Daim Ntawv Qhia Txog Kev Tiv Thaiv Thaum Muaj Xwm Ceev

Measure Description:

Tus nqi ntawm kev tiv thaiv kev kub ntxhov (ED) thiab kev mus ntsib sai rau 1,000 tus tswv cuab hauv ib xyoos. Qhov kev ntsuas no yog muab los ntawm Lub Xeev Lub Tuam Txhab Kev Txhim Kho Kev Txhim Kho Kev Txhim Kho Zoo: Kev txo qis kev mus ntsib chav xwm txheej ceev.

Kev txhawb siab

Cov nyiaj txhawb siab yuav raug them txhua xyoo, tom qab xaus ntawm Lub Peb Hlis 4. Yog xav paub ntxiv mus saib hauv CBI Technical Specifications.

Common Preventable Emergency Visit Diagnoses

Cov tswvcuab nquag pom ntawm ED lossis kev saib xyuas ceev 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 Kub Ceev.

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, saib Daim Ntawv Qhia Txog Kev Tiv Thaiv Thaum Muaj Xwm Ceev ntawm lub vev xaib thiab 2022 thiab 2023 CBI Technical Specifications.

Cov kev coj ua zoo tshaj plaws

Qhia Txhua Tus Tswv Cuab Rau:

Siv cov Alliance's Nurse Advice Line - muaj rau txhua tus tswv cuab Alliance 24 teev hauv ib hnub, 7 hnub hauv ib lub lis piam, 365 hnub hauv ib xyoos.
Nco ntsoov hu rau PCP chaw ua haujlwm kom teem caij ua ntej mus rau ED lossis kev kho mob ceev.

Muab cov neeg ua haujlwm hauv Clinic rau:

Saib xyuas Tus Muab Kev Pabcuam Portal Linked Member ED Visit report as a tool to tracked linked member who were recently saw in the ED, as well as the Linked Member High ED Utilizers for member saws in the ED three or more times in a 90-day period. Tej zaum yuav muaj cov tswv cuab uas raug xaiv los uas tsis tau pom dua uas koj tuaj yeem muab kev nthuav qhia ntxiv.
Hu rau cov tswv cuab pom kom tiv thaiv tau ED lossis mus ntsib kev saib xyuas sai 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 lawm, 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.
Txoj kev tom qab teev hu rau Alliance cov tswv cuab mus rau Alliance's Nurse Advice Line: 1 (844) 971-8907.
Txheeb xyuas cov neeg siv khoom siab ntawm ED thiab coj lawv los tshuaj xyuas lawv cov npe teeb meem.
Xa mus Alliance Cov Tswvcuab rau Kev Pabcuam Kev Saib Xyuas, suav nrog Complex Case Management thiab Care Coordination, hu rau Case Management ntawm (800) 700-3874 ext. 5512 ib.
Xa mus Alliance Cov Tswv Cuab rau Txhim Kho Kev Tswj Xyuas Kev Kho Mob (eCM) thiab Kev Txhawb Zej Zog siv cov Txhim Kho Kev Tswj Xyuas Tus Kws Pabcuam Daim Ntawv Xa Mus lub Daim Ntawv Qhia Txog Kev Pabcuam Hauv Zej Zog Txhawb Kev Pabcuam.
Xa mus Alliance Cov Tswv Cuab rau kev pabcuam kev noj qab haus huv los ntawm Carelon Behavioral Health siv lub Carelon Behavioral Health Provider Primary Care (PCP) Daim ntawv xa mus.
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 mus rau Alliance Cov Tswv Cuab uas muaj teeb meem kev thauj mus los rau lub Alliance Tus Neeg Saib Xyuas Kev Thauj Mus Los ntawm 1-800-700-3874 ext. ib 5577; qhov kev pabcuam no tsis them rau cov chaw khomob lossis kev teem sijhawm uas tsis tsim nyog khomob.