Ikhwalithi - Ukufinyelela kwe-Colorado

Quality Management

Sifuna ukubonakala ngokucacile mayelana nokulindela esinakho kwabanikezeli bethu. Uhlelo lwethu lokuHlola koMgangatho nokuPhuthukiswa koMsebenzi (i-QAPI) lukhona ukuqinisekisa ukuthi amalungu athola ukufinyelela ekunakekeleni okusezingeni eliphezulu kanye nezinsizakalo ngendlela efanele, ephelele futhi edidiyelwe ehlangabezana noma edlula amazinga omphakathi.
Ububanzi besimiso sethu se-QAPI sihlanganisa, kepha asikhawulelwanga, izakhi ezilandelayo zokunakekelwa kanye nensizakalo:

Ukufinyeleleka nokutholakala kwamasevisi
Ukwaneliseka kweLungu
Ikhwalithi, ukuphepha nokufaneleka kokunakekelwa kwemitholampilo
Imiphumela yomtholampilo
Amaphrojekthi wokuthuthukisa ukusebenza
Ukuqapha kwesevisi
Imikhombandlela yokusebenza emitholampilo kanye nemikhuba esekelwe ebufakazini

Sisebenzisana ne-Colorado Department of Health Care Policy kanye ne-Financing kanye ne-Health Services Advisory Group ukuze sibheke izinhlolovo ezintathu zokwaneliseka unyaka wonke.

Sihlola umthelela nokusebenza komsebenzi we-QAPI njalo ngonyaka futhi sisebenzise lolu lwazi ukuthuthukisa izinhlelo zokusebenza kanye nezinsizakalo zemitholampilo. Ukwaziswa mayelana nohlelo kanye nezifinyezo zemiphumela zitholakalayo kubahlinzeki namalungu lapho ziceliwe futhi zinyatheliswa kumaphephandaba ehlinzeka nabelungu.

Ukufinyeleleka Nokutholakala Kwezinsizakalo

Izikhathi zokulinda ngokweqile zishiya amalungu enganelisekile kokubili umhlinzeki wezempilo kanye nesicwangciso sezempilo. Siyacela ukuba abahlinzeki bethu benethiwekhi bahambisane namazinga kahulumeni nesifundazwe sokutholakala kokuqokwa kwamalungu. Uma ungeke ukwazi ukunikeza i-aphoyintimenti phakathi namahora adingekayo, okubalwe ngezansi, sicela ubheke ilungu kithi ukuze sibasize bathole ukunakekelwa abayidingayo ngesikhathi esifanele.

Siqapha ukuhambisana kwakho namazinga wokuqashwa ngezindlela ezilandelayo:

Surveys
Ukuqapha izikhalazo zeLungu
Ukuhlolwa kwe-secret shopper yokutholakala kokuqashwa

Ukufinyelela Kumazinga Wokunakekela

Impilo Yomzimba, Impilo Yokuziphatha, Nokusebenzisa Izidakamizwa
Uhlobo lokunakekelwa	Isikhathi Esivamile
Kuphuthumayo	Kungakapheli amahora angama-24 ukuhlonzwa kwesidingo sokuqala Okuphuthumayo kuchazwa ngokuthi ubukhona bezimo ezingafaki ukuphila engozini kodwa ezidinga ukwelashwa okusheshayo ngenxa yethemba lesimo esiba sibi ngaphandle kokungenelela komtholampilo.
Ukulandelela iziguli ngaphandle kokulaliswa esibhedlela noma ukwelashwa endaweni yokuhlala	Zingakapheli izinsuku eziyisikhombisa ngemva kokukhishwa
Okungaphuthumi, okuyizimpawu * *Ngempilo yokuziphatha/yesifo sokusetshenziswa kwezidakamizwa (SUD), ayikwazi ukubheka izinqubo zokuphatha noma zeqembu njengokuqokwa kokwelashwa kokunakekelwa okungaphuthumayo, okunezimpawu noma ukubeka amalungu ohlwini lokulinda lwezicelo zokuqala.	Ezinsukwini eziyisikhombisa emva kwesicelo Impilo yokuziphatha/i-SUD okuqhubekayo ukuvakashela iziguli ezilaliswayo: Izikhathi ziyahlukahluka njengoba ilungu liqhubeka kanye nohlobo lokuvakashela (isb., isikhathi sokwelashwa ngokumelene nokuvakasha kwemithi) kuyashintsha. Lokhu kufanele kusekelwe ekuhlakanipheni kwelungu kanye nesidingo sezokwelapha.
Impilo Yomzimba Kuphela
Uhlobo lokunakekelwa	Isikhathi Esivamile
Emergency	amahora angu-24 ngosuku ukutholakala kolwazi, ukudluliselwa, nokwelashwa kwezimo eziphuthumayo zezokwelapha
Umkhuba (ukuhlolwa okungokomzimba okunakekelwa kahle, ukunakekelwa kokuvimbela)	Phakathi nenyanga eyodwa ngemva kwesicelo* * Ngaphandle kwalapho kudingeka ngokushesha ngohlelo lwe-AAP Bright Futures
Impilo Yokuziphatha Nokusebenzisa Izidakamizwa kuphela
Uhlobo lokunakekelwa	Isikhathi Esivamile
Eziphuthumayo (ngocingo)	Phakathi nemizuzu engu-15 ngemva kokuxhumana kokuqala, okuhlanganisa nokufinyeleleka kwe-TTY
Isimo Esiphuthumayo (mathupha)	Izindawo zasemadolobheni/amadolobha: lingakapheli ihora elilodwa lokuxhumana Izindawo zasemaphandleni/emngceleni: phakathi namahora amabili okuxhumana
Ukuphathwa kwemithi yengqondo/yengqondo- kuyaphuthuma	Ezinsukwini eziyisikhombisa emva kwesicelo
Ukuphathwa kwemithi yengqondo/yengqondo- kuyaqhubeka	Zingakapheli izinsuku ezingama-30 ngemuva kwesicelo
I-SUD Residential for Priority populations njengoba ikhonjwe yiHhovisi Lezempilo Yokuziphatha ngendlela: Abesifazane abakhulelwe nabasebenzisa izidakamizwa ngomjovo; Abesifazane abakhulelwe; Abantu abasebenzisa izidakamizwa ngomjovo; Abesifazane abanezingane ezithembele; Abantu abazibophezele ekwelashweni	Hlola ilungu ngezinga lokunakekelwa phakathi kwezinsuku ezimbili zesicelo. Uma ukwamukelwa endaweni yokunakekelwa edingekayo kungatholakali, dlulisela lowo muntu ezinsizeni zesikhashana, ezingabandakanya ukwelulekwa kweziguli ezilaliswayo kanye ne-psychoeducation, kanye nezinsizakalo zomtholampilo zokungenelela kusenesikhathi (ngokudlulisela noma izinsizakalo zangaphakathi) kungakapheli izinsuku ezimbili ngemuva kokwenza ukuxilongwa. isicelo sokwamukelwa. Lezi zinsizakalo zesikhashana zeziguli ezilaliswayo zenzelwe ukunikeza ukwesekwa okwengeziwe ngesikhathi sisalinde ukungeniswa endaweni yokuhlala.
Indawo yokuhlala ye-SUD	Hlola ilungu ngezinga lokunakekelwa phakathi kwezinsuku eziyisikhombisa zesicelo. Uma ukwamukelwa endaweni yokunakekelwa edingekayo kungatholakali, dlulisela lowo muntu ezinsizeni zesikhashana, ezingabandakanya ukwelulekwa kweziguli ezilaliswayo kanye ne-psychoeducation, kanye nezinsizakalo zomtholampilo zokungenelela kusenesikhathi (ngokudlulisela noma izinsizakalo zangaphakathi) kungakedluli izinsuku eziyisikhombisa isicelo sokwamukelwa. Lezi zinsizakalo zesikhashana zeziguli ezilaliswayo zenzelwe ukunikeza ukwesekwa okwengeziwe ngesikhathi sisalinde ukungeniswa endaweni yokuhlala.

Ikhwalithi Yokukhathazeka Nokukhathazeka Nezigameko Ezibucayi

Izinga lokukhathalela ukunakekelwa yisikhalazo esenziwe mayelana nekhono noma ukunakekelwa komhlinzeki okungathinta kabi impilo noma inhlala-kahle yelungu. Izibonelo zifaka ukunikela ilunga umuthi ongalungile noma ukuwukhipha ngaphambi kwesikhathi.

Isigameko esibucayi sichazwa njengomcimbi wokuphepha kweziguli ongahlobene ngokuyinhloko nenkambo yemvelo yokugula noma isimo esifinyelela isiguli, bese kuphumela ekufeni, ukulimala okungapheli, noma ukulimala okwesikhashana okukhulu. Izibonelo zifaka umzamo wokuzibulala odinga ukungenelela kwezokwelashwa okuhlala isikhathi eside futhi okungajwayelekile, futhi kuqhutshwa ohlangothini olungafanele noma kusayithi elingalungile.

Kufanele ubike noma yiliphi ikhwalithi yokunakekelwa okukhathazayo kanye nezehlakalo ezibucayi ozikhomba ngesikhathi sokuphathwa kwelungu. Ukuhlonishwa kwanoma yimuphi umhlinzeki obika ukukhathazeka okungahle kwenzeke noma isehlakalo kuyimfihlo.

Umqondisi wezokwelapha waseColorado Access uzobukeza ukukhathazeka / izehlakalo ngazinye bese ezibala ngokuya ngobungozi / ukulimala esigulini. Isikhungo singathola ucingo noma incwadi ngalesi sigameko esifaka imfundo mayelana nemikhuba emihle kakhulu; uhlelo lokuhleleka okuhlelekile lokulungisa; noma kunganqanyulwa kunethiwekhi yethu. Ukubika ikhwalithi yokukhathalela ukunakekelwa noma isigameko esibucayi, gcwalisa lefomu eliku-inthanethi coaccess.com/providers/forms bese uyithumela nge-imeyili qoc@coaccess.com.

Uyacelwa uqaphele ukuthi ukubika noma yiliphi ikhwalithi engaba khona yezinkinga zokunakekelwa noma izehlakalo ezibucayi kungaphezulu kwanoma yikuphi ukubikwa okuphoqelekile kwezigameko ezibucayi noma ukubikwa kokuhlukunyezwa kwezingane njengoba kufunwa ngumthetho noma imithetho esetshenziswayo nemigomo. Sicela ubheke esivumelwaneni sakho somhlinzeki ngemininingwane. Uma unemibuzo, sicela uthumele i-imeyili qoc@coaccess.com.

Amarekhodi aphelele

Abahlinzeki banesibopho sokugcina amarekhodi ezidakamizwa eziyimfihlo ezikhona, eziningiliziwe futhi ezihlelekile. Amarekhodi ajwayelekile asiza ukuxhumana, ukuxhumana nokuqhubeka kokunakekelwa, kanye nokwelashwa okuphumelelayo. Singenza irekhodi lesiguli lokuhlola / ishadi lokubuyekeza ukuqinisekisa ukuhambisana namazinga ethu. Ngezidingo ezithile, bheka Isigaba 3 soMhlahlandlela Wemihlinzeki lapha.

Sakha imibiko yekhwalithi yonyaka ngayinye yesifunda sethu se-RAE nohlelo lwethu lwe-CHP + HMO oluchaza inqubekela phambili nokusebenza kwengxenye ngayinye yohlelo lwethu lokuthuthukisa ikhwalithi. Le mibiko ifaka nencazelo yamasu asetshenziselwe ukwenza ngcono ukusebenza, incazelo yempembelelo yokulinganisa nenani amasu ayenalo ngekhwalithi, isimo kanye nemiphumela yephrojekthi ngayinye yokwenza ngcono ukusebenza eyenziwe phakathi nonyaka namathuba wokwenza ngcono.

Funda umbiko wekhwalithi yonyaka weSifunda 3 lapha

Funda umbiko wekhwalithi yonyaka weSifunda 5 lapha

Funda umbiko wekhwalithi yonyaka wohlelo lwethu lwe-CHP + HMO lapha

Funda izinyathelo zekhwalithi ye-SUD yabahlinzeki lapha

Izinkombandlela Zokuziphatha Zomtholampilo

Imihlahlandlela Yokuzivivinya Yomtholampilo ibuyekezwa njalo eminyakeni emibili, noma ngokushesha ngangokunokwenzeka. Uma ungathanda ukunikeza impendulo noma unemibuzo emayelana nemihlahlandlela yokuzivocavoca, sicela u-imeyli QualityManagement@coaccess.com.

nokunakekela kokuvimbela

Ukunakekela Impilo Yezingane
Ukugonywa Kwezingane
Ukunakekelwa Kokubeletha
Ukunakekelwa Kokubeletha Nokwangaphambi Kokubeletha Kwabesifazane Nezinsana
Ukunakekelwa Kwangemva Kokubeletha Kwabesifazane Nezinsana

Health Physical
Down Syndrome
Ukuvimbela Ukukhuluphala - Ingane | Insiza yesibili

Ukuziphatha Kwezempilo Nokusebenzisa Izidakamizwa
Ukunakwa Kokushoda Kokungasebenzi kahle
I-Bipolar Disorder - Ingane
I-Generalized Anxiety Disorder - Ingane