姑息治疗政策
什么是姑息治疗?
姑息治疗是针对患有严重疾病的人提供的专门医疗护理。 这种护理主要侧重于缓解疾病的症状和压力。 目标是提高患者和家人的生活质量。
Palliative care is provided by a specially-trained team of doctors, nurses and other specialists who work together with a patient’s other doctors to provide an extra layer of support. Palliative care is based on the needs of the patient, not the prognosis. It is appropriate at any age and at any stage in a serious illness, and it can be provided along with curative treatment. For examples of how palliative care has impacted patients’ lives, please watch these videos:
Medi-Cal 政策:
The California Department of Health Care Services (DHCS) requires Medi-Cal managed care plans to have palliative care programs for members. Medi-Cal plans currently follow palliative care criteria as outlined in APL 18-020.
医疗保险 D-SNP 政策:
从 2024 年 1 月开始,DHCS 还将要求 Medicare 双重合格特殊需求计划 (D-SNP) 为其双重合格成员提供姑息治疗计划。具体指导请参阅D-SNP 政策指南。有关 D-SNP 姑息治疗的更多信息,请查看D-SNP 姑息治疗情况说明书。
DHCS has collaborated with Coalition for Compassionate Care of California, with funding from the California Health Care Foundation to provide technical assistance to D-SNPs. A webinar series was created to educate California’s D-SNPs about new requirements to provide access to palliative care services starting in 2024. The California Health Care Foundation generously provided funding for the project. Please view the Coalition for Compassionate Care of California webinar page for more information.
A full-page image of the SB 1004 Care Model, including the descriptive text, is available for download.
重要链接
- APL 18-020 (supersedes APL 17-015)
- SB 1004 政策文件
- 受益人利用率分析
利益相关方参与
以往利益相关者会议:
- September 8, 2016 – SB 1004/Palliative Care Stakeholder Webinar
- October 5, 2015 – SB 1004/Palliative Care Stakeholder Webinar
- June 5, 2015 – SB 1004/Palliative Care Stakeholder Meeting
- April 13, 2015 – SB 1004/Palliative Care Stakeholder Webinar
- February 23, 2015 – SB 1004/Palliative Care Stakeholder Meeting
利益相关者的意见
关于提前护理计划的意见信
Draft Policy Paper and Comments – October 2, 2015
姑息关怀--绩效衡量标准草案
姑息关怀--绩效衡量文件草案
姑息关怀-利益相关者的意见
凯撒医疗集团
尤洛安宁疗护
卡尔-洛伦兹,医学博士,MSHS
资源
- Medicare’s Role in End-of-Life Care
- 协调护理计划
- Public Hospital Redesign & Incentives in Medi-Cal (PRIME) Program – Refer to the Special Terms & Conditions Attachment Q
- 第 2703 节 健康之家
- 生命维持治疗医嘱 (POLST) 表格
- California Health Care Foundation – SB 1004 Implementation Resources