Inama y’Ubuyobozi y’ikigo cyita ku buzima bw’abaturage (TWCCH) yayoboye inama ngarukamwaka mu kigo gishya cy’amavuriro, uburezi n’ubuyobozi gihuriweho na 501 S. Washington Ave. muri Scranton ku ya 31 Mutarama 2020. TWCCH yagenwe nka Federasiyo. Ikigo nderabuzima cyujuje ibyangombwa Reba-Bisa n’ubuyobozi bw’ubuzima muri Amerika Serivisi ishinzwe ubuzima guhera ku ya 1 Kamena 2019; 76% by'inama y'ubutegetsi igizwe n’abarwayi benshi n’abandi bakoresha serivisi za TWCCH, zirenze ibisabwa na leta. Carlon Preate , wayoboye inama y'ubutegetsi mu mwaka wa mbere yatangijwe nka FQHC Look-Alike, yahawe igihembo kubera umurimo yakoze hamwe na gaveri ya kirisiti yatanzwe mu gushimira byakozwe na Perezida Gerard Geoffroy uza. Bwana Preate ubu afata umwanya wintebe Yahise.

Bwana Preate , utuye mu nama ya Clarks akaba n'umurwayi wa TWCCH, afite uburambe bw'imyaka irenga 40 nk'umucungamari wa Leta wemewe mu majyaruguru y'uburasirazuba bwa Pennsylvania. Mbere y’izabukuru, yagenzuye imikorere y’ishami ry’akarere ka Parente Beard LLC.

Bwana Geoffroy , umuturage wa Jermyn, amaze imyaka isaga 20 arwaye TWCCH kandi ni umuvugizi w’ijwi ry’umurwayi ku meza y’imiyoborere. Ishyaka rye ryo kwita ku buzima ryakongejwe mu gihe yita ku mugore we wapfuye mu gihe cy'uburwayi bwe, kandi akomeza gukora ubuvugizi ku burezi bw'abarwayi no gutanga ubuvuzi bufite ireme. Yakoze mu rwego rw’ubuzima bwo mu mutwe n’uburezi imyaka irenga 40, asezera nka Porofeseri Adjunct wo muri kaminuza ya Scranton. 

Ikigo cya Wright gishinzwe ubuzima bw’abaturage nacyo giherutse guha ikaze abayobozi bashya bakurikira mu nama:

• Tracy Hunt, Assistant Visi Perezida wa Serivisi zo murugo muri Allied Services Integrated Health System
• Deborah Kolsovsky, Visi Perezida Nshingwabikorwa akaba n’Umuyobozi w’Inama Ngishwanama n’ibisubizo by’izabukuru muri Banki ya PNC
• Ellen Walko, Umuvuzi wavuye mu kiruhuko cy'izabukuru ukomoka mu karere ka Susquehanna

Aba bagize inama y'ubutegetsi baherutse gushyirwaho bifatanya n'abayobozi baha agaciro: William Waters, Ph.D. (Visi Perezida); John Kearney (Umubitsi); Mary Marrara (Umunyamabanga); James Gavin; Mary Ann Chindemi; LeeAnn M. Eschbach, impamyabumenyi y'ikirenga; Patricia DeSouza; Susan Duckworth; Melissa Simrell; nyakubahwa Edward G. Staback; Kim Heritscko; Francis Stevens; Lewis Marcus; Jeffrey Metz; na Jody Cordaro.

Yakomeje agira ati: "Ishyirwaho ryanjye kandi ryishimiwe cyane, ryashyizweho na mugenzi wanjye Dr. Jumee Barooah nk'ikigo cya Wright Centre for Graduate Medical Education Education of the Institutional Institution ni ikintu cyiza cyagezweho ku ishyirahamwe ryacu ndetse no mu gihe cyanjye cyo kuyobora. Mu myaka ye ya mbere yakoranye nishyirahamwe ryacu nkumuturage wimbere mu gihugu hanyuma akaza kwinjira mu ishami ry’amavuriro, yateye imbere mu mwuga we nk'umuyobozi wa gahunda ya Ambulatory Associate Programme y’ubuvuzi bw’imbere mu gihugu ndetse n’umuyobozi w’ubuvuzi w'ikigo cya Wright Centre for Health Health Mid Valley Pratique. Jumee ni gihamya ishimishije yo gutanga ubutumwa bwacu bwo guteza imbere ubuzima n’imibereho myiza yabaturage dukorera binyuze muri serivisi z'ubuzima zishyashya kandi zita ku bantu no kuvugurura birambye abakozi bafite imbaraga kandi babishoboye bafite amahirwe yo gukorera. Yubahwa cyane kandi akundwa nabarwayi be nimiryango yabo hamwe nabatwiga, kimwe natwe twese dufite amahirwe yo gukorana nawe. Ubwitange bwe bwo kwiga ubuzima bwe bwose bwerekanwe mubyo yagezeho mu masomo, harimo ubuyobozi bwe bwa mbere ndetse no gutanga impamyabumenyi mu buvuzi bw’ibiyobyabwenge, biteye ubwoba. Nkumuganga wacu DIO, Jumee azaba ambasaderi udasanzwe, ukorana nubunyangamugayo buhebuje muri Graduate Medical Education Education Safety-Net Consortium mumiryango yacu ihuza amahugurwa ashingiye kubufatanye. Turamwishimiye cyane kandi turamwishimiye . "

Ati: "Nagize amahirwe yo gukorana na Dr. Jumee Barooah, umunyeshuri wahawe impamyabumenyi muri gahunda yo gutura muri Wright Centre, kandi nkareba uko akura hamwe n'umuryango wacu. Nka mugenzi wanjye wubahwa kandi akaba n'inshuti yanjye ku giti cye, nishimiye kumushyigikira muri uru ruhare rwagutse. " Amashuri Yisumbuye Yubuvuzi. “Amahugurwa mu kigo cya Wright ayobowe na Dr. Linda Thomas-Hemak yabaye urugendo rudasanzwe. Yanyumvishije rwose imbaraga zubuvuzi bwibanze mugukorera abaturage no kubaka iyo mibanire. Nzakorana nabatuye hamwe nabiga gusabana kimwe nabarimu batanga isoko kugirango mbafashe bose kugera kuntego zabo zo kwiga no mubyumwuga no gukomeza guteza imbere gahunda zacu. Gukwirakwiza ijambo ryerekeye ikigo cya Wright mu gihugu hose bizaba urufunguzo rwo kugera ku cyerekezo cy’imyaka 10, kikaba kizamenyekana na Perezida wa Leta zunze ubumwe z’Amerika nk’ubuzima bwa serivisi z’ubuzima n’ibikorwa bya muntu by’icyitegererezo cy’abaturage ku buzima bw’ibanze kwita no guteza imbere abakozi. Bimwe mubyerekezo byanjye nka DIO nshya irimo kubaka umuyoboro wabanyeshuri no kwegera kugirango twese duhuze kandi dushyigikirane. Hariho intera nini mubuvuzi bwibanze atari muri Pennsylvania gusa, ariko no mugihugu hose, ndumva rero itumanaho rizadufasha gukorera hamwe kugirango tumenye kandi twuzuze ibikenewe haba mubaturage bacu ndetse no mugihugu cyose. Ndicishije bugufi cyane kuba narahawe aya mahirwe. Nabonye ukuntu ikigo cya Wright cyateye imbere kuva nkiri muto nkiri kumwe n'umuryango nkaba ntuye, kandi ndumva niteguye kuzabigiramo uruhare ndetse no kurushaho kwagura ibisekuruza bizaza ndetse no kwita ku buvuzi bw'ibanze ”, Dr. Jumee . Barooah, DIO nshya yikigo cyitwa Wright Centre for Graduate Medical Education Education.

Ikigo cya Wright Centre for Health Health Mid Valley giherutse kumenyekana na komite yigihugu ishinzwe ubuziranenge (NCQA) ifite itandukaniro muguhuza ubuzima bwimyitwarire. Perezida wa NCQA, Margaret E. O'Kane yagize ati: "Inshuro nyinshi ubuzima bw’imyitwarire bwamenyekanye bwa mbere n’ubuvuzi bwibanze." Ati: "Kongera rero serivisi zita ku buzima bwimyitwarire mu rwego rwibanze ni amahirwe nyayo ku barwayi. Ikuraho inzitizi zibangamira imyitwarire kandi itezimbere ubuzima muri rusange. ” Hashingiwe ku buryo bwo kwita ku barwayi bashinzwe ubuvuzi (PCMH), uburyo bukurikiza ibimenyetso by’ubuvuzi kugira ngo butange ubuvuzi bufite ireme, buhujwe kandi bwiyemeje gukomeza gutera imbere uko ibihe bigenda bisimburana ku buryo butandukanye bwa NCQA. Nk’uko NCQA ibivuga, Itandukanyirizo ry’ubuzima bw’imyitwarire “rifasha imyitozo itanga ubuvuzi bwuzuye bw’abantu bose bemera ubuzima bw’imyitwarire y’umuntu ku giti cye burenze ibyifuzo by’ibanze bya NCQA PCMH. Itandukanyirizo ry’imyitwarire y’ubuzima risaba ko hajyaho ubuvuzi bwibanze kugira itsinda ryita ku barwayi (abashinzwe kwita ku barwayi, abaganga b’indwara zo mu mutwe, cyangwa abandi bakora umwuga) kugira ngo bakemure ibibazo byinshi by’abarwayi bafite ibibazo bijyanye n’ubuzima bw’imyitwarire, bibanda ku gukoresha ibimenyetso- ishingiye kuri protocole hamwe no gukomeza gupima ubuziranenge no kunoza. Kwinjiza ubuzima bw'imyitwarire mu buvuzi bw'ibanze birashobora guteza imbere uburyo bwo kugera ku mavuriro no guhaza abarwayi. ” Ikigo cya Wright Centre for Health Health Mid Valley gihuza serivisi zitandukanye zita ku buzima - zirimo ubuzima bw’imyitwarire, ibiyobyabwenge / gukira, ubuzima bwo mu kanwa, ubujyanama bw’imirire n’ibindi - mu buvuzi bwibanze bw’abarwayi bose ku buzima bwiza. Serivise yuzuye-yuzuye, site yubuzima bwimyitwarire yimyitwarire igizwe nabakozi bashinzwe imibereho myiza yabashinzwe imibereho, abashinzwe imanza, inzobere mu gukira zemewe, abaganga b’indwara zo mu mutwe, abaganga b’indwara zo mu mutwe hamwe n’abaforomo bemewe. Itsinda rikomeje kwaguka no kongeramo inshingano nshya kugirango abarwayi bakeneye ibyo bakeneye.

Ikigo gishinzwe ubuzima n’ibikorwa bya serivisi (HRSA) cyahaye ikigo cya Wright Centre y’ubuzima bw’abaturage $ 999.981 kugira ngo gishyire mu bikorwa gahunda yo gusubiza mu cyaro abaturage bo mu cyaro. Intego ya gahunda ni ugushiraho uburyo bwuzuye, bwuzuye mugukemura icyorezo cya opioid.

Gukorera mu ihuriro ry’abaterankunga b’abaturage, Ikigo cyita ku buzima bw’abaturage kizagura amahugurwa y’ubuyobozi bwa naloxone, gukira inda ya opioid no kuvura imiti (MAT) mu ntara za Wayne na Susquehanna, gukoresha imiyoboro ihari ya telemedine, ubuzima bw’imyitwarire, Indwara zanduza Ryan White / virusi ya hepatite C (HCV) imirongo ya serivise hamwe na leta yagenwe na Opioid Koresha Disorder Centre of Excellence (OUD-COE). Uyu muryango uzayobora umuhate wo gushyiraho gahunda zivura zifashishijwe n’imiti muri buri ntara, zikoresha umuyoboro w’abatanga MAT, abashinzwe ibibazo, inzobere mu gukira zemewe, abajyanama b’ubuzima bwo mu mutwe n’inkunga ya psychosocial.

Yakomeje agira ati: “Twishimiye kuba abafatanyabikorwa bayobora muri uru rugaga kugira ngo dushimangire kandi tunagure serivisi zo gukumira indwara, kuvura no gukiza indwara mu cyaro. Ibikorwa bizibanda ku ntara za Wayne na Susquehanna kandi birimo imiti ifasha imiti, gucunga imanza hamwe n’imfashanyo. Twishimiye aya mafranga ya federasiyo azadufasha gutsinda inzitizi zo kugera mu cyaro cyacu, ”ibi bikaba byavuzwe na Maria Montoro-Edwards, PhD, Visi Perezida ushinzwe ingamba n’impano, ikigo cya Wright gishinzwe ubuzima.

Abafatanyabikorwa bakomeye muri iryo shyirahamwe barimo Serivisi ishinzwe ubuzima bw’ababyeyi n’umuryango, Inc, Lackawanna / Susquehanna Ibiro bishinzwe ibiyobyabwenge n’ibiyobyabwenge na komisiyo ishinzwe ibiyobyabwenge n’ibiyobyabwenge bya Wayne County.

Umuyobozi mukuru w’ibiyobyabwenge n’ibiyobyabwenge bya Wayne County, Jeff Zerechak yongeyeho ati: “Iyi nkunga izafasha iki kigo kandi gutanga serivisi z’imicungire y’imanza n’inzobere mu kugarura abatuye Intara ya Wayne bakeneye ubufasha. Mu myaka itatu iri imbere, iyi nkunga izahindurwa andi $ 100.000 yo mu Ntara ya Wayne. ”

Ku ya 6 Kanama 2019, abakozi, abafatanyabikorwa, abarwayi n’abahagarariye abaturage bateraniye hamwe kugira ngo bafungure urugi no gukata lente mu kigo gishya cy’ubuzima rusange cy’ubuzima rusange ku muhanda wa 2 wa Sharpe, Kingston.

Iyi myitozo, izwi mbere nka Wilkes-Barre Family Medicine Residency / Wilkes-Barre Medicine Academic Medicine kandi ikoreshwa na Commonwealth Health, ni imyitozo yubuvuzi bwimiryango yuzuye mumyubakire yibitaro byambere, Kingston. Ikigo cyita ku buzima bw’abaturage cya Wright cyafashe ibyemezo n’ibikorwa by’amavuriro muri Nyakanga 2019 bijyanye na gahunda yacyo yo kwagura serivisi z’amavuriro mu Ntara ya Luzerne no gushyigikira kwagura imiti y’umuryango. Abarwayi bashya b'ingeri zose barahawe ikaze muriyi myitozo.

Ikigo cyitwa Wright Centre for Health Community ni umutekano-utanga ubuvuzi bwibanze, wibanda ku gutanga ahantu heza, serivisi nziza z’ubuzima zihendutse ku barwayi bose hatitawe ku bwishingizi. Gahunda nyinshi zubwishingizi, zirimo ubufasha bwubuvuzi, Highmark Blue Cross Shield, CHIP, Medicare nibindi biremewe. Niba umurwayi adafite ubwishingizi bw'ubuzima kandi akaba atemerewe ubufasha bwo kwa muganga, barashobora kwemererwa kwishyurwa.

Ikigo cya Wright Centre yubuzima rusange Kingston Pratique irakinguye kuva kuwa mbere kugeza kuwa gatanu guhera 8h30 za mugitondo- 5h00, harimo iminsi mikuru yose.

Ikigo cya Wright gishinzwe ubuzima bw’abaturage cyatoranijwe kugirango kibone inkunga ingana na miliyoni 1.5 y’amadorali yatanzwe na gahunda yo kuvugurura imfashanyo y’ishoramari (RACP) iyobowe n’ibiro bya Pennsylvania bishinzwe ingengo y’imari n’ubuyobozi bw’impyisi.

Iki gihembo ni igisubizo cy’umuryango ukurikirana kandi wiyemeje gutanga serivisi zita ku buzima bwo mu rwego rwo hejuru, bworoshye, bworoshye, bw’umutekano, hamwe no gushimangira amahirwe y’amahugurwa ashingiye ku baturage ku bakozi bacu bashinzwe ubuzima mu majyaruguru y’amajyaruguru ya Pennsylvania.

Ikigo cya Wright Centre for Health Community kizaguka kugera ku nyubako nshya ya metero kare 41,900 y’ubuvuzi, imyigire n’ubuyobozi kuri 501 S. Washington Avenue muri Scranton mu mpeshyi / mu ntangiriro za 2019.Umushinga uzatanga imirimo irenga 40 yigihe cyose muri Scranton kandi imyitozo amaherezo izakingurwa iminsi irindwi / icyumweru, harimo nimugoroba. Izaba irimo ubuvuzi bwibanze bwagutse, ubuzima bwimyitwarire / ibiyobyabwenge, ubuzima bwo mu kanwa hamwe nitsinda ryindwara zanduza kugirango abarwayi barusheho kubona ubuvuzi bwuzuye.

Aha hantu hazaba harimo n'abakozi bashinzwe ubuyobozi bunganira ikigo cya Wright Centre gishinzwe ubuzima bushingiye ku buzima bw’abaturage, ikigo cya Wright Centre for Graduate Medical Education, hamwe n’ubuvuzi bw’umuryango, ubuvuzi bw’imbere n’abatuye indwara zo mu mutwe hamwe n’abanyeshuri basobanura.

Intego z’ubuzima n’iterambere ry’ubukungu kuri iki kigo zirimo:

• kwagura ibikorwa by’ibanze by’akarere kacu bifite ibyumba 33 by’ibizamini by’abana n’abana n’ubuvuzi 4 bw’amenyo;
• Kwinjiza ubuzima bwo mu mutwe / imyitwarire hamwe no gukoresha imiti ivura no gukiza indwara binyuze muri Centre ya Wright Centre yubuzima bw’abaturage isanzweho Opioid Use Disorder Centre ya Excellence, gahunda ya PacMAT, na gahunda nziza ya MOMS; na
• kwishyira hamwe kwa virusi itera SIDA, Hepatite C no kuvura indwara zanduza binyuze mu kigo cya Wright Centre for Health Health kiriho giterwa inkunga na federasiyo ya Ryan White.

Yakomeje agira ati: “Iki gihembo cyatanzwe na Guverineri Tom Wolf hamwe n’ibiro bya Pennsylvania bijejwe ingengo y’imari ni ikimenyetso gikomeye cy’ubuyobozi bw’igihugu cyacu bwiyemeje kwagura uburyo bw’ahantu hakwiye, hatavangura, ubuziranenge, buhendutse kandi buhuriweho na serivisi z’ubuvuzi bw’ibanze, amenyo n’imyitwarire ya abaturage bo mu majyaruguru y'uburasirazuba bwa Pennsylvania. Twicishijwe bugufi kugira uruhare mu gushyira mu bikorwa icyerekezo nk'iki giturutse ku buyobozi bw'igihugu cyacu, kandi twishimiye cyane iri shoramari ritera imbaraga mu nshingano zacu no mu baturage bacu. Bizadufasha, mu gihe twagura uburyo bw’ubuvuzi bwibanze no kongera imbaraga mu bukungu bw’ubukungu muri Scranton y’Amajyepfo, kugira ngo dutegure tunezerewe abayobozi b’abaganga bacu ndetse n’abakozi bashinzwe ubuzima bw’abasobanuzi, ”ibi bikaba byavuzwe na Linda Thomas-Hemak, MD, FACP, FAAP, Umuyobozi mukuru wa The Wright. Ikigo cyubuzima bwabaturage na Perezida wikigo cya Wright gishinzwe uburezi bwubuvuzi. Yakomeje agira ati: “Twatewe imbaraga n'izo mbaraga zigwiza ishoramari mu rwego rwo guteza imbere ubuvuzi bw'ibanze bw'igihugu ndetse no guhanga udushya mu bakozi kugira ngo barusheho guha serivisi abarwayi no guteza imbere abayobozi bashinzwe ubuzima bw'ejo. Turashimira tubikuye ku mutima guverineri Wolf, Senateri John Blake n'ubuyobozi bw'igihugu cyacu kuba barizeye ikigo cya Wright mu gihe duhuriza hamwe guteza imbere ubuvuzi n'ubuvuzi mu karere kacu ndetse no mu gihugu cyacu. ”

Ikigo cya Wright cyita ku buzima bw’abaturage cyashyizweho nk’ikigo nderabuzima cyujuje ubuziranenge (FQLA) muri Gicurasi 2019, kuri ubu kikaba gitanga inzu y’ubuvuzi yuzuye ku barwayi barenga 20.000, abarenga 40% muri bo bakaba badafite ubwishingizi, badafite ubwishingizi cyangwa bafite amikoro make. . Ubufatanye bukomeye n’ibitaro na sisitemu byaho, Ikigo cy’ubuvuzi cya Veteranse, Ikigo nderabuzima cyujuje ibyangombwa (FQHC), hamwe n’imiryango idaharanira inyungu ishyigikira kandi igateza imbere ubutumwa. Uyu mushinga uzafasha serivisi ziyongera ku barwayi 7,000 byihuse kandi amaherezo bizashyiraho ubushobozi bwo gukuba kabiri umubare w’abarwayi bakorerwa n’ikipe ya Wright Centre ishinzwe ubuzima bw’abaturage.

Abanyeshuri biga ubuvuzi bo muri AT Still University of Osteopathic Medicine muri Arizona (ATSU-SOMA) nabo bazatangira kuzunguruka muri iyi myitozo mishya guhera muri Nyakanga 2020, amahirwe afite ubushobozi bwo kuzamura cyane umuyoboro utanga isoko mu majyaruguru yuburasirazuba bwa Pennsylvania.