Transforming IDT Coordination in PACE Programs with Care Compass

Table of Contents

Executive Summary

Program of All-Inclusive Care for the Elderly (PACE) organizations depend on daily Interdisciplinary Team (IDT) huddles to align care plans, document updates, and ensure participant safety. Yet many teams still rely on fragmented tools or manual processes that create inefficiencies, compliance risks, and communication gaps.

PPi’s Care Compass platform introduces purpose-built modules, the Morning Meeting Dashboard, designed specifically for PACE workflows. These tools centralize IDT coordination, streamline real-time documentation, and embed compliance into daily routines. The result: stronger collaboration, actionable insights, and more time for care.


The Challenge: Complex Care Requires Seamless Coordination

PACE participants often have multiple chronic conditions and require highly coordinated services. IDT huddles are critical for aligning physicians, nurses, therapists, social workers, and care managers.

However, common challenges persist:

  • Fragmented Tools – Notes stored in spreadsheets, email threads, or disconnected EHR modules.
  • Documentation Gaps – Missed attestations or unstructured reporting leading to CMS audit risks.
  • Time Drain – Manual entry and inefficient tracking slow down care teams.
  • Limited Visibility – Lack of real-time updates or dashboards that connect the dots across assessments and care plans.

Without a structured system, teams risk both compliance penalties and participant outcomes.


The Solution: Purpose-Built Tools for PACE IDT Teams

PPi’s Care Compass Morning Meeting Dashboards directly address these challenges by embedding PACE workflows into an intuitive, centralized platform.

Morning Meeting/Interactive Dashboards Module

A daily collaboration hub for structured IDT huddles.

  • Structured Format – Predefined sections for Call Outs, On Call Incidents, Initial Assessments, Care Planning, and FYI updates.
  • Attestation Tracking – Facilitators and IDT members can sign off digitally, ensuring CMS compliance.
  • Real-Time Collaboration – Live updates keep all team members aligned.
  • Dynamic Filtering – Quickly review meetings by date or status.
  • In-Meeting Documentation – Launch participant-specific popups to add assessments directly.
  • Unified Data – Pulls directly from Morning Meeting reports for consistency.
  • Assessment Tracking – Editable status updates and pending signature views.
  • User Attendee Management – Accurate tracking of care team involvement.
  • Customizable Categories – Tailored dashboard views with only relevant tools.

Integrated Workflow Test Plan

Built-in QA ensures flawless functionality before deployment.

  • Structured Testing – Validates key user actions.
  • Role-Based Access – Aligns with HIPAA and internal governance.
  • Error & Edge Case Handling – Reliable performance in real-world use.

PACE Program Value Proposition

For PACE organizations, these modules deliver measurable impact:

  • Improved Coordination – More efficient IDT meetings and transparent follow-up.
  • Proactive Care – Risks identified earlier, enabling timely interventions.
  • Compliance Built-In – Attestation workflows and audit-ready documentation.
  • Time Savings – Rapid documentation reduces administrative burden.

Fully Integrated with Care Compass

The Morning Meeting Dashboards modules are not standalone add-ons. They are seamlessly embedded within the Care Compass ecosystem, syncing with Enrollment, Claims, Providers, Member Services, and Reporting. This creates a 360° view of every participant’s care journey — a single source of truth that eliminates “Franken-ware” and supports the entire care continuum.


Conclusion & Next Steps

PACE programs need tools designed for their unique workflows, not generic software that forces teams to adapt. With the Morning Meeting and Interactive Dashboards modules, PPi delivers purpose-built technology that strengthens IDT collaboration, streamlines compliance, and puts participants at the center of care.

👉 Learn more about how Care Compass transforms PACE care coordination at ppi.com

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