Mhedziso yeCMS yekutarisira kuchengetedza chishandiso
ICentral for Medicare neMedicaid Services '(CMS) chirongwa chekuchengetedza kuchengetedza mumisha yevanamukoti inonzi Minimum Data Set ( MDS ), chigadzirwa chekuongorora uye zvigadzirwa zvekuongorora izvo zvikamu zveResident Assessment Instrument (RAI). Ikozvino shanduro ndeye MDS 3.0. Zvinyorwa zvitsva zvinogona kuwanikwa pano.
IRAI inopa kuongororwa kwebazi rimwe nerimwe rekuchengetedza rekugara rinoshanda uye rinobatsira vashandi kuti vaone zvinetso zvehutano.
Iko kuongororwa kunoitwa kune vose vanogara mu Medicare uye / kana Medicaid-yakagadziriswa nzvimbo yekuchengetedza kwenguva refu.
Kusiyana kukuru pakati pe MDS 2.0 uye MDS 3.0 ndeyokuti kuongororwa uku kunosanganisira mabvunzurudzo anogara aripo mubasa racho. Maererano neCMS, "MDS yakagadziriswa kuti inyore avo vanogara munharaunda yekuongorora uye kushandisa mitemo yakazara inoshandiswa kune dzimwe nzvimbo."
Nhamba yezuva nezuva inobhadharwa kumisha inochengetedza inotarirwa kuburikidza neMedicare Prospective Payment System (PPS), iyo inosarudza mitero inobva pane zvimwe zvinhu uye nhamba yemidziyo inoshandiswa nevagari. Iko kuunganidza boka kunonzi RUG (Gwaro Rekushandisa Gwaro Rekushandisa). Apo MDS 3.0 yakatanga kuiswa saka yaiva RUG-IV.
Top Level Level Kusiyana
Kuiswa kweData Kudhindwa
Mishonga
Therapy Changes
Maitiro uye Kuora Mwoyo
Routine Items
Inotsvaga
Kudzora / Kudya
Dental Status
Resident Interviews
Living History Project
Chimwe chezvinangwa zve MDS 3.0 ndeyekuwedzera nyaya yekubvunzurudza zvinhu.
Zvinyorwa D zveMagwaro eMDC 3.0, "Kubvunzurudza Kuwedzera Resident Voice muZvitsauko zveMDC," ine nzira dzaungashandisa kuita kuti mabvunzurudzo ave nyore uye anoshanda.
Imwe nzira ndeyeThe Living History Program yakagadzirwa naSheila Brune. Anoshandisa fomu yakajeka iyo uyo anozvipira anozadzisa panguva yehurukuro nemurwere.
Izvi zvinoshandiswa kunyora nyaya imwe yejiji yakagadzirirwa kuva "chitubu chekukurukurirana." Kuita izvi mukati mechinhu kunoda chikwata chemakadhi, printer yemuvara, kombiyuta neShoko software, uye laminator, Izvi zvinogadzira kunaka kwakapedzisira nyaya yakarongeka kuti ipe murwere nemhuri yavo. Mari inotanga kutanga purogiramu kazhinji inenge isingasviki $ 1000 uye inotenderera mari yepurogiramu ishoma.
Nhoroondo yeHupenyu History yakachengetedzwa neBrune asi hapana mari yekushandisa purogiramu. Brune achauya kune imwe nzvimbo uye anodzidzisa vashandi pakushandisa purogiramu yemutengo wekufamba kwake mari kana kuti anogona kupa mirayiridzo nefoni kana email, pasina mari.
Kusarudza izvo varwere vari nenyaya dzeThe Living History Program inobva pazera kana kuti kuongororwa, kutumirwa kubva kune vashandi kana kungoita munhu anoda kugovera nyaya yavo.
"Tinoda kuita nyaya kune avo vakwegura asi hazvidi kuti ivo vose vave vakwegura. Tinogona kuita nyaya kune ani zvake chero bedzi ivo vanogona kupindura mibvunzo. Kana varwere vakanganiswa, isu kazhinji tinokumbira mhuri yavo kuti ibatsire nemashoko, "Brune akati.
"Tinobvunzurudza varwere tichishandisa maitiro akaenzana webasa rekushanda uye tadzidza nyaya kubva pamushandi webasa. Nyaya yacho inopiwa nokuda kwekuverenga zvinyorwa, ndokugadziriswa nemudzimai, uye pakupedzisira, chigadzirwa chakapedzwa chinopiwa kumurwere.
Tinoisa kopi imwe papepa rezvechiremba yevashandi kuti vaverenge. Varwere vanowanzoisa iyo kopi mubhuku ravo rekuti vanhu vose vaverenge, asi ndizvo zvavanosarudza. Mumisha inochengeterwa vakwegura, ini kazhinji ndaona kuti vanoisa nyaya yacho muimba kunze kwekamuri, chimwe chinhu chatinogona kuita muchipatara. "
Izvi zvinongoratidzika chete pamusoro we MDS 3.0 asi zvinoratidza kuoma kunzwisisa nemitemo inobatanidzwa mukuendesa kutarisira muimba yevanotarisira. Iyi nhoroondo haigadzirwe uye haifaniri kutorwa semazano epamutemo. Asi inogona kukutanga iwe munzira yekunzwisisa.