PACE - Reporting Requirements

PACE - Reporting Requirements 

Risk assessment and management are essential components of an effective quality improvement program. Risk management requires identifying and systematically reducing potential risks to the safety of Program of All-Inclusive Care for the Elderly, or PACE, participants and within the healthcare environment. The Centers for Medicare & Medicaid Services, or CMS, as well as other agencies require that specific information be reported when events meet certain thresholds. In this course, you will learn about Level One and Level Two reporting requirements and the use of root cause analysis for the investigation of reportable events.


Hours: 0.50


Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-SRC-0-PRR
Hours: 0.5
Type: Online Course
Content Expiration Date: 6/30/2022
Learning Objectives:
Explain how to conduct a root cause analysis.
Describe PACE quality data reporting requirements and timelines.
Identify events that require completion of a root cause analysis.

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Reporting Requirements

Risk Management and Assessment

Data Quality Submission Timeline

PACE Data Quality Incidents



Adverse Drug Reaction

Unexpected Death

Emergency Room Visits

Enrollment Data


Infectious Disease Outbreak


Medicare Administration Errors without an Adverse Effect

Medication Related Occurrences

Adverse Outcome

Restraint Use


Motor Vehicle Accidents

Fires and Other Disasters

Foodborne Outbreak



Equipment-Related Occurrences

Media-Related Events

Pressure Injury

Suicide Attempt/Suicide

Reporting to Other Agencies

Root Cause Analysis

Conducting an RCA


Section 3: Conclusion


Course Contributor


Instructor: Elisabeth Reid-Gonzalez MPA, CPHQ
Elisabeth Reid-Gonzalez MPA, CPHQ is the Manager of Quality and Resource Management for a PACE Quality Program. She has a Master’s in Public Administration and a Bachelor in Cell and Developmental Biology from the University of Rochester. She is a Certified Professional in Healthcare Quality with over 13 years of healthcare experience in the ambulatory and acute-care hospital setting. Disclosure: Elisabeth Reid-Gonzalez MPA, CPHQ has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ronald Orth, RN, CMAC, CHC  obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post-acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA and is an AHIMA approved ICD-10-CM trainer. Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry level General Staff; in the following settings: Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
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