OkulandelayoUmhlahlandlela olandelayo
I-AI Yothisha Abahlengikazi
Izinhlelo zokusebenza
UMHLAHLANDLELA WOKUSEBENZA
I-AI yabahlengikazi Bezempilo Yasekhaya
Kubahlengikazi bezempilo yasekhaya, i-AI iwusizo kakhulu emikhakheni emithathu: ukubhala nokuhlola imibhalo ye-OASIS, ukuhlela imizila yokuvakasha ephumelelayo, nokuhlunga idatha emishinini yokuqapha ekude ukuze iziguli ezigula kakhulu zithole ukunakwa kuqala.
Kuleli khasi4 amaminithi afundiwe
Uhlolojikelele
Inganciphisa ukushadi kwamahora angemva kwamahora kanye nesikhathi sokushayela. Kodwa ukuhlolwa kanye nezimpendulo ze-OASIS kufanele kuhlale kungezikadokotela, ngoba zishayela inkokhelo ye-Medicare, izilinganiso zekhwalithi nokuhambisana.
I-Deep Dive
I-OASIS, Isethi Yolwazi Lomphumela Nokuhlola, ukuhlola okujwayelekile izikhungo zezempilo zasekhaya ezigunyazwe yi-Medicare okufanele zikuqedele ngezikhathi ezibalulekile. Lokhu kufaka phakathi ukuqala kokunakekelwa, ukuqaliswa kabusha kokunakekelwa, ukukhishwa kabusha, ukudluliswa kanye nokukhishwa. Inguqulo yamanje, i-OASIS-E, iqale ukusebenza ngoJanuwari 2023. Izimpendulo ze-OASIS zibalulekile ngale kweshadi. Izinto ezisebenzayo ziphakela i-Patient-Driven Groupings Model (PDGM) esetshenziselwe inkokhelo yezempilo yasekhaya ye-Medicare kusukela ngo-2020. Ziphinde zishayele izinyathelo zekhwalithi eziboniswa ku-Care Compare kanye nemodeli Yokuthenga Okusekelwe Kwezempilo Yasekhaya, eyanwetshwa ezweni lonke kusukela ngo-2022. Lokho kwenza amadokhumenti abe umthwalo kanye nobungozi bokuthobela. Amathuluzi e-AI asiza ngezindlela eziningi. Ukuqaphela inkulumo namathuluzi asendaweni ashintsha okutholiwe okushiwo noma okurekhodiwe kube okusalungiswa okulandisayo. Izinjini eziphakanyisiwe ziphakamisa izimpendulo ze-OASIS kusukela endabeni. Okuhlola ukuvumelana kwefulegi lokungqubuzana, njengenxeba elichazwe kunothi kodwa elingafakwanga ikhodi, noma izikolo zokusebenza ezingqubuzana nokulandisayo. Abasizi bekhodi baphakamisa ukuxilonga kwe-ICD-10 ukuze kubuyekezwe. Umbono oyiphutha oyinhloko ukuthi i-AI ingakwazi ukuhlola. Alikwazi ukubona izitebhisi, ukuhogela ukudla okonakele esiqandisini noma ukubuka isiguli sidluliswa embhedeni. Isiqondiso se-CMS silindele ukuthi izimpendulo ze-OASIS zibonise ukuhlola kodokotela ngokwakhe. Ukwamukela izimpendulo eziphakanyisiwe ezenza isiguli sibukeke siphazamiseke kakhulu kunalokho esikubonayo kungakhuphula inkokhelo, okudala ukuchayeka kokukhwabanisa, hhayi nje iphutha lamadokhumenti. Ukuhlela umzila kuyinkinga ehlukile. Ukuhlela ukuvakasha kuyinguqulo yenkinga yomzila wemoto enamafasitela esikhathi, enezingqinamba ezengeziwe ezifana namakhono odokotela, ukuqhubeka kokunakekelwa kanye nokuvakashela ama-oda avamile. Isofthiwe ingaphakamisa imizila emihle, kodwa abahleli bezinhlelo basaphatha ukukhansela nezengezo eziphuthumayo. Ukuqapha okukude kwesiguli kuthumela ukufundwa okuvela kumakhafu omfutho wegazi, izikali, ama-pulse oximeters namamitha eglucose. I-AI ingakwazi ukukala iziguli ngokwethrendi esikhundleni sokufunda okukodwa, okusiza umhlengikazi we-telehealth ukuthi agxile ezigulini ezisengozini yokubuyiselwa kokuhluleka kwenhliziyo, isibonelo.
I-Strategic Impact
Yakha ukukhetha
Idizayini yezinga lohlelo lokusebenza inquma ukuthi i-AI iyathuthukisa yini imiphumela yangempela.
Ithimba kanye nokusebenza komsebenzi
Ukuhlanganiswa okuhle kokuhamba komsebenzi kudala izinzuzo zokukhiqiza abasebenzisi abangazethemba.
Ingozi nokuphepha
Amacala okusetshenziswa ahlelwe kahle anciphisa ukukhathala okushintshile kanye nengozi yokuqaliswa.
Ikusasa Le-AI Yabahlengikazi Bezempilo Yasekhaya
Amadokhumenti e-AI kungenzeka abe isici esijwayelekile sama-EHR ezempilo yasekhaya, futhi ama-ejensi azobhekana nemibuzo mayelana nemizila yokucwaninga nokuthi ubani oyolandisa ngezimpendulo eziphakanyisiwe ze-OASIS. Abalawuli nabahloli bamabhuku sebevele bacubungula ukubhalwa kwekhodi kwezempilo yasekhaya, ukuze amathuluzi agudluzela amaphuzu aphezulu akwazi ukudonsa ukunaka. Ukuqapha umzila nokulawula kude kuvuthiwe futhi akunezimpikiswano ezincane, futhi inani lakhona lincike ekuhlanganisweni nokuhlela nokugeleza komsebenzi komtholampilo. Umnyombo womsebenzi uhlala uwukuhlola kwasekhaya, ukufundisa nokwahlulela okungahlinzekwa ngudokotela ovakashile kuphela.
Ukuqaliswa Komhlaba Wangempela
Ngemva kokuvakasha kokuqala kokunakekelwa, umhlengikazi utshela lokho akutholile emotweni, futhi ithuluzi le-ejensi lamadokhumenti libhala ukulandisa futhi ligcwalise kusengaphambili izinto ze-OASIS. Ubuyekeza into ngayinye esebenzayo ngokuqhathanisa nalokho akubonile ngempela ngaphambi kokukuthumela.
Isihloli esingaguquguquki siphawula ukuthi isiguli sathola amaphuzu njengesizimele ngesikhathi i-ambulensi ilandisa ichaza ukuthi sidinga umuntu ohamba ngezinyawo nosizo olulindile. Umhlengikazi ulungisa into, okuyiyona engahambisani nokuhlolwa kwakhe.
Umhleli usebenzisa isofthiwe yomzila ukuze akhe usuku lokuvakasha okuyisikhombisa oluhlonipha iwindi le-insulin yasekuseni lesiguli esinesifo sikashukela, ogcina iziguli zinomhlengikazi ofanayo lapho kungenzeka khona, futhi agweme ukuvalwa kwebhuloho.
Ideshibhodi yomhlengikazi we-telehealth ibeka engcupheni iziguli ezimelwa yinhliziyo, ibeka phezulu isiguli esinesisindo esikhuphuka ngaphezu kwezinsuku ezintathu ngenkathi umfutho wegazi waso ukhuphuka, ngakho umbiza kuqala.
Izingozi & Guardrails
Ukuzenzakalela inqubo ephukile kungakhulisa izinkinga ezikhona.
Amaqembu angase azenze ngokuzenzakalelayo futhi asuse ukwahlulela komuntu okudingekayo.
Ikhwalithi ingakhukhuleka uma okuphumayo kungahlolwa ngokuqhubekayo.
Ukuqalisa Umhlahlandlela
Imephu yokuhamba komsebenzi kwamanje futhi uhlonze isinyathelo sokungqubuzana okuphezulu kakhulu.
Chaza izindawo zokuhlola abantu ngaphambi kokuzenzakalela okugcwele.
Qeqesha abasebenzisi ngokwaziswa, izindlela zokukhuphuka, namazinga ekhwalithi.
Landelela imiphumela yezinga lomsebenzi ukuze uqinisekise inani eliqhubekayo.
Qhubeka Uhlole
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Imibuzo evame ukubuzwa
Iyini i-AI yabahlengikazi Bezempilo Yasekhaya?
Kubahlengikazi bezempilo yasekhaya, i-AI iwusizo kakhulu emikhakheni emithathu: ukubhala nokuhlola imibhalo ye-OASIS, ukuhlela imizila yokuvakasha ephumelelayo, nokuhlunga idatha emishinini yokuqapha ekude ukuze iziguli ezigula kakhulu zithole ukunakwa kuqala. Inganciphisa ukushadi kwamahora angemva kwamahora kanye nesikhathi sokushayela. Kodwa ukuhlolwa kanye nezimpendulo ze-OASIS kufanele kuhlale kungezikadokotela, ngoba zishayela inkokhelo ye-Medicare, izilinganiso zekhwalithi nokuhambisana.
Kungani izimpendulo ezisebenzayo ze-OASIS zibalulekile ngale kwerekhodi lomtholampilo?
Izinto ze-OASIS zithinta inkokhelo ye-Medicare ngaphansi kwe-PDGM kanye nezilinganiso zekhwalithi ezibikwe esidlangalaleni, okuhlanganisa ukuthenga okusekelwe kwivelu.
Iyiphi ingozi enkulu yokuthobelana yokwamukela izimpendulo ze-OASIS eziphakanyiswe yi-AI ngaphandle kokuzihlola?
I-OASIS kufanele ibonise ukuhlola kukadokotela ngokwakhe; amaphuzu okonakala akhuphukile aphakamisa inkokhelo kanye nobungozi obungokomthetho.
Umuntu ohlola ukungaguquguquki uphawula ukuthi i-ambulation itholwe njengokuzimele kuyilapho ukulandisa kukhuluma ngomhambi nosizo olulindile. Iyiphi impendulo efanele?
Umhlengikazi uxazulula ukuphikisana ngokusekelwe kulokho akubonile, hhayi kulokho isofthiwe noma inkokhelo engayikhetha.
Vakashela ukuhlela umzila empilweni yasekhaya inguqulo yayiphi inkinga yakudala?
Ukuhlela ukuvakasha okuningi ngamafasitela esikhathi, amakhono kanye nezingqinamba zokuqhubeka kuyinkinga yomzila wemoto namafasitela esikhathi.
Kungani izexwayiso zokuqapha ezikude ezisuselwe kuthrendi zivame ukukhiqiza ama-alamu amanga ambalwa kunemikhawulo yokufunda okukodwa?
Amathrendi afana nokuzuza kwesisindo sezinsuku eziningi ekuhlulekeni kwenhliziyo anenjongo ngaphezu kokufunda okukodwa, okungaba nomsindo.
Qhubeka ufunda
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