Thursday, April 12, 2018

8:00 AM Site Tour

While you are in town, see another PACE program in person with a tour and Q&A at Senior CommUnity Care of North Carolina, just 4 miles from the conference hotel. Space is limited to the first 30 registrants. Your conference registration fee includes the cost of the tour!

8:15 AM Registration Opens

Registration desk opens beginning at 8:15 am. Breakfast buffet begins at 8:30 am. Exhibit hall opens at 9 am. Registration closes at 3 pm. Exhibits open all day.

9:00 AM Networking Plenary and Roundtables

Join your colleagues from around the state and beyond for peer networking on the topics most of interest to you. Hear from the NC PACE Association on how to utilize the new website for resource sharing, communicating, and collaboration.

  • Robin Iten Porter | Education & Member Services Coordinator | NC PACE Association
  • Facilitator: Cathy Kenzig | Executive Director | Senior TLC

10:30 AM Welcome Plenary

Kick off the conference right from the get-go with a walk down memory lane. In this plenary, key supporters and Association leaders will honor a decade of PACE in NC. We’ll reflect on the organization’s major milestones and acknowledge all those who make PACE successful. Let’s get revved up for the next two days of excitement, education, and networking.

  • Cathy Kenzig | Chair of the Education Committee | Executive Director, Senior TLC
  • Brenda Vatland | VP of Business Development | Mediture + eClusive
  • Patty Bailey | CEO | Peak PACE Solutions
  • Shawn Bloom | CEO | National PACE Association
  • Linda Shaw | Executive Director | North Carolina PACE Association

11:30 AM Concurrent Workshops

Progress and Promise: PACE Model of Care

Pioneered in San Francisco in the early 70s, and experiencing a decade of practice in North Carolina, the PACE Model of Care is unique and innovative in its management of complex care needs for the frail elderly. This session is a great introduction (or refresher) on how PACE differs from traditional models. Learn why PACE was created and how we continue to honor the original vision of person centered, collaborative caregiving to promote maximum independence. This session will enhance your understanding of PACE and undergird your daily work in the center and in the community, as you educate and inform others about this unique program.

  • Shawn Bloom | President and CEO | National PACE Association
  • Jennie Chin Hansen | Immediate Past CEO | American Geriatrics Society
  • Linda Shaw | Executive Director | North Carolina PACE Association

The Part D Panel: Improving Clinical/Finance Understanding

If you feel like your program is in a constant audit cycle, you are probably correct. This workshop will help you identify what steps all staff should be taking to make audits less of a burden. Special emphasis will be on the one-third financial audit. Hear from those have been through this process, and what has changed for those undergoing the audit this year.

  • Patty Bailey | CEO | Peak PACE Solutions
  • David Beijer | Executive Director | CarePartners PACE
  • Renata Marske | PACE Finance and Data Manger | CarePartners PACE
  • Raghav Reddy | Finance and Health Plan Manager | Piedmont Health SeniorCare
  • Kelly Stout | Associate Director of Pharmacy Administration | Piedmont Health SeniorCare
  • Facilitator: Kristen Peeler, RN, MSN | Health Care Director | PACE@Home

Team Building Exercises

Team-based care is the foundation of PACE – multiple people working together providing comprehensive, person-centered care for each PACE participant. It is teamwork that makes the dream work. This isn't always easy though. Come participate in a variety of fun yet purposeful team building activities and discuss the pros and cons of using them in various settings. You will leave the workshop with new activities to build even stronger teams at your PACE.

  • Carrie M. Clough, RN | Wellness Coordinator | LIFE St. Joseph of the Pines
  • Ellen Smith, BSN, RN | Staff Development Coordinator | PACE of the Triad

Behavioral Health Chronic Pain Management Program

This presentation will introduce a group-based cognitive behavioral treatment for chronic pain management implemented at Rocky Mountain PACE. The chronic pain management program was developed in an effort to demonstrate the clinical potential and identify implementation barriers of the intervention. The former Director of Behavioral Health at Rocky Mountain PACE will review pilot outcome data, summarize implementation barriers, and provide recommendations for chronic pain interventions among this population of PACE participants.

  • Sheri Gibson, PhD | Consultant (Colorado)

1:15 PM Plenary Luncheon

The Promise of PACE

PACE has been the gold standard of care since its inception. Increasingly, aspects of the PACE model, such as care coordination and emphasis on the social determinants of health, are appearing in other health care delivery systems. The fee-for-service model is fading, and shared-risk is increasing. Meanwhile, America is rapidly aging. Our experience with these multiple challenges portends many possibilities for our PACE programs. Envision the future of PACE as you hear from a national expert on PACE and elder care, and the leader shaping the future of North Carolina’s health policy.

  • Jennie Chin Hansen | Immediate Past CEO | American Geriatrics Society
  • Mandy Cohen, MD, MPH | Secretary | NC Department of Health and Human Services
  • Shawn Bloom | President and CEO | National PACE Association

3:15 PM Exhibits and Networking

Exhibit hall

3:45 PM Concurrent Workshops

Whose Care Plan Is It? Working with Difficult Families

We've all had them – participants, family members or other caregivers that we graciously describe as "difficult". Nonetheless, the plan of care must encompass them all. This session will help you describe "difficult" families, attain tools and strategies to work with them, gain insight into your own personal triggers when working with these families, and understand the theories behind the practice. Leave this session feeling better equipped rather than frustrated, looking forward to a better understanding of their perspectives and your ability to work effectively with them.

  • Ashton Andrews, MSW, LCSW | Elderhaus PACE
  • Elizabeth Stapleton, LCSW, LISW-CP, ACHP-SW | The Saluda Counseling Center
  • Allison White, LCSW, LISW-CP | Hospice & Palliative Care Charlotte Region

Strategies to Increase Enrollment Conversion Rates

You can’t improve what you can’t measure. Conversion tracking allows you to manage barriers to enrollment and enhance your conversion rates over time. Learn to start or enhance your tracking methods in this workshop. The key benefits of conversion tracking are exceeding enrollment goals, boosting revenue streams, and creating a focused marketing plan. Join PACE of the Southern Piedmont and CarePartners PACE in a discussion on enrollment time, conversion rates, regulations, enrollment myths, and the benefits of elder law.

  • Laura Baker-Seseika | Program Development Manager | CarePartners PACE
  • April Barnes | Director of Outreach and Education | PACE of the Southern Piedmont
  • Rupe S. Gill | Attorney at Law | Walker Lambe, PLLC
  • Facilitator: Erika Squires | Enrollment Coordinator | LIFE St. Joseph of the Pines

Growing PACE through Alternative Care Sites

Alternative Care Settings (ACS) offer flexibility for PACE to address specific needs of unserved (or underserved) populations within the current service area, such as outlying rural communities or other densely populated urban areas. An ACS allows a PACE program to scale and grow outside of expanding or adding a center, and the options for doing so are many. Learn from the experiences of our first ACS in North Carolina which utilizes a partnership with an adult day health center and hear about a different approach in the works.

  • Thomas Chang | Executive Director | Carolina SeniorCare
  • Asheley Cooper | Director of Adult Day Services | Aging, Disability & Transit Services of Rockingham County
  • Ursula Robinson, LCSW, MHA | Executive Director | PACE of the Triad
  • Facilitator: Shawn Bloom | President and CEO | National PACE Association

Behavioral Health Case Study

Behavioral health concerns are among the most challenging faced by health providers, and PACE remains one of the few programs to Integrate behavioral and physical health. The former Director of Behavioral Health at Rocky Mountain PACE will discuss its innovative behavioral health program and how Rocky Mountain addressed behavioral health needs. Topics will include program structure and staff resources, challenges in developing a program, benefits of using a behavioral health program, referral mechanisms and behavioral health tools. Attendees will have the opportunity to provide input on ways to improve behavioral health in PACE.

  • Sheri Gibson, PhD | Consultant (Colorado)

5:15 PM Happy Hour Reception

Relax and unwind after a full conference day with your colleagues, exhibitors and special guests. Use your drink ticket to pick up a glass at the cash bar.

Friday, April 13, 2018

7:30 AM Registration and Exhibits

Registration and exhibit hall opens. Continental breakfast served.

8:00 AM Concurrent Workshops

Actively Engaging (Beyond Bingo)

The founders of PACE recognized that socialization and staying active are key to good health at all ages, and especially for the elderly. Hence, the day center as a core component of PACE's all-inclusive care. Keeping participants engaged over time can become challenging. This panel of presenters will discuss a host of best practices, addressing topics such as how to serve and engage different populations (younger, cultural, cognitive), getting the whole staff - and other participants - involved, and making sure that it stays fun for you as well! You'll get lots of creative ideas "beyond bingo" and also hear about "Snoezelen rooms" when activity overwhelms.

  • Yveline Buford | Owner | Quality Time Shared
  • Adam Hyatt, CTRS | PACE Program Director | Elderhaus PACE
  • Sibert Lewis | Life Enrichment Coordinator | Carolina SeniorCare

Operational Tactics to Optimize Clinical Documentation, RAPS, Risk Scores

You know, of course, that PACE serves frail individuals with many ADLs and multiple diagnoses. But did you know that properly documenting these conditions can result in more operating income for your program? Learn how others have developed and integrated procedures to maximize reimbursement rates. Drawing on failures, successes and collective experiences across many PACE organizations, presenters will offer condensed lessons in a rapid-fire and enjoyable format. Content includes domains of information, such as documentation requirements, workflows, timelines, provider motivation, reporting/analytics, data integrity, Medicare processes, compliance and clinical documentation improvement.

  • George "Mike" Brett, MD | CMO | Capstone Performance Systems
  • Lori Pigeon, CRNP | Associate Medical Director for Quality | Harbor Health Elder Service Plan

Organizational Change Transformation

Does your organization struggle with change? During this presentation we will be exploring the journey PACE of the Southern Piedmont has taken over the last 18 months. They have implemented a culture that supports changes within their organization. Some attributes of this include properly scoping out the change, engaging the proper partnerships early and often, being solution oriented, gaining leadership support, and investing in education. Come and learn more about how to be a change agent at your PACE organization.

  • Margaret Moody, BSW | Quality Coordinator | PACE of the Southern Piedmont
  • Meghan Neary | Culinary Coordinator | PACE of the Southern Piedmont
  • Jessica Lynch | Project Manager | Mediture
  • Tara Florek | Director of PACE Client Services | Mediture
  • Renee Rizzuti, FABC, MHA, LNHA | CEO/Executive Director | PACE of the Southern Piedmont

How to Recognize Pain in Dementia Participants

Learn how to recognize signs of distress in people with dementia. Worsening dementia often leaves participants unable to communicate if there is an acute medical condition or emergency, medication side effect, ‘bad day’ depression, and pain or discomfort. You’ll discover when to intervene based on the participant’s preserved abilities, observable behaviors and signs, and your knowledge of what is ‘usual’ and ‘normal’ activity.

  • Teepa Snow, MS, OTR/FAOTA | Dementia Expert and Trainer | Positive Approach to Care LLC

9:30 AM Concurrent Workshops

Enhancing Mobility and Decreasing Fall Risks

Develop the awareness, knowledge and skills to provide mobility guidance and assistance that reduces distress, improves responses and addresses needs, using an ability-focused model. Observe or practice hands-on techniques and strategies that promote and sustain safer movement patterns and use established routines and habits combined with spontaneous reactions to reduce fall risk, encourage engagement in regular mobility programming that fosters well-being and reduces a variety of health-related risks, and uses a partner approach in all mobility guidance rather than a directive approach.

  • Teepa Snow, MS, OTR/FAOTA | Dementia Expert and Trainer | Positive Approach to Care LLC

Getting to the Root of the Matter: Root Cause Analyses

Equip your team with a few new techniques to systemically find the root cause of problems and prevent them from reoccurring. Effective management in your program means finding a way to extinguish fires before they turn into blazing infernos. Our workshops will dig deep into incidents, so you know how to keep them from resurfacing, especially in terms of audit quality. You’ll walk away with a lean, team-based method of process improvement that will transform your day-to-day operations.

  • Janine Conrad | Quality Manager | Randolph Health Staywell Senior Care
  • Candy Lee, RN | Quality and Compliance Coordinator | Elderhaus PACE
  • Dina Russell, PT | Quality and Compliance Manager | CarePartners PACE
  • Facilitator: Amy A. Porter, BS | Finance Manager | Senior CommUnity Care of North Carolina

Improving Efficiency and Safety: Implementing a Triage Process and Efficient Clinic Workflows

Learn how Harbor Health implemented new systems, processes, and roles to optimize efficiency and client safety. Harbor Health’s goal was to provide the right care, by the right person, and at the right time. Our organization made several breakthrough discoveries. By clarifying role descriptions, responsibilities, and workflows for staff members, we increased efficiency, decreased waste, and improved employee morale. Furthermore, we implemented a new triage process, and implemented a more efficient clinic workflow, so patients received the most effective care. Learn how to incorporate improvement science into your everyday work to drive positive change and measure outcomes. Come and listen to how we found the right tools to provide exceptional quality care to our patients.

  • Lori Pigeon, CRNP | Associate Medical Director for Quality| Harbor Health Elder Service Plan

Chronic Disease Management Panel – COPD

Chronic conditions can result in repeated, expensive hospitalizations. A team of experts will discuss best practices for managing COPD that result in better health outcomes for the participant and better financial outcomes for the PACE program.

  • Andrea Muza, BSN, RN | Home Care Coordinator | PACE of the Triad
  • Janet Pennell, MSW, LCSW | Social Worker | PACE of the Triad
  • Ellen Smith, BSN, RN | Staff Development Coordinator | PACE of the Triad
  • Dr. Amy Stewart, DPT | PACE of the Triad
  • Dr. Julie Williams, PCP | PACE of the Triad
  • Christopher Longo, PharmD, BCPS | Clinical Pharmacist | CareKinesis

11:00 AM Exhibits and Networking

Late morning snack and beverage break.

11:15 AM Concurrent Workshops

Sexuality and Intimacy – It’s Time to Talk about It!

Since dementia results in a wide variety of brain changes, the ability to be intimate with others and expressions of sexuality are typically impacted and affected at multiple points throughout progression. Unfortunately, many changes in behavior are viewed by some as “inappropriate sexual advances” or “misbehavior”. Sorting through the basic changes that relate to social behaviors, dis-inhibition, sensory processing and alterations, as well as cognitive abilities will foster a more helpful and healthy approach to coping with multiple issues that occur when someone is living with dementia.

  • Teepa Snow, MS, OTR/L, FAOTA | Positive Approach LLC

Family Feud with Shawn Bloom

It’s time to play the feud! Join host Shawn Bloom as he tests your knowledge in this PACE version of the iconic television game show. It’s a fun and friendly competition but with an underlying goal: to better understand the important and essential roles that all your colleagues play in the PACE model. We guarantee that even the most experienced PACE team member will be stumped on some of these “survey says”! You may not win cash, but there will be fun, laughter and a good time – and prizes, too.

  • Nicole Alm | Scorekeeper (& Executive Administrative Assistant, Senior TLC)
  • Shawn Bloom | Gameshow Host (& President and CEO, National PACE Association)
  • Lauren Leathers | Executive Producer (& Home Care Scheduler, CarePartners PACE)
  • Amy A. Porter, BS | Gameshow Assistant (& Finance Manager, Senior CommUnity Care of NC

Improving Participant Satisfaction

How many complaints did you get about the green beans you served for lunch yesterday? Participant satisfaction measures cover a wide variety of issues. And while the issues themselves are of varying importance, the participant's overall satisfaction is critical. Insights can be gained through annual participant satisfaction surveys, including opportunities for improvement. Hear from programs that did best in areas which have lower satisfaction ratings (food and transportation), and how one program utilizes feedback from the PAC.

  • Dina Russell, PT | Quality and Compliance Manager | CarePartners PACE
  • Leanne Shuford, RN, BSN | Program Director | Senior TLC
  • Mary Tuitt | Registered Dietician | Carolina SeniorCare
  • Harold Urman, PhD | President | Vital Research, LLC

Deprescribing for Safe Geriatric Pharmacotherapy

Many new participants come into PACE with multiple prescriptions, and most participants continue taking numerous medications. How do you determine when a prescription is no longer necessary? What are the reasons you should consider de-prescribing? And what are the barriers and challenges for doing so? A board-certified geriatric pharmacist will explain the theoretical framework and systematic approach to deprescribing in older adults and apply it to patient case scenarios. Bring your own questions and examples.

  • Kevin T. Bain, PharmD, MPH, BCPS, BCGP, CPH, FASCP | Sr. Vice President, R&D | CareKinesis
  • Shelby McGee | Nurse Practitioner | Randolph Health StayWell Senior Care

12:30 PM Plenary Luncheon

In recognition of the conference's fifth anniversary, we bring back one of our most popular speakers ever: renowned dementia expert Teepa Snow. Dementia is the most common chronic condition diagnosed in our PACE programs, and likely to become even more prevalent in the future. No matter your role, it is critical to understand the condition, how to provide a safe and friendly environment and how to effectively communicate with those who have dementia. Teepa takes you from what you know to a greater awareness, builds your knowledge and skills, and boosts your confidence to take what you know and make a difference. You'll get practical tips and even enjoy some humor.

  • Teepa Snow, MS, OTR/L, FAOTA | Positive Approach LLC

2:30 PM Presentation of the NC PACE Association Awards

The Association presents its annual awards, prizes, and raffle winners. You must be present to win!

  • David Beijer | Executive Director | CarePartners PACE and Vice Chair | NC PACE Association
  • Dr. Marsha Fretwell | PACESetter Matriarch
  • Linda Shaw | Executive Director | North Carolina PACE Association

2:45 PM Conference Concludes

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