CMS Inotorazve Chirongwa
ICenter for Medicare & Medicaid Services (CMS) uye States vanoshanyira dzimba dzevachengeti nguva dzose kuti vaone kana dzimba dzekurera dzinopa hutano hwekuti Medicare neMedicaid inoda. Iyi "tsvakurudzo" kana "kuongorora" mapoka anoratidza kukanganisa muhutano hwekutarisira. Vanoratidzawo kusakosha kwekusangana nekuchengetedzwa kwezvinodiwa.
Kana zvipingamupinyi zvakakomba zvisati zvaruramiswa, CMS inogona kupedza imba yevanotarisira kubatanidzwa muMedare and Medicaid. Izvo zvisati zvaitika, imba inogona kuwana nzira yayo pane urongwa hwezvinhu zvinonzi Special Focus Facilities. Iro urongwa hwemisha inochengeterwa vakwegura iyo (a) yakave nenhoroondo yezvinhu zvakakomba zvehutano uye (b) inosanganiswa mune purogiramu chaiyo yekukurudzira kuvandudzwa kwehutano hwavo hwekutarisira.
Imba yakawanda yekurapa ine uwandu hwekushaya kukwana, uye inowanikwa kuva 6-7 kukanganisa kweongororo. Mazana emisha ekuyamwisa anogadzirisa matambudziko avo munguva yakafanira. Zvisinei, vashoma vemisha yevanamukoti vane:
Zvimwe zvinetso kupfuura mamwe misha yevanamukoti (inenge kaviri kuvharesa kuwanda kwekukundikana),
Zvimwe zvinetso zvakakomba kupfuura mamwe akawanda misha yevanamukoti (kusanganisira kukuvadza kana kukuvara kunowanikwa nevagari), uye
Chimiro chematambudziko akakomba akagara kwenguva yakareba (sekuenzaniswa kwemakore matatu asati asvika pamba imba yevanotarisira yakatanga kuiswa paSFF rwandu).
Nzira yeIkukoshesa Kukurukurirana (SFF) Initiative Works
CMS inoda kuti dzimba dzekuchengetedza dzeSFF dzishanyirwe mumunhu nemapoka eongororo kaviri kakawanda semamwe misha yevanamukoti (inenge kaviri pagore). Kana zvinetso zvichiri kuenderera mberi, zvakanyanyisa zviito zvekuita zvinotorwa. Mienzaniso yezviito zvekuita zvakadaro ndeyekugadzirisa mari yehurumende ("mubhadharo") kana kubviswa kwaMedare uye Medicaid.
Pachava nemumwe wezvikamu zvitatu zvinogoneka:
(a) Kuvandudza nekupedza zvidzidzo : Imba yekuchengetedza vakapedza kudzidza kubva purogiramu yeSFF nokuti yakagadzirisa zvikuru mukutarisira kwehutano.
(b) Kubviswa kwaMedare: Imba yevanamatira inoguma kubva pakubatanidzwa muzvirongwa zveMedare uye Medicaid. Kunyange zvazvo imba yakadaro yakwegura inogona kuramba ichishanda (zvichienderana nemutemo wehurumende), kazhinji ichavhara kamwechete Medicare neMedicaid mari inorega.
(c) Kuwedzerwa kwenguva: Imba inochengeterwa vakwegura inopiwa imwe nguva yakawanda yekuenderera mberi muchirongwa cheSFF nokuti pane zvave zvichibudirira kwazvo, zvakadai sekutengeswa kweimba yekuchengetedza kune mumwe muridzi ane nhoroondo yakanakisisa yekupa ruzivo kutarisira.
Kune Mutengi
Kana uri kufunga nezvekugamuchirwa kumusha unotarisira vakwegura kunowanikwa pane ino urongwa CMS inokurudzira:
Enda kunharaunda yevanamukoti. Taura nevashandi, vagari, uye dzimwe mhuri. Iwe unogona kukumbira kuti uone migumisiro inobva kuIndaneti yekupedzisira kana CMS (inofanira kunge iri munzvimbo inowanikwa nyore nyore.)
Usati washanyira, tarisa nhoroondo yekuongorora yeimba yevanotarisira mu Nursing Home Enzanisa kuti uone kuti zvipi zvingave zvakaoma.
Kumbira vashandi vekumba vanochera zvavari kuitei kuti vavandudze hutano hwekugara kune vagari vemuimba yevanotarisira.
Dana nhengo yeHurumende yekuongorora (kubatanidza kuMusha weVa Nursing Fanisa) kuti uwane zvakawanda pamusoro peimba yevanotarisira. Tarisa hurefu hwenguva iyo imba yevanotarisira vakwegura yave iri pane SFF. Izvi zvinonyanya kukosha kana imba yekuyamwisa yava musha wekuchengetedza weSFF kwemwedzi inopfuura 18-24, sezvo dzimba dzakwegura dzakadaro dziri pedyo nekupedzisa (nekuda kwekuvandudzwa) kana kupedza kubatanidzwa kwavo muMedarendi neMedicaid.
Dana nharaunda yako yeHurumende Ombudsman, Utungamiri hwekukwegura, uye mapoka emunharaunda kuti uwane zvakawanda pamusoro peimba yevanotarisira.
Shandisa "Nhungamiro Yokusarudza Imba Yevachengeti" (http://www.medicare.gov/Publications/Pubs/pdf/02174.pdf) inowanikwa kuMu Nursing Home Fanisa.
Iva mutengi anonyatsoziva.