Izinto ezili-13 zokumazi nge-Sub React Achab (SAR)

Imibuzo neempendulo malunga neSuqucute Rehabilitation

I-sub-acute rehab (ebizwa ngokuba yi-subacute rehabilitation okanye i-SAR) igqibelele ngononophelo lwangaphantsi komntu ojongene nokugula okanye ukulimala. I-SAR inokukhawulelwa ixesha kunye nenjongo ecacileyo yokuphucula ukusebenza nokukhupha ikhaya.

I-SAR ifumaneka ngokubanzi ekuncediseni abahlengikazi abanemvume (iSNF) . Ngamanye amaxesha, ii-SNF ziyingxenye yesiphedlele yesibhedlele kwaye zihlala zihlala kwi-campus efanayo, ngezinye iimeko, ziyimibutho emele. Kungakhathaliseki ukuba, i-SNF kufuneka inikwe ilayisenisi ngamaziko e-Medicare kunye neMedicaid (i-CMS) ukwenzela ukubonelela nge-SAR. Le nkqubo yenkqubo yokulayisenisa iquka ukuhlolwa rhoqo kwiinkqubo zokuqinisekisa ukuthotyelwa kweemfuno zempilo zokulawula kunye neendlela zokukhusela ubomi (ezifana nokukhusela umlilo kunye nezicwangciso zokuphuma).

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Ngubani omela i-SAR?

Ukuba udinga ukuhlaziywa ngenxa yokunciphisa amandla ekuwa, ukuchithwa kwentambo , okanye imeko yonyango, i-SAR inokuba yinzuzo kuwe. I-SAR ihlawulwa ngokuqhelekileyo yi-Medicare okanye inkqubo ye-Medicare Benevantage. I-Medicare yiprogram yomshuwalense yomshuwalense oya kuhlawula ngaphezu kweminyaka njengoko usebenza. Iiprogram ye- Medicare Benevantage ngamaqela abucala alawulwa ngabantu abafanelekileyo kwi-Medicare kodwa baye bakhetha ukukhetha ukuba yinxalenye yale maqela.

Ukuxhaswa kwemali kunye neemfuno ziyahluka, kuxhomekeke kwisicwangciso esiyikhethile.

• Izinketho ezi-6 zokuhlawula iNkonzo yokuLondolozwa kweZiko loNesi

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Ziziphi Iinkonzo Iziko le-SAR linikezela?

I-SAR inikeza uncedo kwiindawo ezimbini ezahlukeneyo:

1. Iiphilisi zonyango eziphathekayo, ezemisebenzi kunye nezentetho zinika unyango ukwandisa amandla kunye nokusebenza kwakho. Ngokomzekelo, kuxhomekeke kwintswelo yakho, bangase basebenze ukwandisa ibhalansi yakho, phucula ukhuseleko lwakho xa uhamba, usebenze ukukunceda ukuhambisa imilenze yakho emva kokuphazamiseka, ukuphucula ukuzimela kwakho kunye nemisebenzi yokuphila kwansuku zonke (ADLs) , phucula yakho i-cardio (intliziyo) impilo emva kokuhlaselwa kwentliziyo, nokunye.
2. Abaniki bamatye abanamaphepha banikezela ngoncedo lwezonyango ezifana nokulawulwa kwilonda, ukuphathwa kweentlungu , ukunakekelwa kokuphefumula , kunye nezinye iinkonzo zokunonyamekela ukuba zinikezelwe okanye zilawulwe yiRN okanye i-LPN.

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Ngubani onokufumana inzuzo kwi-SAR?

Abantu abaye bawa , ukulimala okanye imeko yonyango banokuzuza kwi-SAR emfutshane. Injongo ye-SAR kukubonelela ngoncedo olungapheliyo olwenzelwe ukuphucula ukusebenza kunye nokhuseleko ekhaya okanye kwindawo yokuhlala yangaphambili (njengendawo yokuhlala okanye isixhobo sokuhlala esizimeleyo).

Iimeko eziqhelekileyo zabantu abafumana i-SAR zibandakanya ukudibanisa (i-hip, idolo, ihlombe) ukuphuka okanye ukutshintsha indawo, izimo zentliziyo, ukuphazamiseka, isifo sikashukela, ukuchithwa kwezinto ezinxulumene nokuwa, isifo esingapheliyo se-pulmonary disease (COPD) , ukungaphumeleli kwintliziyo yesifo (CHF) , ukuchithwa kunye nokunye.

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Unokuphi unyango olunokuthi i-SAR inikezela ngalunye usuku?

Ugqirha wakho uya kulungisa utyando lwakho ngokusekelwe kwinconywa yonyango lomzimba, ugqirha wezemisebenzi, kunye / okanye ugqirha wolwimi. Abanye abantu banokunyamezela kuphela imizuzu engama-30 ngosuku, kuxhomekeke kwimeko yabo. Abanye bangakwazi ukunyamezela iiyure ezininzi ngosuku lweyeza. I-SAR ivame ukunikezela malunga neeyure ezingama-3 zonyango ngosuku.

Ukuba unesibonelelo se-SAR kwaye uzive ngathi ufanele ufumane unyango olungakumbi ngosuku, kufuneka ucele ugqirha wakho ukuba imizuzu yakho yokwelapha inganyuswa.

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Abantu bahlala ixesha elide kwi-SAR?

I-SAR ihlala ihluka kakhulu. Abanye abantu balapho nje ngeentsuku ezimbalwa, ngelixa abanye banokuba khona iiveki okanye kude kube kwiintsuku ezili-100.

Imimandla eyahlukeneyo ichaza ukuba ungahlala ixesha elingakanani kwisibonelelo se-SAR, kubandakanywa ubukhulu bentsholongwane okanye imeko yonyango, impilo yakho yonke, ixesha elingakanani u-inshurensi yakho evumela ukuba uhlale kunye nokukwazi kwakho ukuhlala uphephile emva kokuba ushiye i-SAR.

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Yintoni eyahlukileyo phakathi kwe-SAR, iRehab Acac ne-Stay Hospital?

Amagama asetshenziselwa ukuthetha ngonyango kunye nokuvuselela idilesi kunokudideka ngamanye amaxesha. I-SAR ihluke kwisibhedlele okanye isikhungo esibuhlungu sokuphulukisa abantu.

Isibhedlele, esibizwa ngezinye izihlandlo ngokuthi "ukunakekelwa ngokukhawuleza," kufanelekile kuphela kwimicimbi yonyango ebalulekileyo ngenjongo yokuhlala esifutshane.

Iziko eliphambili lokuhlaziya idizayini lenzelwe izidingo eziphezulu ze-rehab, ezifunwa ngaphezu kweeyure ezingama-3 ngosuku lomsebenzi wonyango, umsebenzi, okanye unyango.

Iziko eziphantsi kwe-rehab (SAR) ziqhelekile kakhulu kubantu abadinga ngaphantsi kweeyure ezingama-3 zonyango ngosuku, ngoko ke ileyibhile "yecandelo elincinci," elisetyenziswe ngokwemigaqo ngaphantsi okanye ngaphantsi kwe -rehab achab.

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Ndingayifumana Njani I-Quality Quality SAR?

Enye yemingeni ekubuyiseni emva kokuphazamiseka, umzekelo, ukhetha inkqubo efanelekileyo kakhulu yokubuyisela kuyo. Ukwenza uphando ngaphambi kwexesha ngaphambi kokuba wena okanye umthandayo oye afune ukuvuselelwa unokuba luncedo kakhulu.

Amaziko e-Medicare kunye neMedicaid (i-CMS) inikeza inkqubo yeenkwenkwezi ezi-5 kumakhaya anonophala, kwaye ezininzi zazo zibonelela nge-SAR. Ukuthelekisa ukulinganiswa kwezixhobo ezahlukeneyo kunokuba luncedo kakhulu.

Ngokuqhelekileyo, isibonelelo sakho esibaluleke kakhulu siya kuba iingcebiso kubathandekayo okanye ngabahlobo abaye baqhuba kule nkqubo. Amava abo amava axabisekileyo.

Ukuba unayo ixesha, kunokuba luncedo ukuma ngamacandelo ambalwa ahlukeneyo kwaye ubuze ityelelo. Ukubukela ukusebenzisana kwabasebenzi nezigulane kunokubakhombisi obalulekileyo kumgangatho wonyango olunikeziwe. Khumbula ukuba nangona ezinye izakhiwo zikhangeleka entsha, yinkqubo kunye nabantu abakhathalelayo abaya kuba nefuthe kumava akho apho.

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Ndingakhetha Naliphi I-SAR I-Ifuna?

Ukuba ufuna i-SAR, qaphela ukuba amaxesha amaninzi, unokukhetha apho le SAR inikezelwa khona. Izibhedlele ziza kubakhokelela kwiinkqubo zabo ze-SAR ukuba zibandakanyeka kunye. Kwaye, ngelixa le nto inokukhetha, unelungelo lokugqiba apho ungathanda ukubuyela khona.

Kodwa ke, ukhetho lwakho lunokuthi lugqithiswe ukuba i-inshorensi yakho ibeka izixhobo ozikhethayo njengangaphakathi okanye ngaphandle kwenethiwekhi , nokuba ngaba ezo ndawo zikhetha ukwamkela kwinkqubo yazo.

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Kuthiwani Ukuba Ndifuna Ukushiya i-SAR Ngaphambi kokuba Bathi Ndikulungele?

Ukuba ucinga nje ukuba uye ekhaya ngaphambi kokuba abasebenzi bezonyango bacinge ukuba kufuneka, unelungelo lokushiya isikhungo nganoma naliphi ixesha. Ukuba ugqirha uyaziva enqabileyo ukuba awukhuseli ukushiya kwaye ukhetha ukushiya nantoni na, baya kucela ukuba usayine ifomu ethi uyashiya ngcebiso yezokwelapha (AMA).

Oku kuthetha ukuba nangona bengenakukwenza ukuba uhlale. abakholelwa ukuba ukhuselekile ukuya ekhaya okwangoku, yifomu ekhuselekileyo yesikhungo kuba ngaphandle kwamaxwebhu ukuba ikhaya lakho lokukhupha lichasene neengcebiso zonyango, mhlawumbi bangaba noxanduva lokulimala okwenzeka ngenxa yokukhutshwa kwakho kwangaphambili.

Imbandela kule mgaqo kukuba ukuba unomdemokhrasi kwimeko apho amandla akho egqwetha elijongene nokunakekelwa kwempilo elisebenzisiweyo , lo mntu makabe nguye onokubonisa ngaphandle kwesikhungo.

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Kutheni i-Inshurensi yam Ishicilelo sam kwiSAR?

Uninzi lweenkampani ze-inshorensi zihlola ukusetyenziswa kwe-SAR ngokusondeleyo, kunye nezixhobo ezifunekayo ukuqhuba iimvavanyo ezinzulu rhoqo kwaye zifumana zombini igunya kunye nokuqhubekayo kugunyazisa i-SAR kumalungu ayo.

Emva kokuba kugqitywe ukuba ukufihla kwe-SAR yakho kuphelile, kufuneka ufumane isaziso esingaphambili kwento yokukhanyela. Ngamanye amaxesha ubizwa ngokuthi "incwadi enqunywe" okanye "isaziso sokuphika," kunye nekopi kufuneka unikezwe kuwe kwaye ugcinwe kwifayile kwiziko ukuqinisekisa ukuba unikwe isaziso sale tshintshi ngaphambi kokuba kwenzeke.

Ubungakanani buya kugcina izizathu ezahlukeneyo, kubandakanywa ukuba awufunanga unyango olungcali okanye unonophelo lweenkonzo zokunonyamekela, ukuba awukwazi ukuthatha inxaxheba kwiinkonzo zonyango (umzekelo, ukuba unomdemokhrasi kunye nememori yakho ayiphumeleli , unokuthi akakwazi ukukhumbula nokufunda imigaqo emitsha kakuhle), ukuba ukhethe ngokuqhubekayo ukungathathi inxaxheba kwiinkonzo zonyango okanye ukuba usetyenzisile inani lakho leentsuku ze-SAR.

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Yintoni endiyenzayo ukuba andicingi ukuba Ndikulungele ukuya ekhaya?

Emva kokuba uxelelwe ukuba i-inshurensi yokugqibela iphela ukuhlala kwe-SAR yakho, abaninzi abantu benza izicwangciso zokubuyela ekhaya okanye kwiziko labo langaphambili kwiintsuku ezimbalwa ezizayo.

Ngelixa unokuba unomdla wokubuyela ekhaya, kusenokwenzeka nokuba unokukhathazeka kakhulu ukuba awunamandla okwanele ukuba uye ekhaya. Ukuba unomuvo wokuba i-inshorensi yakho ayifanele isipheli okwangoku, uvumelekile ukuba ubhenele oku kukhanyela ukukhutshwa. Unokucela isicelo esibhenxisiweyo ukuze ufumane impendulo ngokukhawuleza. Izikhokelo zokubhenca ziya kubandakanywa ekukhanyeleni isaziso sokubhengezwa esifumanayo.

Ukuba ukhetha ukubhenela, isikhungo siya kunika inkampani yenkampani yomshuwalense ngolwazi lwakho lwekliniki olufanelekileyo kwaye baya kuvuma okanye banqabe isibheno sakho kwi-SAR.

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Kuthiwani ukuba i-SAR Ayincedi Ndibe nekhuselekile ngokwaneleyo ukuya ekhaya?

Ngamanye amaxesha, nangona uzama ukuzama ukuhlaziya kwisibonelelo se-SAR, ungeke ufumane amandla okanye usebenze ngokwanele ukuba ukhusele ekhaya ngokukhawuleza. Ukungakwazi ukuhlangabezana nomnqophiso wakho wokuya ekhaya unokwenzakalisa.

Umsebenzi wezentlalo-ntle we-SAR uza kukunceda ukhangele ezinye iindlela ezinokuthi zibandakanye ukutshintshela kwisibonelelo esinonophelo lokunesiza, njengendawo yokuncedisa ukuhlala, okanye kwikhaya lokunakekelwa kwabantwana abadala. Basenokukwazi ukusebenza kunye namalungu entsapho kunye ne-arhente yoluntu ukubonelela ngoncedo olongezelelweyo ekhaya ukunyusa ukhuseleko lwolu khetho.

Khumbula ukuba abanye abantu bathatha ixesha elide ukuze baphilise kwaye baphinde basebenze kunabanye, ngoko kubalulekile ukuba uqhubeke nokusebenza ukugcina nokuphucula amandla akho, apho uhlala khona. Ngokomzekelo, usenokukwazi ukufumana iinkonzo ezingaphantsi kweenkonzo zonyango ngokusebenzisa i- Medicare Part B kwikhaya lononophelo elinesakhono elinokukwenza ukuba ukwazi ukubuyela ekhaya kwikamva njengoko uzuza ngokukhawuleza ukusebenza.

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Kuthiwani Ukuba Ndisafuna Uncedo Ekhaya?

Kuqhelekile ukuqhubeka nokufuna uncedo ekhaya kwikota emva kwe-SAR. Injongo ye-SAR inokukukunceda ukubuyela kwinqanaba lakho langaphambili lokusebenza. Nangona kunjalo, ekubeni iinkampani ezininzi ze-inshorensi zizama ukunciphisa iindleko abazihlawulela abathengi babo, injongo ebonakalayo kwi-SAR ingaba kukunceda ukhuselekile kwaye unamandla ngokwaneleyo ukuba ubuyele ekhaya lakho kwaye uqhubeke nenqubekela phambili yakho.

Ngaphambi kokuba ukhutshwe kwi-SAR, isixhobo kufuneka sinikezele ngokuthumela kwaye senze amalungiselelo ukuba ufumane unyango oluqhubekayo njengeenkonzo zezempilo zasekhaya, xa uvumelana nale nkonzo. Ii-arhente zonyango zezempilo zasekhaya zingakunceda ekhaya ngeliphiko lonyango, unyango lomsebenzi, unyango lwentetho, ukunonophala kwabahlengikazi, kunye neenkonzo zentlalo yoluntu.

Ukusebenzisa ezi zixhobo zoluntu kunokukunceda utshintsho oluyimpumelelo ekhaya, yinjongo ekwabelwana ngayo kunye nabasebenzi be-SAR abaye basebenze nawe.

ILizwi

Ukwazi oko unokulindela kwi-SAR kunokukunceda wenze uninzi lweenkonzo ezibonelelwe apho kwaye ubuyele ekhaya ngokuphepha. Siyaqonda ukuba unemibuzo emininzi njengoko uhambayo, kwaye ithemba lethu kukuba esi sikhokelo sinokukunceda ngendlela eyahlukileyo kwiimeko ezahlukeneyo.

> Imithombo:

> Medicare.gov. Indawo yokunonyamekela (SNF). https://www.medicare.gov/coverage/skilled-nerving-facility-care.html

> I-Sheltering Arms Isikhungo sokuPhakamisa iPhysical Rehabilitation Centre. I-Acute ne-Sub-Acute. http://www.shelteringarms.com/sa/acutecareinfo.aspx