緩和療護政策
什麼是緩和療護?
緩和療護是為患有嚴重疾病的人提供的專門醫療護理。 這種護理專注於緩解疾病的症狀和壓力。 目標是提高患者和家人的生活質量。
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:
加州醫療補助健康保健計劃政策:
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.
聯邦醫療保險 D-SNP 政策:
從 2024 年 1 月開始,DHCS 還將要求聯邦醫療保險雙重合資格特殊需要計劃(D-SNP)為其雙重合資格的會員提供緩和護理計劃。具體指引載於 D-SNP 政策指南。有關 D-SNP 緩和護理的更多信息,請查看 D-SNP 緩和護理概覽。
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.
重要連結
- APL 18-020 (supersedes APL 17-015)
- SB 1004 政策文件
- 受益人利用分析
利害關係人參與
過去利害關係人會議:
- 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
利害關係人意見
提前護理計劃意見信
Draft Policy Paper and Comments – October 2, 2015
姑息關懷 - 績效指標草案
姑息關懷 - 績效指標文件草案
姑息關懷 - 利益相關者的意見
凱撒永恆醫療集團
Yolo 安寧療護
Karl Lorenz, MD MSHS
資源
- Medicare’s Role in End-of-Life Care
- 協調照護計劃
- Public Hospital Redesign & Incentives in Medi-Cal (PRIME) Program – Refer to the Special Terms & Conditions Attachment Q
- 第 2703 條保健院
- 維持生命治療的醫生命令(POLST)表格
- California Health Care Foundation – SB 1004 Implementation Resources