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介護保険法改正に向けて・・・2018年03月08日

皆さんお久しぶりです。管理者の行武です。


今年の冬は寒い日が多く、雪もたくさん降っていましたが、3月に入り徐々に暖かく、過ごしやすくなってきましたね。


先日のニュースでは、もう桜の開花予報をやっていました。
さすがに開花予報はちょっと早すぎかな・・と思いましたが、春がすぐそこにまでやってきてるんだなと、少し嬉しい気持ちになりました。


さて、今回のタイトル「介護保険法改正に向けて」のお話。
平成30年4月に3年に1度の介護保険法の改正が行われます。


今年度の改正は医療、介護の同時改正という事もあり個人的には「何か大きな変化があるかも!?」と、ドキドキしていましたが、厚生労働省の案によると、そこまでの変更点はなく、むしろ、シリウスが今までやってきた事が正しかったから、それを新たに評価してくれるような仕組みになるイメージで、少しホッとしています。


ちなみに今年度の主な改正点としては、


(1) 高額所得者の自己負担3割の導入

(2) 在宅サービスの基本報酬の一部減額

(3) 通所介護にインセンティブ制度の導入
(4) 地域密着型デイサービスの指定拒否が可能

(5) 新しく介護医療院が誕生
(6) 介護保険・障害福祉の共生型サービスが開始
(7) 新しい地域支援事業が開始
(8) 特養の看取り体制に対する報酬体系の導入
(9) 有料老人ホームの開設・運営の規制強化
が挙げられています。


シリウスにおきましても、提供時間の変更や新たな加算の導入など、次年度に向けて様々な準備を進めております。特に上の(3)にあるように、通所介護利用時にADLに対するアウトカムの導入や、栄養スクリーニングなど、より利用者様の心身状況をしっかりと把握できるような仕組みづくりにこれから注力していこうと考えています。


まずは今月に行われる県の説明会に参加し、しっかりと対応できるように備えたいと思います!

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