Abalobi bezonyango banenjongo yokuphucula ukuXhumana koogqirha
Ababhali bezonyango ngumsebenzi ophuhlisayo owenziwe ngumthwalo wokunyuka komsebenzi wamayeza kunye nesidingo sokongezwa kolawulo olongezelelweyo kunye namaxwebhu emimiselo ye-EMR, umthetho wokuguqula impilo (ACA), kunye nokunye.
Umbhali wezonyango ngumntu othabatha ukungena kwedatha nokurekhoda ugqirha ukukhulula ixesha lokunyamekela isigulane. Ugqirha unako ukugxila ixesha elide kwiimfuno zesigulane.
Ezinye iingcali zoshishino lwezempilo kunye nabaphathi bakholelwa ukuba ababhali baya kuba yingxenye ebalulekileyo kuyo yonke ikomiti yezokunakekelwa kwezempilo kwixesha elizayo.
UMichael Murphy, MD, i-CEO ye-ScribeAmerica ithi "Ababhali bezonyango baya kuba ngumgangatho osemgangathweni wezempilo kwaye baya kuba yinxalenye yeqela: ugqirha , umongikazi , uchwep, kunye nomlobi wezokwelapha .... njenge-EMR, federal, kunye ne-inshurensi imimiselo iyaqhubeka ifuthe kumveliso wonyango, imfuno yamaphepha ancedisiweyo iya kukhula. "
UDkt Murphy usinike ulwazi olunzulu malunga nalo msebenzi othakazelisayo nokhawulezayo. Ukuqina kwakhe kusebenzisa amawaka abalobi bezokwelapha kuma-40 aseburhulumenteni kwaye uyaqatshelwa ngokubanzi ngemfundo, ukuqeqeshwa kunye nokulawulwa kwababhali bezobugcisa.
Ngubani ababhali bezonyango?
UDkt. Murphy: "Umbhali unobambisene nodokotela ozalisekisa unobhala oyintloko kunye nemisebenzi engeyiyokliniki yodokotela oxakekileyo okanye umgangatho wezinga eliphakathi. Abalobi baxhomekeke ekungeneni kwedatha kwiphepha okanye kwirekhodi yezokwelapha zekhompyutha kunye nokuseka ukusebenza komsebenzi Inkqubo, ngaloo ndlela ukwandisa amandla omncedisi wezokwelapha ukubonelela ngononophelo lwegulane ngokufana nokubona isigulane esilindileyo esilandelayo, ukwenza iinkqubo zonyango kunye nokuthetha nabahlengikazi.
Umlobi ukhangelelanisa ubude bezonyango zokuhlolwa kwezonyango ezifana nokuhlolwa kwegazi kunye nomchamo, i-x-ray, kunye ne-CT iingxelo ukwenzela ukukhusela ukulibaziseka okungadingekile nokukhawuleza ukunyamezela isigulane. "
Yintoni ababhali bezonyango abazenzayo?
UDkt Murphy: " Umlobi wezoNyango ungumncedisi onobuqu kumgqirha; ukwenza amaxwebhu kwi-EHR, ukuqokelela ulwazi ukuvakatyelelwa kwesigulane, kunye nokusebenzisana nodokotela ukuze anikezele umgca wokunyamekela isigulane."
Yiyiphi iveki yomsebenzi oqhelekileyo njengomlobi wezonyango? (Iiyure, ishedyuli, ukusetha, njl.).
UDkt Murphy: "Amashumi ama-60 ekhulwini [asebenze] ixesha lexeshana, elingaphantsi kweentsuku ezimbini ngeveki.Izigidi ezingamashumi amane zize zizalise ixesha elipheleleyo.Ababhali bezonyango banokusebenza kwiSebe eliPhezulu (ED), ukulungiswa kwezigulane, okanye ukulungiswa kwezigulane, ukujikeleza kwizigulane. "
Omnye unokufanelekela njani ukusebenza njengombhali wezonyango?
Ezi zilandelayo ziyimfuno kunye neemfuno ezifunekayo, ngokutsho kukaDkt. Murphy:
- Kumele ube ncinane ubuncinane be-diploma yesikolo esiphakeme. Iqondo lekholeji, okanye ukubhaliswa kwangoku kwiprogram ye-degree ikhethwa.
- Izakhono zekhompyutha kunye nokuthayipha zikhethwa
- Amava kunye nesigama sesigqirha sonyango sithandwa.
- Umgaqo-siseko usebenza phantsi kobunzima bokunakekelwa unyango.
- Uxanduva kwaye uqokelele, unomdla weyeza.
- Ukuzibophelela kwexesha lonyaka omnye kubasebenzi bexesha elizeleyo, okanye iminyaka emibili kubasebenzi besikhathi esithile.
- www.theacmss.org yimizimba yokuqinisekisa kwaye iyadingeka ukuba nayiphi na i-CPOE iya kwenziwa.
Inkqubo yoqeqesho lwabhali bezonyango liqukethe amanyathelo amathathu:
- Inyathelo 1: Inkqubo yesibini yeeveki yokuziqhelanisa eyenzelwe ukufumana umbhali wezonyango "ukukhawuleza" ngosuku lwakhe lokuqala lokusebenzisana nodokotela.
- Inyathelo lesi-2: Ixesha lolawulo kwixesha apho umlobi wezonyango onamava anika ingxelo ngokukhawuleza kunye nempendulo yomsebenzi wombhali omtsha.
- Inyathelo lesi-3: Ukuhlaziywa kwexesha eliqhelekileyo elivumela ukuhlaziywa ngokukhawuleza nokuphindaphindiweyo kwendima yombhali kunye nokusebenza kwimzamo ukwenzela ukuba umbhali wezobugqirha ahlale ehlala kunye nommandla wendawo osebenzayo.
Kutheni umntu efuna ukuba ngumsebenzi njengomlobi?
UDkt. Murphy: "Imvelaphi yezoNyango yokuThengiswa kweMpilo iyakhawuleza ibe ngumgangatho wamava angaphambi kwezokwelapha, kwaye iphakanyiswa yiikomiti zokwamkela izikolo ezikolweni kulo lonke ukhuphiswano. lonke ilizwe alizange liphakame.
Ukongezelela, amava njengombhali wezokwelapha kubalwa kuMncedisi wezeMpilo (PA) iiyure zonyango.
Ziziphi iingxaki zokusebenza njengombhali wezonyango?
UDkt Murphy: "Akusiyo wonke umntu. Lo msebenzi uthatha uzinikezelo kunye nokukwazi kwakho ukufunda ubuninzi beenkcukacha ngexesha elifutshane.
· Unako ukuma, uhambe, ulandele ugqirha ixesha elide
· Ukukwazi ukuphakamisa, ukubamba, ukutshiza, kunye nokudonsa iipounds ezingama-25
· Unako ukusebenza kwindawo exinzelelekileyo kunye nokukhawuleza
· Ukukwazi ukufunda, ukubhala, ukuqonda ngokuphulaphula, nokuthetha isiNgesi kakuhle
· Ukukwazi ukusebenzisa ikhompyutheni kunye / okanye i-laptop ngokusebenzisa ukuchwetheza ngokufanelekileyo, ukuchofoza, nokujonga i-monitor kwixesha elide
· Ukukwazi ukunikela-bhala ngokuchanekileyo
Yintoni umbono womsebenzi kubhali bezonyango?
UDkt Murphy: "Njengoko ii-EHR zigunyazwe ngo-2015 kunye ne-ICD-10 / ICD-11, ukubusa kwembini phakathi kwamabini, ukunyuka kwimiqulu yezigulane, ukunqongophala kwamagqirha kunye nokunciphisa ukubuyiswa kwemali. iinkqubo, zisebenza ngokuthe gqolo kwaye zingaphantsi kweengcali zokungena kwedatha. "
Ngubani owenza umgqatswa ofanelekileyo kumlobi wezonyango?
UDkt. Murphy: "Ngaphambi kokunonyango, ngaphambi koononongo okanye ngaphambi kwe-PA / NP ngabaviwa abakhulu.Abanye abafuna umsebenzi bangabonakala kule nto njengoko ezininzi iinkampani zivumela ukukhula ngokuthe ngqo. ihlawulwe ngaphezu kwababhali, asebenzi ekhaya kwaye ngumsebenzi ohlukileyo ngokupheleleyo. Umbhali wenxaxheba ngokukhawuleza ngokukhawuleza.