Hiring, Onboarding, and Training for a PACE Program

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In the realm of healthcare, where the needs of elderly individuals are increasingly diverse and complex, the Program of All-Inclusive Care for the Elderly (PACE) stands out as a beacon of holistic, personalized care. However, ensuring the success of a PACE program hinges not only on its innovative care model but also on the meticulous process of hiring, onboarding, and training staff who are aligned with its principles.

Hiring the Right Personas

One of the foundational pillars of a successful PACE program is its people. Each staff member plays a crucial role in delivering comprehensive care that respects and responds to the unique needs of the enrollees, known as participants. Unlike traditional healthcare settings governed by fee-for-service models, PACE requires a paradigm shift in mindset and approach. Therefore, hiring individuals who not only possess the requisite skills but also embrace the philosophy of person-centered, community-based care is paramount.

When recruiting, we recommend looking beyond the technical competencies. The ability to think outside of the ‘normal” constraints of traditional care delivery models is a key characteristic. Seek candidates who demonstrate empathy, cultural competence, and a genuine commitment to improving the quality of life for seniors. These attributes are essential for fostering trust and building meaningful relationships not only within the team, but also within the PACE community.

Addressing the Educational Challenge

Educating new hires about the PACE model presents a significant challenge, especially for professionals accustomed to fee-for-service environments. PACE emphasizes preventive, proactive care, which necessitates interdisciplinary collaboration and the deployment of comprehensive support services aimed at enabling seniors to live independently in their communities. This model contrasts sharply with the episodic, transactional nature of fee-for-service care.

Additionally, it is crucial to emphasize the unique nature of PACE as both the payor and provider of services. Unlike traditional health care models where payment and service provision are supported by separate entities, PACE integrates these functions, operating as a comprehensive health plan and service provider for its participants. This means that PACE organizations are responsible for managing the financial risk associated with meeting the needs of participants while ensuring the delivery of high-quality care. New hires must understand this dual role, recognizing the importance of utilization management and the development of cost-effective care strategies that do not compromise the quality of services provided.

To bridge this gap, robust onboarding and training programs are indispensable. We routinely advise and support programs in providing comprehensive orientation sessions that not only familiarize staff with the operational aspects of the PACE program but also instill its philosophy, core values, and principles. We encourage interactive learning experiences, such as case studies and role-playing exercises, to deepen understanding and promote critical thinking in applying PACE principles to real-world scenarios.

The Importance of Ongoing Training and Development

Continuous learning is vital in the dynamic field of healthcare, particularly within the context of PACE. As the program progresses to meet the growing census and evolving needs of elderly participants, ongoing training ensures that staff remain adept at delivering high-quality, compassionate care. To stimulate the effort with adult learners, we support offering opportunities for professional development, such as workshops, conferences, and certifications relevant to geriatric care and interdisciplinary collaboration. Furthermore, we recommend creating a supportive environment and organizational culture that values feedback and encourages staff to share insights and best practices. Fostering a culture of continuous improvement where staff feels empowered to innovate and implement initiatives that enhance participant outcomes and operational efficiency is key to staff satisfaction and long-term retention.

Hiring a qualified Technical Assistance Center (TAC) early in the process to support the onboarding and training of staff for a PACE program is paramount. A TAC provides the expertise and resources necessary to ensure that staff are not only well prepared but also continually supported in their roles. This collaboration helps to streamline the onboarding process, address any gaps in knowledge or skills, and offer ongoing education that aligns with the latest advancements in geriatric care. By leveraging the specialized knowledge of a TAC, organizations can build a robust training framework that equips staff to meet the unique challenges of the PACE model, ultimately leading to better care for participants and a more resilient, knowledgeable workforce.

Conclusion

The success of a PACE program hinges on its people; dedicated professionals who embody its philosophy and champion its mission. By strategically hiring, thoughtfully onboarding, and continuously training staff, organizations can cultivate a workforce that not only embraces the PACE model but also thrives in delivering compassionate, person-centered care to elderly participants. By embracing the challenge of educating and empowering staff within this transformative care model, together, we can redefine aging with dignity and vitality in our communities.

For more information or if you have any questions, please contact Carlos Perez at carlos@akeroconsulting.com.

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