TISS -28 –Tharapeutic Intervention Scoring System – nie tylko dla NFZ Email
Ocena użytkowników: / 23
Wpisany przez Marek Wesołowski   
Poniedziałek, 01 Czerwiec 2009 08:56

Przejdź do kalkulatora – SKALA TISS ...

Terapeutyczna Skala Interwencji Medycznych jest uproszczoną wersją skali TISS, która obejmuje 75 pytań, podczas gdy TISS -28 jedynie 28 pytań. Pytania są podzielone na 7 grup interwencji: Czynności podstawowe, Oddychanie, Krążenie, Nerki, itd..
Odpowiedzią na pytanie jest Tak lub Nie. Każde Tak dodaje punkty do końcowego wyniku.
W swoim oryginalnym zastosowaniu skala TISS i TISS -28 służyły do kalkulacji czas pracy pielęgniarki niezbędnego do pełnej opieki nad chorym. Czas ten obliczano w proporcji do ośmiogodzinnej zmiany pracy pielęgniarek na oddziałach intensywnej terapii. Oceniono, że każdy punkt to 10.6 minuty pracy pielęgniarki w czasie 8 godzin jej zmiany.

NFZ zastosował skalę TISS-28 po niewielkich modyfikacjach dla potrzeb rozliczeń kosztów opieki nad pacjentem hospitalizowanym na OIOMie. Niemniej podstawowa funkcja wyliczanie czasu pracy pielęgniarskiej pozostała i warto z niej skorzystać obliczając obciążenie pracą przy określonym obłożeniu na OIOMie.
NFZ dla potrzeb ekonomicznych wprowadził rozróżnienia dla dorosłych i dla dzieci. Dotyczy to zestawu pytań i progu punktowego od, którego koszty będą pokrywane przez NFZ.
Dodatkowo wprowadził specjalną transformację wyniku uzyskanego w skali TISS. Zmieniony wynik skali TISS-28 nazwano TISS+ i wartości w nim uzyskane po pomnożeniu przez wartość złotówkową punktu dają kwotę zwrotu z NFZ.
Transformacja do TISS+ „spłaszcza” wynik, który rośnie wolniej niż skala TISS-28. Dodatkowo końcowa wartość regulowana jest współczynnikiem „W” oceniającym stopień referencyjny oddziału OIOM.

Całość brzmi skomplikowanie i warto skorzystać z gotowych programów, które same wszystko wyliczą.
Warto odwiedzić stronę www.sga.waw.pl gdzie po prawej stronie, w sekcji „Przydatne narzędzia” można znaleźć link do skali TISS-28 ze wszystkimi wymaganiami NFZ.  

Po kliknięciu w napis TISS w nowym okienku pokaże się elegancka tabela. Kliknięcie w odpowiedzi kolejnych pytań powoduje natychmiastowe przeliczanie TISS-28 i TISS+ dla dzieci i dorosłych. W osobnym oknie prezentowany jest wymagany czas opieki pielęgniarskiej. Po „wjechaniu” myszą na treść pytania zobaczymy w dymku jego szczegóły.

Całość wygląda na przydatne i łatwe w użyciu narzędzie.


Przejdź do kalkulatora – SKALA TISS ...



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