Zvinyorwa Zvokurapa: Zviri Mukati Mazvo, Ndiani Anozvinyorera Zviri Pamutemo, uye Nzira Yokuti Uwane Kopi Yako

Munharaunda zhinji, mupi kana nzvimbo ndiyo muridzi wezvinyorwa zvako zvokurapa, uye iwe unozvinyorera ruzivo ruri mukati mazvo. Ndicho chikonzero nei mutemo we federal uchikupa kodzero yokuwana kopi pane zvinyorwa zvokutanga. Mupi anowanzova nemazuva 30 okubata chikumbiro chakanyorwa, uye mabiri asina kubhadharwa haasi chikonzero chokuramba.

• Chinyorwa ndechavose vakachigadzira. Ruzivo runo ndewerwe.
• HIPAA inokupa kodzero inoshanda yokutarisa nekukopa zvaunoda kubva kune zvinyorwa zvako.
• Mazuva makumi matatu okupindura, kuwedzerwa kwezuva rimwe chete kana wakanyora, mazuva 60 pakukwirira.
• Mabhadharo akamiswa pakugadzira nekutumira, nhumbi, netsamba. Nguva yokutsvaga haibhadhariswi.
• Zvinyorwa zvePsychotherapy nemafaira enyaya ndizvo zvinhu zvikuru zvausingakwanise kukumbira.

Zvinyorwa Zvako Zvokurapa Ndiwo Magwaro Pamutemo, Kwete Bhokisi Rezvinyorwa

Tsanangudzo inoshanda chezvinyorwa zvokurapa ndiyi: chinyorwa chako ndicho chinyorwa chinogadzirwa navanachiremba pamusoro pekutarisirwa kwako, kusanganisira zvinyorwa zvezvizoro, marwadzo, mishonga, migumisiro yezviedzo, neruzivo rwekubhadharisa. Chirongwa cheHIPAA chinoti zvinyorwa zvakasarudzwa, zvinosanganisira chinyorwa, zvinyorwa zvekubhadharisa, nemigumisiro yezviedzo zvokurapa zvakaitwa nemupi kana hurongwa hwouhupenyu.

Cherechedza kuti ani anonyora. Zvinoreva zvinyorwa zvokurapa zvinokanganisa vanhu ndezvekuti vanofungidzira kuti chinyorwa ndechako sezvakanzi diary ndeyako. Hachisi saizvozvo. Chinyorwa navanachiremba, pamusoro pako, sechirevo chavo nezvakaitika.

Chinyorwa chokurapa chinoita mabasa matatu panguva imwe chete. Chinotakura kutevedzana kwekutarisirwa kubva kune mumwe nachiremba kune mumwe, chinopa chikonzero chechakabhadhariswa, uye chinomira sechiratidzo pamutemo chezvakaitwa uye riini. Izvozvo zviviri zvekupedzisira ndizvo zvinoita kuti zvinyorwa zvehupenyu zvinyorwe nekunyatsonzvera sekuchengetedza kwakafanira.

Usazotarisira Kuva Nezvinyorwa Zvako Zvokurapa, uye Hazvina Kufanira

Apo vanhu vanobvunza kuti ndiani muridzi wezvinyorwa zvokurapa, vanowanzobvunza mubvunzo usiri iwo. Mutemo mumwe chete: iwe unozvinyorera ruzivo, mupi kana nzvimbo kazhinji ndiyo muridzi wezvinyorwa zvakagadzirwa kana zvemagetsi, uye ndizvo zvinoita kuti mutemo we federal ikupe kopi uye kwete chinyorwa chekutanga.

Hapana mutemo mumwe chete wenyika. Sekureva kwesvondo rakabudiswa muJournal of Urgent Care Medicine, munharaunda dzinenge 20 dzine zvinyorwa zvinopa chinyorwa kumupi, New Hampshire ndiyo yega nyika ine mutemo unopa kune murwere, uye munharaunda dzinenge 29 kana 30 hapana mutemo wo muridzi zvachose. Vanachiremba havanawo musiyano. Mukutsvaga kwavanachiremba kwataurwa mune iyi svondo, 33 muzana vakati varwere ndivo muridzi wezvinyorwa, 65 muzana vakati vanachiremba, uye 2 muzana vakati EHR vendor.

Chirongwa che federal chinobva pakuva nacho. HealthIT.gov's bhuku rekugamuchira nekushandisa zvinyorwa zvako zvehupenyu rinongogumira pakodzero yako yokutora, kuongorora, nekukopa. Harimbofa zvakadaro zvawakagadzira zvinyorwa.

Hezvino zvichanyatso kukuudza: kusawirirana pamusoro pebvunzo ndekwechipiriso chakafukidzwa sechibvunzo pamutemo. Zita rechinyorwa ndimutemo wenyika wakakamukana unochinja hapana chaunogona kuita nacho. Kodzero yokutora ndeye federal, imwe chete, uye inoshanda. Saka rega kubvunza kuti ndiani ane zvose uye tanga kubvunza kuti ungawana sei.

Chinyorwa Chokurapa Chakakwana Chine Zvikamu Gumi, Kusanganisira Zvimwe Zvausingazombowoni

Zvikamu zvezvinyorwa zvokurapa zvinofungidzirwa kupfuura zvawakafungidzira. Chinyorwa chakakwana chinowanzosanganisira ruzivo rwekunyora, nhoroondo yokurapa, rondedzero yemishonga neyekushandisa panguva ino nekutora, nhoroondo yokurapa kwemhuri, nhoroondo yokurapa nekugadzirisa, mirayiro yepamberi, migumisiro yezviedzo nezvimagetsi, mapepa ekubvumirana akasainwa, zvinyorwa zvekuenderera mberi, neruzivo rwekubhadharisa kana rwemari. Ndiwo tsika uye tsika dzebhizinesi, kwete rondedzero pamutemo.

MedlinePlus, mukugadziridzwa kwayo pamusoro pezvinyorwa zvehupenyu zvako, inotaura zvakakosha zvinofanira kuva zvakazara nekuzara: zita, musi wokuberekwa, rudzi rweropa, vanhu vaungataurira pakakwirira, mazuva nemigumisiro yezviedzo zvikuru nezvakadzikama, marwadzo makuru nezvinonongedza nemazuva, zvinhu zvaunopikira, marwadzo akagara achigadzirwa, nhoroondo yemhuri.

Apo kopi yako ichasvika, zvinyorwa zvichataridzika zvakapfupiswa. Chinyorwa chekuenderera mberi chinogona kuverenga kuti: "Pt inoratidzira ne 3d hx sore throat, hapana chikosoro, febrile kusvika 101.2F. Rapid strep neg. Dx: viral pharyngitis. Plan: supportive care, RTC kana zvinhu zvakaipa." Chinyorwa chelaboratory chichaverenga: "Potassium 5.4 mmol/L (ref 3.5 kusvika 5.1) H." Uyu upfupi huri nekuti zvinyorwa zvinowanzotaura nekunyora navanamazvikokota vanonyora zvinyorwa zvekurapa vachishandisa zvivakwa.

Verenga wako zvisinei, uye verenga rondedzero yemishonga nezvinhu zvaunoramba mumakwikwi kutanga. Zviviri izvozvo ndizvo zvinovimba nachiremba anotevera pasina kuongorora. Uye rangarira kuti chikamu chenhoroondo chakagadzirwa kubva pane zvawakataura panguva yekushanya, saka zvauchataura kuna chiremba wako, uye kuti wakazvitsanangura sei zvakanyatso, zvinova zvakaenda zvichagara zvose.

Chinyorwa Chapapa, EMR, EHR, PHR: Chimwe Chete Ndicho Chako Chokudzora

Mhando dzezvinonyorwa zvokurapa zvinosangana nazvo varwere ndedzana, uye dzinowanzojairana.

EMR ndiyo zvakare nzvimbo apo dictation inosvika mushure mokunge software yekunyora zvinyorwa zvekliniki kana munyori wezvemishonga achinge azvigadzirira. Imwe yekugadzirisa inokosha ikozvino: kupinda kune mushandisi wevarwere chinhu chekuona muchinyorwa chehupenyu chemupi, kwete kopi yako. Kana nzvimbo ichichinja maitiro kana kuvhara, icho chiedza chinovhara. Dhawunirodha kana tumira izvo zvakakosha.

Kukumbira Zvinyorwa Zvako: Matanho Mashanu Ne-Clock Yemutemo Yemazuva 30

Kuziva kuti ungakumbira sei zvinyorwa zvako zvokurapa kazhinji ndezvekugadzirira, kwete zvekliniki, uye zvinotevera nguva yemutemo.

1. Bata Hofisi Yakakodzera. Kumbira zvikamu zvezvinyorwa zvokurapa kana zvehutano (HIM), kwete chiremba wako. Vanachiremba havabati nekuburitswa uye kuendeswa kwazvo kwavari kunowedzera vhiki.
2. Nyorwa Panyaya. Shandisa fomu ravo kana tsamba ine musi inotaura navanachiremba, nguva dzeround, nezvinyorwa zvaunoda.
3. Taura Fomati. HealthIT.gov inosimbisa kuti zvinyorwa zvinofanira kuwanika sechinyorwa chepepa, faira yemagetsi, kana imwe nzira sezvizvimiti zveX-ray.
4. Uvape Mazuva 30. Mupi kana hurongwa hunofanira kubata mukati memazuva 30 kubva pakugamuchira, nekuwedzerwa kwezuva rimwe chete kwemazuva 30 kunobvumidzwa chete kana uchitumira tsamba yakanyorwa yekunonoka uye musi wokupedzisira mukati memazuva iwayo makumi matatu. Mazuva makumi matanhatu ndiyo nhanho yepamusoro.
5. Tarisira Mubhadharo, asi Wakapfupiswa. Mari dzinongobvumidzwa kune zvakakodzera, zvine mari-zvakavakirwa pamubhadharo wekugadzirisa, nhumbi, netsamba. Nguva yevashandi yakapedzerwa pakutsvaga kana kutora faira yako haibhadhariswi kwauri.

Chengeta kopi ine musi yekukumbira. Ndiwo unoramba nguva uye unoratidza kuti nguva yakatanga riini. Uye kana mumwe akakuudza kuti mari iri paakaunti yako inofanira kubhadharwa kutanga, izvozvo zvakaipa: iwe une kodzero yokuwana chinyorwa chako kunyange kana uine chikwereti chenzvimbo mari.

Kana uchida kutarisirwa apo faira yako ichiri munzira, August's kushanya kwekutarisirwa kwekutarisirwa kwekutarisirwa kunodhura $39 kunokubatanidza nemunachiremba ane rezinesi muUS anotsvaga zvinhu zvako nekusarudza kana chinyorwa chokurapa chakakodzera. Ita pachena pamusoro pemuganhu: kushanya kweTelehealth hakugoni kutora, kuburitsa, kugadzirisa, kana kutsikisa zvinyorwa zvakaitwa nemumwe mupi. Chikumbiro ichocho chinofanira kuendeswa kune HIM department.

Zvinyorwa Zvamamwe Varwere Zvisingadzokororwi, Uye Nguva Dzimwe Nguva Zvinosanganisira ZveMwana Wako

Zvikamu zviviri zvezvinyorwa zvevarwere zviri kunze kwemukodzero yekuwana, uye zvose zviri zviviri zvakanyanyisa kupfuura vashandi vanowanzotaura. Zvinyorwa zvePsychotherapy, zvichireva zvinyorwa zvakavanzika zvechikamu chengano akachengetwa zvakagadzirwa kana zvemagetsi zvakaparadzaniswa kubva kune zvimwe zvinyorwa, hazvibatanidzwe. Saizvozvovo ndizvo zviri mukati nezvakarongwa muzviitiko zvemutemo.

Usaregedze izvozvo zvichipararira. Zvinyorwa zvakajairika zvepfungwa, kusanganisira mishonga, zvirwere, nguva dzekutanga nekupedza, nezvikamu zvechikamu, zviri chikamu chechinyorwa chako uye unogona kuzvitora. Chete zvinyorwa zvechimiro zvakachengetwa zvakaparadzaniswa ndizvo zvakachengetedzwa.

Vanababa kazhinji ndivo vamiririri vemunhu wemwana uye vanogona kuwana chinyorwa chemwana. American Academy of Pediatrics inopa zvimwe zvinhu: apo mwana anogona kutora mubvumirano pamutemo wekutarisirwa kwake ega, sezvinoitika kune dzimwe nguva dzokuberekwa kana dzepfungwa, apo kutarisirwa kwacho kwakaitwa nemutongi, kana apo mubereki akabvuma kushamwaridzana kwakavanzika pakati pechiremba nemwana. Chiremba anogonawo kuramba mukana apo utsinye kana kuregeredzwa kunofungirwa.

Kana Mupi Achinonoka Pamusoro Pezvinyorwa Zvehupenyu Zvako, Izvozvo Zvingave Zvisiri Pamutemo

Kunonoka kwave kuri chinhu chinodzora, kwete kungova basa rakaipa. Pasi pe21st Century Cures Act mutemo wokudzivirira ruzivo, vanopa vanorambidzwa kuziva nekusazvibata zvisina kufanira pakubata ruzivo rwehupenyu rwegezi, kusanganisira zvinyorwa zvekliniki nemigumisiro yezviedzo, kunze kwemitemo yakakosha mu 45 CFR Part 171 inoshanda.

Chipiti chaicho chavanobata nacho varwere ndechimwe chinetso. Sezvakatsanangurwa neJournal of Urgent Care Medicine kune vatungamiriri vezvirongwa, mukana unogona kunonoka apo nzvimbo inovhara kana ichiisa pamusoro pekunetsana kwekubhadharisa nevendor yayo yeEHR, nekuti vendor, kwete chiremba, anodzora chinyorwa. Kodzero yako haipere nekuda kwechibvumirano chausiri chikamu nacho. Simudza.

Kana uchifukidzwa neMedicare Advantage, Medicaid, CHIP, kana ACA marketplace plan, CMS's mutemo weInteroperability uye Patient Access unoda kuti hurongwa hwako hupe mukana wegezi kune zvikwereti neruzivo rwehupenyu kuburikidza nePatient Access API yakavakirwa pamitemo, kazhinji kuburikidza neapp yesmartphone. Ndiwo mumwe mukana wezvikamu zvikuru zveruzivo irwo.

Apo kudikanwa kunodikanwa, batanidza chichemo cheHIPAA neHHS Office for Civil Rights, kana chiziviso nezve ruzivo rwunorambidzwa kuburikidza neONC's portal. Izvi zvakakosha nekuti HIPAA haina kodzero yakavanzika yokushanda. Haugoni kutonga mupi pasi payo wega, saka nzira yekunyunyuta ndiyo nzira yekushandiswa kwaunayo.

Zvibvunzo Zvinowanzobvunzwa

HIPAA inoti here kuti mupi anofanira kuchengeta zvinyorwa zvangu kwenguva yakareba sei?

Kwete. HIPAA haina nguva yekuchengeta zvinyorwa zvevarwere. Nguva yauchakachengetwa faira yako inotaurwa nemutemo wenyika uye nechirongwa chenzvimbo, ndicho chikonzero nei mhinduro ichisiyana nenyika neNzvimbo. Mutemo we federal we makore matanhatu vanhu vanotaura unoshanda kune zvinyorwa zvemitemo zvechisikwa, kwete kune chinyorwa chako. Vhura HIM department yavo yenyaya yekuchengetwa.

Ndinogona kugadzirisa kukanganisa muchinyorwa changu chokurapa here?

Hongu. Iwe unogona kukumbira kugadziriswa pasi pe 45 CFR 164.526, uye mupi anofanira kupindura. Vanogona kuramba, semuenzaniso kana vasina kugadzira chinyorwa kana vachitenda kuti chakazara nekuzara. Kana vakazviramba, une kodzero yokubata chirevo chakanyorwa chekusawirirana, icho chinozoenderana nechinyorwa chiri kunetsana nacho.

Ndinogona sei kuwana zvinyorwa zvangu kana chiremba wangu akaenda pamudyandigere kana nzvimbo yakavhara?

Kazhinji hongu. Nzvimbo dzinovhara dzinotarisirwa kugadzirira kuchengetwa, saka faira inowanzochengetwa neumwe chiremba, kambani yezvinyorwa, kana nzvimbo inotenga. Tangai neMedical Board yenyika yako, iyo inowanzoziva kuti ndiani akatora kuchengetwa, vozotevera Health Department yenyika. Kana nzvimbo ikashandisa kambani yekunze yeEHR, kambani iyoyo inogona kunge ichiri kuchengeta ruzivo.

Ndinofanira kuzivisa hofisi chikonzero chekuti ndinoda zvinyorwa zvangu here?

Kwete. Mupi haakwanise kuita tsanangudzo chipindura chekuburitswa. Vashandi vanogona kubvunza zvakasununguka, uye iwe unogona kuramba zvakanaka. Zvavanogona kudiwa zviri pamutemo ndezvekukumbira kwakanyorwa, kwakasainwa kunotsanangura iwe, zvinhu zvaunoda, uye kuti zvichatumirwa kupi, pamusoro pekuzivikanwa kwakakodzera usati wapihwa chinhu.

Mudzidzi wangu anogona kuona zvinyorwa zvangu zvokurapa here?

Kwete kazhinji. HIPAA inosunga hurongwa hwehutano, makamuri ekuchenesa, navanopa, kwete mabasa anotora mabasa semabasa, saka mafaira auchachengeta semunhu wemukati webasa rake ari kunze kwacho. Mushandi wako haagone kutora chinyorwa chako kubva kuna chiremba wako pasina mvumo yako yakanyorwa. Kana uchikumbira chirongwa chekubhadharira basa kana chekusakwanisa, unowanzokumbirwa kusaina chimwe.

Mudzimai wangu kana mwana wangu mukuru anogona kukumbira zvinyorwa zvangu pachinzvimbo changu here?

Nguva dzimwe. Mumwe ane masimba pamutemo okukuitira iwe, sezvakaita simba rehupenyu kana mutariri, ndiye mumiririri wako wega uye anogona kukumbira faira zvakananga. Mumwe munhu wose, kusanganisira mudzimai, anoda mvumo yakanyorwa yeHIPAA inomutsanangura uye inotsanangura kuti chii chinogona kuburitswa. Saina imwe kare kana uchida rubatsiro mukutarisira izvi.

Chinhu Chakakosha: Ukuvunza Kwakaoma, Asi Kodzero Yako Yokugamuchira Haisi

Mupi kazhinji ndiye muridzi wechinyorwa. Iwe unozvinyorera ruzivo rwuri mairi uye kodzero yakasimba yekuwana kopi. Nhamba nhatu dzinotakura zvimwe zvose: mazuva 30 okupindura, mazuva 60 pakukwirira nechechi yakanyorwa, uye mari dzakapfupiswa pakugadzira, nhumbi, netsamba. Kumbira kopi yakazara yezvinyorwa zvako zvokurapa ikozvino, usati chipatara chekukurumidza kana hofisi yemukuru mutsva ichiita kuti ive yekukurumidza.

Chirevo: Chinyorwa ichi chinongoitirwa ruzivo chete uye hachisi chibvumirano chokurapa. Nguva dzose taura kune mushandi wehutano akakodzera kuti uwane ruzivo nekugadzirisa. Kana uri kuona dambudziko rekurapa, daidza 911 kana enda kuchipatara chekukurumidza zvose zvapo.