Prescription Health

In this episode of Keep Up With PACE, Al’Asia Powell, Director of Quality and Patient Safety, Inspira LIFE, outlines the process of preparing for a CMS audit. Her outline consists of a five phased approach a PACE program should follow – (1) complete a gap analysis, (2) create a plan, (3) execution, (4) implementation, and (5) resolution. In addition to audit preparation, Ms. Powell shares insights on creating a strong culture of compliance and effective communication within a PACE team.

About our Guest:

As Director of Quality and Patient Safety for Inspira LIFE, Al’Asia is responsible for the development and implementation of the annual quality improvement (QI) plan, provides oversight of QI workgroups and communicates quality metrics to regulatory agencies, the board of directors, the Participant Advisory Committee (PAC), providers and other stakeholders. Additionally, she provides oversight for CMS audit engagement activities and participant satisfaction surveys. Al’Asia is a fellow of the Advisory Board, a Certified Professional in Healthcare Quality and completed the LEAN Six Sigma Black Belt course.

Episode Breakdown:

Intro: 00:00 – 01:30 • Background in PACE: 01:53 – 3:19 • Role as Director of Quality and Patient Safety: 03:20 – 04:03 • Culture of Compliance: 05:37 – 12:55 • Phase 1 (Gap Analysis):12: 56 – 16:57 • Phase 2 (Planning): 16:58 – 26:05 • Phase 3 (Execution) 26:06 – 29:18 • Phase 4 (Implementation): 27:19 – 29:02 • Phase 5 (Execution): 29:03 – 32:00 • Creating a Non-Punitive Environment: 32:01 – 33:15 • Continuing Improvement: 33:16 – 38:56 • Tips for Preparation: 38:57 – 41:19 • Success Story/Inspiration: 41:20 – 44:20 • Rapid Fire Round: 44:26 – 46:58 • Outro: 46:58 - End

Learn More:

careventionhc.com • linkedin.com/company/carevention-healthcare • https://www.inspirahealthnetwork.org/ • https://www.linkedin.com/company/inspira-health-network-life-inc/

The Keep up with PACE podcast, hosted by Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, brings strategies and best practices focusing on growing Programs of All-Inclusive Care for the Elderly (PACE) to the forefront. PACE is one of the best models of care for the frail elderly, and the podcast will feature interviews with expert PACE professionals.

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Alan Sadowsky, PhD, MSW, Senior Vice President of MorseLife Health System. Dr. Sadowsky has administrative responsibility for the MorseLife Home Care division which includes Palm Beach PACE, Palm Beach Hospice and Palliative Care, Home Care services, Adult Day Care, Meals on Wheels, and Geriatric Care Management. Dr. Sadowsky serves as a board member for the National PACE Association (NPA) and the Florida PACE Providers Association. He previously served as president of the Area Agency on Aging of Palm Beach and Treasure Coast.

In episode 11 of KUWP, Dr. Luz Ramos shares the inspirational story of how her parent’s military service affected her pursuit of a medical career, as well as the challenges she faced immigrating from the Philippines to establish her career in the United States. As the Chief Quality Officer and Regional Medical Officer for InnovAge, Dr. Ramos speaks to the value-based care, quality initiatives, and preventative strategies, such as a Falls Committee, InnovAge provides its participants. She stresses the importance of giving back to the frail elderly by caring for them at the end of their lives, the same way they have cared for their loved ones.

Learn More:

careventionhc.com

linkedin.com/company/carevention-healthcare

innovage.com

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Maria Zamora, Chief Executive Officer at Center for Elders’ Independence (CEI). Maria has been with CEI since March 2021, and has more than 24 years of experience in the healthcare and insurance industries. Prior to joining CEI, Maria served as Vice President of Senior Care Services/PACE at AltaMed Health Services and Regional Executive Director for InnovAge. She serves as Chair and Executive Committee member of the Board of Directors for National PACE Association (NPA), and serves as Vice Chair and Executive Committee member of the Board of Directors for California PACE Association (CalPACE).