Patient Driven Payment Model (PDPM)
I-PDPM - usukulungele?

Imodeli yokukhokha eqhutshwa ngesineke (i-PDPM)

I-Spectraydrald ihola indlela ngamathuluzi wezokwelapha nawempilo wokuvuselela kanye nemfundo yokuthuthukisa ukusebenza kahle kanye nemiphumela yemitholampilo ngaphansi kwe-PDPM.

Yini i-PDPM?

Imodeli yokukhokha eqhutshwa yisineke (i-PDPM) yimodeli entsha yokuxubana ehlanganisa ukusebenza ngo-Okthoba 1, 2019.  I-PDPM izothatha indawo yamaqembu okusetshenziswa kwezinsizakusebenza (i-rug) ebekhona iminyaka. Ngokungafani namazinga we-rug lapho kukhokhwa khona kwakususelwa khona ngemizuzu, i-PDPM ihlose ukuhlinzeka ngenkokhelo enqunywe izici zemitholampilo zeziguli.

 Yiziphi izilungiselelo ezizoshintsha ziye kwi-PDPM?

I-PDPM izosetshenziswa kwizikhungo zabahlengikazi abanamakhono (SNF) njengengxenye yohlelo lokukhokha (i-PPS). Imodeli yokuhlanganisa yecala yokuhlanganisa izosetshenziselwa iziguli ezisendaweni ye-Medicare Part ahlala khona.

Le PDPM ingithinta kanjani njenge-slp?

Ukukhokhelwa kwezinsizakalo zokuvuselela okutholwe yingxenye Iziguli kuzoshintsha kusuka ohlelweni olususelwa kumzuzu ohlelweni lwemiphumela nokusebenza kahle. Ngakho-ke, kuzoba nokugxila kakhulu endimeni ye-SLP ekuphathweni kwe-Medicare Part B. 

Ngokwengxenye ye-SLP, i-PDPM isebenzisa inani lezimpawu ezihlukene zesiguli ezazibikezela izindleko ezandisiwe ze-SLP:

  • Ukuhlukaniswa kwe-Neurologic Clinical Classification
  • Ama-comorbidities athile ahlobene ne-SLP
  • Ukuba khona kokulimazeka kwengqondo
  • Ukusetshenziswa kokudla okuguqulwe ngomshini
  • Ukuba khona kwe-Swallowing Disorder
I-Slp comorbidities
I-aphasia Ukulimala kobuchopho obuhlungu
Umdlavuza we-laryngeal Amatafula
I-CVA, TIA, noma Stroke I-Tracheostomy (ngenkathi Isakhamuzi)
I-Apraxia Umdlavuza womlomo
I-HemipleGia noma i-Hemiparesis I-ventilator (ngenkathi isakhamuzi)
Dysphagia Ukushoda Kwezinkulumo Nolimi

Ngokusekelwe kulezi zinto, iziguli zizofakwa eqenjini elixubile.

Kubalulekile futhi ukugqamisa ukuthi i-CMS ikhombe umkhawulo ohlanganisiwe we-25% ephelele yokwelashwa okufanayo kanye neqembu ngesiguli ngasinye ngesiguli ngasinye esiyalweni ngasinye.

Ngokokuqala ngqa, inkulumo ineqembu layo lokuhlukaniswa. Ukukhokha kunciphisa njalo isonto ngalinye nge-2% ye-PT ne-OT Day 20. Inkokhelo ihlala ihlala njalo ngezinsizakalo ze-SLP. Njengoba kushiwo ngenhla, ukukhonjwa okufanele kwe-Dysphagia nezidingo zokuqonda kuzokhulisa ukukhokhwa kwalesi sikhungo. Ukuchazwa okucacile kwecebo lethu lokunakekelwa kanye nokusebenza kahle kokwelashwa kuzoba lubaluleke kakhulu kunangaphambili ezigulini zethu.

Yini engingayenza ukuze ngenze okungcono kakhulu kwe-PDPM?

  • Hlaziya iziguli kusenesikhathi ukuze kuqinisekiswe ukuthi ukuntuleka kwengqondo kanye / noma i-dysphagia kukhonjwe.
  • Hlela kusengaphambili ukuthi amaseshini wokwelashwa ukwandisa ukusebenza kahle ngesikhathi sokwelashwa.
  • Thola ubuciko ngeqembu kanye nemibono yokwelashwa okufanayo ukuze uzuze iziguli oziphatha ngazo.
  • I-PDPM ikhuthaza ukusebenzisana okuphakathi nendawo. Zilungiselele ukusebenzisana ne-PT ne-OT ukukhuthaza ukuthuthuka okuphelele kuzinhloso.
  • Sebenzisa izindlela, njengoba kufanele, ukukhuthaza inqubekela phambili kwinhloso ngendlela ephumelela kakhulu.

Ungalingisa Kanjani Usizo?

Joyina enye yezifundo zethu ezinikelwe:

Imikhuba Ethuthukile eDementia & Dysphagia

Nmes ne-semg ekuphathweni kwe-Dysphagia: indlela yokugada

Nmes ekuphathweni kwe-Dysphagia: indlela yokugada

Sinikezela ngokusekelwa kwemitholampilo okuqhubekayo kubo bonke abadokotela abaya ezifundweni zethu.

Ibhalwe ngu Rick Fisher