Taimakawa CAD
Manufofin Siyasa

Tallafin Tarayya

Manyan Manufofin Tarayya

Cibiyoyin kula da lafiyar al'ummar Dakotas da Kiwon Lafiyar Birni na Kudancin Dakota sun ba da kulawa ta farko, sabis na kiwon lafiyar ɗabi'a, da kula da haƙori ga Dakota fiye da 136,000 a cikin 2021. Sun nuna cewa al'ummomi na iya inganta lafiya, rage rashin daidaiton lafiya, samar da tanadin masu biyan haraji, da magance yadda ya kamata. ɗimbin matsalolin kiwon lafiyar jama'a masu tsada da tsada, gami da annoba na mura da coronavirus, HIV/AIDS, rikicewar amfani da abubuwa, mace-macen mata masu juna biyu, samun kulawar tsoffin sojoji, da bala'o'i. 

Don ci gaba da aikinsu mai mahimmanci da manufa, cibiyoyin kiwon lafiya suna buƙatar ƙarin damar yin amfani da magunguna ga marasa lafiya marasa aikin yi, tallafi ga sabis na kiwon lafiya na cibiyoyin kiwon lafiya, saka hannun jari a cikin ma'aikata, da ƙarfi da kwanciyar hankali. Cibiyoyin lafiya suna son ci gaba da aiki tare da haɗin gwiwa tare da Majalisa don magance batutuwa masu zuwa. 

North Dakota Advocacy

Taimakawa ayyuka da manufa na cibiyoyin kiwon lafiya na al'umma da kuma kare damar samun kiwon lafiya ga dukkan 'yan Arewacin Dakota sune ka'idoji a tsakiyar ƙoƙarin CHAD. Ƙungiyarmu tana aiki kafaɗa da kafaɗa da cibiyoyin kiwon lafiya na memba da abokan aikin kiwon lafiya a duk faɗin Arewacin Dakota don sa ido kan dokoki, haɓaka manufofin manufofin, da haɗar da 'yan majalisa da sauran jami'an jihohi da na gida. CHAD ta himmatu wajen tabbatar da cewa CHCs da majiyyatan su ana wakilta a duk lokacin aiwatar da manufofin.

Manufofin Arewacin Dakota

Majalisar Dokokin Dakota ta Arewa na yin taro kowace shekara biyu a Bismarck. A lokacin zaman majalisa na 2023, CHAD tana aiki don inganta manufofin manufofin cibiyoyin kiwon lafiyar al'umma da majiyyatan su. Waɗancan abubuwan da suka fi dacewa sun haɗa da goyan bayan sake fasalin biyan Medicaid, saka hannun jari na CHCs na jihar, da faɗaɗa fa'idodin hakori, ma'aikatan kiwon lafiya na al'umma, da saka jarin kula da yara.

Gyaran Biyan Kuɗi na Medicaid

North Dakota Medicaid da cibiyoyin kiwon lafiya na al'umma (CHCs) suna da manufa ɗaya ta inganta sakamakon lafiya ga masu cin gajiyar Medicaid. Muna buƙatar samfurin biyan kuɗi wanda ke goyan bayan hanya don kulawa da aka tabbatar don inganta inganci da ƙananan farashi. CHCs suna ƙarfafa 'yan majalisa su haɓaka tsarin biyan kuɗi na Medicaid wanda:

• Yana goyan bayan nau'ikan ayyuka masu mahimmanci waɗanda aka nuna don inganta sakamako, ciki har da haɗin kai na kulawa, inganta kiwon lafiya, taimako tare da sauye-sauye na kulawa, da kuma kimanta abubuwan haɗari na zamantakewa don yin tasiri mai tasiri ga ayyukan da ake bukata na al'umma;
• Haɗa ma'auni masu inganci na tushen shaida kuma yana ba da ƙwaƙƙwaran kuɗi don masu samarwa lokacin da inganci da manufofin amfani suka cika;
• Daidaita tare da samfuran sake fasalin biyan kuɗi na yanzu kamar gidan kiwon lafiya na tsakiya (PCMH) da Blue Cross Blue Shield na shirin BlueAlliance na North Dakota; kuma,
• Yana kawar da ɓangaren rashin amfani na shirin kula da shari'ar kulawa na farko wanda ke kaiwa ga Medicaid ƙin da ake buƙata (kuma mai ƙima) sabis na kulawa na farko. Ƙin Medicaid na yanzu don biyan kuɗin sabis na kulawa na farko lokacin da majiyyaci ya ga mai bada da Medicaid bai sanya shi a matsayin mai ba da kulawa na farko (PCP) yana haifar da ziyartar ɗakin gaggawa da ba dole ba da asarar kuɗi ga CHCs da sauran masu ƙoƙarin yi wa marasa lafiya hidima a cikin al'umma.

Dental

Cibiyoyin kiwon lafiya na al'umma suna ba da cikakkiyar kulawa ga marasa lafiya a duk faɗin Arewacin Dakota, gami da kula da hakori. Shaida tana haɗa baki masu lafiya da lafiyayyen jiki. Misali, wani bincike na 2017 na mutanen da ke fama da ciwon sukari ya nuna cewa farashin magani ya ragu da dala $1,799 ga marasa lafiya waɗanda suka sami kulawar lafiyar baki da ta dace fiye da waɗanda ba su da. Rashin isasshen ɗaukar haƙori na iya haifar da ƙarin ziyartar dakin gaggawa, wanda zai iya yin illa ga hawan jini, sarrafa ciwon sukari, da lafiyar numfashi.

• Ƙara fa'idodin haƙori ga DUK masu karɓar Medicaid ta Arewa Dakota, gami da daidaikun mutane waɗanda faɗaɗawar Medicaid ke rufewa.

Jahar Jahar a Cibiyoyin Kiwon Lafiyar Jama'a

Cibiyoyin Kiwon Lafiyar Jama'a (CHCs) a Arewacin Dakota suna taka muhimmiyar rawa a cikin tsarin kula da lafiya na jihar mu yana yiwa marasa lafiya sama da 36,000 hidima a shekara. Jihohi XNUMX a halin yanzu sun dace da albarkatun jihar ga CHCs don tallafawa aikinsu na ba da kulawa ga al'ummomin da ba su da aiki da kuma marasa galihu. North Dakota CHCs na son a saka su cikin wannan jeri.

Muna rokon ku da ku yi la'akari da ware dala miliyan biyu na albarkatun jihar ga CHCs don dorewa da haɓaka ikonsu na hidima ga marasa galihu da marasa galihu a cikin jihar. Za su yi amfani da albarkatun don cimma maƙasudai masu zuwa:

• Rage ziyarar dakin gaggawa da asibiti ga masu cin gajiyar Medicaid da marasa inshora;
• Tsayar da albarkatun al'umma da ake buƙata don mafi rauni;
• Amsa ga ƙalubalen ƙarfin aiki da ƙarancin aiki;
• Yi kiwon lafiya IT zuba jari da ke goyan bayan ingantaccen inganci; kuma,
• Cin nasara kan shingen kiwon lafiya a cikin al'ummomin da ba a yi amfani da su ba don tallafawa samun lafiyayyen abinci da gidaje masu araha, ci gaba da kai da kawowa, fassarar, sufuri, da sauran ayyukan da ba za a iya biya ba.

Ma'aikatan Kiwon Lafiyar Al'umma

Ma'aikatan kiwon lafiya na al'umma (CHWs) an horar da ma'aikatan kiwon lafiya na gaba-gaba tare da zamantakewa da alaƙa da al'ummomin da suke yi wa hidima, waɗanda ke aiki a matsayin fadada ayyukan kiwon lafiya na al'umma. CHWs na iya faɗaɗa samun damar samun kula da lafiya a Arewacin Dakota, rage farashin kula da lafiya, da haɓaka sakamakon kiwon lafiya na Dakota ta Arewa. Lokacin da aka haɗa tare da kulawar kiwon lafiya na farko, CHWs na iya haɓaka tushen ƙungiya, kulawa da haƙuri ta hanyar haɓaka aikin ƙwararrun kiwon lafiya. CHWs na taimaka wa masu ba da kulawa na farko su fahimci ainihin matsalolin da abokan ciniki ke fuskanta kullum. Za su iya taimakawa wajen gina amincewa tsakanin marasa lafiya da kungiyoyin kula da lafiyar su don magance matsalolin da kuma gano yadda za su aiwatar da tsare-tsaren kula da asibiti.

Yayin da tsarin kiwon lafiya ke aiki akan dabarun inganta sakamakon kiwon lafiya, rage farashin kula da lafiya, da rage rashin daidaiton lafiya, North Dakota na iya yin la'akari da aiwatar da dokoki don kafa shirye-shiryen CHW masu dorewa.

• Ƙirƙirar kayan aikin tallafi don shirye-shiryen CHW, magance ƙwararrun ƙwararru, ilimi da horo, ƙa'ida, da biyan kuɗin taimakon likita.

Zuba jari a cikin Kula da Yara don Ba da Dama, Mai inganci, da Kulawa mai araha

Kula da yara, ba shakka, muhimmin abu ne na bunƙasa tattalin arziki. Samun damar kula da yara mai araha yana da mahimmanci ga iyaye su kasance cikin ma'aikata da kuma muhimmin sashi na daukar ma'aikata zuwa ga al'ummominmu. A matsakaita, iyalai masu aiki a Arewacin Dakota suna kashe kashi 13% na kasafin kuɗin danginsu kan kula da jarirai. A lokaci guda, kasuwancin kula da yara suna kokawa don kasancewa a buɗe, kuma ma'aikatan kula da yara suna samun $ 24,150 idan suna aiki na cikakken lokaci, da kyar suke sama da matakin talauci na dangi uku.

• Taimakawa ƙarin albashi ga ma'aikatan kula da yara, daidaita ƙa'idodin samun kudin shiga don samar da ƙarin iyalai tare da taimakon kula da yara, tsawaita tallafin kula da yara, da faɗaɗa shirye-shiryen Head Start da Early Head Start.

Kudu Dakota Advocacy

Taimakawa ayyuka da manufa na cibiyoyin kiwon lafiya da kuma kare damar samun kiwon lafiya ga dukkan 'yan Dakota ta Kudu ka'idoji ne a tsakiyar ƙoƙarin bayar da shawarwari na CHAD. Ƙungiyarmu tana aiki kafaɗa da kafaɗa da cibiyoyin kiwon lafiya na memba da abokan aikin kiwon lafiya a duk faɗin Dakota ta Kudu don sa ido kan doka, haɓaka manufofin manufofin, da haɗar da 'yan majalisa da sauran jami'an jihohi da na gida. CHAD ta himmatu wajen tabbatar da cewa cibiyoyin kiwon lafiya da majiyyatan su suna wakilci a duk lokacin aiwatar da manufofin.

Manufofin Kudancin Dakota