New content will be released all week beginning Nov. 9.

Monday, Nov. 9, 2020, at 1 p.m ET: Opening General Session
Monday, Nov. 9, 2020: Innovation and Growth
Monday, Nov. 9 2020: Policy
Tuesday, Nov. 10, 2020: Behavioral Health
Wednesday, Nov. 11, 2020: Clinical
Thursday, Nov. 12, 2020: Operations and Human Resources
Thursday, Nov. 12, 2020: Payment and Regulatory Compliance
Friday, Nov. 13, 2020: COVID-19 Emergency Preparedness
​Tuesday, Nov. 17, 2020: Quality Symposium

Sunday, Nov. 8, 2020

Primary Care Symposium

(LIVE) Changing Face of PACE: Not Just Your Grandmother’s PACE – What Does It Mean for PACE Organizations?
1-5:30 p.m. ET (This session will be recorded and made available for replay.)

The nation has continued to experience an increase in life expectancy in the 21st century, with an average age of 78. This is influenced by genetics, gender, race, ZIP code, and other social determinants of health. The largest percentage of growth is in people over 80. With increased life expectancy comes chronic disease and disability, which often lead to hospitalizations and premature nursing home placement. PACE provides an alternative to care that allows individuals to stay in their homes. 

The average age of PACE participants has decreased over the years, from 83 two decades ago to 74 in 2019. This shift in age impacts services and poses challenges in care.

This year's live Primary Care Symposium will look at the changes PACE programs need to make in order to provide care for a new set of issues surrounding this younger population. Attendees will gain insight into the challenges these participants present and the tools needed to address them. Among the topics that will be covered are substance use disorder, sexuality and unconscious provider bias. There will be opportunities to interact with the panelists.

Monday, Nov. 9, 2020

Opening General Session

1 p.m. ET

Please join us as Shawn Bloom, president and CEO of NPA, and Maria Zamora, chair of the NPA Board of Directors and vice president of PACE Senior Care Services at AltaMed, officially open the NPA Annual Conference by sharing an insightful overview of how the PACE community has confronted the COVID-19 pandemic and our unwavering resilience in the  face of  challenges. They will highlight creative innovations that PACE professionals have implemented in their programs, honor the participants who have succumbed to the virus, and offer a glimpse into what lies ahead for PACE as we move closer to 2021.

Track: Innovation and Growth

(LIVE) Pathways to PACE: Creating New Coverage and Contracting Options for Accessing the PACE Model of Care
3-4 p.m. ET Live (This session will be recorded and made available for replay.)

This session will address the potential for PACE organizations to serve people through other forms of coverage, such as a Medicare Special Needs Plan or a Direct Contracting Entity, or through contracted arrangements with other payers like Medicare Advantage or an Accountable Care Organization. The session will feature an NPA study of these options, including feedback.

Target Audience: CEOs, Strategic Planning, Financial Management, Marketing


  • Peter Fitzgerald, National PACE Association, Alexandria, VA
  • Anne Tumlinson, Anne Tumlinson Innovations, Arlington, VA

Census Growth and Program Expansion: Strategies Implemented to Reach Census Capacity

This presentation will introduce key marketing strategies implemented by a PACE organization that doubled program growth in four years. The presenters will discuss effective methods that include brand awareness, successful relations with the community, and procedures to increase the efficiency and productivity of the enrollment process.

Target Audience: Site Directors, Enrollment, Intake/Marketing, CEOs/CFOs


  • Stephanie De La Piedra, Florida PACE Centers, Miami, FL
  • Lymari Rivera, Florida PACE Centers, Miami, FL

PACE 2.0: Tools and Resources to Assess Market Size and Support Growth

This presentation will address the key activities PACE organizations can use to support increasing access to PACE and growing the number of participants served. The presenters will provide an overview of the analysis of current and prospective PACE-eligible populations that can be used to help current and prospective PACE organizations understand the potential for growth in their communities and states.

Target Audience: CEOs, Strategic Planners, Leadership, Marketing & Enrollment, Finance


  • Peter Fitzgerald, National PACE Association, Alexandria, VA
  • Anita Gibson, National PACE Association, Alexandria, VA
  • Colin Higgins, Health Dimensions Group, Minneapolis, MN

The Future of PACE: Past, Present and Incoming NPA Board Chairs Discuss Their Views on the Opportunities, Challenges and Direction of PACE Across the Next Decade

Over the last 20 years federal and state policy, as well as consumer preferences, have encouraged the growth of non-institutional, community-based service options and models of care that effectively integrate and coordinate care for high-need individuals. The COVID-19 pandemic likely will have a dramatic impact on how PACE evolves in the future. The past and current chairs and chair-elect of the NPA Board of Directors will engage in a facilitated dialogue on how they see PACE evolving over the next 20 years, the challenges and opportunities they foresee, and the advice they offer to future PACE leaders.

Target Audience: CEOs, Strategic Planners, Leadership Staff, Administration


  • Shawn Bloom, National PACE Association, Alexandria, VA
  • Adam Burrows, MD, Upham’s PACE, Boston, MA
  • Joann Gago, LIFE Pittsburgh, Pittsburgh, PA
  • Maria Zamora, AltaMed, Los Angeles, CA

Monday, Nov. 9, 2020

Track: Policy

Current Public Policy Developments Impacting PACE

The NPA Public Policy Team will share with the membership the current status of PACE public policy initiatives of interest to PACE organizations and thoughts on future efforts.

Target Audience: All PACE Staff

Format: Panel


  • Peter Fitzgerald, National PACE Association, Alexandria, VA
  • Charles Fontenot, National PACE Association, Alexandria, VA
  • Anita Gibson, National PACE Association, Alexandria, VA
  • Fran O’Reilly, National PACE Association, Alexandria, VA
  • Mia Phifer, National PACE Association, Alexandria, VA
  • Chris van Reenen, PhD, National PACE Association, Alexandria, VA

State Policy Update and the Colorado Perspective

Policies adopted by the state continue to play a critical role in PACE growth and viability. This session will review recent developments and trends at the state level and provide case studies of recent successes, challenges and lessons learned for PACE organizations.

Target Audience: Administration, Policy


  • Liz Parry, National PACE Association, Alexandria, VA
  • Samantha Black, TRU PACE, Lafayette, CO
  • Nate Olson, Rocky Mountain PACE, Colorado Springs, CO

Tuesday, Nov. 10, 2020

Track: Behavioral Health

(LIVE) Identifying Strategies to Overcome Challenges to Behavioral Health Integration
3-4 p.m. ET Live (This session will be recorded and made available for replay.)

PACE programs increasingly are providing care to participants with one or more behavioral health conditions. This roundtable session will provide an overview of the levels of behavioral health integration within medical settings, discuss challenges to integrating behavioral health and primary care, and offer strategies to address obstacles to integration.

Target Audience: Behavioral Health, Front-Line Staff, PACE Leadership


  •  Bryan Dovichi, PACE of Southeast Michigan, Detroit, MI
  • Maureen Nash, MD, Providence ElderPlace Portland, OR

Behavioral Health in the Time of COVID

Some early studies indicate that the COVID-19 virus has affected front-line providers and participants psychiatrically. Providers have experienced up to a 15 percent increase in psychiatric symptoms. Behavioral health clinicians at Element Care will offer examples of implementing new modalities.

Target Audience: Physicians, Nurses, Psychiatrists, Behavioral Health


  • Denise Boisvert, Element Care, Lynn, MA
  • Katelin Hartigan, Element Care, Lynn, MA

Meeting the Behavioral Health Needs of PACE Participants

More than half of PACE participants had one or more behavioral health conditions in 2014. Recent NPA survey data suggest that teams feel under-equipped to meet the behavioral health needs of this population. This session will showcase several case studies involving PACE participants with behavioral health needs.

Target Audience: Behavioral Health, Front-Line Staff, PACE Leadership


  • Allison Ilem, PhD, LifeCircles PACE, Muskegon, MI
  • Brenda King, Fallon Health, Worcester, MI

Wednesday, Nov. 11, 2020

Track: Clinical

Power Over Pain: The Unique Opportunity of PACE to Lead the Country with Effective Pain Management Programs

Rocky Mountain PACE implemented a chronic pain management program within an interdisciplinary framework. Presenters will discuss the collaboration and culmination of pain management interventions with the long-term goals of decreasing reports of somatic symptoms, increasing reports of acceptance and tolerance of pain through adaptive skills, and decreasing the use of opioid medications. The session will highlight the development of a 12-week support group curriculum focused on chronic pain education and adaptation led by the behavioral health and rehabilitation therapy staff.

Target Audience: Behavioral Health, Social Work, Primary Care, Therapy, Administration, Quality, Compliance

Technical Level: Start-Up Programs


  • Megan McCann, Rocky Mountain PACE, Colorado, CO
  • Amy McDowell, MD, Rocky Mountain PACE, Colorado, CO
  • Kimberly Mullins, Rocky Mountain PACE, Colorado, CO
  • Janet Starr Warren, Rocky Mountain PACE, Colorado, CO

Adjusting to Late Life: Group Reminiscence Therapy

The Centers for Disease Control and Prevention reported in 2017 that the more chronic illnesses older adults face, the higher their risk of depression. PACE participants often face several chronic health conditions. This session presents the findings and therapeutic benefits of group reminiscence therapy with older adults in Southeast Michigan.

Target Audience: Clinical Staff


  • Sarah Charbonneau, PACE of Southeast Michigan-Rivertown, Detroit, MI

Leverage Peer Learning to Expedite the Adoption of Palliative Care Strategies in PACE

Palliative care is an essential component of care for older adults with functional impairments. While PACE organizations provide high-quality care for their participants, opportunities remain to improve the quality of life for participants and caregivers through palliative care skills and processes. The Center to Advance Palliative Care, in collaboration with NPA and West Health, launched a PACE Palliative Care Learning Community. Nine PACE organizations were chosen, representing seven states and more than 8,000 participants. The organizations sought to define and implement at least one palliative care project from a selection of strategies: a proactive identification process to target services to the right patients, training curricula for the IDT, or quality measures relevant to high-quality care in the context of serious illness and end of life. The session will focus on their experiences and lessons learned.

Target Audience: Executive, Medical, Quality and Program Site/Center Directors, CEOs/CFOs, IDT


  • Mary Christianson, CenterLight, Bronx, NY
  • Carol Juliano, Immanuel Pathways, Omaha, NE
  • Sandi Lewis, PACE of Southwest Michigan, St. Joseph, MI
  • Mia Phifer, National PACE Association, Alexandria, VA
  • Vicki Shumulinsky, West Health, San Marcos, CA
  • David Wensel, DO, Midland PACE, Topeka, KS

Meeting the Clinical Wound Care Needs of Patients: Building Operational Efficiencies Through Collaboration

Approximately 6.7 million individuals in the United States have a chronic wound, and $50 billion is spent annually for treatment. The prevalence of chronic wounds specifically affects the aging population with incidences of other chronic disorders, such as diabetes and peripheral vascular disease. PACE participants are among the most susceptible population for wounds, which can lead to infection, amputation and death. It is essential to have a system that ensures participants and staff have access to clinical wound care education and the proper advanced treatments.

Target Audience: Administration, Nursing, PACE Providers


  • Sarah Hampton, American Medical Technologies, Irvine, CA
  • Margaret Nordstrom, Northland PACE, Bismarck, ND
  • Julie Rhodovi, American Medical Technologies, Irvine, CA

Mindful Nutrition

For six years a staff dietitian and psychotherapist have been leading a mindful nutrition group, which teaches mindfulness and meditation skills as ways to approach the subject of nutrition and healthy eating without focusing on weight loss or good and bad foods. Mindfulness practice, with its emphasis on observing present moment experience with curiosity rather than self-judgment, covers a wide range of nutrition topics accompanied with the awareness of the emotional and automatic thoughts that impede people’s ability to make informed choices. The group also practiced the art of mindful eating by slowing down the process and utilizing all five senses while eating. Data from satisfaction surveys will be included.

Target Audience: Clinical and Activities Staff


  • Philip Fleisher, Element Care, Lynn, MA
  • Janice Walper, Element Care, Lynn, MA

Wednesday, Nov. 11, 2020

Track: Operations and Human Resources

(LIVE) PACE Participants’ Satisfaction with Their Care During COVID: An Overview of the PULSE Survey
3-4 p.m. ET Live (This session will be recorded and made available for replay.)

PACE organizations substantially modified how they met participants’ care during the pandemic by shifting the focus of care delivery to participants’ homes. This session will provide an overview and offer insights into the PULSE survey results reflecting how participants rated the care provided by PACE organizations during the pandemic.

Target Audience: Site Directors, Medical Directors, CFOs


  • Shawn Bloom, National PACE Association, Alexandria, VA
  • Sonja Love Felton, Huron Valley PACE, Ypsilanti, MI
  • Crystol Mihaly, ElderONE, Rochester, NY
  • Steve Ryan, MD, ElderONE, Rochester, NY
  • Harold Urman, PhD, Vital Research, Los Angeles, CA

Thursday, Nov. 12, 2020

Track: Operations and Human and Resources

(LIVE) Addressing Staff Turnover: Cost, Opportunities, and Impact on Growth
3-4 p.m. ET Live (This session will be recorded and made available for replay.)

Staff turnover interferes with operational successes, financial stability and growth. New staff need to learn the PACE model and how to work effectively and efficiently within that model, which is often quite different from other health care settings. Frequent staff turnover greatly impacts the morale of staff and participants and has a negative impact on operational costs. A panel of PACE program executives and consultants will discuss the cost of staff turnover, getting off to a good start by hiring the right staff, a proposed on-boarding process and staff retention program, and how two programs have been successful in retaining staff, with specific examples of what worked and what didn't.

Target Audience: Executive Leadership, Management Teams, Supervisors


  • Samantha Black, TRU PACE, Laffayette, CO
  • Dorothy Ginsberg, CareVention Healthcare,Moorestown, NJ
  • Brian McKaig, Hope PACE, Fort Myers, FL
  • David Wilner, MD, Capstone Performance Systems, Moorestown, NJ

Workforce Development: Strategies to Enhance the Staff Experience

This session addresses the recruitment strategies, home-grown programs and leadership capacity-building opportunities that have had a positive impact on PACE Organization of Rhode Island. The presenter will discuss a intern program that provides more than 200 students with access to hands-on learning experiences and an understanding of the PACE model. The program serves as a pipeline to employment and connects the organization to universities and research opportunities. In addition, a homemaker certification course serves as a pipeline to employment that enhances the capability to provide in-home care. The outcomes of two leadership capacity-building opportunities will be discussed. A consultant worked with the management team to address change theory and leading through change. This process helped the team navigate changes within the organization, including the move to a new building. An internal emerging leaders curriculum developed by PACE staff was deployed to increase leadership capacity.

Target Audience: PACE Administration, Leadership Teams, Human Resources, Education and Training


  • Victoria Parker, PACE Organization of Rhode Island, Providence, RI
  • Elena Marchand, PACE Organization of Rhode Island, Providence, RI

Cybersecurity in the Age of Telemedicine: Lessons Learned

Protecting participants’ private information is one of the largest responsibilities a health care organization undertakes. HIPAA laws are complicated and cumbersome, and the potential for financial ramifications of a breach could destroy a smaller program. During the COVID-19 pandemic, with the majority of the workforce utilizing technology to stay connected, the instances of cyberattacks have increased.

Target Audience: Quality, Compliance, Operations

Format: Lecture


  • David McBride, Gary and Mary West PACE, San Marcos, CA
  • Justine Phillips, Sheppard Mullin Richter & Hampton, LLP, San Diego, CA
  • Rena Smith, Gary and Mary West PACE, San Marcos, CA

Partnering with Local Nursing Schools to Expand QI Efforts in Your PACE Program

The Midland Care Connection PACE program has three locations and cares for more than 300 participants. To expand its quality improvement (QI) capabilities, the program partnered with the Quality and Safety in Nursing class at Washburn University School of Nursing. Midland hosted a group of nine BSN seniors to examine its emergency department usage and provided a PDSA plan to decrease the usage by utilizing clinic capabilities more effectively. This partnership allowed Midland to increase QI efforts, obtain an outside perspective on QI issues, and expand the next generation of nursing students’ QI capabilities before they enter the workforce.

Target Audience: All Disciplines


  • Deb Rector, Washburn School of Nursing, Topeka, KS
  • Johnathan Reeves,  Midland Care Connection, Topeka, KS

Strategic Succession Planning: Are You Prepared?

Leadership positions are vital to any PACE organization, and finding the right fit is essential. While leadership skills are crucial, these positions also require open-mindedness, passion and flexibility to leverage the culture, mission and values of an organization to inspire teams and support growth. Attendees will learn how to identify future leaders within their organization and apply a structured training program to ensure they acquire the skills and experience needed for future roles.

Target Audience: Administration, Directors, Human Resources, Operations


  • Steve Hess, Florida PACE Centers, Miami, FL
  • Amber Hulon, Florida PACE Centers, Miami, FL

Thursday, Nov. 12, 2020

Track: Payment and Regulatory Compliance

Requirements of the CMS 2020 PACE Audit Protocol

On Feb. 7, 2020, CMS announced the release of the final 2020 PACE Audit Protocol, which replaces the previous protocol first implemented in 2017. The 2020 PACE Audit Protocol is being used for PACE audits beginning in 2020. This session will review the requirements of the protocol and provide strategies for how PACE organizations can maintain audit readiness. A PACE organization that has been audited under the new protocol will share its experience to date.

Target Audience: Compliance, Quality, Administration


  • Laura Ferrara, Senior Care Partners PACE, Kalamazoo, MI
  • Renata Smith, Gary and Mary West PACE, San Marcos, CA
  • Chris van Reenen, PhD, National PACE Association, Alexandria, VA

There’s an Audit for That

Following the 2019 Clinical CMS Survey, PACE Organization of Rhode Island created an internal auditing system that includes regular audits of participant charts, documentation and care plans. This session will review the structure of the audit process, providing resources on which measures the team focused on and which staff members were responsible for the various components of the audit.

Target Audience: Quality, Compliance, IDT, Clinical Leadership, Staff Trainer


  • Liz Boucher, PACE Organization of Rhode Island, Providence, RI
  • Yenissa Polanco, PACE Organization of Rhode Island, Providence, RI

Change Your Compliance Program from 'React and Patch' to 'Plan and Control'

Panelists will examine the necessary elements of an effective compliance plan. They will discuss the composition, purpose and activities of a PACE Compliance Committee, outline how to develop and implement an effective compliance plan, and cover the essential building blocks for an internal auditing and monitoring program.

Target Audience: Administration, Quality, Finance

Technical Level: Start-Up, New and Established Programs

Format: Lecture


  • Thelma Pittman, Cherokee ElderCare, Tahlequah, OK
  • Deborah Quillen, CareKinesis, Moorestown, NJ
  • David Smith, Senior Total Life Care, Gastonia, NC
  • Matt Zimmerman, Capstone Performance Systems, Moorestown, NJ

Medicare Payment Update

This session will include an overview of the PACE payment methodology, a Medicare payment update for 2020, and an update from the PACE Data Analysis Center (PDAC) on best data use practices to ensure appropriate PACE risk-adjusted payments.

Target Audience: Finance, Administration, Clinical


  • Charles Fontenot, National PACE Association, Alexandria, VA
  • Jill Szydlowski, Department of Public Health Sciences, PACE Data Analysis Center, University of Rochester Medical Center, Rochester, NY

Governance and Risk Management: Anticipating the Necessary Tools for Compliance

In anticipation of the release of the 2019 Final Rule, PACE Organization of Rhode Island formalized a master compliance plan that lays out the key tasks and responsibilities of staff to ensure compliance. The compliance plan addresses the seven universally recognized components of a compliance program, includes timelines for review, and names responsible parties.

Technical Level: Start-Up, New and Established Programs


  • Liz Boucher, PACE Organization of Rhode Island, Providence, RI
  • Mike Walker, PACE Organization of Rhode Island, Providence, RI

Friday, Nov. 13, 2020

Track: COVID-19 and Emergency Preparedness

(LIVE) Mission (Not) Impossible: How to Set Up a Telehealth Program in a Week 
3-4 p.m. ET Live (This session will be recorded and made available for replay.)

To increase access to care and reduce virus transmission in rapid response during the COVID-19 outbreak, Gary and Mary West PACE (GMWP) implemented three telehealth models: home-based telehealth, tele-psychiatry and e-consults. When a need is identified for home-based telehealth, a personal care aide with mandatory PPE is deployed to a participant’s home to facilitate a two-way video visit with a PACE provider. For its tele-psychiatry model, GMWP partnered with a regional behavioral health team to meet the psychological, emotional and medical health needs of participants. Finally, GMWP partnered with a telehealth company to provide medical subspecialty e-consults. For example, infectious disease consultations for concerns related to COVID-19 can be conducted virtually.

Target Audience: Executive, Medical, Quality and Program Site/Center Directors


  • Ross Colt, MD, Gary and Mary West PACE, San Marcos, CA
  • Mike Kurliand, West Health, La Jolla, CA

Successful Strategies for Recreation and Social Connection Within the 'New Normal': Innovating to Overcome Challenges 
3-4 p.m. ET

How can we keep participants connected and stimulated during a time of social distancing and sheltering in place? This session addresses the barriers to activities and socialization as we enter a “new normal” and presents strategies for overcoming those challenges.

Target Audience: IDT Members, Recreational Therapists, Social Workers


  • Katherine Hall, OnLok Lifeways, San Francisco, CA
  • Sherry Lifton, On Lok Lifeways, San Francisco, CA

Adapting a PACE Program Emergency Preparedness Plan for a Prolonged Emergency 

Element Care has almost 1,000 participants across six PACE sites. The Massachusetts-based program had an existing emergency preparedness plan designed to respond to a short-term crisis. As the COVID-19 pandemic evolved, initial steps to secure participants in their homes needed to expand to plan for long-term management beyond the current model of care. This presentation will describe the process of adapting an existing emergency preparedness plan for a prolonged response.

Target Audience: Administration, Quality


  • Karen Turnquist, Element Care, Lynn, MA

Innovative Strategies for Continuation of Marketing and Community Outreach During Emergency Situations

This presentation will provide ideas and strategies for marketing and continuation of enrollment during emergencies such as hurricanes and pandemics.

Target Audience: Administration, Intake/Marketing, Directors, Social Work, Recreation Therapy, Medical


  • Ansy Compere, Florida PACE Centers, Miami, FL
  • Bianca Diaz, Florida PACE Centers, Miami, FL

Tuesday, Nov. 17, 2020

2020 NPA Fall Quality Symposium

LIVE 12:30-5:00 p.m. (This session will be recorded and made available for replay.)

The COVID-19 pandemic has presented unique challenges for those leading quality improvement efforts within PACE. In addition to regulatory compliance and continued adherence to established standards with best practice models, virtual collaboration has been critical to assuring quality care is maintained for those served in the PACE community.

The theme of this year’s Quality Symposium is “Quality Improvement in PACE: During and After a Pandemic” The symposium will showcase the experiences of those managing various aspects of quality improvement in the midst of a pandemic to further facilitate improvement. The symposium also will explore the impact of COVID-19 on performance measurement and quality improvement initiatives in PACE post pandemic.

Featured Topics:

  • Maintaining an Effective Quality Improvement Plan in the Midst of a Pandemic
  • Utilizing Data to Evaluate Variation, Identify Trends, and Drive Improvement
  • Leveraging Virtual Technology to Engage Staff and Participants in Quality Improvement During a Crisis
  • Identifying and Developing Performance Measures in Response to a Pandemic
  • Data Visualization Techniques to Effectively Communicate Performance

The symposium will bring together quality leaders, nurses and clinicians who have a passion and commitment for improving quality outcomes. Come prepared to ask questions and learn from others. This will be an exciting learning experience for the attendees.

Find information and resources to assist NPA members in responding to coronavirus disease 2019 (COVID-19).

Contact your elected officials about supporting PACE. Learn more.

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