Oluusi owulira nti enkola yaffe ey’ebyobulamu yeetaaga okubeera ennungi katono? Oluusi bw’olwala, kikukooya okugenda ew’omusawo omu oluvannyuma lw’omulala n’okeberebwa okumu oluvannyuma lw’omulala, nedda? Leero tugenda kwogera ku nkola y'obujjanjabi ekyusa ebintu ng'ebyo era ddala ewa omugaso eri obulamu bwo . Kino kye tuyita `(Value-Based Care)` oba okulabirira okwesigamiziddwa ku muwendo.

Ddala ‘Value-Based Care’ eno kye ki?

Mu ngeri ennyangu, kino kikwata ku kulongoosa omutindo gw‟okulabirira abalwadde, kwe kugamba, gwe bafuna n‟ okufuna ebisinga obulungi okuva mu kulabirirwa okwo. Mu kino, tutunuulidde okutegeka ebyobulamu mu ngeri etangira obulwadde nga tebunnabaawo, okusinga okubujjanjaba nga bumaze okubaawo . Mu ngeri endala, kikwata ku ‘kukiziyiza nga tekinnabaawo, okusinga okulwana nga kimaze okubaawo.’ So, your overall well-being , omutindo gw’obujjanjabi, n’okukebera okuziyiza bikulu nnyo mu nkola eno. Bino byonna bikolebwa okukuwa ebiva mu bulamu ebisinga obulungi. Ekikulu wano kwe kufuba okukukuuma nga oli mulamu bulungi, okusinga okujjanjaba obulwadde bwokka.

Kale kiki ekigenda okukyuka eri abalwadde olw’enkola eno (Value-Based Care)?

Ekigendererwa ekikulu eky'enkola eno eya ``Value-Based Care`` kwe kulongoosa enkola z'ebyobulamu . Nga bwekiddukanya bizinensi ennungi, okukola ebintu mu ngeri entegeke nga okozesa ``enkola ezisinga obulungi``. Lowooza ku nsonga eno, oluusi olina okubuulira abasawo abawerako amawulire ge gamu, nedda? Waliwo ebiseera ng’olina okukola ekigezo kye kimu emirundi ebiri oba esatu, nedda? Ekintu eky’ekika ekyo kikendeezebwa wansi w’enkola eno. Kubanga, buli kitundu kya data ``(data)`` n'obujulizi ``(obujulizi)`` byekenneenyezebwa okulaba obujjanjabi ki obukola n'obutakola. Mu ngeri eno, ``ekkubo ly'okulabirira`` ery'omusingi litondebwawo eriyinza okuwa abalwadde ebisinga obulungi . Ekyo kitegeeza nti, bw’ofuna obulwadde obumu, waliwo enteekateeka y’obujjanjabi esinga obulungi, ekkirizibwa okubuwa. Ebintu bino si bye bimu eri buli muntu, wabula bitereezebwa okusinziira ku mbeera gy’olimu.

Ekirala ekikulu mu kino kwe kufaayo ennyo ku bulamu obulungi n'okuziyiza . Lowooza ku kino, okulekera awo okunywa ssigala , okukola enkyukakyuka ennungi mu mmere yo ne mu bulamu bwo, n’okukola dduyiro kijja kukendeeza ku mikisa gyo egy’okulwala. Olwo tojja kusaasaanya ssente ku kukebera, enkola enzibu, n’eddagala , nedda? Kino kiringa ' okuziyiza'.Kiba ng'okugamba nti, "Okuziyiza kusinga okuwonya." Bulijjo tugamba nti, "Okuziyiza kusinga okuwonya," era ekyo kye kiri.

Okusigala nga oli mulamu kikendeeza ku ssente z’ebyobulamu eri buli muntu. Ekyo si kirungi gyoli kyokka, kirungi eri ekitundu okutwaliza awamu.

Ng’ekyokulabirako, katugambe nti olina embeera etawona nga ssukaali . Kiki ekitera okubaawo? Oyinza okugenda ew’omusawo w’amaaso, omulala okulaba ensigo zo, omulala ku kizibu ky’olususu. Olina okunnyonnyola ebipya buli wamu, era oyinza okuddamu okwetegereza lipoota y’emu. Wansi w'enkola eno eya ``Value-Based Care``, osobola okuziyiza ebizibu by'obulwadde obwo ku kigero ekinene. Mu kifo ky'okuddukira mu malwaliro n'abasawo ab'enjawulo, osobola okukolagana ne ``integrated team`` ekumanyi bulungi nnyo n'obulwadde bwo. Ttiimu eno eringa amaka agalabirira obulamu bwo. Mulimu omusawo wo ow'amaka ``omusawo omukulu``, abakugu, ba nurse, abakugu mu by'omubiri, n'abakugu mu by'endya abakuyamba:

• Ssukaali mu musaayi gukuume ng’afuga.
• Bayigirize endya ennungi bw’efaanana era obayambe okugikuuma.
• Tonda pulogulaamu ya dduyiro esaanira emyaka gyo n’obulamu bwo obw’omubiri.
• Tegeera ebikwata ku bulwadde buno mu nneewulira n’eby’omwoyo, gamba ng’okunyigirizibwa n’ennaku, era weeyambise mu kubigumira.

Ttiimu eno eyogera ne bannaabwe, bagabana amawulire go, era bakolera wamu okukuwa obujjanjabi obusinga obulungi. Ekyo kikuleetera okuwulira obulungi, si bwe kiri?

Enkola eno (Value-Based Care) ekendeeza etya ku nsaasaanya?

Okay, kati ka tulabe engeri enkola eno eya `(Value-Based Care)` gy'ekendeeza ku nsaasaanya. Oyinza okujjukira nti edda bwe wagendanga ew’omusawo oba mu ddwaaliro, oluusi wafunanga ssente ez’enjawulo ku buli kintu. Olina okusasula omuwendo gw’okukeberebwa okwakolebwa, omuwendo gw’eddagala ogwaweebwa, omuwendo gw’emitendera egyakolebwa. Kwe kugamba, bw’okola ebintu bingi, ofuna ssente nnyingi . Kino kye kiyitibwa enkola ya `(Fee-for-Service)` oba ``fee for service``. Mu mbeera eno, oluusi, ebigezo ebyali tebyetaagisa ddala byali bisobola okukolebwa, kubanga bw’owa obuweereza obusingako, ofuna ssente nnyingi.

Naye mu ndowooza eno eya ``Value-Based Care'', abasawo n'amalwaliro tebasasulwa okusinziira ku balwadde bameka be balaba, okulongoosebwa kwe bakola, oba ssente mmeka ze basasula . Wabula, basasulwa okusinziira ku ``ebivaamu'' abalwadde bye bafuna .. Kwe kugamba, singa omulwadde awona mangu, singa ebizibu bikendeera, singa teyeetaaga kuddamu kuweebwa ddwaaliro, olwo ebyo bye bivaamu ebirungi ebisikiriza. Teebereza, mu kifo ky'okusasula okwawukana ku buli kukeberebwa n'obuweereza ku buli bulwadde, bakwataganya ssente ezisasulwa ne bakola ``okusasula mu bundled``. Kino kya mugaso nnyo mu mbeera enzibu ng’okukyusa ebinywa. Olwo, okukemebwa okukola ebintu ebiteetaagisa n’okufuna ssente kukendeera . Kubanga, abasawo n’amalwaliro baagala nnyo okukuwona amangu n’okukukuuma ng’oli mulamu bulungi, so si kukola kwekebeza kungi.

Ekirala nti okuva buli mulwadde bwe gategekebwa mu Electronic Medical Records , tekyetaagisa kuddamu kukeberebwa kwe kumu n'obujjanjabi obuteetaagisa . Kyangu okulaba lipoota y'okukeberebwa okukoleddwa omusawo omu n'omusawo omulala . Abasawo n’abakozi abalala ab’ebyobulamu, nga ttiimu, bawuliziganya ne bannaabwe nga bayambibwako abakwanaganya eby’okulabirira, era bajjanjaba abalwadde mu ngeri ennungi, awatali kumala biseera na maanyi . Mu ngeri eno, abalwadde basobola okufuna empeereza gye beetaaga mu bwangu nga bayita mu nkola eno ekwataganye.

Ekisinga okuvaamu kwe kukendeeza ku kuddamu okuweebwa ebitanda, okuweebwa ebitanda mu malwaliro, n’okukyalira ekisenge ky’abalwadde ab’amangu. Okulabirira okwesigamiziddwa ku muwendo kiruubirirwa kya bbanga ddene . Ye nkola ey’okukola ennyo ekendeeza ku nsaasaanya y’ebyobulamu, etuuka ku bivaamu ebirungi mu by’obulamu, era ekisinga obukulu, etereeza obulamu bwo okutwalira awamu n’obulamu bwo obulungi .

Kale, bubaka ki obw’okutwala awaka okuva mu bino byonna?

Okay, so from what we've talked about , osanga osobola okutegeera engeri ensonga eno gy'eri enkulu. Si kujjanjaba bulwadde bwokka, wabula kulowooza ku bulamu bwo okutwalira awamu. Mu ngeri ennyangu, kikwata ku:

• Omutindo gw’obujjanjabi bw’ofuna gutereera kubanga essira liteekebwa ku bivaamu.
• Okwetangira kikulu nnyo mu kutangira endwadde nga tezinnabaawo. Endowooza enkulu eri nti "kisinga okuba omulamu obulungi okusinga okutawaanyizibwa endwadde."
• Essira tusinga kulissa ku bulamu bwo okutwaliza awamu. Obulamu bw’obwongo kikulu nnyo ng’obulamu bw’omubiri.
• Kino kiyamba okukendeeza ku kukeberebwa n’obujjanjabi ebiteetaagisa, n’okukendeeza ku nsaasaanya y’ebyobulamu. Kino nakyo kikuwummuza mu nsawo yo.
• Abasawo, ba nurse, n’abakozi abalala mu by’obulamu bakolera wamu nga ttiimu okukuwa obujjanjabi obusinga obulungi. Kino kikuleetera okuwulira nga toli wekka.

Kino kiringa okuteeka mu nkola enjogera egamba nti ‘Kiba kirungi okusigala ng’oli mulamu okusinga okujjanjaba obulwadde’. Era kikuyamba okufuna empeereza esinga obulungi gy’olina ku ssente entono.

Nolwekyo, okwongera enkola eno eya ``Value-Based Care'' ku nkola yaffe ey'ebyobulamu kijja kuba kiyamba nnyo mu biseera eby'omu maaso eri ggwe, nze, naffe ffenna okufuna empeereza y'ebyobulamu ennungi, ennungi, era ey'omuwendo mu butuufu . N’olwekyo, kikulu nnyo okukimanya ku kino! Kubanga, obulamu bwaffe kye kintu kyaffe ekisinga okuba eky’omuwendo.

` Obulabirizi obusinziira ku muwendo, ebyobulamu, okuziyiza endwadde, ebiva mu mulwadde, ensaasaanya y’ensimbi mu by’obulamu, okulabirira okugatta, obulamu obulungi