PACE Quality Measures

The creation of performance measures for PACE programs is imperative to ensure that the programs are accountable to their participants and to demonstrate the value and quality of the PACE Model of Care. As the federal government and the states continue to focus on integrated care for the dually-eligible population, NPA recognizes the need to develop performance measures to monitor the provision of long-term care services for this population. NPA developed an initial set of 13 PACE-specific quality measures in collaboration with a cross-section of the Quality Improvement and Primary Care committees. These measures comprise a “starter" set that allows PACE programs to demonstrate value to payers and consumers and to distinguish the PACE model from similar approaches. The NPA Common Data Set project will enhance existing measures and explore the development of robust outcome measures.

PACE Quality Leadership Program

Recognizing that PACE professionals have unique challenges and opportunities, NPA developed the Quality Leadership Mentorship Program. The program pairs experienced PACE quality improvement (QI) professionals with new quality leaders. The objective is to foster an exchange of information and experience, allowing for the transmission of guidance and support. Potential mentees can indicate their preference for a mentor from the same CMS region or from a PACE organization similar in census or any other characteristic. All mentors are volunteers working with NPA and the Quality Improvement Committee to strengthen the recognition for quality care in PACE.

Quality Improvement Symposiums

NPA offers QI professionals in PACE two annual dedicated events focused on issues related to quality improvement and compliance. For more information, visit the Education section.

QI Data Analysis and Research

In addition to actively working with the Quality Improvement Committee and CMS leadership on audit and compliance issues, NPA engages in data analysis to identify educational opportunities for QI professionals in PACE. NPA reviews the data collected through DataPACE2 for trends and opportunities to implement PACE-wide quality improvement initiatives. NPA also facilitates collaboration among the Quality Improvement, Primary Care, Research and Education committees to develop projects such as research studies and educational materials.

Compliance

NPA Public Policy, Regulatory Affairs and Quality Improvement staff work closely with CMS to ensure that PACE regulations and audit guidance are interpreted and evaluated consistently and uniformly throughout CMS regions. NPA has developed the PACE Audit Readiness Self-Assessment Tool for members to evaluate their operational processes, clinical practices, and policies and procedures according to the audit elements reviewed during a PACE audit.

For more information on NPA compliance resources, contact Peter Fitzgerald, executive vice president of Policy and Strategy.

There are more than 100 PACE programs in 31 states. See how your demographics and service utilization compare with those of your peers.

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