8 Zvipingamupinyi Zvinotadzisa Kuchinja Muzviito Zvidiki Zvokurapa

Indasitiri yehutano yehutano inogara ichichinja nekuda kwezvikonzero zvakawanda. Chazhinji munguva pfupi yapfuura, kuvandudzwa kwehutano kwave kuri kuitika uye maitiro maduku ekurapa anotarisana nekushandisa nzira dzakakosha kusimbisa hutano hwekutarisira varwere. Kuvandudzwa kwakasiyana-siyana kunoitwa nemishonga kunosanganisira kuderedza nguva dzekumirira, kuvandudza mararamiro ekutevera, kugadzirisa zvikwereti zvevarwere, kuvandudza zvinyorwa zvechipatara, nekugadzirisa zvirongwa.

Mukuda kwekushandura shanduko mune chidiki chekurapa, zvakakosha kuziva uye kunzwisisa zvipingamupinyi nematambudziko anovhiringidza shanduko. Izvo zvose zviri mukati nekunze zvipingamupinyi zvinodzivisa kushanduka mune zvidhinho zviduku.

Zvipindiro zvemukati zvinosanganisira:

• Vashandi vanopikisa kuchinja
• Kushaya kwekukurudzira kwemaitiro ekudzidzira
• Kusashamwaridzana pakati pemitambo
• Kusina nzvimbo yakakwana
• Power struggles

Zvimwe zvipingamupinyi zvinosanganisira:

• Kupikisana
• Payment reform
• Mwoyo murefu kubatanidzwa

1 -

Kushora Kwevashandi Kuchinja

Kurwisana nekushandura kwakakwirira pane urongwa hwezvipingamupinyi zvekushandura shanduko mune chero mamiriro ezvinhu. Mune chirongwa chekurapa umo kubatana kunokosha, zvinokosha kufanotaura zvitubu zvekudzivisa uye kukudziridza mazano ekushanda navo. Zvimwe zvezvikonzero zvakajairika vashandi vangave zvisingagadziri kuchinja zvinosanganisira:

1. Kutya kwevasingazivikanwi. Vanhu vanowanzotanga kushamwaridzana kana kuona kuchinja sechiitiko chakaipa. Izvi zvinonyanya kuitika kana vasina ruyamuro rwakakwana kana kuti vasina kunzwisisa kuti zvingakanganisa sei basa ravo.
2. Kutya kurasikirwa nemabasa avo. Vanhu kazhinji vanoona kuchinja sekutyisidzira mabasa avo. Vanogona kuona kushandiswa kwemitemo mitsva sekugadzirisa nekufunga kana chirongwa chekurapa chinowedzera kushanda, nzvimbo yavo ichabviswa.
3. Kusakwanisa kuvimba. Kana mitezo isingavimbi kutarisira, haisi nyore kutora mitemo itsva nemitemo. Kana vatungamiri vakarasika kana kuvhiringidzika kana vasina kumbobvira vakawana kuvimba kwemaitiro avo, vangave vasingadi kuchinja.
4. Anoda tsika nguva dzose. Vamwe vanhu havana chikonzero chekusagadzikana kuti vachinje zvimwe kunze kwekuti vanofarira tsika yavo yezvino. Mushure mekushanda panzvimbo imwe chete, munzvimbo imwechete, kwemakore mazhinji, zviri nyore nyore kuti dzirambe dzakananga. Vanhu ava havanakidzi kudzidza zvinhu zvitsva uye vanogona kunge vari avo vanonyanya kushandiswa nhengo dzemitambo.
5. Haina nguva. Nhanho imwe neimwe pakuchinja kana kushanda inofanira kuiswa panguva yakakodzera. Kana zvisingaiti, nhengo dzekudzidzira dzichadzivisa kushandurirwa kupi zvayo kunotarisana kuchasangana nekuramba.

2 -

Kusava nekukurudzirwa kweMadzidzisiro

Nhengo dzekudzidzira dzisina kukoshesa kwekushandura shanduko dzakasiyana kune izvo zvisingagoni kuchinja. Kuramba ndiko kukaramba kubvuma kana kubvumirana nekuchinja. Kushaiwa kwekukurudzira kunoreva kusada kweumwe munhu nekuda kwekushaya chido kana kufarira.

Mumwe musiyano pakati pekumanikidzana uye kukurudzira ndechokuti kupikisa kunogona kugumburwa nekukurukura nevashandi zvinoshandiswa nechinoshandiswa, avo vachagadziriswa navo, uye kuti kuchinja kuchavabatsira sei zvisati zvachinja. Kukurudzira, kune rumwe rutivi, kwakaoma zvakanyanya.

Kune mhando mbiri dzevashanduri: mukati uye kupera.

Zvinokurudzira zvinotungamirirwa zvinotungamirirwa nezvinhu zvemukati. Mumwe munhu anowana kugutsikana kwake pachayo kubva pakuita basa rimwechete. Mimwe mienzaniso yevanokurudzira mukati iri kubudirira, kubvuma, kufara, kana pfungwa yekuzadzika.

Extrinsic motivators inotungamirirwa nekunze zvinhu. Izvi zvinowanzobatana nedzimwe rudzi rwekutonga kana kupa kana kubvisa mibairo, kana imwe nzira yekuranga. Mimwe mimwe mienzaniso yevanokurudzira vanovhiringidza mari, rumbidzo, chiito chekuranga, basa rekuchengetedza, kana zvigaro.

3 -

Kushaikwa kwehukama pakati pevadzidzisi veNhengo

Apo nhengo dzedzidzo dzisina uhukama, dzinoshaya kubatana nekubudirira. Kuti zvibudirire, kunyanya panguva yekushandura, nhengo dzemitambo dzinoda kuvimba, kutsigirwa, nekuremekedzana.

Usati washandisa shanduko muitiro muduku, zvingave zvakakosha kushandisa mabasa ekuvaka mashizha kuti uwedzere hukama pakati pevanhu vemitambo. A

Heino mazita gumi anoita nhengo dzisina uhukama:

1. Kunyunyuta kwevarwere pamusoro pehutano hwebasa
2. Kupera kubereka
3. Kuvhiringidzika nezvebasa redu uye mabasa
4. Mabasa haana kuitwa nenzira yakakodzera kana yakakodzera
5. Kushaya kwekutungamira
6. Zvose zvinowanzoita zvisarudzo zvakaoma
7. Kurwisana pakati pemitambo
8. Maitiro asina kunaka kune vatungamiri
9. Zvichemo zvekunzwira tsitsi
10. Kusina kubatanidzwa

4 -

Kushaikwa Kwemhepo Yakakwana

Nzira dzechiremba zvechirwere dzinowanzoshaya nzvimbo yakakwana yekuita shanduko. Kunyanya, kushandurwa kunoitwa pakuvandudza kurwara kwehutano kunowanzooma nekuti yekugadzirwa kwenguva yakareba. Izvo zvinodhura zvekugadzirisa kana kutamira kune imwe nzvimbo huru zvingasava sarudzo nekuda kwedambudziko rezvemari rinogona kuisa pamutambo.

Kuita kuongororwa kwehutano kurwara kunogona kubatsira kuziva kana nzvimbo inonyanya kukonzera kana kana kuchinja kune nzira inofanira kuitwa. Kana zvakasarudzwa kuti nzvimbo inonyanya kukosha, ndiyo inonyanya kufarira tsika yekuisa mari yekuvaka iyo inozovandudza kugutsikana kwevarwere kune avo varipo uye vanouya munguva yemberi.

5 -

Power Struggles

Iko kune simba guru rinotambudza mukurapa. Chimwe chikonzero chekuita shanduko ndiko kurwisana pakati pakununura kutarisira kwakanaka nekuderedza mari. Imwe nzira isina kunaka yekuchengetedza uye kuwedzerwa kwehutano hwehutano hwakange huri pakati pehutano hwekuvandudza hutano kwemakore mazhinji.

Kutsvakurudza kunoratidza kuti tsika dzekubhadhara mabhizimisi dzinoenderana nematambudziko nehutano uye mari yekutarisira. Bhuku rekubhadhara mabhuku rinokurudzira vanopa varwere kuti vabate varwere vakawanda kuti vawane mari yakakwirira pasina chero hanya nekunatsiridza zvibereko zvepamusoro kana kuderedza mari apo mitengo yakabhadharwa yekubhadhara mitero inokurudzira vatsigiri kuti vabudirire humwe hutano hunoita kuti zvive nezvikwereti zvakakwirira.

Kune zvekurapa maitiro anoedza kuvandudza mararamiro emitemo uye kuderedza mari inoziva yekurwisana kwemasimba nguva dzose pakati pekupa rubatsiro rwevarwere nekuchengetedza mari ine utano. Kusvikira mutero mhando inoshandura iyo kutsigira hutano hwekutarisira uye uchibvumira kuti kurapwa kuve nekubudirira mune zvemari, zvichida kuti kuisa shanduko kucharamba kuchidziviswa.

6 -

Kupikisana

Utano hwakanaka hunobatsira bhizinesi, zvisinei, nhamba yakawanda yekuzvimiririra maitiro ekurapa inobatanidza maitiro avo kuitira kuti uve mhando dzakawanda dzechiremba chiito. Dzimwe nyanzvi dzinoratidza kuti kubatana nehutano hwakasiyana-siyana muchipatara chimwe chete kunobatsira varwere uye tsika.

Kuzvidzivirira kwehutano kune hurumende ndeye mutoro wega wekuchengetedza nekuvandudza maikirwo akange aripo, software (teknolojia yehutano) uye zvivakoti. Izvi zvinogona kuisa dambudziko pahofisi yezvokurapa uye mari shoma shoma. Zvinotarisirwa ku ICD-10, HIPAA, kushandiswa kunoshandiswa uye kushandiswa kwekodhidhi yehutano yehutroniki zvinoda kuti vatano vezvehutano vakwanise kuwedzera simba ravo mune teknolojia yehutano uye dzidzo.

Miitiro mikuru iri mune zviri nani mune zvemari yekuita shanduko idzi.

7 -

Payment Reform

Medicare uye Medicaid kuderedzwa kwekubhadharwa, zvakare kuonekwa sekubhadhara mubhadharo, ndicho chipingamupinyi chikuru chekuchinja mune chidiki chekurapa. Medicare uye Medicaid kudonhedzana kunokonzera mari yakawanda yekushungurudza kwezvimiririra kana zvekunze. Pfuma shoma inoita kuti zvive nyore kushandura shanduko nokuti zviduku zvishoma hazvikwanise kuchengetedza zvishoma kuita shanduko.

Mukuwedzera, maitiro anobata nhamba yakawanda yeMedare uye / kana Medicaid varwere, kuderedzwa kwekubhadhara kunogona kuita kuti varege kugamuchira mushonga mutsva weMedare uye Medicaid kunyanya. Kune vamwe, zvinoreva kurega tsika yavo.

8 -

Kushivirira Kubatanidzwa

Pasina kurwara kubatana, zvakaoma kushandura shanduko. Nzira iri nyore uye inobudirira yekuita kuti varwere vako vagamuchire ruzivo rwakakosha kune chavanotarisira ndechokupa zvipo. Izvi zvishanu zvinonyanya kukosha kuvarwere vatsva zvinosanganisira:

1. Kutanga kokutanga kugovera
   • Mwoyo murefu unogamuchira mharidzo
   • Chirevo chekurapa
   • Bhii shoma rechiremba mumwe nomumwe
   • Zvinofanira kutarisira kubva pakuongorora kwavo kwokutanga
   • Contact information
   • Maawa ekushanda
   • Nheyo dzakapiwa
   • Dzimwe nzvimbo
2. Nyora yezvingaunza kune umwe neumwe kushanyira
   • Inishuwarenzi Information
   • Photo ID
   • Responsible Party / Information
   • Demographic Information
   • Payments
   • Clinical Information
   • Emergency Contacts
   • Accident Information
   • Pamberi pekutungamirira
   • Pre-authorizations / Referrals
3. Mutemo wokubhadhara
   • Co-iripa, mari inobhadharwa, uye co-inshuwarisi yakawanda inofanirwa mberi kwebasa rinoshandiswa pakushanya kwega rega
   • Kuzvipira kubhadhara varwere vane mhosva yekubhadhara mari yose yakazara
   • Mhando dzekubhadhara dzakagamuchirwa zvakadai seongororo dzevanhu, makadhi emakadhi, uye makadhi debit
   • Mari dzemazuva ekubhadhara dzekwereti mari dzisina kubhadhara mukati meimwe nguva
   • Mhosva dzekumiswa kwemajeri asina kukonzerwa haibvumiri kana kushandurwa mberi
   • Runyora rwemakambani emishuwarenzi anobatanidzwa
   • Varwere vanofanira kupa uchapupu hwehushuwarisi vasati vatapwa kana kuonekwa sega-kubhadhara
4. Chiziviso chezvakavanzika
   • Mutevedzeri achashandisa sei nekubudisa pachena PHI yavo
   • Vane kodzero vane maonero maererano nePHI yavo pachavo
   • Mutsara unozivisa murwere wemitemo inoda kuti mupepeti arambe akazvimirira zvePHI yavo
   • Ndivanaani vanogona kutaurirana kuti vawane mamwe mashoko pamusoro pemitemo yevadzidzisi vevamwe
5. Kuongorora kugutsikana kwechiremba
   • Wakanga ari murwere akambotaurwa nekuremekedza paaidana kuti asangane?
   • Akange ari murwere akakwazisa neanoparidzirwa achiremekedzwa uye achiremekedza here?
   • Nguva yakareba sei murwere akarindira kuti aone chiremba?
   • Ko mukoti uye chiremba akatsanangura tsanangudzo yemabasa anopiwa kune murwere here?
   • Ko mukoti uye chiremba akapindura mibvunzo yese yevarwere here?
   • Murembere wacho akagamuchira basa rakanakisisa yevashandi here?
   • Ko imba yekuongorora yakachena, yakagadzikana uye yakagadzirirwa here?
   • Ko nzvimbo yakamirira yakachengeteka, yakachena uye yakakura here?

Iyi haisi iyo yose yakanyatsorongororwa asi asi maitiro mashomanana ekuchengetedza varwere vanobatanidzwa uye kuziva kuti kukosha kwavo kunobatsira sei ivo pachavo.

_References

_{Arar, Nedal H., et al. "Kushandisa Kuvandudzwa Kwehutano MuChitatu, Zvimwe Zvimwe Zvokuchengetedza Zvokutanga Zvokuita: Zvinokonzerwa Neimba Yevamwe Mushonga Murefu." Unhu Hwakanaka Muhutano Hwekutanga 19.5 (2011): 289-300. CINAHL ne Full Text.}

_{Forbes. Forbes Magazine, nd}