EXHIBIT 31.1

# CERTIFICATIONS

I, John Pappajohn, certify that:

|1) |  | I
have reviewed this quarterly report on Form 10-QSB of PACE Health Management Systems;
|-- |  | ---------------------------------------------------------------------------------------

|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;
|-- |  | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|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;
|-- |  | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|4) |  | The
registrant's other certifying officer and I are responsible for establishing and
maintaining disclosure    controls and procedures (as defined in Exchange Act Rules
13a-15(e) and 15d-15(e)) for the registrant and we    have:
|-- |  | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 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 registrant,       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;
| | -- |  | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | b) |  | evaluated
the effectiveness of the registrant'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
| | -- |  | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | c) |  | disclosed
in this report any change in the registrant's internal control over financial reporting
(as       defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) that occurred during the
registrant's most recent       fiscal quarter (the registrant's fourth fiscal quarter in
the case of an annual report) that has       materially affected, or is reasonably likely
to materially affect, the registrant's internal control       over financial reporting.
| | -- |  | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|5) |  | The
registrant's other certifying officer and I have disclosed, based on our most recent
evaluation of internal    control over financial reporting, to the registrant's auditors
and the audit committee of the registrant's    board of directors (or persons performing
the equivalent functions):
|-- |  | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 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 registrant's ability to record,       process, summarize and report financial
information; and
| | -- |  | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | b) |  | any
fraud, whether or not material, that involves management or other employees who have a
significant role in       the registrant's internal control over financial reporting.
| | -- |  | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Date:   November 12, 2004

| |                                                               | /s/   John Pappajohn | 
| | ------------------------------------------------------------- | -------------------- | 
| |                                                              
| | John PappajohnDirector and Acting Principal Executive Officer |                     

10

---