Dhia mus rau cov ntsiab lus

Rov qab mus rau lub Plaub Hlis 2022 Cov Neeg Koom Tes Kev Sib Txuas Lus Hloov Tshiab

Health Homes Program (HHP) Daim Ntawv Ntsuam Xyuas Thib Ob

Thaum Lub Peb Hlis 29, DHCS tau tshaj tawm Daim Ntawv Qhia Txog Kev Ntsuam Xyuas Ib Nrab ntawm HHP thib ob, uas tau tsim los ntawm UCLA's Center for Health Policy Research uas tau txais kev txhawb nqa los ntawm California Endowment. HHP tau txais kev tso cai raws li AB 361 (Tshooj 642, Cov Cai Lij Choj Xyoo 2013) thiab tau txais kev pom zoo los ntawm CMS raws li Tshooj 2703 ntawm Txoj Cai Tiv Thaiv Tus Neeg Mob Xyoo 2010 thiab Kev Saib Xyuas Pheej Yig.

Xyoo 2018, DHCS tau siv HHP los pab cov tswv cuab Medi-Cal MCP uas tsim nyog nrog cov kev xav tau nyuaj, suav nrog cov tib neeg uas muaj mob ntev thiab kev siv cov kev pabcuam siab. HHP ua haujlwm hauv 12 lub nroog California los ntawm 16 MCPs uas tau cog lus nrog Community-Based Care Management Entities (CB-CMEs). HHP tau poob rau lub Kaum Ob Hlis 31, 2021, thiab hloov mus rau ECM cov txiaj ntsig, tab sis DHCS ua tiav nws txoj kev cog lus los tsim cov kev ntsuam xyuas ywj pheej ntawm HHP.

DHCS tau tso tawm daim ntawv qhia txog kev ntsuam xyuas HHP thawj zaug thaum lub caij nplooj zeeg xyoo 2021. Daim ntawv qhia txog kev ntsuam xyuas ib nrab ntawm HHP thib ob no yog ua raws li cov ntsiab lus ntawm daim ntawv qhia thawj zaug thiab muab cov kev hloov tshiab rau cov qauv kev sau npe, cov ntaub ntawv pej xeem, thiab cov kev pabcuam uas cov neeg sau npe HHP tau txais thawj zaug uas tau tshaj tawm hauv daim ntawv qhia kev ntsuam xyuas ib nrab ntawm thawj zaug. Daim ntawv qhia thib ob kuj faib cov neeg rau npe HHP raws li lawv siv cov kev pabcuam kho mob ceev ua ntej rau npe HHP. Tsib pawg sib txawv suav nrog cov neeg sau npe suav tias yog cov neeg siv ntau heev (6 feem pua ntawm cov neeg sau npe), cov neeg siv ntau (15 feem pua), cov neeg siv nruab nrab (35 feem pua), cov neeg siv tsawg (32 feem pua), thiab cov neeg sau npe uas muaj feem yuav yog cov neeg siv ntau (13 feem pua). UCLA pom tias cov neeg sau npe uas suav tias yog cov neeg siv khoom loj muaj 14.9 qhov kev mus ntsib chav kho mob ceev (ED) thiab 4.1 qhov kev mus pw hauv tsev kho mob nruab nrab txhua xyoo. Tsis tas li ntawd xwb, daim ntawv qhia thib ob kuj suav nrog kev tshuaj xyuas cov kev hloov pauv hauv HHP cov ntsuas tseem ceeb thiab kev kwv yees kev them nqi Medi-Cal piv rau pawg tswj. Cov kev tshawb pom qhia txog qee qhov kev txhim kho hauv cov ntsuas piv rau kev tswj hwm. Tshwj xeeb, UCLA pom muaj kev poob qis ntau dua rau cov neeg koom nrog HHP hauv cov ntsuas tseem ceeb, xws li kev mus ntsib ED thiab cov nqi pw hauv tsev kho mob, uas ntau dua piv rau pawg tswj. Daim ntawv ntsuam xyuas zaum kawg yuav ntsuam xyuas cov txiaj ntsig kev noj qab haus huv mus sij hawm ntev thiab cov qauv siv ntawm cov neeg sau npe HHP thiab yuav ua tiav rau lub caij nplooj ntoo hlav xyoo 2023.