Bakeng sa Coding ea Meriana le Lichelete, Koetliso e Loketseng ke Nako ea Katleho
Lefapha la tlhokomelo ea bophelo bo botle ke indasteri e laoloang haholo, ka mabaka a utloahalang, kaha batho ba limilione ba ameha ka boleng ba tlhokomelo ea bophelo bo fanoeng ho bakuli ho pholletsa le naha. Leha ho le joalo, na ho ka etsahala hore indasteri ea bongaka e ka laoloa haholo ? Likhatello tse ntseng li eketseha tsa melao e ncha, mekhoa e mecha le melao e tsitsitseng haholoanyane li ama batho ba limilione ba litsebi tsa bophelo bo botle ba etsang mosebetsi oa bongaka joang?
Liphuputso tse ling li bonahala li bontša hore indasteri ea tlhokomelo ea bophelo e ka be e laoloa, kapa bonyane ho laoloa haholo bakeng sa basebeletsi ba bangata ba tlhokomelo ea bophelo ba ho lula ntle le maemo a sa hlokahaleng a khatello ea maikutlo le liphoso. Khōlo le phetoho ea kamehla melaong ea tlhokomelo ea bophelo e tsoela pele ho eketsa likarolo tsa bolaoli ba lichelete, ho baka khatello ea kelello ho basebeletsi ba bophelo bo botle, ho fihlela ba ikutloa ba sa khelosoe le ho khetholloa ho bahiri ba bona, e leng se etsang hore ba ikutloe ba sa tšehetsoa ka ho lekaneng ka koetliso e lekaneng ea ho etsa mesebetsi ea bona hantle . Ha e le hantle, lipetlele tsa United States li ka 'na tsa e-ba boemong bo thata,' me ba fetang karolo ea 56 lekholong ea basebetsi ba ikutloa ka tsela eo, ho latela tlhahlobo ea 2017 ea CultureIQ, e nang le sehlooho se reng "Engagement & Retention in Healthcare Workers."
Liphetoho tsa Coding
Phetoho e 'ngoe ea morao-rao, le ea bohlokoa litabeng tsa tlhokomelo ea bophelo bo botle ke e ncha tsamaiso ea ICD-10 ea coding , e ileng ea nkela ICD-9 sebaka ka October 2015.
Tsamaiso e ncha ea coding e batla e ka makhetlo a mabeli molumo oa lits'ebetso tsa ho hlahloba ho tloha ho 14,000 ho ea ho 68,000, ha litsamaiso tsa mekhoa e ntse e feta ka liphesente tse 2 000, ho tloha litsing tse 4 000 ho isa ho 87,000. Sena se entse hore ho be le keketseho ea liphesente tse 69 ho feta nako e nkiloeng ho sebetsana le likoloto tsa meriana ea meriana (metsotso e 17 ho ICD-10, le metsotso e 5 ka ho ngolisa ICD-9).
Ntho e tobileng ea likhoka tsa ICD-10 e entse hore ho se utloisisoe hantle mosebetsing, ho baka liphoso, ho sebetsa ka thata, le nako e lekanyelitsoeng ho qeta mekhoa ea ho lefella . Sena se fella ka ho fokotseha ha lichelete, le ho eketseha ha litšenyehelo tsa nako e ngata, ho fokotsa lingaka, ha nako eohle e ntse e fokotsa boleng ba tlhokomelo ea bakuli, ho latela David Womack, mopresidente le CEO oa Practice Management Institute (PMI), e fanang ka thuto le koetliso ho basebeletsi ba ofisi ea tsa bongaka maemong a sepetlele, mekhatlo ea tsa bongaka le litsi tsa thuto naheng ka bophara.
Le hoja ts'ebetsong ea ICD-10 e tšepisitse ts'ebetso e hlalositsoeng, ho eketseha ha tšohanyetso ha data e ncha ho ka ba le phello e fapaneng , Womack e phaella.
Ka lebaka la phihlelo ea hae lefapheng la koetliso ea basebeletsi ba bophelo bo botle, Mack o re tlaleho ea ho tlosoa ha basebetsi ke karolo e itseng ea molao-motheo ona, o kopantsoe le ho hloka koetliso. Per Womack, kgolo e ngata ea litaba ntle le koetliso e tsamaeang le eona e ka ba motsoako o kotsi bakeng sa indasteri ea tlhokomelo ea bophelo- kotsi e kholo bakeng sa indasteri e se e ntse e ferekane ka liphoso tsa coding .
Liphoso li na le chelete e ngata ho Lefapha la Bophelo
Liphoso ha li lefelle indasteri feela, le bahiri, chelete e ngata licheteng tse lahlehileng.
Liphoso li boetse li reka nako ea bohlokoa, 'me boleng-bo ama bophelo ba mokuli ka ho toba.
Ha basebetsi ba otloa ka lintho tse ngata ka nako e le 'ngoe hoo ba sa li utloisiseng, ba fetoha ba sa tsotelleng' me ba itšetlehile ka sepheo-se bakang liphoso tse eketsehileng, liphoso le ho hloka kutloisiso.
Ho fihlela ho karolo ea 80 lekholong ea likoloto tsa bongaka li na le liphoso, ho lefella liranta tse limilione tse likete tse 68 ka chelete e lahlehileng ea tlhokomelo . E kopantsoe le ho imeloa ha data e ncha, Womack o re kotsi ea liphoso e eketseha ka makhetlo a leshome.
Ke hobane'ng ha ho na le litekanyetso tse phahameng tsa likoloto tsa ho lefella? "Tlhokomelo e teng lehlakoreng la lipolelo," Womack oa hlalosa. "Bafani ba 'muso le ba mmuso ba hlahloba lipolelo tsa ho nepahala.
Ha mathata a fumanoa, litlaleho li hanngoe, 'me chelete e lahlehile. "
Tharollo ke Eng? Kamoo U ka Lokisetsang Kateng, Etsa Basebeletsi ka Makhetlo a Macha
Khoebo ea tlhokomelo ea bophelo e tla ba e laoloang haholo nakong e tlang. Ka hona, ho ea ka Womack, boleng bo phahameng, ts'ebetso e tsoelang pele ea basebetsi ke ea bohlokoa ho boloka sehlopha se kopantseng, se kopantsoeng le ho fokotsa liphoso tse thibeloang.
"Basebetsi ba lebeletsweng ke basebeletsi ba koetlisitsoeng hantle," ho ea ka Womack. "Basebeletsi ba ho ngolisa le ho lefa ka kotloloho ba kenya letsoho ho raroleng ka mokhoa o hloekileng, o tsitsitseng [inshorense ea bophelo bo botle]."
Liphuputso li bontša hore mekhatlo ea tlhokomelo ea bophelo e nang le basebeletsi ba sebetsang ka ho fetisisa e atleha ka ho fetisisa ts'ireletsong, boleng, le mererong ea boiphihlelo, ho ba le tšusumetso e kholo ea liphello tsa lichelete.
Womack o phaella ka ho re lik'hamphani tse fanang ka bopaki ba litsebi litabeng tsa litsebi tsa bongaka, ho lefella batho ba bang, tsamaiso ea ofisi le ho latela melao, li thusa ho beha maemo a phahameng mosebetsing ka ho fana ka thuto le tlhahlobo e hlakileng e tiisang kutloisiso ea motho e mong le e mong. Phello ke hore lingaka li ka lebisa tlhokomelo ea bona feela ho tlhokomelo ea mokuli, ho fetolela phihlelo e molemo ho mokuli, bohle ha ba ntse ba tiisa hore mokhoa ona o ntse o atleha.
Ho feta moo, Womack o lemosa khahlanong le ho hira litokomane tsa meriana tse sa koetlisitsoeng le likoloto. "E 'ngoe ea likotsi tse kholo ka ho fetisisa tsa ho sebelisa litokomane tse sa rutehang li tla ha basebeletsi ba tlhokomelo ea bophelo ba fumana mathata a bakoang ke ho tsosolosoa ha chelete e ngata bakeng sa lintho tse kang ho lefella lits'ebeletso tse sa etsoang, ho senya, ho ikhothaletsa litaba, joalo-joalo. Ngaka e tla ba le boikarabello ba ho saena bohle ba ipolela, empa basebeletsi ba ka arolelana boikarabello bakeng sa mekhoa ea ho lefa e fosahetseng, haeba ba tseba ho fana ka litlaleho tsa bohata. "
Na ho lefella ho nepahetseng le ho ngolisa historing ke phephetso bakeng sa mekhoa ea bongaka? E, o re Mack. "Ho rarahana ha mokhoa oa ho reka ke ho utloa bohloko," Mackack o re. "Ka linako tse ling ho loana bakeng sa lidolara [ho kolota] ho ea pele ho ka etsahala pele ho phekolo ea maemo a bophelo bo botle ha ho khethoa hore na phekolo ea phekolo e tsitsitse joang. O phaella ka ho re: "Coders tse sa hlokeng koetliso e nepahetseng li chesa mollo."
Hase feela ho hloka koetliso bakeng sa litokomane tsa bongaka le likoloto tsa bongaka tse amang liofisi tsa morao-rao tsa meriana, hape li ka ama ts'ebetso ea kakaretso ea mokhoa ona kaofela. "Litokomane tse koetlisitsoeng hantle le likoloto li ka ntlafatsa phaello ea kakaretso ea mokhoa ona ka ho fumana ho hloloheloa menyetla ea ho fumana chelete le ho fana ka litlaleho tsa lidolara tsohle tse lokelang ho li etsa. Basebeletsi ba koetlisitsoeng hantle ba lebisa mosebetsing o ntlafetseng oa basebeletsi, liphoso tse fokolang le ho khotsofala [mosebetsing o moholo]. "
> Mehloli:
> "Ho ikamahanya le ho khutlisetsoa ho basebetsi ba bophelo bo botle." CultureIQ. Tloaelo ke Eng? CultureIQ., Nd
> "ICD-10 Mesebetsi ea ho kenya ts'ebetsong le boiketlo." MedLink. Np, la 20 Mantaha 2016
> "Coding e sa nepahaleng ea bongaka e senya Ditshebeletso tsa Core tse sebelisitsoeng ke Ts'ebeletso ea Bophelo bo Botle, e na le Liphello Tse Ntle ho Ts'ebetso ea Lefapha la Bophelo." Mokhatlo o Kopanehileng oa Bophelo bo Botle. Np, nd
> Jensen D, Ward E le Starbuck L. "Selemo hamorao: Phello ea ICD-10 ea Tsamaiso ea Tsamaiso ea Likoloi." Bophelo ba Tsamaiso ea Bophelo. Np, la 21 Ts'eletseng 2016.
> "Ntho ea bohlokoa ho Botumo bo phahameng, Litšebelisano tsa lichelete tsa lichelete Tšebeletsong ea basebetsi, Tlaleho ea Lipatlisiso tsa Ganey." Litaba tsa Healthcare Finance. Np, nd