Binciken kayan aikin kulawa na CMS
Cibiyoyin Kula da Magunguna da Magunguna (CMS) suna kula da kayan aiki a gidajen ƙoshin lafiya ana kiransu Ƙananan Bayanai ( MDS ), tsarin sa ido da kayan aiki na kwarewa wanda ke zama wani ɓangaren Ma'aikatar Nazarin (RAI). Sakon karshe shine MDS 3.0. Za a iya samun sababbin sabuntawa a nan.
RAI yana ba da kima ga kowane irin aikin kulawa da aikin mai dorewa na tsawon lokaci da kuma taimaka wa ma'aikatan gano matsalolin kiwon lafiya.
Ana yin wannan kima a kan kowane mazaunin da ke cikin asibiti na Medicare da / ko kuma Medicaid-certified-care facility.
Babban bambanci tsakanin MDS 2.0 da MDS 3.0 shi ne cewa wannan kundin yana ƙunshe da tambayoyin mazaunin mazauni a cikin tsari. A cewar CMS, "an inganta MDS don hada da mazaunin cikin tsarin kima da kuma yin amfani da ladabi na yau da kullum da aka yi amfani da su a wasu saitunan."
Kwanan kuɗin da aka biya a gidaje masu noma an ƙaddara ta hanyar tsarin kulawa na Medicare Prospective Payment System (PPS), wanda ke ƙayyade yawan kuɗi da yawan albarkatun da mazauna suke amfani. Ana kiran tsarin rukunin RUG (Resource Utilization Group). Lokacin da MDS 3.0 aka gabatar don haka RUG-IV ne.
Ƙananan Bambancin Matakan
Canje-canjen Bayanin Bayanan Data
Magunguna
Sauya Canji
Halin da kuma Mawuyacin hali
Abubuwan Tafiya
Diagnoses
Saukowa / Gina Jiki
Dental Status
Yan tambayoyin mazauna
Tarihin Rayuwa
Ɗaya daga cikin manyan manufofi na MDS 3.0 shi ne ƙara yawan abubuwan da ake gudanarwa.
Ƙarin D na MDS 3.0 Jagora, "Tattaunawa don Ƙara Muryar Siyasa a MDS Bayanai," ya ƙunshi hanyoyi waɗanda za ku iya amfani dasu don yin tambayoyi da sauƙi kuma mafi tasiri.
Ɗaya daga cikin shirin shine Shirin Tarihin Rayuwa wanda Sheila Brune ya kafa. Ta yi amfani da cikakken tsari wanda wani mai hidimar ya cika lokacin ganawa da masu haƙuri.
Anyi amfani da wannan don rubuta labarin daya shafi wanda aka tsara don zama "fitowar wuta don tattaunawa." Don yin wannan a cikin kayan aiki yana buƙatar katin kwakwalwa, daftarin launi, kwamfuta tare da software na Word, da laminator, Wannan ya haifar da kyakkyawan ƙãre labarin da aka tsara don gabatar wa marasa lafiya da iyalin su. Kudin da za a fara shirin shine yawanci kasa da $ 1000 kuma farashin da ake ci gaba da shirin shine kadan.
Shirye-shiryen Tarihin Rayuwa shine haƙƙin mallaka ta Brune amma babu kudin don amfani da shirin. Brune zai zo wurin kayan aiki kuma ya horar da ma'aikata game da yin amfani da shirin don kudin kudin tafiye-tafiye ko ta iya ba da umarni ta wayar ko email, ba tare da kima ba.
Zaɓin wadanda marasa lafiya suke da batutuwa na Shirin Tarihin Rayuwa yana dogara ne akan shekaru ko ganewar asali, mai nunawa daga ma'aikacin ma'aikata ko kuma kawai wanda yake so ya raba labarinsu.
"Muna so mu yi labarun akan wadanda suka tsufa amma ba lallai ba su zama tsofaffi. Za mu iya yin wani labari akan kowa idan dai za su iya amsa tambayoyin. Idan marasa lafiya suna rikicewa, zamu yi tambayi iyalinsu don taimaka mana tare da cikakkun bayanai, "in ji Brune.
"Muna yin tambayoyin marasa lafiya ta hanyar yin amfani da takardun aiki da aka tsara da kuma kirkiro labarun daga takardun aiki. An ba da labari don sake dubawa, sa'an nan kuma mai sarrafawa ya gyara shi, kuma a karshe, an ƙaddara samfurin ga mai haƙuri.
Mun sanya kwafi a kan rikodin likita don ma'aikatan su karanta. Marasa lafiya sau da yawa sukan sanya kwafin su a jerin sunayensu don karanta su, amma wannan shine zabi. A cikin gidajen jinya, na lura sau da yawa sun nuna labarun a cikin ɗakin a waje da dakin, wani abu da ba za mu iya yi a asibiti ba. "
Wannan kawai ya raguwa da MDS 3.0 amma yana nuna damuwa da ka'idoji da suka shafi kulawa a cikin gida. Ba'a yi bayanin wannan bayani ba kuma bai kamata a ɗauka a matsayin shawara na doka ba. Amma zai iya fara maka a hanyar fahimta.