Makampani othandizira zaumoyo amasintha nthawi zambiri. Posachedwapa, kusintha kwa khalidwe ndizochitika komanso njira zochepetsera zachipatala zimayang'aniridwa ndi kukhazikitsa njira zovuta kuti pakhale chisamaliro cha odwala. Kusintha kambiri komwe mankhwala angaganizire ndi kuchepetsa nthawi zodikira , kuwongolera njira zotsatila zowonongeka, kuwongolera madandaulo a odwala, kukonza zolemba zachipatala, ndi kuyanjanitsa njira.
Pofuna kukhazikitsa kusintha pazochitika zachipatala, ndikofunika kuzindikira ndi kumvetsetsa zolepheretsa ndi mavuto omwe amaletsa kusintha. Pali zitsulo zamkati ndi zakunja zimene zimalepheretsa kusintha kwazochitika zachipatala.
Zopinga zamkati zimaphatikizapo:
- Antchito kukana kusintha
- Kusakhala ndi zolinga za mamembala
- Kusakhala paubwenzi pakati pa mamembala
- Kusasowa malo okwanira
- Mphamvu zolimbana
Zopinga zakunja zikuphatikizapo:
- Mpikisano
- Kulipira malipiro
- Kuloŵerera oleza mtima
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Kutsutsana kwa Antchito KusinthaKukaniza kusintha ndikutsika pamwamba pa mndandanda wa zolepheretsa kusintha kwazomwe kulikonse. Muzochita zachipatala zomwe ntchito yothandizira ndi yofunikira, nkofunika kufotokozera magwero a kukana ndi kukhazikitsa njira zowathandiza kuzungulira iwo. Zina mwa zifukwa zowonjezera zomwe ogwira ntchito angakhale zosagwirizana ndi kusintha ndi awa:
- Kuopa zinthu zosadziwika. Anthu amatha kusonkhana kapena kuzindikira kusintha kukhala zovuta. Izi ndi zoona makamaka ngati alibe chenjezo chokwanira kapena osadziwa momwe zingakhudzire ntchito yawo.
- Kuopa kutaya ntchito zawo. Kawirikawiri anthu amaona kuti kusintha kuli pangozi kwa ntchito zawo. Angayese kuona kugwiritsa ntchito njira zatsopano monga kukonzanso ndikuganiza ngati chithandizo cha mankhwala chikugwira ntchito bwino, malo awo adzathetsedwa.
- Kupanda kukhulupirira. Ngati aphunzitsi sakhulupirira kulamulira, sangathe kutsata ndondomeko ndi ndondomeko zatsopano. Ngati kasamalidwe kamatayika kapena sakupeza chikhulupiliro cha mamembala, akhoza kukhala osagwirizana kuti asinthe.
- Amakonda chizoloŵezi. Anthu ena alibe chifukwa chokhalira osagwirizana ndi kusintha zina osati momwe amachitira zomwe akuchita panopa. Atagwira ntchito pamalo omwewo, mofanana, kwa zaka zambiri, zimangokhala zosavuta kumamatira. Anthu awa samasangalala kuphunzira zinthu zatsopano ndipo mwina ndi omwe amatsutsa kwambiri.
- Kusasintha nthawi. Gawo lirilonse pa kusintha kapena kukhazikitsa liyenera kukhazikitsidwa panthawi yoyenera. Ngati sichoncho, zizoloŵezi zotsatila zidzasintha kusinthidwa komwe kudzachitike kudzakumananso ndi kukana.
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Kupanda Kulimbikitsidwa kwa Mamembala Ogwira NtchitoGwiritsani ntchito mamembala omwe alibe chifukwa chotsitsimutsa kusintha kuli kosiyana ndi omwe sakulimbana ndi kusintha. Kukaniza ndiko kukana kuvomereza kapena kusintha. Kupanda kukhudzidwa kumatanthauza kusakhutira kwa wina chifukwa cha kusowa mtima kapena chidwi.
Kusiyanitsa kwina pakati pa kutsutsa ndi cholinga ndicho kukana kungathe kugonjetsedwa poyankhula ndi ogwira ntchito zomwe kusintha kumakhalapo, omwe adzakhudzidwa ndi iwo, ndi momwe kusintha kudzakhudzidwira iwo asanasinthe. Kulimbikitsana, kumbali ina, ndi zovuta kwambiri.
Pali mitundu iwiri ya otsogolera: mkati ndi kunja.
Otsogolera enieni amatsogoleredwa ndi zinthu zamkati. Munthu amapeza kukhutira kwake pochita ntchito yapadera. Zitsanzo zina za otsogolera enieni ndizokwaniritsa, kuzindikira, kusangalala, kapena kukwaniritsa.
Otsitsimutsa a Extrinsic amatsogoleredwa ndi zinthu zakunja. Izi kawirikawiri zimaphatikizapo mtundu wina wolamulira mwa kupereka kapena kuletsa mphoto, kapena mtundu wina wa chilango. Zitsanzo zina za anthu olimbikitsa ndizo ndalama, matamando, chilango, ntchito zotetezera, kapena zopindulitsa.
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Kupanda Ubale Pakati pa Omwe AmaphunziraPamene ochita masewero alibe ubale, sakusowa mgwirizano ndi zokolola. Kuti apambane, makamaka pa nthawi ya kusintha, mamembala amodzi ayenera kukhulupirirana, kuthandizana, ndi kulemekezana wina ndi mzake.
Musanayambe kusintha pazochitika zing'onozing'ono, zingakhale zofunikira kugwiritsa ntchito ntchito zomanga timagulu kuti mukhale ndi maubwenzi pakati pa mamembala. A
Nazi zizindikiro khumi zomwe ochita ziwalo alibe ubale:
- Madandaulo oleza mtima za khalidwe la utumiki
- Kuchuluka kwa zokolola
- Kusokonezeka pa ntchito ndi maudindo
- Ntchito sizinachitidwe moyenera kapena panthaŵi yake
- Kupanda zolimbikitsa
- Ntchito zamakono zomwe zimafuna kusankha zovuta
- Kusamvana pakati pa mamembala a mamembala
- Maganizo olakwika kwa oyang'anira
- Zolingalira za kukondera
- Kupanda mgwirizano
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Kupanda malo okwaniraKawirikawiri kachitidwe ka madokotala sichikhala ndi malo okwanira kuti ayambe kusintha. Mwachindunji, kusintha komwe kwapangidwa pofuna kukonzanso matenda odwala nthawi zambiri kumakhala kovuta chifukwa cha mapangidwe osakhalitsa. Ndalama zowonongedwa kapena kusamukira ku malo akuluakulu sizingakhale zosankha chifukwa cha mavuto azachuma omwe angayambe pazochitikazo.
Kupanga kuunika kwa matenda odwala kungathandize kudziwa ngati malo alipodi kapena ngati kusintha kumakhala koyenera. Ngati zatsimikiziranso kuti danga ndilo vuto, ndizofunika kwambiri kuti ntchitoyi igwire ntchito yomanga yomwe idzakwaniritse odwala omwe alipo komanso amtsogolo.
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Kulimbana ndi MphamvuPali zovuta zambiri zamagulu muzamankhwala. Chimodzi cholepheretsa kuti ntchitoyi isinthe ndikumenyana pakati pa kupereka chisamaliro chapamwamba ndikuchepetsa ndalama. Mkhalidwe wosasamala wa chisamaliro ndi kuwonjezeka kwa ndalama zothandizira zaumoyo akhala akuyambira pa ntchito ya kusintha kwaumoyo kwa zaka zambiri.
Kafukufuku amasonyeza kuti zitsanzo zamakono zowonetsera ndalama zimayambitsa mavuto ndi ubwino wa chisamaliro. Zitsanzo zolipirira malipiro zimalimbikitsa ogwira ntchito kuti athe kuchiritsa odwala ambiri kuti apange phindu lapamwamba mosasamala kanthu pa kukweza zotsatira zapamwamba kapena kuchepetsa ndalama pamene zokopa zamtengo wapatali zimalimbikitsa operekera kukwaniritsa njira zina zothandizira kuti apereke ndalama zowonjezera.
Zochita zachipatala zomwe zimayesetsa kusintha zotsatira zapamwamba ndi kuchepetsa ndalama zimadziwika kuti kulimbana kwa mphamvu nthawi zonse pakati pa kupereka chithandizo cha odwala komanso kukhala ndi thanzi labwino. Kufikira kuti zitsanzo za msonkho zisinthe khalidwe lothandizira la chisamaliro pamene kulola kuti chithandizo cha zachipatala chikwaniritse ndalama, zikutheka kuti kukwaniritsa kusintha kudzapitirirabe.
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MpikisanoKuchita mpikisano wathanzi ndibwino kwa bizinesi, komabe, kuchuluka kwa njira zochiritsira zovomerezeka zimalumikiza zizolowezi zawo kuti akhale dokotala wodziwika bwino. Akatswiri ena amasonyeza kuti kugwirizanitsa madokotala osiyanasiyana m'zochita chimodzi ndi kopindulitsa kwa odwala komanso kuchita.
Zochita zachipatala zokhazokha ndizofunika zokhazokha ndi kusinthira zipangizo zomwe zilipo, mapulogalamu (zamakina zamakono) ndi zowonongeka. Izi zikhoza kuyika mavuto ku ofesi ya zachipatala ndi ndalama zochepa. Zolinga za ICD-10, HIPAA, kugwiritsa ntchito mogwira mtima ndi kukhazikitsa mauthenga a zaumoyo amafunika kuti odwala azitha kuwonjezera mphamvu zawo mu luso la zamakono ndi maphunziro.
Zizolowezi zazikulu zili mu ndalama zabwino kuti zithetse kusintha kumeneku.
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Kusintha kwa MalipiroMedicare ndi Medicaid kudula malipiro, omwe amadziwikanso ngati kukonzanso malipiro, ndizolepheretsa kusintha kwachidwi kakang'ono. Mankhwala a Medicare ndi Medicaid amachititsa vuto lalikulu la zachuma chifukwa chodziimira kapena payekha. Ndalama zochepa zimapangitsa kuti zitheke kusintha kusintha chifukwa zing'onozing'ono zomwe sungakwanitse kusintha.
Kuphatikiza apo, machitidwe omwe amachititsa odwala ambiri a Medicare ndi / kapena Medicaid, kuchepetsa kubwezera kungachititse kuti asiye kulandira odwala atsopano a Medicare ndi Medicaid. Kwa ena, zikutanthauza kutseka zochita zawo.
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Kuloŵerera Oleza MtimaPopanda kuloŵerera mwadzidzidzi, n'zovuta kukhazikitsa kusintha. Njira yosavuta komanso yothandiza kutsimikiza kuti odwala anu alandira zambiri zofunika kuwasamalira ndikuwapatsa zolembera. Zomwe zowathandiza kwambiri odwala atsopano ndi awa:
- Ulendo woyamba wopitako
- Odwala moleza mtima uthenga
- Chiyambi cha mankhwala
- Chidule chachifupi cha dokotala aliyense
- Chimene ayenera kuyembekezera poyesa koyamba
- Zambiri zamalumikizidwe
- Maola ogwira ntchito
- Mapulogalamu amaperekedwa
- Malo ena
- Mndandanda wa zomwe mungabweretse kudzacheza
- Information Inshuwalansi
- Chithunzi cha Chithunzi
- Gulu Lolunjika / Nkhani
- Chiwerengero cha Anthu
- Malipiro
- Information Clinic
- Othandizira Odzidzimutsa
- Information Accident
- Malangizo Otsogolera
- Zosamaloledwa / Zowonjezera
- Ndondomeko yobwezera
- Co-kulipira, deductibles, ndi co-inshuwalansi ndalama ndi chifukwa chisanafike mautumiki operekedwa pa ulendo uliwonse
- Odzipereka okha ndiwo ali ndi udindo wolipira ndalama zonsezo mokwanira
- Mitundu yobwezera yolandiridwa monga zofufuza zaumwini, makadi a ngongole, ndi makadi a debit
- Malipiro am'mbuyomu a ndalama za msonkho salipidwa nthawi inayake
- Malipiro a maimelo ophonya sanafafanizidwe kapena kusinthidwa pasadakhale
- Mndandanda wa makampani a inshuwalansi omwe akugwira ntchito
- Odwala ayenera kupereka umboni wa inshuwaransi asanayambe kuchipatala kapena kuonedwa kuti akulipira
- Chidziwitso cha zochita zachinsinsi
- Momwe wothandizira angagwiritsire ntchito ndi kufotokoza PHI yawo
- Odwala ufulu ali ndi PHI yawo
- Chiganizo chodziwitsa wodwala malamulo omwe amafuna kuti wothandizira akhale osungulumwa pa PHI yawo
- Odwala omwe angathe kulankhulana kuti mudziwe zambiri zokhudza mfundo zachinsinsi za wothandizira
- Kufufuza kwokhutira kwa wodwalayo
- Kodi wodwalayo analankhula naye mwaulemu pamene akuitanira nthawi?
- Kodi wodwalayo analonjerezedwa ndi wolandira alendo ndi ulemu ndi ulemu?
- Kodi wodwalayo adadikira mpaka liti kukaonana ndi dokotala?
- Kodi namwino ndi dokotala adalongosola tsatanetsatane wa mautumiki operekedwa kwa wodwalayo?
- Kodi namwino ndi dokotala anayankha mafunso onse odwala?
- Kodi wodwalayo analandira chithandizo chabwino kwambiri cha makasitomala?
- Kodi chipinda choyesa chinali choyera, chosasangalatsa ndi chokonzekera?
- Kodi malo odikira anali otetezeka, oyera ndi aakulu?
Izi sizomwe zili mndandanda wonse koma njira zochepa zokhazokha kuti odwala azigwira nawo ndikudziŵa kufunika kwake kuti azisamalira okha.
Zolemba
Arar, Nedal H., et al. "Kupititsa patsogolo Kukula kwa Makhalidwe Abwino Makhalidwe Abwino Aakulu Okhazikika Othandizira: Zomwe Zimakhudza Mayi Wodwala Odwala." Chikhalidwe Chofunika Kwambiri 19.5 (2011): 289-300. CINAHL ndi Full Text.
Forbes. Forbes Magazine, nd