Daim Ntawv Qhia Txog Kev Tiv Thaiv Thaum Muaj Xwm Ceev

Cov kev txhawb zog raug them rau tus kws kho mob txuas nrog (PCP) txhua xyoo, tom qab lub quarter thib plaub kawg. Yog xav paub ntxiv, saib mus rau lub CBI Technical Specifications.

• Cov tswv cuab tswj hwm ntawm hnub ua haujlwm.
• Dual kev pab them nqi cov tswv cuab.
• ED mus ntsib uas ua rau muaj kev nkag mus rau tus neeg mob.
• Cov tswv cuab tsawg dua ib xyoos ntawm hnub ua haujlwm.
• California Children's Services (CCS) cov tswv cuab.

Cov tswvcuab feem ntau pom ntawm ED rau kev kuaj xyuas thiab kuaj xyuas dav dav. Hauv qab no yog ib daim ntawv teev cov kev tiv thaiv kev tiv thaiv ED thiab kev kuaj mob ceev uas tau muab los ntawm Lub Xeev Kev Sib Koom Tes Ua Haujlwm Zoo Txhim Kho Kev Txhim Kho: Txo Kev Mus Los Ntawm Chav Emergency:

• Mob bronchitis, nasopharyngitis, kab mob ua pa sab sauv, pharyngitis
• Mob qhov ncauj lossis caj pas (piv txwv li, thrush, tonsillitis), kab mob pob ntseg
• Kev ua xua, sinusitis, conjunctivitis
• Mob nraub qaum
• Mob taub hau
• Cov teeb meem ntawm daim tawv nqaij / kab mob (kab mob, miliaria, tinea corporis)
• Kab mob urinary ib ntsuj av
• Vaginitis

Rau ib daim ntawv teev tag nrho ntawm kev tiv thaiv kab mob, xa mus rau Preventable Emergency Visit Diagnoses Tip Sheet ntawm lub vev xaib thiab CBI Technical Specifications.

Cov ntaub ntawv rau qhov ntsuas no yog sau los ntawm kev thov.

• Qhia cov tswv cuab kom ib txwm hu rau PCP chaw ua haujlwm kom teem caij ua ntej mus rau ED.
• Saib xyuas Linked Member ED Visit report in the Provider Portal to track linked member who were recently saw in the ED, as well as the Linked Member High ED Utilizers report for member saws in the ED three or more times in a 90-day period. Tej zaum yuav muaj cov tswv cuab uas raug txib thiab tsis tau pom dua uas koj tuaj yeem muab kev nthuav qhia ntxiv.
• Hu rau cov tswv cuab pom kom tiv thaiv tau ED mus ntsib thiab coj lawv mus rau kev soj ntsuam.
• Tshawb xyuas hnub-ntawm-lub-lub lim tiam tiam sis thiab qhib lub sijhawm teem sijhawm ntxiv raws li kev xav.
• Saib ntawm koj lub sijhawm teem sijhawm zaum thib peb. Yog tias kev teem caij mus deb dhau, cov neeg mob feem ntau yuav siv ED.
• Qhia tag nrho cov tswv cuab tshiab ntawm koj lub sijhawm ua haujlwm, yuav ua li cas ncav cuag koj tom qab teev, thiab yam xwm txheej twg koj yuav pom sai.
• Txheeb xyuas cov neeg siv khoom siab ntawm ED thiab coj lawv los tshuaj xyuas lawv cov npe teeb meem.

• Alliance Cultural thiab Linguistic Services muaj rau cov neeg muab kev pabcuam network.
  • Language Assistance Services – thov cov ntaub ntawv ntawm 800-700-3874, ext. 5504 ib.
  • Kev Pab Txhais Lus Xovtooj – muaj los pab rau cov tswvcuab teem sijhawm.
  • Face-to-Face Interpreter Services - tuaj yeem thov rau lub sijhawm teem nrog tus tswv cuab.
  • Yog xav paub ntxiv txog Kev Pabcuam Kab lis kev cai thiab hais lus, hu rau Alliance Health Education Line ntawm 800-700-3874, ext. 5580 lossis email rau peb ntawm [email protected].
• Alliance Enhanced Care Management (ECM) thiab Kev Txhawb Zej Zog.
  • Xa mus rau Alliance cov tswv cuab los ntawm Alliance Provider Portal, email [email protected], xa ntawv lossis fax, lossis hauv xov tooj ntawm 831-430-5512.
  • Rau Kev Tswj Xyuas Kev Kho Mob thiab Kev Saib Xyuas Kev Kho Mob, hu rau Pab Pawg Saib Xyuas Kev Kho Mob ntawm 800-700-3874 (TTY: Dial 711).
• Alliance Nurse Advice Line mus tham nrog ib tug nais maum.
  • 844-971-8907 (TTY: Dial 711).
  • Qhia txhua tus tswvcuab kom siv Alliance Nurse Advice Line uas muaj rau txhua tus tswvcuab Alliance 24 teev hauv ib hnub, 7 hnub hauv ib lub lis piam los tham txog kev txhawj xeeb txog kev noj qab haus huv kom tsis txhob muaj kev nkag mus hauv tsev kho mob thiab tiv thaiv kev mus ntsib xwm txheej ceev.
  • Ntxiv rau koj lub xov tooj-ntoo thiab xa cov xov tooj tom qab teev los ntawm Alliance cov tswv cuab.
• Alliance Transportation Services rau cov neeg mob uas muaj teeb meem kev thauj mus los.
  • Kev thauj mus los tsis yog xwm txheej ceev (NEMT), hu rau 800-700-3874, ext. 5640 (TTY: Dial 711).
  • Kev thauj mus los tsis yog kho mob (NMT), hu rau 800-700-3874, ext. 5577 (TTY: Dial 711).
• Carelon Behavioral Health Provider Primary Care (PCP) Daim ntawv xa mus.
• Kev cuam tshuam rau kev siv Cov Khoom Siv Kho Mob Kub Ceev thiab PCP Assessment Tool:
  Siv: Harvey, MD, B. Washington Tshooj. American Academy ntawm Pediatrics. Rov qab los ntawm https://wcaap.org/wp-content/uploads/2021/09/Impacting-Use-of-the-Emergency-Department-final.pdf