Quality
Mun himmatu ga fahimta da haɓaka ingantattun shirye-shiryen kula da lafiya ga membobinmu. Nemo abin da muke tsammani daga masu ba da kwangilarmu.
Quality Management
Muna so mu kasance masu gaskiya a game da tsammanin muna da masu samar da mu. Shirin Abubuwan Ayyukanmu da Ayyuka na Ayyuka (QAPI) sun wanzu don tabbatar da cewa membobin suna samun damar yin ɗawainiya da ayyuka masu kyau a hanyar da ta dace, ta dace, da kuma haɓakawa wanda ke saduwa ko ya wuce ka'idodin al'umma.
Tsarin shirin QAPI ya haɗa da, amma ba'a iyakance shi ba, abubuwan da suke kulawa da sabis na gaba:
- Samun dama da kuma samar da ayyuka
- Memba gamsuwa
- Kyakkyawan, aminci da kuma dacewa da kulawa na asibiti
- Sakamakon gwaji
- Ayyukan inganta ayyukan aikin
- Tsaran sabis
- Ka'idojin aikin kwantar da hankula da kuma ka'idodin shaida
Muna ha] a hannu da Dokar Kula da Kiwon Lafiya na Colorado da Ku] a] en da Hukumar Kula da Lafiya ta Kula da Lafiya don gudanar da bincike guda uku a cikin wannan shekara.
Muna kimanta tasiri da tasiri na shirin QAPI a kowane shekara kuma amfani da wannan bayani don inganta tsarin aiki da kuma sabis na asibiti. Bayani game da shirin da taƙaitawar sakamakon yana samuwa ga masu badawa da mambobi a kan buƙata kuma ana buga su a cikin mai badawa da labarai na mamba.
Samun dama da kuma samuwa na Ayyuka
Jirgin jinkirin wucewa ya bar membobin da basu yarda da ma'aikatan kiwon lafiya da tsarin kiwon lafiya ba. Muna buƙatar masu samar da yanar gizonmu su bi ka'idodin tarayya da tarayya don samun samuwa ga mambobin. Idan baza ku iya samar da alƙawari ba a cikin kwanakin da ake buƙata, da aka jera a ƙasa, don Allah a duba memba a gare mu don haka zamu iya taimaka musu su sami kulawa da suke bukata a dacewar lokaci.
Muna saka idanu da biyan kuɗi tare da ka'idojin izini a hanyoyi masu zuwa:
- safiyo
- Gudanar da kulawa da 'yanci
- Binciken asiri na asiri game da samuwa na izini
Samun damar Ka'idodin Kulawa
Lafiya ta jiki, Kiwon Lafiya, da Amfani da Abubuwa |
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Nau'in Kulawa | Tsarin lokaci |
Gaggawa | A cikin awanni 24 na farkon gano buƙatu
An bayyana gaggawa a matsayin wanzuwar yanayi waɗanda ba masu barazana ga rayuwa bane amma suna buƙatar gaggawar magani saboda hasashen yanayin da ke ta'azzara ba tare da sa baki na asibiti ba. |
Biyan marasa lafiya bayan asibiti ko magani na zama | Cikin kwanaki bakwai bayan sallama |
Ba-gaggawa, alama ce *
*Don rashin lafiyan halayen / rashin amfani da kayan abu (SUD), ba zai iya yin la'akari da tsarin gudanarwa ko tsarin ci na rukuni azaman alƙawari na jiyya don marasa gaggawa, kulawar alamomi ko sanya membobin cikin jerin jiran aiki don buƙatun farko. |
A cikin kwanaki bakwai bayan buƙatar
Kiwon lafiya/SUD gudana Ziyarar marasa lafiya: Mitar ta bambanta yayin da memba ke ci gaba da kuma nau'in ziyarar (misali, zaman jiyya da ziyarar magani) ya canza. Wannan yakamata ya dogara ne akan tsayuwar memba da buqatar likita. |
Lafiyar Jiki Kawai |
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Nau'in Kulawa | Tsarin lokaci |
gaggawa | Sa'o'i 24 a rana samun bayanai, mikawa, da kuma kula da yanayin likita na gaggawa |
Ayyuka na yau da kullun (marasa lafiyar alamun rashin lafiyar jiki, kulawar rigakafi) | A cikin wata guda bayan buƙatar*
*Sai dai idan an buƙata da wuri ta hanyar AAP Bright Futures jadawalin |
Kiwon lafiya da ɗabi'a Amfani kawai |
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Nau'in Kulawa | Tsarin lokaci |
Gaggawa (ta waya) | A cikin mintuna 15 bayan tuntuɓar farko, gami da samun damar TTY |
Gaggawa (a cikin mutum) | Yankunan Birane/Babban birni: tsakanin awa ɗaya na hulɗa
Yankunan karkara/iyakoki: tsakanin sa'o'i biyu na tuntuɓar juna |
Gudanar da ilimin likitanci/maganin tabin hankali- gaggawa | A cikin kwanaki bakwai bayan buƙatar |
Gudanar da magungunan tabin hankali-mai gudana | A cikin kwanaki 30 bayan buƙata |
Mazaunan SUD don yawan jama'a kamar yadda Ofishin Kiwon Lafiyar Halayyar ya gano domin:
Mutanen da suka sadaukar da kansu ba da son rai ba |
Nuna memba don matakin buƙatun kulawa a cikin kwanaki biyu na buƙata.
Idan ba a samu shigar da matakin zama na kulawa da ake buƙata ba, tura mutum zuwa sabis na wucin gadi, wanda zai iya haɗawa da ba da shawara ga marasa lafiya da ilimin halin ɗan adam, da kuma sabis na asibiti da wuri (ta hanyar aikawa ko sabis na ciki) bayan kwana biyu bayan yin neman shiga. Waɗannan sabis na marasa lafiya na wucin gadi an yi niyya ne don samar da ƙarin tallafi yayin jiran izinin zama. |
SUD Residential | Nuna memba don matakin buƙatun kulawa a cikin kwanaki bakwai na buƙata.
Idan ba a samu shigar da matakin zama na kulawa da ake buƙata ba, tura mutum zuwa sabis na wucin gadi, wanda zai iya haɗawa da ba da shawara ga marasa lafiya da ilimin halin ɗan adam, da kuma sabis na asibiti da wuri (ta hanyar aikawa ko sabis na ciki) bayan kwana bakwai bayan yin neman shiga. Waɗannan sabis na marasa lafiya na wucin gadi an yi niyya ne don samar da ƙarin tallafi yayin jiran izinin zama. |
Abubuwan kulawa da damuwa da abubuwan da suka faru
Ingancin kulawar kulawa shine korafi da akayi game da kwarewar mai bada ko kulawa wanda zai iya cutar da lafiyar ko lafiyar memba. Misalai sun hada da rubuta memba ga magunguna mara daidai ko fitar da su da wuri.
An bayyana mummunan lamarin a zaman taron aminci na mai haƙuri wanda ba shi da alaƙa da yanayin rashin lafiyar mai haƙuri ko yanayin da ya kai ga mai haƙuri, kuma yana haifar da mutuwa, cutarwa ta dindindin, ko mummunar cutar ta wucin gadi. Misalai sun haɗa da yunƙurin kashe kansa da ke buƙatar tsawan lokaci da na wucin gadi likita, kuma ana aiki da shi akan ɓangaren da ba daidai ba ko kuma shafin da bai dace ba.
Dole ne ku bayar da rahoton kowane ingancin damuwa na damuwa da mummunan lamarin da kuka gano yayin gudanar da aikin memba. Asalin duk wani mai bayar da rahoto game da yiwuwar damuwa ko abin da ya faru sirri ne.
Daraktan kiwon lafiya na Colorado Access zai bincika kowane damuwa / abin da ya faru kuma ya ƙididdige su dangane da matakin haɗarin / cutar da mai haƙuri. Cibiyar na iya karɓar kira ko wasiƙa game da lamarin wanda ya haɗa da ilimi game da mafi kyawun ayyuka; wani tsari na aiki na gyara; ko za a iya dakatar da hanyar sadarwar mu. Don bayar da rahoton ingancin kulawar damuwa ko lamari mai mahimmanci, cika form ɗin da yake akan layi a coaccess.com/providers/forms da kuma email da shi zuwa qoc@coaccess.com.
Lura cewa rahoton kowane ingancin damuwa na damuwa ko mummunan lamari yana ƙari ga kowane rahoton da ya zama dole game da mummunan lamari ko rahoton cin zarafin yara kamar yadda doka ta buƙata ko ƙa'idodi da ƙa'idodi. Da fatan za a koma zuwa yarjejeniyar mai ba ku don cikakkun bayanai. Idan kana da wasu tambayoyi, da fatan za a yi imel qoc@coaccess.com.
Rubutattun Bayanai
Masu bayar da alhaki suna da alhakin rike bayanan likitocin da ke cikin halin yanzu, cikakkun bayanai da kuma shirya. Rubutattun bayanai suna taimakawa wajen sadarwa, daidaituwa da ci gaba da kulawa, da magunguna. Za mu iya yin duba bayanan kulawa / ƙwaƙwalwar ajiya don tabbatar da bin ka'idodin mu. Don ƙayyadadden bukatun, duba Sashe na 3 na mai bada sabis nan.
Muna ƙirƙirar rahotanni masu inganci na shekara-shekara don kowane ɗayan yankuna na RAE da kuma shirin mu na CHP + HMO wanda ke ba da cikakken bayani game da ci gaba da tasiri na kowane ɓangaren Shirin Inganta Inganta Mu. Waɗannan rahotannin sun haɗa da bayanin fasahohin da ake amfani da su don inganta aikin, kwatancen inganci da ƙima mai tasiri waɗanda fasahar ke da inganci, matsayin da sakamakon kowane aikin haɓaka aikin da aka gudanar a wannan shekarar da kuma damar ci gaba.
Karanta rahoton ingancin shekara-shekara don Yankin 3 nan
Karanta rahoton ingancin shekara-shekara don Yankin 5 nan
Karanta rahoton ingancin shekara-shekara don shirin mu na CHP + HMO nan
Karanta jagorar ƙimar ingancin SUD don masu samarwa nan
Ka'idojin Gidajen Harkokin Clinical
Ana nazarin Sharuɗɗan iceabi'ar Clinical kowane shekara biyu, ko kuma da sannu yadda ya dace. Idan kuna so ku bayar da martani ko kuna da wasu tambayoyi game da Shirye-shiryen Harkokin Kasuwancin Clinical, don Allah imel QualityManagement@coaccess.com.
Kula da Lafiyar Yara
Maganin rigakafi na Yara
Kulawar Ma'aurata
Kulawar Haihuwa da Haihuwa ga Mata da Jarirai
Kulawar Mata da Jarirai Bayan Haihuwa
jiki Lafiya
Down Ciwo
Rigakafin Kiba - Yaro | Albarkatun Sakandare
Kiwon Lafiya da Amfani da Abubuwa
Cutar Rashin pearfin Hankali
Ciwon Bipolar - Yaro
Gabaɗaya Rashin Damuwa - Yaro
Aikace-Aikace
m Care
Kula da Lafiyar Manya
Rigakafin manya
Alurar rigakafin mura
jiki Lafiya
Dace Amfani da Kwayoyin cuta
fuka
COPD
ciwon
ciwon
Ciwon Gastroesophageal Reflux
Kiba – Manya
Halayen Jima'i a cikin <Shekaru 25
Cessation Smoking
Kiwon Lafiya da Amfani da Abubuwa
Barasa da Abubuwan Amfani da Nunawa, Takaitaccen Tsangwama, da Komawa Jiyya (SBIRT)
Ciwon Bipolar - Adult | Albarkatun Sakandare
Major Depressive cuta
Amfani da Maganin Abubuwa
Babban Sabis na Marasa lafiya
Ciwon Damuwa Gabaɗaya- Adult | Albarkatun Sakandare
Haske Lafiya
Covid-19
Bambancin Lafiya da Rashin Adalci | Albarkatun Sakandare