Prescription Health

In this episode of Keep Up With PACE, Al’Asia Powell, Director of Quality and Patient Safety, Inspira LIFE, outlines the process of preparing for a CMS audit. Her outline consists of a five phased approach a PACE program should follow – (1) complete a gap analysis, (2) create a plan, (3) execution, (4) implementation, and (5) resolution. In addition to audit preparation, Ms. Powell shares insights on creating a strong culture of compliance and effective communication within a PACE team. About our Guest: As Director of Quality and Patient Safety for Inspira LIFE, Al’Asia is responsible for the development and implementation of the annual quality improvement (QI) plan, provides oversight of QI workgroups and communicates quality metrics to regulatory agencies, the board of directors, the Participant Advisory Committee (PAC), providers and other stakeholders. Additionally, she provides oversight for CMS audit engagement activities and participant satisfaction surveys. Al’Asia is a fellow of the Advisory Board, a Certified Professional in Healthcare Quality and completed the LEAN Six Sigma Black Belt course.  Episode Breakdown: Intro: 00:00 – 01:30 • Background in PACE: 01:53 – 3:19 • Role as Director of Quality and Patient Safety: 03:20 – 04:03 •  Culture of Compliance: 05:37 – 12:55 • Phase 1 (Gap Analysis):12: 56 – 16:57 • Phase 2 (Planning): 16:58 – 26:05 • Phase 3 (Execution) 26:06 – 29:18 • Phase 4 (Implementation): 27:19 – 29:02 • Phase 5 (Execution): 29:03 – 32:00 • Creating a Non-Punitive Environment: 32:01 – 33:15 • Continuing Improvement: 33:16 – 38:56 •  Tips for Preparation: 38:57 – 41:19 • Success Story/Inspiration: 41:20 – 44:20 • Rapid Fire Round: 44:26 – 46:58 •  Outro: 46:58 - End  Learn More: careventionhc.com • linkedin.com/company/carevention-healthcare • https://www.inspirahealthnetwork.org/ • https://www.linkedin.com/company/inspira-health-network-life-inc/ 

Keep Up With PACE kicks off 2023 with guest, Peter Fitzgerald, Executive Vice President of Policy and Strategy at the National PACE Association. In this episode, Peter offers insight into the future of PACE with discussions regarding PACE 2.0, PACE policies and bills, the importance of telehealth and other technologies for participants, and growing the PACE workforce. Peter stresses the importance of eliminating barriers by making PACE more affordable for Medicare only individuals, as well as making it easier to enroll in the program for all participants. About our Guest:As the Executive Vice President for Policy and Strategy at the National PACE Association, Peter guides the association’s policy and advocacy efforts, at the federal and state level, to support its strategic priorities. Peter leads the PACE 200K initiative to expand access to and use of PACE nationally with the aim of serving 200,000 older adults in PACE by 2028. Before his current position, Peter served as the Senior Vice President for Integrated Care Strategies at Volunteers of America, where he was responsible for the planning and development of new PACE programs nationally Episode Breakdown: Intro: 00:00 – 01:53 • Background in PACE: 01:12 – 4:25 • Role at NPA: 04:26 – 08:59 •  Bipartisan Policy Center: 09:04 – 10:56 • PACE Growth:10:57 – 16:50 • Mid-Month Access to PACE Services: 16:52 – 20:23 • PACE Policies (PACE Plus Act/PACE Expanded Act/PACE Part D Plan Choice Act): 20:24 – 31:40 • Future of PACE (VA contracts, telehealth, PACE workforce): 31:41 – 43:32 • Diversity, Equity, and Inclusion Council: 43:33 - 48:51 • PACE Success Story: 48:52 – 51:14 • Contact: 51:14 – 51:56 • Rapid Fire Round: 52:06 – 53:50 • Outro: 53:51 - End Learn More: careventionhc.com | linkedin.com/company/carevention-healthcare | npaonline.org

This month Dr. Ankur Patel, Chief Medical Officer at Tabula Rasa HealthCare, is joined by Dr. Mike Brett, Senior Vice President, Chief Medical Officer, Capstone Risk Adjustment Services to discuss how PACE programs can utilize Risk Adjustment Services to evaluate their participants’ risk scores now to better prepare for 2024.  Also,  how specificity in your documentation can improve participant care. Our experts share insights into strategies for clinical documentation and best practices for a comprehensive Risk Adjustment program.Episode Guests:• Dr. Ankur Patel, Chief Medical Officer at Tabula Rasa HealthCare (moderator)• Dr. George 'Mike' Brett - SVP of Consulting, Capstone Performance Systems#PACE #Tabularasa #healthcarePrescription Health is brought to you by Tabula Rasa HealthCare, a leader in providing patient specific, data driven technology and solutions with a mission to enable simplified and individualized care that improves the health of those served. For more information, please tabularasahealthcare.com. Learn More: https://www.tabularasahealthcare.com/https://careventionhc.com/https://www.linkedin.com/company/carevention-healthcarehttps://www.linkedin.com/company/tabula-rasa-healthcare

Welcome back to Prescription Health (formerly Keep Up With PACE)! This episode features an informative discussion on the impact of pharmacogenomics (PGx) in PACE, led by a panel of innovative medical professionals.Listen in as our guests breakdown the different aspects of PGx, share how PGx is implemented and utilized within PACE programs, explain case studies and trends, and describe stories of how incorporating PGx into participant care has optimized medication regimens, improved outcomes, and enhanced quality of life. Episode Guests:Dr. Ankur Patel, Chief Medical Officer at Tabula Rasa HealthCare (moderator)Dr. Devin Fox, Vice President of Clinical Operations at ImmanuelDr. Eric Glantz, Medical Director at Beacon of LIFEDr. Adriana DeJesus, Geriatric Pharmacist and Clinical Manager of Pharmacogenomics at Tabula Rasa HealthCare Episode Breakdown: Intro: 00:00 – 00:31 • Guest introductions: 00:32 – 4:12 • What is pharmacogenomics (PGx): 04:13 – 06:30 • PGx in PACE: 06:14 –19:35 • PGx studies, trends, and data: 19:36 -  26:26 • Phenoconversion: 26:27 – 28:12 • Utilization of PGx: 28:13 – 32:11 • PGx outside of PACE: 32:12 – 35:02 • Success stories: 35:03 – 38:01 • Rapid Question Round: 38:02 – 43:43 • Outro: 43:44 - endPrescription Health is brought to you by Tabula Rasa HealthCare, a leader in providing patient specific, data driven technology and solutions with a mission to enable simplified and individualized care that improves the health of those served. For more information, please tabularasahealthcare.com. Learn More: https://www.tabularasahealthcare.com/https://careventionhc.com/https://www.linkedin.com/company/carevention-healthcarehttps://www.linkedin.com/company/tabula-rasa-healthcare

Prescription Health S1E2 | PACE Participant Enrollment and GrowthIn this episode of Prescription Health (formerly Keep Up With PACE), our moderator, Dr. Ankur Patel, Chief Medical Officer at Tabula Rasa HealthCare, is joined by a panelist of long-serving PACE leaders, including Amy Katz, VP of Strategic Growth at PACE Southeast Michigan, Johanna Dickman, Senior PACE Consultant at Tabula Rasa HealthCare, and Mindy Wilds, Regional VP of Operations at WelbeHealth. Join us for a thought-provoking discussion surrounding topics of PACE participant enrollment and growth. Our panelists share insights into strategies for increased growth both internally and externally, overcoming operational barriers, interdisciplinary team (IDT) solutions regarding enrollment, and heart-warming PACE success stories. Episode Breakdown: Intro: 00:00 – 00:31 • Guest introductions: 00:32 – 5:50  • Strategies for growth and enrollment: 05:51 – 10:10:28 • PACE zip codes: 10:29 – 16:20 • Targeting specific PACE populations: 16:24 – 21:40 • Overcoming enrollment barriers: 21:41 – 27:35 • IDT and enrollment: 27:36 – 36:40 • PACE success stories: 36:41 – 43:21 • Rapid Six Round: 44:30 – 48:32 • Outro: 48:33 - end Prescription Health is brought to you by Tabula Rasa HealthCare, a leader in providing patient specific, data driven technology and solutions with a mission to enable simplified and individualized care that improves the health of those served. For more information, please tabularasahealthcare.com. Learn More: https://www.tabularasahealthcare.com/ • https://careventionhc.com/ • https://www.linkedin.com/company/carevention-healthcare • https://www.linkedin.com/company/tabula-rasa-healthcare • https://welbehealth.com/ • https://www.pacesemi.org/ 

Prescription Health S1E1 | The Expanding Role of Pharmacy in Value-Based CareWelcome to the first episode of Prescription Health (formerly Keep Up With PACE). This episode features guests, Brian Adams, President and CEO of Tabula Rasa HealthCare (TRHC), and April Gill, Chief Commercial Officer of TRHC, and is moderated by Frank Sparacino, Senior Vice President of Investor Relations and Corporate Development at TRHC. In this episode, our guests discuss the trends driving the future of healthcare, the expanding role of pharmacy in value-based care, the barriers that hinder growth, and how TRHC is positioned to enable the healthcare industry. Episode Breakdown: Intro: 00:00 – 00:31 • Guest introductions: 00:32 – 03:08 • Emerging trends driving the future of healthcare: 03:09 – 10:19 • The expanding role pharmacists/pharmacy solutions play in value-based care: 10:20 – 16:20 • The impact pharmacists have in medication regimens and the overall health of a patient: 16:21 – 21:35 • Barriers that hinder growth for pharmacies: 21:36 – 26:57 • The role TRHC plays in helping healthcare move forward: 26:58 – 30:38 •  Outro: 30:39 - end   Prescription Health is brought to you by Tabula Rasa HealthCare, a leader in providing patient specific, data driven technology and solutions with a mission to enable simplified and individualized care that improves the health of those served. For more information, please tabularasahealthcare.com. Learn More: https://www.tabularasahealthcare.com/ • https://careventionhc.com/ • https://www.linkedin.com/company/carevention-healthcare • https://www.linkedin.com/company/tabula-rasa-healthcare

Welcome to our newly expanded podcast, Prescription Health (formerly Keep Up With PACE). Prescription Health is brought to you by Tabula Rasa HealthCare (TRHC). TRHC is a leader in providing patient-specific, data-driven technology and solutions, with a mission to enable simplified and individualized care that improves the health of those served.We invite you to join us every month for lively conversations with industry experts that explore emerging developments including innovative models of care, advancements in the application of science and technology, changing dynamics of healthcare consumer expectations, and trends in other valued-based care models including PACE. Episode 1 of Prescription Health will be released on May 9, 2023 and feature a discussion on the expanding role of pharmacy in value-based healthcare.Healthcare doesn’t stand still, and we all have a stake in how the industry and its impact evolves. So, tune in and stay current with Prescription Health!

Keep Up With PACE concludes Season 1 with a compilation of best moments from each episode. Guests include PACE leaders such as Shawn Bloom (CEO of the National PACE Association), Maria Zamora (CEO at Center for Elders’ Independence), and Adam Burrows (Medical Director at Upham’s Corner PACE) who share insights into the future of PACE, successful initiatives they’ve implemented, and heartfelt stories of participants who have benefited from PACE.   Episode Breakdown:Intro: 00:00 – 01:53 • Future of PACE (Shawn Bloom): 01:54 – 05:37 • Lessons from Covid (Maria Zamora): 05:47 – 09:57 • Partnerships in PACE (Samira Beckwith): 10:04 – 15:12 • PACE Success Story/Housing (Dan Drake): 15:20 – 18:44 • Preventing Burnout (Ross Colt): 15:53 – 21:32 • Opioid Initiative Program (Jeff Montemurro): 21:39 – 27:40 • Interdisciplinary Teams (Adam Burrows): 28:04 – 31:19 • Staff Retention (Alan Sadowsky): 31:29 – 36:18 • Creating Meaningful Life for Participants (Stephen Gordon): 36:42 – 40:21 • Extending Quantity/Quality of Life (David Wensel): 40:36 – 44:35 • Why work in PACE? (Luz Ramos): 44:43 – 47:44 • Outro: 48:00 - End  Full Episodes from Season 1:Season 1, Episode 1 (Shawn Bloom) Season 1, Episode 2 (Maria Zamora) Season 1, Episode 3 (Samira Beckwith)Season 1, Episode 4 (Dan Drake) Season 1, Episode 5 (Ross Colt) Season 1, Episode 6 (Jeff Montemurro) Season 1, Episode 7 (Adam Burrows) Season 1, Episode 8 (Alan Sadowsky) Season 1, Episode 9 (Stephen Gordon) Season 1, Episode 10 (David Wensel) Season 1, Episode 11 (Luz Ramos)   Learn More:careventionhc.comlinkedin.com/company/carevention-healthcare

In episode 11 of KUWP, Dr. Luz Ramos shares the inspirational story of how her parent’s military service affected her pursuit of a medical career, as well as the challenges she faced immigrating from the Philippines to establish her career in the United States. As the Chief Quality Officer and Regional Medical Officer for InnovAge, Dr. Ramos speaks to the value-based care, quality initiatives, and preventative strategies, such as a Falls Committee, InnovAge provides its participants. She stresses the importance of giving back to the frail elderly by caring for them at the end of their lives, the same way they have cared for their loved ones. Learn More:careventionhc.comlinkedin.com/company/carevention-healthcareinnovage.com

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews David Wensel, DO, HMDC, FAAHPM, Chief Medical Officer, Tru Community Care. In this episode, Dr. Wensel shares how Tru Community Care, one of the original legacy hospices, ventured into PACE and its goals for significant growth in both rural and metropolitan areas. He discusses his experiences and dedication to improving hospice and palliative care services to all patients and families on a national level.Dr. Wensel is the current chair of the Primary Care Committee and the End of Life and Palliative Medicine Work Group for the National PACE Association. He serves on the board of directors for the National PACE Association, the Governance Committee of the American Academic of Hospice and Palliative Medicine, and the Hospice Medical Director Certification Board.

 Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Stephen Gordon, MD, MBA, Founder and Chief Executive Officer of Edenbridge Health. A board-certified geriatrician with a lifelong passion for improving the care of the elderly, Dr. Gordon founded Edenbridge Health in 2016. He continues to practice geriatrics at Upham’s Corner PACE, is on the faculty of Harvard Medical School, holds clinical appointments at Beth Israel Deaconess Medical Center, Boston Medical Center, and Hebrew SeniorLife, and is a supervising physician for United Community Health Plan.

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Alan Sadowsky, PhD, MSW, Senior Vice President of MorseLife Health System. Dr. Sadowsky has administrative responsibility for the MorseLife Home Care division which includes Palm Beach PACE, Palm Beach Hospice and Palliative Care, Home Care services, Adult Day Care, Meals on Wheels, and Geriatric Care Management. Dr. Sadowsky serves as a board member for the National PACE Association (NPA) and the Florida PACE Providers Association. He previously served as president of the Area Agency on Aging of Palm Beach and Treasure Coast.

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Adam Burrows, MD, Medical Director of Upham’s PACE, an organization of the Upham's Corner Health Center. A geriatrician and assistant professor of medicine at the Boston University School of Medicine, Dr. Burrows is active in promoting and supporting integrated models of community-based care for frail and disabled older adults. He is a member of the National PACE Association’s (NPA’s) Board of Directors and serves as chair of the NPA’s Primary Care Committee and editor of the PACE Medical Director's Handbook. Additionally, Dr. Burrows is a health services consultant for the Rural PACE Project and is chair of the Rural PACE Ethics Committee.Learn more about the Keep Up With PACE Podcast by visiting: https://careventionhc.com/insights/podcasts/

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Jeff Montemurro, Occupational Therapist for Inspira LIFE. Jeff is a dual-licensed occupational therapist and medical massage practitioner specializing in pain management and wellness. At Inspira LIFE, Jeff evaluates treatment for the geriatric population, completes home safety assessments, and provides recommendations to improve safety within the home environment.

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Army Colonel (Ret.) Ross Colt, MD, MBA, FAAFP. Dr. Colt has served as the Medical Director for the Gary and Mary West PACE since 2018 and is a family physician with more than two decades of clinical practice experience, including a deep background in academic medicine and leadership in managed care environments. A decorated war veteran, Dr. Colt served two combat tours in Iraq and retired after 24 years as an Army Colonel. 

During this episode, host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Dan Drake, President and CEO of Trinity Health PACE. Prior to his current role, Dan served as President of Continuing Care for Trinity Mid-Atlantic. Dan was also the Vice President of Continuing Care at St. Mary Medical Center in Langhorne, Pennsylvania. Dan has served on the Pennsylvania Aging Council, and leads Trinity's Advocacy and Legislative efforts in Pennsylvania. He is a Registered Nurse and a Licensed Nursing Home Administrator, holds degrees in Nursing Science and Business Administration, and a Master’s Degree in Health Science Administration.   

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Dr. Samira Beckwith. Dr. Beckwith has served as President and CEO of Hope Healthcare in southwest Florida for more than 30 years. Within the state of Florida, she served on the Transition Advisory Committee on Health and Wellness, the Florida Center for Nursing Board of Directors, and the Long-Term Care Advisory Committee. Dr. Beckwith has also served on the White House Conference on Aging, and on the boards of the National Hospice and Palliative Care Organization and the National Hospice Foundation. She is the Founding President of the Florida PACE Providers Association and a Founding Director of the National Partnership for Hospice Innovation, as well as past president of the Florida Hospice and Palliative Care Association. 

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Maria Zamora, Chief Executive Officer at Center for Elders’ Independence (CEI). Maria has been with CEI since March 2021, and has more than 24 years of experience in the healthcare and insurance industries. Prior to joining CEI, Maria served as Vice President of Senior Care Services/PACE at AltaMed Health Services and Regional Executive Director for InnovAge. She serves as Chair and Executive Committee member of the Board of Directors for National PACE Association (NPA), and serves as Vice Chair and Executive Committee member of the Board of Directors for California PACE Association (CalPACE). 

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews Shawn Bloom, President and CEO of the National PACE Association (NPA), on the future of PACE. Shawn has served in this role since 2000, is responsible for the strategic direction, operational activities and overall performance of the association, and leads state-related activities. Prior to joining NPA, Shawn was executive director of the Missouri Association of Homes for the Aging and worked in the Policy and Governmental Affairs Department at the American Association of Homes and Services for the Aging. 

The Keep up with PACE podcast, hosted by Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, brings strategies and best practices focusing on growing Programs of All-Inclusive Care for the Elderly (PACE) to the forefront. PACE is one of the best models of care for the frail elderly, and the podcast will feature interviews with expert PACE professionals.