CMS Pub. 100-11, ch. 2, § 30

The governing body must create and foster an environment that provides quality care that

is consistent with the participant needs and the program mission.

A PACE organization must be operating under the control of an identifiable governing

body (for example, a board of directors) or a designated person functioning as a

governing body with full legal authority and responsibility for the following:

• Governance and operation of the organization;

• Development of policies consistent with the mission;

• Management and provision of all services, including the management of

contractors;

• Establishment of personnel policies that address adequate notice of

termination by employees or contractors with direct patient care

responsibilities. These policy and procedures need to be in compliance with

local, state and federal guidelines;

• Fiscal operations;

• Development of policies on participant health and safety, including a

comprehensive, systemic operational plan to ensure the health and safety of

participants;

• Quality assessment and performance improvement program (QAPI). The

purpose of this requirement is to link the development, implementation, and

coordination of the ongoing QAPI program with all aspects of the PACE

program.

[42 CFR § 460.62(a); 71 FR 71264 (Dec. 8, 2006)]