CMS Inabwezeretsanso Pulogalamu
Centers for Medicare & Medicaid Services (CMS) ndi States amayendera nyumba za okalamba nthawi zonse kuti aone ngati nyumba za okalamba zikupereka ubwino wa chisamaliro chomwe Medicare ndi Medicaid chimafuna. Magulu awa "kafukufuku" kapena "kuyang'anitsitsa" amasonyeza kuchepa kwa khalidwe la chisamaliro. Amazindikiranso zofooka zilizonse zokhudzana ndi chitetezo.
Ngati mavuto aakulu sali okonzedwanso, CMS ikhoza kuthetsa kutenga nawo mbali kwa amayi okalamba ku Medicare ndi Medicaid. Zisanachitike, nyumba ikhoza kupeza njira yomwe ilipo pazinthu zomwe zimadziwika kuti Special Focus Facilities. Ndilo mndandanda wa nyumba za okalamba omwe (a) akhala ndi mbiri ya nkhani zabwino kwambiri ndipo (b) akuphatikizidwa mu pulogalamu yapadera kuti athe kukonzanso kusintha kwa chisamaliro chawo.
Ambiri omwe amakhala ndi maubwino amakhala ndi zofooka, ndipo ambiri amakhala olephera 6-7 pa kafukufuku. Ambiri amanyumba akuyamwitsa amawongolera mavuto awo panthawi yochepa. Komabe, angapo a nyumba za okalamba ali:
Zovuta zambiri kuposa nyumba zina za okalamba (pafupifupi kawiri kuchuluka kwa kulephera),
Mavuto aakulu kwambiri kuposa nyumba zina zambiri za okalamba (kuphatikizapo kuvulazidwa kapena kuvulazidwa ndi anthu), ndi
Chizoloŵezi cha mavuto aakulu omwe akhalapo kwa nthawi yaitali (monga momwe anayezera zaka zitatu zisanachitike tsiku loti nyumba yoyamwitsayo ikhale yoyamba pa ndandanda ya SFF).
Momwe Ntchito Yopindulira Yapadera (SFF) Inayambira
CMS imafuna kuti nyumba zaukhondo za SFF zifikire mwa anthu ndi magulu a kafukufuku kawiri kawirikawiri monga nyumba zina zoyamwitsa (pafupifupi kawiri pachaka). Pomwe mavutowa akupitirizabe, ntchito zolimbikitsana zomwe zidzatengedwe. Zitsanzo za zochitika zoterezi ndizo chilango cha boma ("malipiro") kapena kuchotsedwa kwa Medicare ndi Medicaid.
Padzakhala chimodzi mwa zotsatira zitatu zomwe zingatheke:
(a) Kupititsa patsogolo maphunziro ndi maphunziro: Ophunzira omwe amamaliza maphunziro awo ku sukulu ya SFF chifukwa chapangitsa kuti athandizidwe kwambiri.
(b) Kuchotsedwa kwa Medicare: Nyumba yosungirako anthu okalamba imachotsedwa chifukwa chochita nawo mapulogalamu a Medicare ndi Medicaid. Pamene nyumba yosungirako okalamba yotere ingapitirize kugwira ntchito (malingana ndi malamulo a boma), nthawi zambiri idzatseka kamodzi kokha ndalama za Medicare ndi Medicaid zatha.
(c) Kuwonjezera Nthawi: Nyumba yosungirako anthu okalamba imapatsidwa nthawi yochulukirapo yopitilira pulogalamu ya SFF chifukwa pakhala pali chitukuko chodalirika, monga kugulitsa nyumba yosungirako okalamba kwa mwiniwake yemwe ali ndi mbiri yabwino kwambiri yopereka khalidwe chisamaliro.
Kwa Wogula
Ngati mukuganiza kuti mulowe kunyumba yosungirako anthu okalamba, pamndandanda wamndandanda wa CMS umalimbikitsa:
Pitani ku nyumba yosungirako anthu okalamba. Lankhulani ndi antchito, okhalamo, ndi mabanja ena. Mukhoza kupempha kuti muwone zotsatira kuchokera kufukufuku wotsiriza wa State kapena CMS (ziyenera kukhala pamalo omwe akupezeka mosavuta.)
Musanayambe ulendo wanu, yang'anani mbiri yakafukufuku wa nyumba yosungirako okalamba pa Home Nursing Yerekezerani kuti muwone zomwe zingakhale zovuta.
Afunseni ogwira ntchito ku nyumba yosungirako okalamba zomwe akuchita kuti apititse patsogolo chisamaliro cha anthu okhala kumudzi wosungirako okalamba.
Limbikani bungwe la kafukufuku wa boma (kulumikizana ndi Home Nursing Compare) kuti mudziwe zambiri za nyumba yosungirako okalamba. Yang'anani kutalika kwa nthawi yomwe nyumba yosungirako okalamba yakhala pa mndandanda wa SFF. Izi ndi zofunika kwambiri ngati nyumba yosungirako anthu okalamba yakhala nyumba yosamalira ana a SFF kwa miyezi yoposa 18-24, popeza nyumba zoterezi zili pafupi ndi omaliza (chifukwa cha kusintha) kapena kuthetsa kutenga nawo mbali ku Medicare ndi Medicaid.
Itanani Boma la Ombudsman Wanu, Utsogoleri ku Ukalamba, ndi magulu ammudzi kuti mudziwe zambiri zokhudza nyumba yosungirako okalamba.
Gwiritsani ntchito "Chotsogolera Kusankha Kunyumba Yachikulire" (http://www.medicare.gov/Publications/Pubs/pdf/02174.pdf) kupezeka pa Home Nursing Compare.
Khalani ogwiritsa ntchito bwino.