Programs of All-Inclusive Care for the Elderly

2014 Workshops

Workshop Descriptions

... A wealth of expertise and ideas -- all happening at “Setting the PACE” 2014!

We know that conference participants learn from one another in less formal settings, so we planned ample opportunity for small group sessions on the hot topics and key issues we grapple with every day. Below you will find information about our 2014 workshops.

group workshops

Many small group workshop topics offered!

Diabetes Management workshop

Ellen Smith, Center Manager, PACE of the Triad, leads Diabetes Management workshop

There were so many high caliber workshops and presenters, conference participants’ only complaint had to pick and choose among them! We got great comments throughout the conference and in the attendee surveys.  Take a look at just a few snippets from some satisfied, impressed participants – who also provided GREAT ideas for next year’s program!

Tedra Anderson-Brown

Tedra Anderson-Brown, M.D., Assistant Medical Director for Alliance Behavioral Healthcare Managed Care Organization (MCO) presenting at Managing Behavioral Health workshop, Part I

“The different workshops were very educational.”

“The size allowed for good questions and interaction.”

“Good choice of topics. As a non-PACE professional I was very interested in    learning more about the PACE model.”

“Speakers were very informative, they made me proud to be a part of PACE.”

“Hearing what other PACES do.”

“The Question and Answer sessions!”

PACE 101: An Introduction to PACE
Still trying to figure out exactly what PACE is and why it is so special? Then this workshop is for you. Learn about the history of PACE and its philosophy of keeping elderly in the community. See how it has grown in North Carolina and the nation. Become familiar with terms like “capitation”, “assuming full risk”, and quality outcomes. Find out what is involved in bringing a PACE facility to your neighborhood.


  • Shawn Bloom - Executive Director, National PACE Association
  • Marianne Ratcliffe – Executive Director, Piedmont Health Senior Care
  • Tim Clontz - Immediate Past Chair, NC PACE Association and co-founder of three PACE programs

Stacking the Deck for Diabetes Management
The cards can seem stacked against diabetes management for PACE participants due to many physical, cognitive and social factors.  Poor diabetes management contributes to renal disease and amputation, two complications that have high costs to participants and PACE organizations.  Come discuss diabetes management and learn how to restack the deck for improved outcomes.

  • Ellen Smith - Center Manager, PACE of the Triad
  • Susan Cadigan - Nutritionist, LIFE St. Joseph of the Pines
  • Dr. Scott Sheldon – Medical Director, Carolina SeniorCare

Functional Measures: Critical Element in the Financial Strategy of PACE Programs
At this time of financial austerity for health and long term care, clinicians must have the data to justify the expenditures accumulated in the day to day care of our frail older adults. Cost containment, by necessity, will be focused on reduction in various components of our complex interdisciplinary model of care and, if the past is any predictor of the future, on increasing the volume of individuals served by any given IDT. Clinicians have the knowledge and responsibility for the quality of the care at both the individual participant and the programmatic level. In this workshop, we will discuss the critical role that functional measures, applied as outcome measures for continuous improvement, have to play in the financial strategies of successful PACE programs.

  • Dr. Marsha Fretwell – retired Medical Director, Elderhaus PACE
  • Jane Old, RN  - Quality Manager, Elderhaus PACE

Housing for PACE Participants 
The ability to live safely at home with the support of PACE is a requirement for enrolling in the program. But how do we keep lower income frail elderly out of more expensive assisted living and costly nursing homes when safe and affordable housing is not available?  Hear how PACE programs are addressing this issue, from partnerships with affordable housing developers to other innovative ideas. 

  • Lane Sarver - Affordable Housing Developer, Lane Sarver and Associates
  • Aimee Reimann  - COO, United Church Homes and Services

PACE and Hospice Collaboration
When the need for hospice services arises, it is imperative that PACE and hospice programs work closely to assure the best care and best experience for the participant and the family. What must go on behind the scenes to make this happen? This workshop explores the nuts and bolts of these partnerships, and is oriented to PACE and Hospice staff.

  • Ursula Robinson, MSW -  Executive Director, PACE of the Triad
  • Risa Hanau, MSW - Hospice and Palliative Care of Greensboro
  • Annette Kiser - The Carolinas Center for Hospice and End of Life Care

Depression and the Elderly: Effective Management of Depressive Symptoms within PACE Programs
The prevalence of depression and depressive symptoms in older populations ranges from 5 to 15% in studies of older adults. Assessment and management of depressive symptoms is one of the quality mandates of the PACE programs. This workshop will cover 3 interacting approaches to improved detection and management of depression in the PACE model. The Healthy Ideas project seeks to imbed the skills of detecting and managing into the entire Interdisciplinary Team through a coaching/training approach. For participants whose symptoms of depression might persist despite this approach, we will discuss effective one-on-one therapy. Finally, a physician will discuss the judicious use of psychoactive medications in participants who have not responded to the first educational and therapeutic relationship approach.

  • Mary Lynn Piven – Director, Healthy Ideas Program
  • Janet Pennell - Social Worker, PACE of the Triad
  • Dr. Marsha Fretwell – retired Medical Director, Elderhaus

Civics 101: Government and PACE
PACE is a three-way partnership between the federal government, the state government and the PACE provider. Decisions made in Washington, Atlanta (CMS), and Raleigh have significant impact of the provision of PACE. Who makes those decisions, and do you have any voice in them?  Come learn about the North Carolina legislature, Congress, and the administrative branches, and what is being done to ensure the voice of providers and participants is heard. 

  • Shawn Bloom – Executive Director, National PACE Association
  • Linda Shaw – Executive Director, North Carolina PACE Association

PACE and Home Care Collaborations
PACE programs and home health providers work closely with each other, but the various rules and regulations governing each service can complicate even the most harmonious relationships.   What are these parameters, and how do we navigate and work through them? This workshop will offer a real-world perspective on how home health agencies and PACE can overcome obstacles and work closely together to provide quality care for frail seniors.

  • Michelle White – Home Care Providers
  • Mary Alice Mirek – Well Care
  • Kay Zwan – Center Manager, Elderhaus
  • Sherry Thomas – Sr Executive Vice President, Association of Home and Hospice Care of NC

Activities in Action (Innovative Day Therapy)
“I’m 89 years old and you want me to do WHAT?” Everyone knows exercise and activity is good for you, but it is especially important for PACE participants and programs. Exercise helps prevent falls, and enhances overall health and well-being. Activities promote socialization and mental acuity.  Learn about PALI, an innovative recreational therapy assessment used by PACE of the Triad that maximizes  therapeutic recreational activity and has proven effective with the PACE population that is predominately frail and elderly. Speakers will share the impacts of this approach on participants and on the PACE program.

  • Brianne Martindale  - PACE of the Triad
  • Essosa Dickey – PACE of the Triad

Remote Monitoring & Chronic Care Management: A Community Health Center Model of Care  (Telehealth)
This presentation will describe the Community Health Center Remote Monitoring and Chronic Care Management Model of Care and identify 3 year financial and clinical outcomes.  The presenter will discuss the impact of Remote Monitoring and Chronic Care Management for Community Health Centers and their patients, along with stakeholder collaboration on the use of telehealth within an integrated care model. Roanoke Chowan Community Health Center implemented the first remote monitoring and chronic care management program within a Federally Qualified Health Center for Cardiovascular Disease, Diabetes and Hypertension Patients.  Attendees will learn how remote patient monitoring compliments the integrative care model and key principals of utilizing innovative tools to address health disparities in a rural primary care setting.

  • Kim A. Schwartz, MA - Chief Executive Officer, Roanoke Chowan Community Health Center

Alternative Care Settings
Establishing a full-service PACE program that meets all the requirements of federal and state regulations and is of sufficient size to be cost effective is an expensive and lengthy endeavor, which could leave limited resource communities (like rural areas) and certain populations without access to PACE. Increasingly, PACE providers are looking at ways to deliver the PACE model of care that are less expensive and more flexible. Frequently, this involves partnering with existing compatible programs already in the target community, such as senior centers or adult day health programs. Representatives of two of our most experienced urban-based programs will explain how they plan to use alternative care settings to expand into other communities, both rural and urban.

  • Tim Clontz  - board member, PACE of Triad, PACE of Southern Piedmont, Staywell, and NC PACE Association
  • Kay Zwan – Center Manager, Elderhaus

Risky Business: Become Comfortable and Successful Managing Risk in PACE
Managing risk for a frail, elderly population with complex health needs and psychosocial issues is a constant challenge. This session will focus on the various risk domains  - financial, clinical, liability – associated with operating a PACE organization and offer best practices and strategies to alleviate risk as much as possible, including coaching staff to become more comfortable with risk associated with PACE. Hear from an experienced consultant and a seasoned operator of two different PACE programs.

  • John Tucker, MHA – Palmetto Health Senior Consulting
  • Karen Oldham – Executive Director, Senior Community Care of NC

Palliative and End of Life Care
It is inevitable, but it isn’t easy. Most PACE participants will die while in a PACE program’s care. PACE programs want to ensure that they are providing the best and most appropriate care in this final stage of life, but many staff remain uncomfortable  providing end of life care.  This is a very emotional time for family members, as well as staff and other PACE participants, adding to the pressure to “do the right thing”. How do you know if and when hospice or other partners should be called in? Hear from end of life care experts and a PACE family member whose loved one died in PACE care. 

  • Barbara Bartis Vaughn – Family member of PACE of Triad participant 
  • Michelle Roseman -  Palliative CareCenter and Hospice of Catawba Valley