Zowonongeka za chida choyang'anira chisamaliro cha CMS
Chigawo cha Medicare ndi Medicaid Services '(CMS) chogwiritsa ntchito chisamaliro choyang'anira malo osungirako anthu okalamba chimatchedwa Minimum Data Set ( MDS ), chida choyang'anira ndi zida zomwe zili mbali ya Resident Assessment Instrument (RAI). Zotsatira zatsopano ndi MDS 3.0. Zosintha zatsopano zitha kupezeka apa.
RAI imapereka ndondomeko ya ntchito iliyonse yothandizira ogwira ntchito yothandizira komanso yothandiza ogwira ntchito kuti adziwe mavuto azaumoyo.
Kuwunika kumeneku kumachitidwa kwa aliyense wokhala mu Medicare ndi / kapena malo otetezedwa a Medicaid.
Kusiyana kwakukulu pakati pa MDS 2.0 ndi MDS 3.0 ndiko kuti kuunika kumeneku kumaphatikizapo zoyankhulana mwachindunji panthawiyi. Malingana ndi CMS, "MDS idakonzedwa kuti ikhale ndi anthu omwe akukhala momwe akuyendera ndikugwiritsira ntchito malamulo omwe amagwiritsidwa ntchito m'malo ena."
Mlingo wa tsiku ndi tsiku woperekedwa kwa anthu okalamba umatsimikiziridwa kudzera mu Medicare Prospective Payment System (PPS), yomwe imatsimikizira mitengo yochokera pa zikhalidwe zina ndi chiwerengero cha zinthu zomwe ogwiritsidwa ntchito amagwiritsidwa ntchito ndi anthu. Gulu la gululi limatchedwa RUG (Gulu logwiritsa Ntchito Gwiritsirani ntchito. Pamene MDS 3.0 inayambitsidwa kotero RUG-IV.
Kusiyanitsa Mipamwamba
Kusintha Kwadzidzidzi Kwadongosolo
Mankhwala
Kusintha kwa mankhwala
Kusinthasintha ndi Kusokonezeka
Zochitika Zachizolowezi
Kusokonezeka
Kukulitsa / Zakudya Zabwino
Chikhalidwe cha mano
Ofunsana Okhalapo
Pulogalamu ya Mbiri Yamoyo
Chimodzi mwa zolinga zazikulu za MDS 3.0 ndi kuonjezera zinthu zoyankhulana.
Zowonjezera D za Buku la MDS 3.0, "Kupempha Kuwonjezera Voice Residence mu MDS Kuyesa," lili ndi njira zomwe mungagwiritse ntchito pofunsa mafunso osavuta ndi ogwira mtima.
Ntchito imodzi ndi The Living History Program yokonzedwa ndi Sheila Brune. Amagwiritsa ntchito fomu yowonjezereka yomwe munthu wodzipereka amadzaza panthawi yolankhulana ndi wodwalayo.
Izi zimagwiritsidwa ntchito kulemba nthano imodzi yamasamba yomwe yapangidwa kuti ikhale "yoyambira kuyankhulana." Kuchita izi mkati mwa chipinda kumafuna katundu wa khadi, printer ya mtundu, makompyuta ndi mapulogalamu a Mawu, ndi laminator, Izi zimapanga zokongola zatsirizidwa nkhani yokonzedwa kuti apereke kwa wodwala ndi banja lawo. Phindu loyambitsa pulogalamu nthawi zambiri siliposa $ 1000 ndi ndalama zopitirira pulogalamuyi ndizochepa.
Pulogalamu ya Mbiri Yamoyo ikulembedwa ndi Brune koma palibe mtengo wogwiritsira ntchito pulogalamuyi. Brune adzafika pa malo ndikuphunzitsa antchito pogwiritsa ntchito pulogalamuyo kuti azipempha ndalama zoyendetsa maulendo ake kapena akhoza kupereka malangizo pafoni kapena imelo, popanda malipiro.
Kusankha omwe odwala ali ndi nkhani za The Living History Programka zimachokera pa zaka kapena kuzindikiritsa, kutumizidwa kuchokera kwa wogwira ntchito kapena kumangokhala munthu yemwe akufuna kufotokoza nkhani yake.
"Timakonda kuchita nkhani kwa anthu omwe ali achikulire koma sikofunika kuti onse akhale okalamba. Titha kupanga nkhani kwa wina aliyense malinga ngati angathe kuyankha mafunsowa. Ngati odwala akusokonezeka, nthawi zambiri timapempha mabanja awo kuti atithandize mwatsatanetsatane, "adatero Brune.
"Timakambirana ndi odwala pogwiritsa ntchito fomu yamakono yolemba ndi kupanga zolemba kuchokera pa tsamba. Nkhaniyi imaperekedwa kuti ayambe kusindikiza, kenako amakonza ndi mwiniwake, ndipo potsirizira pake, mankhwalawo amamuthandiza.
Ife timayika kabuku limodzi pa zolemba zachipatala kwa antchito kuti tiwerenge. Odwala nthawi zambiri amaika kabukuka pamabuku awo kuti onse awerenge, koma ndizo kusankha kwawo. M'mabanja okalamba, ndakhala ndikuwona kuti akuyika nkhanizo mu chipinda kunja kwa chipinda, chomwe sitingathe kuchita kuchipatala. "
Izi zimangowonjezera pamwamba pa MDS 3.0 koma zimangosonyeza zovuta ndi malamulo okhudzana ndi kusamalirako kunyumba yosungirako okalamba. Zambirizi sizinapangidwe ndipo siziyenera kutengedwa ngati malangizo alamulo. Koma izo zingayambe iwe pa njira ya kumvetsa.