The first batch of "non -accompaniment" wards in Fuzhou came!Is medical insurance reimbursement?

confirmed! The first batch of non -accompanying ward in Fuzhou came!

Which hospitals are there piloting? Can medical insurance be reimbursed? How to accompany the "non -accompaniment"? Native

The pilot hospital is ... ...

It is reported that the Fujian Provincial Hospital, the Associated Hospital of Fujian Medical University, the First Affiliated Hospital of Fujian Medical University, and the People's Hospital of Fujian University of Traditional Chinese Medicine took the lead as the first batch of pilot units of the provincial hospitals.

How did they take the lead in carrying out the pilot work of the "Uncontrollable" ward? Take a look!

What departments are available?

At present, the four hospitals have begun to prepare the work under the guidance of the Provincial Health and Health Commission.

Among them, Xiehe Hospital will test in 6 wardal areas in the colorectal surgery (zone 10), gastric surgery (area 11), thoracic surgery (area 8, 9), and neurology (55 districts, 56 districts). Gradually advance in batches.

A total of 10 pilot departments attached to the first hospital are covered with three hospitals: tea pavilion, coastal, and Olympic body. They are: Diseases (28 areas), trauma orthopedics (10 districts), oral and maxillofacial surgery, gynecology (20), digestive department (42), urology (42 districts), urology (42 district) Area 48); Dermatology ward (AT2 area) of Olympic Sports Aids, Division of Master and Sexual Medicine (AT3); orthopedics and hand surgery zone and tumor immunohistocated therapy centers in Binhai Academy.

Can medical insurance be reimbursed?

"No accompaniment" service can greatly alleviate the difficulties of many families who lack human livelihood in resident patients, but many citizens will not help but worry about whether the charges will be high. This issue must be clear after the Fujian Provincial Medical Insurance Bureau has recently formulated and introduced the "non -accompanying" ward service charging items and charging standards. However, it can be clear that the relevant costs incurred by "no accompaniment" will not be paid by the patients, and will adopt the method of sharing the financial, medical insurance, and patients to reasonably determine the patient's payment part; The service content will also be determined in conjunction with the actual situation of the patients and the wishes of the patient and their families. The service price will be different from the service content.

According to the pilot arrangement of the "No accompaniment" ward, from August 2022 to December 2023 as the pilot stage, the pilot will be selected and gradually promoted after the pilot. For the first time, the pilot plan creates 1 or 2 unparalleled demonstration hospitals and 50 ~ 100 demonstration ward, and the training of nursing workers is also underway.

This year, it plans to train 2,500 nurses in the province to meet the needs of nursing teams that pilots and next promotion. Careers who apply for training can receive training subsidies of 1,500 to 2,000 yuan per person.

Let's learn more about what is the "no accompanying" ward ↓↓

The service specifications of the "non -accompanying" ward in Fujian Province

01 service connotation and subject

The "non -accompaniment" service is a standardized training person with standardized training provided for residents with 24 -hour continuous and uninterrupted life care and other services. Under the guidance and management of nurses, the nursing officer provides relevant accompanying and living care services based on the patient's condition and needs, and assist the nurse for health education and patient safety protection. Each pilot hospital should do the following work to ensure that the pilot work of the hospital's "non -accompaniment" ward is carried out smoothly:

(1) Nursing staff shall be hired by the hospital (or through labor dispatch) and managed uniformly. The hospital set up a nursing management agency to be responsible for the daily affairs management of the nursing staff.

(2) The hospital is based on the treatment of diseased diseases and the actual reasonable configuration of the nursing staff in the pilot ward, and set up a second or third -class system. It is continuously on -the -job in 24 hours to provide services in the "one -to -many" model.

(3) The hospital provides meals next to beds or is convenient for meals online and distribution services.

(4) The hospital adopts electronic access control or special personnel management to strengthen the management of the inpatient ward vision and accompanying personnel.

(5) The hospital is equipped with a special inspection team to provide inspection services for inpatient patients.

02 service object

The "non -accompaniment" service target is hospitalized patients who have received examination, treatment, nursing and rehabilitation in the hospital.

03 service content

The "non -accompaniment" service follows the patient -centered principle and provides a comprehensive, full, continuous, and safe living nursing service during the hospitalization. There are several categories of services:

(1) According to the patient's condition and self -care ability, the living care is correctly implemented to keep the patient clean and comfortable.

1. Do a good job of finishing the bed unit to keep the patient clean and comfortable. Morning care once a day, organize the bed unit, complete/assist combing, oral cleaning, facial cleaning, and dressing; change the bed unit at least 1-2 times a week; the night care once a day, organize the bed unit, complete/assist in assistance /Guide patients combing their hair, oral cleaning, facial cleaning, perineal cleaning, and foot cleaning; at least/assist/guide patients with warm water 2-3 times per week, shampoo once, complete or assist fingers (toe) nail 1 Second-rate.

2. Do a good job of diet, drinking water, and taking medicine. Complete/assist/guide the patient's diet, drinking water, and taking medicine for daily care. Feed if necessary, observe the evaluation and water intake, and assist in the record.

3. Do the skin care of the patient. Assist patients to move to get out of bed, assist patients to turn over, pat, and effectively cough according to the condition, and assist nurses to do skin pressure sore prevention.

4. Do the daily care of the patient. Patients with diagnosed urine are cleaned 2 times per day for urethral opening. Do a good job of cleaning the patients with incontinence, or assist in the use of toilet on the bed to keep the perineum clean. Assist in old age, inconvenience, unstable condition, and postoperative patients. If necessary, replace diaper and diapers for patients, dump the excreta and assist the leaving specimens; and observe and record the traits, color, quantity and number of excuses, and inform the nurse in time. 5. Do the patient's sleep care. Arrange the sleep environment at noon and night, observe the sleep situation of patients, strengthen inspections, and inform the nurse in time.

6. Under the guidance of the nurse, pay attention to the identification and infusion care of early symptoms, and to notify the nurse in time.

(2) Assist in rehabilitation care for patients with long -term bed, complete limb function exercise twice a day, and maintain a comfortable body position.

(3) Assisting patients with inconvenience to get out of bed, and assisted the recovery division or nurse twice a day to conduct early rehabilitation function exercises.

(4) Do the patient's psychological appeasement, accompany the patient and communicate with the patients and family members effective.

(5) Assist or accompany the patient to go out to do related auxiliary examinations.

04 service process

(1) Management of admission process management

If the patient needs to be hospitalized, the hospital shall inform the patients when the hospital admission procedures shall notify the relevant provisions of the "non -accompaniment" ward management. After obtaining the consent of the patient or family membership, signing a non -escort service agreement with the hospital and shall be issued. With the procedures for pre -payment of the non -accompanying service.

(2) Inpatient process management

1. All living care during the patient's hospitalization is borne by nursing staff who have been standardized. The nurses carry out work under the guidance and supervision of the nurse, and the nurses of each class do a good job of handover.

2. Family calls are reserved in the ward to inform the hospital to set up convenient services to provide a list of daily necessities that patients or family members need to prepare.

3. The hospital provides meal ordering services or online convenient ordering and distribution services. The doctor prescribed a dietary doctor's order according to the condition of hospitalization patients, a nutritionist reviewed the patient's diet or order list, and the cafeteria staff paid meals based on the nutritionist's review list, and reasonably arranged the delivery time of the meal according to the actual situation of the patient's specialist specialist. Essence

4. Patients will check their identity information by the nurses and nurses when they go out for examination. After the nurse evaluates the condition, guide the inspector to choose the appropriate transfer tool to bring the patient to the check site for registration and check. Surprove with the nurse.

5. Adopting electronic access control or special personnel management methods, personnel with authority with relevant departments can enter. Foreign personnel need to enter the ward due to special circumstances. The controller management personnel need to confirm the same medical staff before they can be released.

6. During the hospitalization period, the professional characteristics of nurses are played, various health mission activities are carried out to enrich the hospitalization of patients.

(3) Management of discharge process management

The doctor prescribed the doctor's order in advance to inform the family members of the discharge procedures and the items that needed to be carried; before discharge, the nurse did a good job of discharged health education for patients and family members and instructed them to review regularly. (Comprehensive Fujian Province Health and Healthy Fujian reporter Zhu Danhua Correspondent Su Ping Xia Yuqing)

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