Ukubuka kabanzi kwethuluzi lokuphatha ukunakekelwa kwe-CMS
I-Centres ye-Medicare ne-Medicaid Services '(CMS) ithuluzi lokuphatha ukunakekelwa emakhaya asebekhulile libizwa ngokuthi i-Minimum Data Set ( MDS ), isethi yokuhlola kanye namathuluzi okuhlola okuyingxenye ye-Resident Assessment Instrument (RAI). Inguqulo yakamuva yi-MDS 3.0. Izibuyekezo zakamuva zingatholakala lapha.
I-RAI inikeza ukuhlolwa kwesikhungo ngasinye sokunakekelwa kwesikhungo sokunakekelwa isikhathi eside futhi kusiza abasebenzi ukuhlonza izinkinga zempilo.
Lokhu kuhlolwa kwenziwa kuwo wonke umuntu ohlala e-Medicare kanye / noma esikhungweni sokunakekela isikhashana eside esiqinisekisiwe seMedicaid.
Umehluko omkhulu phakathi kwe-MDS 2.0 no-MDS 3.0 yukuthi lohlolo luhlanganisa izingxoxo ezihlala ngqo kulolu hlelo. Ngokusho kwe-CMS, "i-MDS ithuthukisiwe ukufaka phakathi ohlala ohlelweni lokuhlola nokusebenzisa izivumelwano ezijwayelekile ezisetshenziswe kwezinye izilungiselelo."
Izinga lansuku zonke elikhokhwa emakhaya asebehlengikazi lithathwa ngohlelo lwe-Medicare Prospective Payment System (i-PPS), olubeka amazinga ngokusekelwe kwezici ezithile kanye nenani lezinsiza ezisetshenziswa abahlali. Uhlelo lokuqoqa iqembu lubizwa ngokuthi i-RUG (IQembu Lokusebenzisa Imithombo). Lapho i-MDS 3.0 isungulwa ngakho kwakuyi-RUG-IV.
Ukwahlukana Kwezinga eliphezulu
Izinguquko zokuhambisa idatha
Imithi
Izinguquko zokwelashwa
Umoya Nokucindezeleka
Izinto ezijwayelekile
Ukuxilongwa
Ukutshala / Ukudla
Isimo samazinyo
Izimpendulo Zomhlali
Iphrojekthi Yomlando Wokuphila
Enye yezinhloso ezinkulu ze-MDS 3.0 ukwandisa izinto zokuxoxisana ezihlala kuzo.
Isithasiselo D sencwadi ye-MDS 3.0, "Ukuxoxa Ngokukhulisa I-Resident Voice ku-MDS Ukuhlola," iqukethe izindlela ongazisebenzisa ukwenza izingxoxo zilula futhi ziphumelele.
Enye iphrojekthi iyi-The Living History Program eyenziwe nguSheila Brune. Usebenzisa ifomu eliningiliziwe okuyinto yokuzithandela egcwalisa ngesikhathi sokuxoxisana nesiguli.
Lokhu kusetshenziselwa ukubhala indaba eyodwa yekhasi elenzelwe ukuba "i-springboard engxoxweni." Ukwenza lokhu ngaphakathi kwesakhiwo kudinga isitifiketi sekhadi, iphrinta yombala, ikhompyutheni ne-Word software, kanye ne-laminator, Lokhu kudala okuhle okuphelile indaba efomethiwe ukuletha isiguli nomndeni wabo. Izindleko zokuqala uhlelo ngokuvamile zingaphansi kwamaRandi ayi-1000 futhi izindleko eziqhubekayo zaloluhlelo zingaphansi.
Uhlelo lwe-History of Life lugunyazwe yiBrune kodwa akukho izindleko zokusebenzisa lolu hlelo. UBrune uzofika esiteshini futhi aqeqeshe abasebenzi ukuthi basebenzise uhlelo lokubiza izindleko zokuhamba kwakhe noma anganikeza imiyalo ngefoni noma nge-imeyili, ngaphandle kwemali.
Ukukhetha ukuthi yiziphi iziguli ezithathwe yi-The Living History Program isekelwe eminyakeni yobudala noma ukuxilongwa, ukuhanjiswa kwabasebenzi noma kumane umuntu othanda ukwabelana ngendaba yakhe.
"Sithanda ukwenza izindaba kulabo asebekhulile kodwa akudingekile ukuthi bonke basebekhulile. Singenza indaba kunoma ubani uma nje engaphendula imibuzo. Uma iziguli zididekile, sivame ukucela umndeni wabo ukuthi usisize ngemininingwane, "kusho uBrune.
"Sixoxisana neziguli usebenzisa ishidi lokusebenzela lefomathi elijwayelekile bese udala izindaba ezivela ephepheni lokusebenzela. Indaba ihlinzekwa ukuhlolwa kokuhlola, bese iqondiswa ngumuntu ojwayelekile, futhi ekugcineni, umkhiqizo ophelile unikezwa isiguli.
Sifaka ikhophi elilodwa irekhodi yezokwelapha labasebenzi ukuze lifunde. Iziguli zivame ukufaka ikhophi ebhukwini labo ukuze bonke bafunde, kodwa lokho kuyisinqumo sabo. Emakhaya asebekhulile, ngiye ngabona ukuthi bafaka lezi zindaba ehholo ngaphandle kwekamelo, into esingenakuyenza esibhedlela. "
Lokhu kukhwabanisa kuphela kwe-MDS 3.0 kodwa kubonisa ukuthi kunzima kakhulu kanye nemithethonqubo ehilelekile ekuhlinzekeni ukunakekelwa ekhaya elihlengikazi. Lolu lwazi aluhloswanga futhi alufanele lithathwe njengeseluleko sezomthetho. Kodwa kungakuqala endleleni yokuqonda.