall intervention follow up and preventative ideas.
2:00 PM - 2:15 PM - Break / Visit Virtual Exhibit Hall
2:15 PM - 3:15 PM - Breakout Sessions
How to Avoid Compliance Pitfalls Session Track:
Jennifer B Van Regenmorter, JD
Shareholder, Foster Swift Collins & Smith PC
What the regulations and contracts require sometimes differs from what is done in real life, particularly under pressure. We'll explore the legal and contractual requirements, and ways to close the gap between legal requirements and what is done in real life, thus reducing the risk of complaints, investigations, and audits.
Breaking Down Barriers for New Enrollees Session Track:
Enrollment Director, Huron Valley PACE
This presentation will be comprised of review of best practices, sharing tools and resources, education on policy and procedures, and a robust Q&A. The following topics will be addressed:
- Screening prior to enrollment for Medical Assistance, Food Assistance, Medicare Buy In
- Working with your DHHS office(s)
- Collaborating with DHHS through an Outstation Worker
- Reading and understanding Bridges Eligibility Manual (BEM) policy
- Initial Asset Assessment (IAA) and benefit eligibility for couples
- Trusts, annuities and state reviews
- Uncommon types of income and assets
- Case inquiries for CHAMPS and Bridges
- Troubleshooting technology issues between Bridges and CHAMPS
- Educating on spending down excess assets
- Importance of correcting prior errors in Medicaid cases
- Verification documents
- Working with elderlaw attorneys
- Asset recovery and planning with participants/caregivers for DHHS action after their death
- Syncing enrollment and Medicaid deadlines to optimize census growth
Sexuality & Aging Session Track:
Alicia Hensley, LMSW
Quality Case Manager, Ascension Living PACE Michigan
Sexuality is a part of our lives at all ages. We never lose the need to connect and have physical relationships with others. Learn more about sexuality as we age. Then, let's focus on the populations we serve through PACE, like those with dementia and those living in adult living communities.
3:15 PM - 3:30 PM - Break / Visit Virtual Exhibit Hall
3:30 PM - 4:30 PM - Peer Group Sessions
9:00 AM - 10:00 AM - Leading In Uncertain Times
10:00 AM - 10:15 AM - Break / Visit Virtual Exhibit Hall
10:15 AM - 11:15 AM - Breakout Sessions
Be Prepared for CMS Audits: Trends and Best Practices in the PACE World Session Track:
Jenn Ovide, CareVention HealthCare Consulting
Rena Smith, MPA , Gary and Mary West PACE
This session will equip attendees with actionable plans for CMS audit preparation and the onsite/remote audit process.
PACE Reimbursement Considerations Session Track:
Betsy Rust, CPA and
Rob Long, CPA
This session will provide an update on PACE Medicare and Medicaid capitated rate calculations, the impact of the COVID pandemic on PACE and other senior care provider revenues and expenses and understanding how encounter reporting may drive future reimbursement.
Elopement Risk and Assessment Session Track:
Jessica Drews and Nicole Byrnes
Plan Management Specialist, Life Circles
As a PACE center our participants live within the community but meet the criteria for nursing home placement. Over 75% of our participants live with some form of Alzheimer’s or dementia, which puts them at a greater risk for elopement with adverse outcomes. Due to this heightened risk, our organization formed a quality subcommittee to research and develop an elopement risk assessment tool, along with interventions that help the team care plan for our participant’s at risk of elopement. The subcommittee includes representation from multiple members of the participant’s care team; this includes occupational therapy, physical therapy, recreational therapy, social work, physician and psychology. This tool has allowed our organization to identify our participants who are low, moderate or high risk for elopement and reassess these risk as well as evaluate interventions as needed to reduce the risk of elopement with adverse outcomes. Through the diversity of the group, the team has been able to develop care plan interventions to reduce the risk of adverse outcomes from elopements; as well as provide support and education to the caregivers. In the development of the screening tool, the subcommittee reviewed other tools and resources that assessed wandering status and elopement, as well as stages of cognitive function for individuals with dementia. Some of our references included the WING-AP, The Global Deterioration Scale (GDS) and the FAST scale. After initial development of our Elopement Risk Screen the subcommittee started a clinical trial for assessing all our new participant’s upon enrollment in our PACE program. The screen is then repeated at the participant’s thirty-day review, six-month review and post-incident through our root cause analysis process. In each participant’s care plan, we identify their risk for an elopement as low, moderate or high. We also develop appropriate interventions to reduce the risk of elopement with adverse outcomes.
11:15 AM - 11:30 AM - Break / Visit Virtual Exhibit Hall
11:30 AM - 1:00 PM - Annual Meeting & Awards
10 Medication Tips You Can Actually Use
10 Medication Tips You Can Actually Use Session Track:
Aaron Hoholik, PharmD BCACP
Clinical Pharmacist, Care Resources PACE
Aaron will present 10 medication-related scenarios that are actually useful in day-to-day clinical practice (hopefully.) Topics will include options for control of relatively common but complicated conditions like renal failure with proteinuria, mental illness with weight gain, frequent falls, diuretic use in incontinence, and others.
Specialty Drug Trends and Recommendations for PACE Organizations
Specialty Drug Trends and Recommendations for PACE Organizations Session Track:
Richard Mueller, PharmD, MBA, MS
VP of Clinical Strategy, Pharmastar PBM
Janis Rood, PharmD, BCACP, BCGP
Director of Pharmacy and Integrated Clinical Services, PACE Southeast Michigan
This session will provide information on specialty drug trends in Medicare Part D with a focus on PACE and Michigan PACE plans. In addition, information about new and relevant specialty drugs will be shared. The second portion of the presentation will focus on the presenters' experiences managing specialty drugs for PACE participants. General best practices for safe and effective use of specialty drugs at PACE organizations will be discussed as well as specific strategies that have been successful for the presenters. Finally, the presenters will share recommendations for specialty drug management from a PACE pharmacy and a PACE PBM.
Janis Rood is a Board-Certified Ambulatory Care and Geriatric Pharmacy Specialist who works for PACE Southeast Michigan as the Director of Pharmacy & Integrated Clinical Services and serves as Adjunct Clinical Faculty for University of Michigan College of Pharmacy and Adjunct Assistant Professor for Wayne State University Eugene Applebaum College of Pharmacy. In her roles she has shaped clinical practice including collaborative integration, anticoagulation services, medication utilization management, and developed transitions of care processes in collaboration with major health systems. She is Co-chair for NPA’s Medication Management Workgroup Non-Clinical Subcommittee and geriatric expert consultant for Community Care, Inc. Pharmacy & Therapeutics Committee.
Renal Disease in PACE Participants: Perspectives Around the Table
Renal Disease in PACE Participants: Perspectives Around the Table Session Track:
Ankur Patel, MD
Chief Medical Officer, CareKinesis / Tabula Rasa HealthCare
Edward Foote, PharmD
University of the Science, Philadelphia
This interactive session will equip attendees with highlights of various impacts renal disease can have on PACE participants and processes. Perspectives from a medical director, pharmacist, educator, and PACE compliance expert will be shared.