# Exhibit 31.1

# CERTIFICATIONS

I, John Pappajohn, certify that:

|1) |  | I have reviewed this annual report on Form 10-KSB of PACE Health
Management Systems;
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|2) |  | Based on my knowledge, this report does not contain any untrue
statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances
under which such statements were made, not misleading with respect to the period covered by this report;
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|3) |  | Based on my knowledge, the financial statements, and other
financial information included in this report, fairly present in all material respects the financial condition, results of
operations and cash flows of the registrant as of, and for, the periods presented in this report;
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|4) |  | I am responsible for establishing and maintaining disclosure
controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the small business issuer and have:
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| | a) |  | Designed such disclosure controls and procedures, or caused such
disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the small
business issuer, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during
the period in which this report is being prepared;
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| | b) |  | Evaluated the effectiveness of the small business issuers
disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls
and procedures, as of the end of the period covered by this report based on such evaluation; and
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| | c) |  | Disclosed in this report any change in the small business
issuers internal control over financial reporting that occurred during the small business issuers most recent fiscal
quarter (the small business issuers fourth fiscal quarter in the case of an annual report) that has materially affected, or
is reasonably likely to materially affect, the small business issuers internal control over financial reporting.
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|5) |  | I have disclosed, based on our most recent evaluation of internal
control over financial reporting, to the small business issuers auditors and the audit committee of the small business
issuers board of directors (or persons performing the equivalent functions):
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| | a) |  | All significant deficiencies and material weaknesses in the design
or operation of internal control over financial reporting which are reasonably likely to adversely affect the small business
issuers ability to record, process, summarize and report financial information; and
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| | b) |  | Any fraud, whether or not material, that involves management or
other employees who have a significant role in the small business issuers internal control over financial reporting.
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March 31, 2006

| | By | /s/   John Pappajohn                                                          
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| |    | John Pappajohn, Acting Chief Executive Officer, Acting Chief Financial Officer

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