PACE, or Program of All-Inclusive Care for the Elderly, is a Medicare- and Medicaid-funded program. PACE helps people over 55 years of age who need nursing home-level care live in their communities safely (Medicare, n.d.). Being able to remain in a familiar space benefits the well-being of many older adults. To ensure the safety of the PACE program, quality improvement (QI) processes must be done. The results of these QI processes are reported and tracked. The Centers for Medicare & Medicaid Services (CMS) and other agencies require that participating PACE organizations (POs) follow QI reporting guidelines. These POs must submit quality data to CMS on a quarterly basis. In this course, you will learn about the CMS PACE reporting requirements. You will also learn about the use of a root cause analysis (RCA) for the investigation of reportable events.
This is not an accredited course for professional license renewal. Florida CNAs may use this inservice toward meeting their annual inservice requirement.
Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 0.50 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO2236013
Section 1: Introduction
About This Course
Section 2: Reporting Requirements
Risk Management and Assessment
Data Quality Submission Timeline
PACE Data Quality Incidents
Reporting Requirements and Thresholds
Adverse Drug Reaction
Emergency Department Visits
Infectious Disease Outbreak
Medication Administration Errors Without an Adverse Effect
Motor Vehicle Accidents
Fires and Other Disasters
Suicide Attempt or Suicide
Reporting to Other Agencies
Root Cause Analysis (RCA)
Conducting an RCA
Section 3: Conclusion
Tameka N. Warren, MSN, RN, CLC, earned her Bachelor and Master of Science in Nursing degrees from Indiana University School of Nursing at IUPUI, and her Associate of Science in Nursing from Ivy Tech College. She has over 17 years of nursing experience in public health, regulation, home health, leadership, education, maternal child community health, and long-term care environments. Tameka has served as a leader in home healthcare practices, quality improvement, and education as a community health nurse and a Public Health Nurse Surveyor (Home Health & Hospice) certified by the Centers for Medicare & Medicaid Services, or CMS. She has served as a maternal and infant mortality advocate in managing home visiting services, supporting legislation to improve maternal child care in diverse communities, and as an ALPP Certified Lactation Counselor. She has also served as an Adjunct Clinical Professor to further awareness about the importance of community health nursing. Tameka’s passion is to serve the most vulnerable populations affected by health disparities and to inspire a new generation of nurses to do the same successfully.Disclosure: Tameka N. Warren, MSN, RN, CLC has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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