Successful and efficient development of a PACE® program requires access to in-depth knowledge about PACE program operations, marketing and financing. Prospective PACE Providers can benefit enormously from the expertise of existing organizations that have first-hand experience in the development and implementation of PACE. PACE Technical Assistance Centers (TACs) are available to assist prospective providers in building successful PACE programs, taking into consideration a broad range of general as well as program-specific factors. Across the country, TACs provide support and guidance throughout each phase of the PACE development process.

PACE Development Process

From Organizational Assessment to Decision-Making 

A prospective PACE organization will need to consider a number of critical factors that will impact its decision to proceed with developing a PACE program. One of the first activities an organization will undertake as part of this process is an in-depth assessment of whether the community and the sponsoring organization will be able to support and benefit from the development of a PACE program. TACs conduct organizational and market assessments and assist with the development of a business plan and other materials for presentation to the stakeholders and governing body of an organization.

TACs will address a number of key questions during the assessment process:

  • Are there sufficient numbers of elderly in the catchment area who meet the eligibility criteria of the organization and are likely to enroll in PACE?
  • What specific external and internal competitive factors need to be considered?
  • What service components must be developed and/or adapted, and what are their capital requirements?
  • What are the key initial staff positions, and what are the processes and criteria used to fill them?
  • What are the initial start-up costs? Will additional capital be required and, if so, are sources of capital available?
  • At what point is financial break-even anticipated?
  • What financial rate of return can be anticipated when the program is fully operational?

From Planning and Development to Enrollment

Once an organization has decided to proceed with PACE, TACs are available to assist with the initial planning and development of the PACE program, including the development of the PACE center, hiring and training center staff, start-up, and preparation of the PACE Provider Application. TACs also provide ongoing consultation once an organization is fully operational and has begun providing services to participants. TACs provide support through telephone consultation, on-site visits, intensive trainings and resource materials.

TACs offer a variety of resources and services:

  • Core Resource Set for PACE (CRSP): The set of NPA operating practice resources for developing organizations.
  • Assistance with preparation of PACE Provider Application.
  • Assistance with facility development: PACE center design, capacity assumptions, equipment needs, etc.
  • Assistance with development of program policies and procedures.
  • Assistance with development of efficient management structure, e.g., key staff roles and job descriptions.
  • Service integration training: interdisciplinary team training, service allocation and care planning.
  • Consultation on marketing and census building.
  • Consultation on development of QI program and implementation of QI plan.
  • Assistance with establishment of financial reporting and monitoring systems.
  • Consultation on data collection systems and data collection training.
  • Onsite review of ongoing operations and recommendations regarding potential improvements.

Technical Assistance Centers

NPA does not endorse or recommend any TAC. The TACs listed below are members of NPA. NPA has asked each of them to complete a questionnaire about the services they provide to developing and operational PACE programs and to provide a reference list. That information is provided below as a courtesy to those organizations researching technical assistance centers. It is not provided as an endorsement. 

Altitude Edge Consultants, LLC

Contact: David Reyes, 720-204-2248, dreyes@altitudeedge.com
Responses to the NPA Questionnaire
Reference List
Client Satisfaction Surveys

Community Care

Contact: Rob McCommons, 262-207-9335, robert.mccommons@communitycareinc.org

Continuum Development Services

Contact: Dan Gray, 423-517-0567, dan.gray@consulting-cds.com
Responses to the NPA Questionnaire
Client Satisfaction Surveys

Health Dimensions Group

Contact: Colin Higgins, 763-225-8623, colinh@hdgi1.com

Health Management Associates

Contact: Deboarah McNamara, 850-222-0310, dmcnamara@healthmanagement.com

On Lok PACEpartners

Contact: Elizabeth Carty, 415-292-8737, ecarty@onlok.org
Responses to the NPA Questionnaire

Palmetto Health Senior Consulting

Contact: John Tucker, 803-434-4427, john.tucker@palmettohealth.org
Contact: Judy Baskins, 803-434-3770, judy.baskins@palmettohealth.org
Responses to the NPA Questionnaire

There are more than 230 PACE centers in 31 states. Find your local PACE program.

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