He aha ka Mālama Waiwai? Pehea e hiki ai iā ia ke pōmaikaʻi i kou olakino?

Ke manaʻo nei ʻoe i kekahi manawa e pono e hoʻomaikaʻi iki ʻia kā mākou ʻōnaehana mālama ola? I kekahi manawa, ke maʻi ʻoe, luhi ka hele ʻana i kekahi kauka ma hope o kekahi a loaʻa i hoʻokahi hoʻāʻo ma hope o kekahi, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻōnaehana lapaʻau e hoʻololi i nā mea e like me ia a hāʻawi maoli i ka waiwai i kou olakino . ʻO kēia ka mea a mākou e kapa nei he `(Value-Based Care)` a i ʻole ka mālama waiwai.

He aha maoli kēia 'Manaʻo Mālama Kūpono i ka Waiwai'?

I ka ʻōlelo maʻalahi, e pili ana kēia i ka hoʻomaikaʻi ʻana i ka maikaʻi o ka mālama ʻana a nā mea maʻi, ʻo ia hoʻi, ʻoe, e loaʻa ai a me ka loaʻa ʻana o nā hopena maikaʻi loa mai kēlā mālama. Ma kēia, ke nānā nei mākou i ka hoʻonohonoho ʻana i ka mālama ola kino ma ke ʻano e pale ai i ka maʻi ma mua o ka hiki ʻana mai, ma mua o ka mālama ʻana ma hope o ka hiki ʻana mai . I nā huaʻōlelo ʻē aʻe, e pili ana i ka 'pale ʻana ma mua o ka hiki ʻana mai, ma mua o ka hakakā ʻana ma hope o ka hiki ʻana mai.' No laila, ʻo kou olakino holoʻokoʻa, ke ʻano o ka mālama ʻana, a me nā nānā pale ʻana he mea nui loa ia i loko o kēia ʻōnaehana. Hana ʻia kēia mau mea a pau e hāʻawi iā ʻoe i nā hopena olakino maikaʻi loa. ʻO ka mea nui ma ʻaneʻi, ʻo ia ka hoʻāʻo e mālama iā ʻoe i ke olakino, ma mua o ka mālama wale ʻana i kahi maʻi.

No laila he aha ka mea e loli ai no nā maʻi ma muli o kēia ʻōnaehana (Value-Based Care)?

ʻO ka pahuhopu nui o kēia ʻōnaehana "Mālama Waiwai" ʻo ia ka hoʻomaʻamaʻa ʻana i nā kaʻina hana mālama ola . E like me ka holo ʻana i kahi ʻoihana maikaʻi, e hana i nā mea ma ke ʻano maʻamau me ka hoʻohana ʻana i nā "hana maikaʻi loa". E noʻonoʻo e pili ana i ia mea, i kekahi manawa pono ʻoe e haʻi i kekahi mau kauka i ka ʻike like, ʻeā? Aia kekahi mau manawa e pono ai ʻoe e hana i ka hoʻāʻo like ʻelua a ʻekolu paha manawa, ʻeā? Ua hoʻemi ʻia kēlā ʻano mea ma lalo o kēia ʻōnaehana. No ka mea, ua kālailai ʻia kēlā me kēia ʻāpana o ka ʻikepili "(ʻikepili)" a me nā hōʻike "(hōʻike)" e ʻike i nā lāʻau lapaʻau e hana a me nā mea ʻaʻole. Ma kēia ʻano, ua hana ʻia kahi "ala mālama" kumu e hiki ke hāʻawi i nā hopena maikaʻi loa i nā maʻi. ʻO ia hoʻi, inā loaʻa iā ʻoe kahi maʻi, aia kahi hoʻolālā lapaʻau maikaʻi loa a ʻae ʻia e hāʻawi iā ia. ʻAʻole like kēia mau mea no nā mea āpau, akā ua hoʻoponopono ʻia e kūpono i kou kūlana.

ʻO kekahi mea nui i kēia, ʻo ia ka nānā pono ʻana i ke olakino a me ka pale ʻana . E noʻonoʻo e pili ana i ia mea, ʻo ka haʻalele ʻana i ka puhipaka , ka hana ʻana i nā hoʻololi maikaʻi i kāu meaʻai a me kou nohona, a me ka hoʻoikaika kino e hōʻemi i kou manawa e maʻi ai. A laila, ʻaʻole pono ʻoe e hoʻolilo i ke kālā no nā hoʻokolohua, nā kaʻina hana paʻakikī, a me nā lāʻau lapaʻau , ʻeā? Ua like kēia me ke ' pale ʻana'.Ua like ia me ka ʻōlelo ʻana, "ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana." ʻŌlelo mau mākou, "ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," a ʻo ia wale nō.

ʻO ka noho olakino e hōʻemi ana i nā kumukūʻai mālama ola no nā mea āpau. ʻAʻole wale ia he mea maikaʻi nou, akā, he mea maikaʻi ia no ke kaiāulu holoʻokoʻa.

Eia kekahi laʻana, e ʻōlelo kākou he maʻi maʻi mau kou e like me ka maʻi diabetes . He aha ka mea maʻamau e hana ʻia? Hiki iā ʻoe ke hele i ke kauka maka, kekahi e ʻike i kou mau puʻupaʻa, kekahi no ka pilikia ʻili. Pono ʻoe e wehewehe i nā kikoʻī hou ma nā wahi āpau, a pono paha ʻoe e nānā hou i ka hōʻike like. Ma lalo o kēia ʻōnaehana "Manaʻo Mālama Waiwai", hiki iā ʻoe ke pale i nā pilikia o kēlā maʻi i kahi nui. Ma kahi o ka holo ʻana i nā haukapila a me nā kauka like ʻole, hiki iā ʻoe ke hana pū me kahi "hui i hoʻohui ʻia" nāna i ʻike maikaʻi iā ʻoe a me kou maʻi. Ua like kēia hui me kahi ʻohana e mālama ana i kou olakino. Loaʻa iā ia kāu kauka ʻohana "kauka mua", nā loea, nā kahu maʻi, nā physiotherapists, a me nā meaʻai e kōkua iā ʻoe:

• E mālama i kou pae kō koko.
• E aʻo iā lākou i ke ʻano o ka ʻai olakino a kōkua iā lākou e mālama iā ia.
• E hana i kahi papahana hoʻoikaika kino e kūpono i kou mau makahiki a me kou olakino kino.
• E hoʻomaopopo i nā ʻano naʻau a me ka noʻonoʻo o kēia maʻi, e like me ke kaumaha a me ke kaumaha, a e kākoʻo iā ʻoe iho i ke kūpaʻa ʻana me lākou.

Kamaʻilio kēia hui kekahi i kekahi, kaʻana like i kāu ʻike, a hana pū e hāʻawi iā ʻoe i ka mālama maikaʻi loa. ʻO ia ka mea e hōʻoluʻolu ai ʻoe, ʻeā?

Pehea e hōʻemi ai kēia ʻano hana (Value-Based Care) i nā kumukūʻai?

ʻAe, e nānā kākou pehea e hōʻemi ai kēia ʻano hana `(Value-Based Care)` i nā kumukūʻai. E hoʻomanaʻo paha ʻoe, i ka wā ma mua, i kou hele ʻana i ke kauka a i ʻole ka haukapila, i kekahi manawa e loaʻa iā ʻoe kahi bila kaʻawale no kēlā me kēia mea. Pono ʻoe e uku no ka helu o nā hoʻokolohua i hana ʻia, ka helu o nā lāʻau lapaʻau i hāʻawi ʻia, ka helu o nā kaʻina hana i hana ʻia. ʻO ia hoʻi, inā ʻoe e hana i nā mea hou aku, loaʻa iā ʻoe ke kālā hou aku . ʻO kēia ka mea i kapa ʻia ʻo ke ʻano `(Fee-for-Service)` a i ʻole ``fee for service``. I kēia hihia, i kekahi manawa, hiki ke hana ʻia nā hoʻokolohua ʻaʻole pono maoli, no ka mea inā ʻoe e hāʻawi i nā lawelawe hou aku, loaʻa iā ʻoe ka loaʻa kālā hou aku.

Akā ma kēia manaʻo "Mālama Kūpono i ka Waiwai", ʻaʻole i uku ʻia nā kauka a me nā haukapila ma muli o ka nui o nā maʻi a lākou e ʻike ai, ka nui o nā ʻoki kino a lākou e hana ai, a i ʻole ke kumukūʻai a lākou e uku ai . Akā, ua uku ʻia lākou ma muli o nā "hopena" i loaʻa i nā maʻi .ʻO ia hoʻi, inā e ola koke ka mea maʻi, inā e hoʻemi ʻia nā pilikia, inā ʻaʻole pono lākou e hoʻokomo hou ʻia i ka haukapila, a laila ʻo ia nā hopena maikaʻi i hoʻoikaika ʻia. E noʻonoʻo, ma kahi o ka uku ʻokoʻa no kēlā me kēia hoʻāʻo a me ka lawelawe no kēlā me kēia maʻi, hoʻopili lākou i nā uku a hana i nā "uku i hoʻopili ʻia". He mea pono loa kēia i nā hihia paʻakikī e like me nā pani hui. A laila, ua hoʻemi ʻia ka hoʻowalewale e hana i nā mea pono ʻole a loaʻa ke kālā . No ka mea, makemake nā kauka a me nā haukapila e hoʻōla koke iā ʻoe a mālama iā ʻoe i ke olakino maikaʻi, ʻaʻole wale ka hana ʻana i nā hoʻāʻo he nui.

ʻO kekahi mea ʻē aʻe, ʻoiai ua hoʻonohonoho ʻia ka ʻike lapaʻau o kēlā me kēia mea maʻi ma nā Electronic Medical Records , ʻaʻohe pono e hana hou i nā hoʻokolohua like a me nā lāʻau lapaʻau pono ʻole . Hiki iā ʻoe ke ʻike maʻalahi i ka hōʻike o kahi hoʻokolohua i hana ʻia e kekahi kauka a me kekahi kauka . ʻO nā kauka a me nā limahana olakino ʻē aʻe, ma ke ʻano he hui, kamaʻilio pū kekahi me ke kōkua o nā luna hoʻonohonoho mālama, a mālama i nā mea maʻi me ka ʻoi aku ka maikaʻi, me ka hoʻonele ʻole i ka manawa a me ka hoʻoikaika . Ma kēia ʻano, hiki i nā mea maʻi ke loaʻa koke i ka lawelawe a lākou e pono ai ma o kēia ʻōnaehana i hoʻohui ʻia.

ʻO ka hopena maikaʻi loa i manaʻo ʻia, ʻo ia ka hōʻemi ʻana i nā komo hou ʻana, nā hoʻokipa ʻana i nā haukapila, a me nā kipa ʻana i nā lumi pilikia. He pahuhopu lōʻihi ka Mālama Waiwai . He ala hana mua ia e hōʻemi ana i nā kumukūʻai mālama ola, hoʻokō i nā hopena olakino maikaʻi aʻe, a ʻo ka mea nui loa, hoʻomaikaʻi i kou olakino holoʻokoʻa a me kou noho maikaʻi ʻana .

No laila, he aha ka leka lawe home mai kēia mau mea a pau?

ʻAe, no laila mai kā mākou i kamaʻilio ai , hiki paha iā ʻoe ke hoʻomaopopo i ke koʻikoʻi o kēia manaʻo. ʻAʻole ia e pili ana i ka mālama ʻana i kahi maʻi, akā e pili ana i ka noʻonoʻo ʻana i kou olakino holoʻokoʻa. I ka ʻōlelo maʻalahi, e pili ana ia i:

• Hoʻomaikaʻi ʻia ka maikaʻi o ka lāʻau āu e loaʻa ai no ka mea ke kau nei ka manaʻo ma nā hopena.
• He mea nui ka pale ʻana i nā maʻi ma mua o ko lākou hiki ʻana mai. ʻO ke kumu nui, "ʻoi aku ka maikaʻi o ke olakino ma mua o ka ʻeha ʻana i ka maʻi."
• Ke nānā nui aku nei mākou i kou olakino holoʻokoʻa. He mea nui ke olakino noʻonoʻo e like me ke olakino kino.
• Kōkua kēia i ka hōʻemi ʻana i nā hoʻokolohua a me nā lāʻau lapaʻau pono ʻole, a hōʻemi hoʻi i nā kumukūʻai mālama ola. He mea hōʻoluʻolu nō hoʻi kēia no kāu ʻeke.
• Hana pū nā kauka, nā kahu maʻi, a me nā limahana mālama ola kino ʻē aʻe ma ke ʻano he hui e hāʻawi iā ʻoe i ka mālama maikaʻi loa. ʻO kēia ka mea e manaʻo ai ʻoe ʻaʻole ʻoe hoʻokahi.

Ua like kēia me ka hoʻokō ʻana i ka ʻōlelo 'ʻOi aku ka maikaʻi o ke olakino ma mua o ka mālama ʻana i kahi maʻi'. Kōkua nō hoʻi ia iā ʻoe e loaʻa ka lawelawe maikaʻi loa āu e pono ai ma ke kumu kūʻai haʻahaʻa.

No laila, ʻo ka hoʻohui ʻana i kēia ʻōnaehana "Manaʻo Kūpono no ka Waiwai" i kā mākou ʻōnaehana mālama ola kino e lilo ia i mea kōkua nui i ka wā e hiki mai ana no ʻoe, iaʻu, a me kākou āpau e loaʻa ai nā lawelawe mālama ola kino ʻoi aku ka maikaʻi, ʻoi aku ka maikaʻi, a me ka waiwai maoli . No laila, he mea nui loa ia e makaʻala i kēia! No ka mea, ʻo ko kākou olakino ko kākou waiwai nui loa.

Mālama waiwai, mālama ola kino, pale ʻana i nā maʻi, nā hopena o ka mea maʻi, ka hoʻolilo kālā olakino, mālama i hoʻohui ʻia, olakino maikaʻi