Know Your PACE
What is the organizational mission statement.
To honor and enrich lives with empathy, purpose and grace.
What is a grievance?
A grievance is a complaint, written or oral expressing dissatisfaction with the service delivery or the quality of care furnished.
What does CMS stand for?
Centers for Medicare & Medicaid Services
What does SDR stand for?
Service Determination Request
If you have an issue with equipment temperature with a hydrocollators where would you document this?
What is the age requirement for entering into the PACE program?
What is 55
Who can file a grievance
What is the purpose of a CMS audit?
The program audits measure the organizations compliance with the terms of its contract with CMS.
What is an SDR?
SDR is a request from a participant, designated representative or his/her/their caregiver to initiate a service, modify an existing service, and/or continue coverage of a service Florida PACE Centers is recommending to be discontinued or reduced.
How can an appeal be submitted?
Written or verbal notification
Name to 2 members of the Quality Team
Andrew Orozco - Quality/Compliance Manager
Julinel Plaza - Quality Coordinator
Where can you find a grievance form?
PACE sites and on our Sharepoint web page
Which areas are reviewed during the CMS audit?
Service Determination Requests
On Call Universe
Fire extinguishers
Grievances
A Service Determination Request must be brought to the IDT team no later than how many calendar days?
3 calendar days
Reporting a level 2 fall requires a staff member to complete a specific type of document. What is the name of that document?
PACE incident form
What are the 4 major eligibility requirements to enroll in PACE.
Must be 55 years or older.
State LOC approval.
Reside in the service area of the PACE organization.
Meet state safety criteria to live in a community setting.
Who is responsible for investigating grievances?
Quality
Who will be conducting the CMS audit?
ACHA/CMS
Who can approve or deny an SDR?
Individual or full IDT
I did something wrong in the EHR, where can I report the issue?
Smartsheet Carevention issue tracker request form
Mention one participant bill of rights.
To be treated with dignity and respect.
Who else can a particiapnt file a grievance with?
ACHA and Medicaid office.
What happens after the audit?
CMS audit team provides the final report and FPC responds with corrective actions.
Who must review a Service Determination Request
The full interdisciplinary team must review and discuss each service determination request and decide to approve, deny, or partially deny the request based on that review.
Who needs to sign a care plan?
All 11 disciplines.