Kev tshuaj ntsuam txhuas hauv cov ntawv qhia me nyuam

Cov nyiaj txhawb siab yuav raug them rau tus kws kho mob uas txuas nrog (PCP) txhua xyoo, tom qab lub quarter 4 kawg. Yog xav paub ntxiv, saib mus rau CBI Technical Specifications.

Cov tswv cuab hauv tsev kho mob lossis siv cov kev pabcuam hauv tsev kho mob txhua lub sijhawm thaum lub xyoo ntsuas.

Cov tswv cuab uas tuag txhua lub sijhawm thaum lub xyoo ntsuas (CBI 2024 nkaus xwb).

Cov ntaub ntawv nyob rau hauv cov ntaub ntawv kho mob hnub uas qhov kev xeem tau ua thiab kuaj tau los yog nrhiav tau.

California txoj cai xav kom muaj kev kuaj ntshav rau Medi-Cal cov tswv cuab ntawm 12 thiab 24 lub hlis hnub nyoog thiab xav kom cov kws saib xyuas kev noj qab haus huv ua cov tshuaj ntsuam xyuas ntshav los qhia tag nrho cov txiaj ntsig rau California Department of Public Health (CDPH) Childhood Lead Poisoning Prevention Branch. Cov kws kho mob yuav tsum ua qhov ntsuas ntsuas rau cov menyuam yaus hnub nyoog 24 hli txog 6 xyoo uas tsis tau kuaj thaum 12 thiab 24 lub hlis.

DHCS tseem xav kom cov kws kho mob muab cov lus qhia ntawm qhov ncauj lossis sau ntawv rau cov niam txiv/cov neeg saib xyuas ntawm tus menyuam ntawm txhua qhov kev ntsuas kev noj qab haus huv ib ntus txij li 6 txog 72 lub hlis, uas suav nrog cov ntaub ntawv ntsig txog kev puas tsuaj ntawm txhuas.

Cov neeg muab kev pabcuam hauv lub network tsis tas yuav ua qhov kuaj ntshav kuaj ntshav yog tias ib qho ntawm cov hauv qab no siv:

1. Hauv kev txiav txim siab tshaj lij ntawm tus kws kho mob, qhov kev pheej hmoo ntawm kev tshuaj ntsuam ua rau muaj kev pheej hmoo ntau dua rau tus tswv cuab ntawm tus menyuam txoj kev noj qab haus huv dua li kev pheej hmoo ntawm cov tshuaj lom lead. Qhov no yuav tsum tau muab sau rau hauv cov ntaub ntawv kho mob.
2. Yog tias niam txiv/tus saib xyuas lossis lwm tus neeg muaj cai raug cai txwv tsis pub tso cai rau kev tshuaj ntsuam, tus kws kho mob yuav tsum tau txais daim ntawv kos npe rau daim ntawv qhia txog kev yeem tsis kam lees los yog sau cov laj thawj vim li cas tsis tau txais daim ntawv kos npe hauv tus menyuam cov ntaub ntawv kho mob (Piv txwv: Thaum cov kev pabcuam raug muab los ntawm telehealth modality lossis tog tsis kam kos npe).

PIB: 83655

Cov ntaub ntawv rau qhov kev ntsuas no yuav raug sau los ntawm kev thov thiab DHCS Fee-for-Service ntsib kev thov. Txhawm rau nrhiav qhov khoob hauv cov ntaub ntawv:

• Khiav ib tsab ntawv ceeb toom los ntawm koj qhov Electronic Health Record (EHR) system; los yog.
• Manually compile cov ntaub ntawv tus neeg mob (Piv txwv: Download Cov Lead Screening in Children quality report or your Care-Based Incentives Measure Details report on the Provider Portal and piv rau koj EHR/paper charts).

• Kev raug lead hauv cov menyuam yaus tuaj yeem ua rau lub hlwb puas thiab lwm yam tseem ceeb hauv nruab nrog cev, nrog rau kev txawj ntse thiab kev coj cwj pwm tsis zoo.
• Kev tshawb fawb qhia tsis muaj kev nyab xeeb ntawm cov ntshav lead (BLL) thiab nws cov teebmeem yog irreversible. Chelating cov neeg ua haujlwm uas npaj siab tshem tawm cov hlau lead tuaj yeem txo cov neeg tuag tab sis tsis tau ua kom pom los txhim kho IQ lossis kev coj tus cwj pwm tshwm sim los ntawm kev raug lead. Saib CDC's Lead Poisoning Prevention web page yog xav paub ntxiv.
• Cov me nyuam raug lead muaj tsis muaj cov tsos mob pom tseeb; Yog li ntawd, kev lom tshuaj txhuas feem ntau mus tsis tau lees paub.
• Ua kom cov ntshav lead hauv feem ntau cuam tshuam rau cov menyuam uas muaj kev noj qab haus huv qis dua thiab los ntawm cov zej zog tsawg vim tias muaj kev pheej hmoo ntawm kev muaj vaj tsev nyob (US Preventive Services Task Force).

• Ua ib qho kev ntsuam xyuas ib puag ncig ua ntej kev tshuaj ntsuam xyuas ntshav ntawm cov menyuam yaus uas muaj kev pheej hmoo rau kis tau lead. Cov kev ntsuas no tuaj yeem suav nrog cov khoom ua si, tais diav, tshuaj pleev ib ce, tshuaj kho neeg pej xeem, zaub mov, thiab khoom qab zib. Hauv qee cov neeg tsis muaj zog, cov khoom lag luam tuaj txawv teb chaws, khoom noj khoom haus thiab tshuaj kho pej xeem tuaj yeem pom ntau dua thiab yog qhov muaj txiaj ntsig zoo rau kev kis tus kab mob.
• Kev tshuaj ntsuam hom:
  • Thawj qhov screen: point of care test; capillary.
  • Kev kuaj pom tseeb: venous qauv.
• CDC pom zoo kom tshuaj xyuas txhua tus neeg tsiv teb tsaws chaw, neeg tawg rog thiab cov menyuam saws thoob ntiaj teb thaum lawv tuaj txog hauv Asmeskas vim lawv txoj kev pheej hmoo ntxiv.
• Pab cov niam txiv txheeb xyuas seb lawv tus menyuam puas tau raug lossis raug mob tas li (cov xim pleev xim, mus ntsib cov tsev tsis tu ncua ua ntej xyoo 1950s, txhuas hauv av, dej, tais diav thiab khoom qab zib los ntawm lwm lub tebchaws, thiab lwm yam) thiab txhawb cov niam txiv kom tsis txhob muaj cov hlau lead. .
• Saib xyuas txhua tus menyuam uas tau lees paub BLL ≥5 µg/dL rau kev nce ntxiv lossis txo qis hauv BLL kom txog rau thaum tag nrho cov kev pom zoo ib puag ncig kev tshawb nrhiav thiab cov tswv yim txo kom tiav.
• Kev tiv thaiv thawj zaug yog qhov tseem ceeb tshaj plaws thiab lub tswv yim tseem ceeb rau txo BLLs.
• Muab kev qhia noj zaub mov zoo thiab pom zoo kom noj zaub mov kom zoo. Calcium, hlau thiab vitamin C ua lub luag haujlwm tshwj xeeb hauv kev txo qis kev nqus hlau lead.
• Cov hlau lead tuaj yeem pib thaum cev xeeb tub. Ua thawj zaug thiab rov qab tshuaj xyuas cov neeg cev xeeb tub thiab lactating.
• Thaum muaj kev cuam tshuam nrog cov tsev neeg cuam tshuam, muab cov ntaub ntawv yooj yim txog lub ntsiab lus ntawm BLL cov txiaj ntsig, thiab cov lus tseem ceeb thiab kab lis kev cai hais txog qhov cuam tshuam ntawm cov hlau lead. 

• Alliance txhais cov kev pab cuam muaj rau cov neeg muab kev pabcuam network:
  • Kev pab txhais lus hauv xov tooj muaj los pab rau kev teem sij hawm cov tswv cuab.
  • Cov neeg txhais lus ntsej muag tuaj yeem thov tau ntawm lub sijhawm teem nrog tus tswv cuab.

  Yog xav paub ntxiv txog peb qhov Kev Pabcuam Kab lis kev cai thiab lus, thov hu rau Alliance Health Education Line ntawm 800-700-3874, ext. 5580 lossis email rau peb ntawm [email protected].

• Xa cov neeg mob uas muaj teeb meem kev thauj mus los rau lub Alliance Tus Neeg Saib Xyuas Kev Thauj Mus Los ntawm 800-700-3874, ext. 5577 ib. Qhov kev pabcuam no tsis them rau cov chaw tsis khomob lossis rau kev teem sijhawm uas tsis tsim nyog khomob.
• Lub Nroog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CDPH) Daim Ntawv Qhia Txog Ntshav Lead
• Tsab Ntawv Txhua Lub Hom Phiaj 20-16