Start-Up “To Do” Check List for New Medical Directors

Luz S. Ramos-Bonner MD, MBA, CMD, FACP, AGSF

Network Medical Director

NewCourtland Senior ServicesJune 10, 2017

NEWCOURTLAND.org 1-888-530-4913

Disclosures

Nothing to disclose

Objectives

• Allay the fear of being a PACE Medical Director

• Provide you with a blueprint on where to start

• Empower you with the tools to get the “job done”

• Encourage you to be active member of the PACE Community

Why be a Medical Director of PACE?

Medical Director’s Handbookhttp://www.npaonline.org/sites/default/files/PACE%20Medical%20Director's%20Handbook%202011.pdf

Medical Director’s Handbook (2016)

• The rewarding experience of PACE medical directorship• The history of PACE• The National PACE Association Primary Care Committee and other resources available to PACE Medical Directors• The PACE Partnership• Medical Decision-making in the PACE Model• Hiring and supervising PACE primary care staff• The PACE clinic• The PACE medical network• The role of the PACE medical director in intake and enrollment• PACE medical directors and quality programs• PACE medical directors and utilization management• Medication management in PACE• Grievances and appeals• Data

• Level two reporting and management for PACE• Palliative and end of life care in PACE• Medical records• Education in the PACE environment• Research• Community physicians in the PACE program• Ethical issues in the PACE model of Care• Unique issues in developing a rural PACE program• Alcohol abuse and dependency in PACE• Substance Abuse• Start-up "to do: check list for new medical directors• Longer term care regulation• PACE regulations• Risk Management• Managing participants in different settings• The role of the PACE medical director as a leader• IDT/care plan/assessment

PACE Regulations https://www.cms.gov/Medicare/Health-Plans/pace/downloads/finalreg.pdf

National PACE Association Meetings

• March:

– Spring Policy Forum

• June:

– Medical Director’s Essential Course

– Summer Clinical Conference

– Quality Symposium

• October:

– Annual Conference

Relationships

Primary Care List Serve

• NPA Primary Care List Serve <primarycare@lists.npaonline.org>

Visit PACE centers

Establish Own PACE Network

Obtain Licenses

• CLIA

• DEA

• Others

Medical Record

Educate Medical Community

Policies and Procedures

https://www.youtube.com/watch?v=oMVe_HcyP9Y

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