Month: July 2020
Why PACE: program of all inclusive care for the elderly
Programs of All-inclusive Care for the Elderly (PACE) serve seniors with chronic care needs by providing access to the full continuum of preventive, primary, acute, and long term care services. PACE Programs California take many familiar elements of our traditional health care system and reorganize them in a way that makes sense to families, health care providers and the government programs and others that pay for care.
For consumers, PACE provides:
- Caregivers who listen to and can respond to their individualized care needs
- The option to continue living in the community as long as possible
- One-stop shopping for all health care services
For health care providers, PACE provides:
- Capitated funding arrangement rewards providers that are flexible and creative in providing the best care possible
- Ability to coordinate care for the individuals across settings and medical disciplines
- Meets increasing consumer demands for individualized care and supportive services arrangements
For those who pay for care, PACE provides:
- Cost savings and predictable expenditures
- Comprehensive service package emphasizing preventive care that is usually less expensive and more effective than acute care
- A model of choice for older individuals focused on keeping them at home and out of institutional settings
What is PACE and how is PACE Paid for?
What is PACE? PACE is a fully capitated program in which the Centers for Medicare PACE Program and Medicaid Services (CMS) pays the Medicare capitation, and each State establishes and pays the Medicaid capitation. These capitated payments are combined at the provider level, creating a flexible funding pool for all primary, acute and long term care services.
The goal of rate setting for PACE is to establish capitation rates that are acceptable to both providers and payers. In general, the Medicare capitation payment is about one-third of the payment PACE providers receive for each enrollee.
Why Consider PACE for the Future
- PACE provides a full range of preventive, primary, acute and long term care services that enable frail older individuals to live in the community as independently as possible
- PACE provides care and services consistent with emerging consumer demands for individual choices in health care and services
- PACE combines adult day settings, home care, interdisciplinary teams, transportation systems and capitated payment systems so that providers can respond to the unique needs of each frail elderly individual served
- Twenty-six providers have successfully replicated the PACE model, demonstrating the value of high quality, individualized care PACE provides for its participants. Eleven other providers are operational and on their way to developing PACE programs
America has been going through a difficult financial time in the recent years. We have heard of innumerable people losing their jobs, and becoming penniless because of the recession. In this context, CNA jobs have taken a huge market. Due to the short period of studies, and the ease of the preparations in becoming a CNA, this field is being eyed by many today. Compared to other fields, nursing has been projected to be the occupation with the highest increment of job opportunities with about an expected increase of at least 21%.
What is a CNA?
CNA are assistants to other medical professionals in a hospital like LPN, RN and doctors.
They are also said to be the ‘eyes and ears’ of nurses. They perform all the basic duties of the patients, like dressing them, feeding them, cleaning them, giving injections and noting any physical development in patients. They are the ones who interact personally with the patients, and help in their recovery. A CNA can work in any kind of medical environment: hospitals, nursing homes, personal homes, senior day care or other institutions.
CNA scope in California
The California government claims that the state was deficit of almost 47,000 nurses in 2010. These figures are expected to triple only in about ten years. California is also said to be the state with the most advertised nursing and CNA posts. Additionally, the CNA training is comparatively cheaper in California than other states. Hence, if you are a CNA in California, you are very likely to get a job as soon as you complete your course. The jobs are, however, concentrated in cities like Los Angles, San Diego and San Francisco.
Becoming a CNA
The California state government requires a CNA to be at least 16 years of age. First of all, one will have to enroll in a state approved CNA course. The duration requirement for CNA classes in California is 150 hours; for the federal government it is 75 hours. This course comprises of 50 hours of theoretical classes and 100 hours of practical classes. In addition, the courses are usually free if you agree to work for them after your course is complete. After completing the CNA course, one will need to pass the certification exam that is conducted by Public Health Aide and Technician Certification Section of California. Then, the applicant will have to go through physical tests to prove that she doesn’t have any health issues that could hinder her practice. After all these procedures a nursing assistant will finally be called a certified nursing assistant’ and gets ready for a job.
Difficulties faced during jobs
CNA jobs are not as easy as they seem. In spite of the easy path to becoming a CNA, the duties and responsibilities are way too hectic. One will have to go through a lot of mental as well as physical pressures. One may have to do night duties, and may have to go through disastrous cases. One will need to keep oneself strong at heart so as to tackle frightening situations. The keeping up of the hygiene of patients may be uneasy. CNAs are responsible for reporting the slightest changes and developments in the patients, so they have to be active every second during their shift. The worst part is that, despite doing so much for patients, they are hardly accredited for their contribution in their health.
However, no job can be impeccable. It has its own pros and cons. With all the difficulties at one side, it also has positive aspects to it. Becoming a CNA has no pre-requisites, and thus can be taken up by anybody. They earn quite well, somewhere between $ 9.5 and $ 14 an hour. With experience, their salary will increase more and more. The salary also depends on the kind of place one works. Most of all, CNA is a great job if one likes helping others. It is very rewarding and one receives so many blessings from patients. This blissful feeling cannot be compared to any other materialistic factors; this feeling is what makes a CNA overcome all the difficulties and hardships.