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.
