JP2010128724A - Care plan preparation system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To quickly propose a suitable care plan to suit the physical conditions of cared persons, the living conditions of their families and economic conditions and to reduce the time until the use of care service. <P>SOLUTION: An electronic computer includes a storage means 13 in which a primary plan preparation program 40 and a secondary plan preparation program 50 are stored, a central processing unit 12 and an input/output device. The primary plan preparation program 40 includes a step of calculating a state image rough value based on the state check information of a cared person, and a step of selecting care service content prepared in each state image corresponding to the state image rough value. A primary plan including facility care is presented when the state image rough value is a predetermined value and more, or a primary plan including home care is presented when the state image rough value is lower than the predetermined value. The secondary plan preparation program 50 corrects the primary plan so that a cost is within an allowable expense. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a care plan creation system suitable for automating the creation of a care plan for elderly people who need care (support required) using an electronic computer.

  In recent years, the aging rate of Japan's population has risen, and the number of people who want to be certified as requiring nursing care / support is increasing. For this reason, it has come to take a long time for a cared person who needs care or his / her family member to consult with the administrative consultation desk about the need for care and to actually receive care service. In addition, there is a problem that a care manager who creates an actual care plan has a large burden, and it cannot be said that a care plan suitable for individual care recipients has been formulated.

  FIG. 17 shows a flow from the consultation to the care insurance service provided by the care recipient (user of care insurance) or his / her family.

  Looking at the flow from when family members feel the need for nursing care to elderly relatives and the start of using nursing care services, many families face nursing care for the first time. “I should go to the consultation.” In spite of being said to be aging, there is little opportunity to think about nursing care when the family does not face nursing care, so when trying to talk about nursing care, “Where should I go to consult?” is the current situation. Even if it is understood that there is a consultation desk for nursing care in the administration, those who are not usually engaged in nursing care do not know which section is in charge of the consultation desk, and do not even know the name of the section.

1. Consultation at the municipal health and welfare section The public health care consultation desk is located at the municipal health and welfare section where you can consult the entire nursing care. There is a person in charge at the window, and consultations in nursing care are important personal information, so they respond one-on-one. There, the family care insurance system will be explained to the family, and the nursing care insurance section will be introduced if the family care insurance is used. It is because it can be used at 10% of the cost of nursing care services by receiving certification for long-term care. Taking the 23 wards of Tokyo as an example, each ward has a health and welfare section that can provide consultations on nursing care. A similar consultation can also be made at the Regional Comprehensive Support Center.

  The family consults with the window whether care is needed. Therefore, we know that it is necessary to obtain nursing care certification to use the nursing care insurance system for the first time. Therefore, it is recommended that you apply for long-term care insurance and receive certification for long-term care.

  The Regional Comprehensive Support Center was established to serve as a consultation desk for general problems in the lives of senior citizens as well as for nursing care, and it also functions as a base for nursing care prevention. It is operated by the municipality that is the insurance insurer.

Most of the people who come to the consultation for problems and care are the first experience, and I do not know what to talk about at an administrative office that I am not used to.
・ There is no consultation desk that can handle all consultations.

2. Consultation at Nursing Care Insurance Section
The Nursing Care Insurance Division is often adjacent to the Health and Welfare Division. A detailed explanation of the long-term care insurance system will be given again from the person in charge of the Health and Welfare Division on behalf of the person in charge of the Long-term Care Insurance Section. Listen to simple user physical / mental situation and family situation from family. Since nursing care services are largely comprised of two types of home services and facility services, we will confirm whether family care is going to be done at home or leave them at the facility and the family's intentions, and pamphlets etc. of typical care services We explain while using and encourage application of care insurance.

  Family members are instructed by a care insurance representative to explain what kind of care services are necessary while explaining simple physical and mental conditions of the user and the situation of the family. Apply for nursing care certification to know that you can use various nursing care services, discuss with your family what kind of services you would like to take care of at home, leave them at the facility, and what service you would like, and apply for nursing care certification. Will be submitted.

Problems: At the Nursing Care Insurance Section, there is no private room for consultations on nursing care, and the family listens at the counter, making it difficult for families to talk about details on the spot.
・ Because the nursing care insurance section cannot explain the nursing care insurance system and services in a limited amount of time, we look at the pamphlet for nursing care insurance services to make them understand.
・ There is also a telephone support, and there is a limit to the number of people who can respond at the window in one day.
・ In many cases, family members do not know how to write a long-term care application form.
・ Family family members cannot remember long-term care insurance services at the counter.

3. Submit nursing care certification application
When a family member is certified for nursing care, he / she consults with the family about what to do and visits the Nursing Care Insurance Division to obtain certification for nursing care so that they can receive both home services and facility services.

  The person in charge of the Long-Term Care Insurance Department gives a lecture on how to write a long-term care application form. Taking the 23 wards of Tokyo as an example, the format differs for each ward. Accept after entry and after the entry, inform the general period until care certification is issued and that the care certification investigator will contact you later to visit the home of the care recipient.

  The family receives a lecture from the person in charge of the Long-Term Care Insurance Division on how to write a long-term care certification application, and fills out the long-term care certification application as told. In addition, the flow until the care certification is received is explained in the flowchart, and later, the ward investigator asks for the certification survey and receives an explanation.

Problem: At the Nursing Care Insurance Division, the nursing care insurance service is application-based, so we spend more time on lectures on how to write a nursing care insurance application than the details of the service.
・ I can't imagine how much it will cost.

4). Authorized investigator visits home, doctor's opinion for care certification
Accreditation questionnaire by certified investigator and attending doctor's opinion by attending physician are required to receive nursing care accreditation application, and Nursing Care Insurance Section asks the accredited investigation committee to prepare accreditation questionnaire and requests the attending doctor to prepare attending doctor's opinion .

  Authorized investigators who submit accredited questionnaires are care managers entrusted by the ward and are created from interviews with users and their families. The family will contact the accredited investigator in advance to adjust the visit date on weekdays. Therefore, if there is work, etc., adjustments are made at home. When an authorized researcher visits, he / she presents an identification card, and the authorized researcher tells him that he / she has come to the survey from the ward (or city) and asks about the user's physical condition, mental condition, and family care situation. After that, we meet with the user and visit time is about 60 minutes.

  Therefore, the authorized investigator interviews the family regarding the physical condition, mental condition, and family care status of the user for the question items determined in advance by the care certification. Meet users directly, ask for their name and date of birth, and investigate where their care is needed while looking at their physical condition.

  The doctor's opinion is sent directly from the ward to the attending doctor, and the attending doctor prepares questions for questions that have been determined in advance by nursing care certification. Describe things related to illness, state of mind and body, and life functions and services. If necessary, interviews are conducted with users and families.

Problems / Accredited investigators visit during the daytime on weekdays and schedule adjustment is often required.

5). Return survey results to the Long-term Care Insurance Division
An authorized investigator who has received a request to create a certified survey form, and an attending doctor who has received a request to create a written opinion of the attending physician, submit a certified survey form, special notes, and an opinion of the attending physician to the Long-Term Care Insurance Division. The Nursing Care Insurance Section prepares data for the Nursing Care Examination Committee based on the submitted materials.

6). Nursing care certification examination committee held
The care certification examination committee consists of five types of care certification examination committees {(doctors, dentists, pharmacists, medical professionals (health nurses, nurses), welfare professionals (facilities managers, social welfare workers)}.

  First, a primary determination is made by a computer based on the certified survey form. Based on the results, special notes in the accreditation survey, and the written opinion of the attending physician, the Nursing Care Accreditation Committee examines and determines the degree of care required.

7). Acknowledgment Result Notification The result of certification for long-term care (required support) determined by the Care Accreditation Committee is sent to the family by mail. The name of the insured person, date of birth, date of certification, degree of care required, and period of certification for long-term care are described, and guidance is provided to request a home care manager to create a care plan.

Problem / Nursing care insurance certification result came out, but in fact I am not sure what the person called home care manager (care manager in charge of home care) will do.

8). Contact home care manager
From the list of home care support establishments, the family selects from the neighborhood of the home or the establishment that has been heard, and directly calls the home care support establishment. At home care support establishments, the number of care plans that can be held per home care manager is determined to be 35.

  When the home care support office receives a request to create a care plan, it adjusts the schedule for when to visit. Here, it is not yet a contract to formally create a care plan.

  In addition, not all home care managers can do it, but on-site experience with qualified and unqualified personnel of doctors, dentists, nurses, physical therapists, dietitians, judo remediators, social welfare workers, and care worker. More than 10 years have passed the examination of a care support specialist. Many home care managers engaged in home care support providers are nurses, care workers, social workers, or more than 10 years of field experience. Therefore, in the home care manager, if it is a medical position, the medical field is excellent, and if it is a welfare position, it is excellent in the care field.

  Home care managers contacted by family members will ask for the name, address, contact information and user's simple physical and mental status of the counselor, and schedule when to visit.

There are many problems and home care support establishments, and I do not know where to choose.
・ Do not know which home care manager to ask.
・ I can't judge what I want to do.

9. Home care manager visits home
The home care manager who receives the request from the family visits his / her home to hear the necessary information in order to create a care plan.

  The details of what the family is asked about are the history of the need for nursing care, the current user's physical and mental status, medical information, family status, economic status (how much money can be used for nursing care), and future family care. The intentions for are asked in detail.

  In addition to hearing from the family, the home care manager meets the user directly and determines the need for nursing care from a professional point of view through conversation and contact.

Difficult to adapt to problems and interview days.
・ It is difficult to set the interview date because the key persons of the cared family are often working.
・ It takes time to listen to the home care manager.
・ Because the administrative window is busy, the home care manager explains the care insurance system and services in general.

10. Contracts with home care support providers When a family member receives a care plan from a home care manager, a family member can sign a “designated home care support use contract” with a home care support company engaged by the home care manager. A contract is established for the first time. It is possible for the family to cancel the contract when the contract with the home care manager is bad after the contract is concluded, and to request another home care manager to create a care plan.

  The home care manager knows the situation of the user and family and decides on the spot whether to receive a care plan request. This is because, depending on the user's physical / mental situation, medical care may be promoted instead of long-term care insurance.

  The home care manager makes a care plan free of charge while explaining the “Designated Home Care Support Use Agreement” and informs that the service can be changed whenever necessary. Many of the family members are elderly, so the words in the “Designated Home Care Support Use Agreement” are difficult, so the main points are explained and explained in as simple words as possible.

Difficulties in terms of problems / contracts

11. Preparation of care plan The home care manager interviewed the visit, the history of the need for care, the current user's physical / mental situation, medical information, family status, economic situation, and future family care Create an appropriate model plan based on your wishes.

  For example, if the degree of care required is 3, after deciding that the day service should be used three times a week, the home helper for dinner for 3 days, the food distribution service for 4 days, care bed and wheelchair rental should be used Investigate in advance based on the materials published by the offices and municipalities that you know to know how much it will cost, and where to provide actual services.

  In addition, each municipality has its own care service, so check it according to the materials published by each municipality.

Problems / Cannot determine whether the service plan provided by the home care manager is appropriate.

12 Presentation of care service provider
The family members visit the home care manager again and receive an explanation of the developed care plan. What kind of care is needed by the user, what kind of care service is suitable for performing the care, why the care service is considered necessary, and what is the cost of using the care service? Receive explanations and receive explanations verbally and pamphlets, such as where the business establishments will actually provide services.

  Since most family members use care services for the first time, they don't have an image of honesty, so if they can afford the costs, they will decide to receive the care service suggested by the home care manager for the time being.

  Also, when recommending nursing care services to family members, the business establishments that are likely to be able to provide services are explained based on addresses and simple characteristics, and the family's consent is obtained. If each municipality has its own care service, explain it in the same way and obtain the consent of the family.

Problems / Service providers introduced to family members tend to be biased in providing information on service providers that home care managers themselves know.

13. Adjustment of care service providers
Based on the consent of the family care plan, the home care manager informs the service provider of the user and family information, and confirms by telephone how many services can be performed from when. To do. Depending on the service provider, the service provision date and time may not match and may be declined.

  After consulting and adjusting with all business operators, the service operator adjusts the visit date to the family because there are interviews and contracts from the service business to the family before using the service. At this stage, the contract with the service provider has not been finalized.

  In addition, when you receive nursing care services that are unique to each city, have your family members fill out the necessary information on the application documents and submit them.

  The service provider consulted by the home care manager asks whether the service can be provided, the user's physical / mental status, medical information, family information and the desired day of the week and time zone. Determine if the service can be provided. If it is determined that there will be no problems, the home care manager will be contacted and the family will be contacted and a report will be made.

14 Service provider visits home
A family member who has been contacted by a home care manager that they are ready for service adjustments will receive a service provider's home visit. A home care manager may be present at the service office.

  Family members receive explanations of service content from service providers, as well as the details of the need for nursing care, similar to what they had told their home care manager, the current user's physical / mental status, medical information, family status Communicate your economic situation and your willingness to care for your family in the future. Moreover, the necessity of care is judged from a professional viewpoint by meeting with a user directly and having conversation and contact.

  As a result of the interview, if it is determined that the service provider can formally accept the contract, a contract will be concluded based on the “use contract, important matter manual”.

  Enter into a contract and start using the service, and your family will be informed of what to prepare.

  The service provider confirms the history of the need for nursing care, the current user's physical / mental situation, medical information, family status, economic situation, and future family care intentions in providing services. Based on that, we will predict the points to note in providing services in advance and prepare for acceptance.

  In addition, it is necessary to explain in advance that the cooperation of the family is necessary for providing the service, and obtain consent. For example, in the case of day service, a person who needs a wheelchair needs to take a wheelchair up to the room or have the family stay at home according to the pick-up time.

There are the same stories and contract documents for service providers as many as the number of problems and services, and it takes about 2 hours per establishment.

15. Contract with nursing care service provider (decision)
If the service provider determines that the service can be provided based on the consent of the family, the service provider explains the service flow, characteristics, and fee structure based on the “Usage Agreement, Important Information Manual” and concludes the contract. .

  In addition, when there are a plurality of service providers, the same content is performed for each service provider. For example, if it is day service, visiting care, visiting nursing, short stay, welfare equipment rental, it is necessary to repeat five times.

It is difficult to understand many words that are unfamiliar with the words of the problem / contract.

16. Started using nursing care services
The service provider can visit and receive service at the designated day and time. In addition, each ward / municipal municipality can also receive nursing care services. For example, diaper subsidies are sent to your home twice a month.

  If you wish to change the contents of the service, consult with a home care manager to make adjustments.

  It may take nearly 3 to 4 months to start using the service after consulting with the health and welfare section of the ward / city hall after feeling the need for care.

Problems / It takes too much time to start using the service, and there are cases where the mental and physical condition of the user is worse than when consulting before receiving the actual care service.

  As mentioned above, the current need for nursing care is felt, it takes nearly 3 to 4 months to consult with the health and welfare section of the ward / city office, and the use of the service takes place. The service providers tend to be biased in providing information and may not be optimal.

  The present invention has been made by recognizing such a situation, and its purpose is to provide a state image guideline value of a cared person based on state confirmation information of the cared person's body and mental state (usually corresponding to the degree of care required). Can be calculated automatically, and a care plan corresponding to the calculated state image guideline value can be presented, so that it is possible to save the care manager from creating a care plan and to receive care services quickly. It is to provide a care plan creation system that can be made.

In order to achieve the above object, a care plan creation system according to an aspect of the present invention includes a storage unit that stores a care service / primary plan creation program, a care service / secondary plan creation program, and a predetermined program according to each program. Nursing care using an electronic computer having a central processing unit for performing the arithmetic processing and an input / output device capable of inputting data necessary for processing of the central processing unit and outputting a result of the arithmetic processing by the central processing unit A plan creation system,
The primary plan creation program includes a step of calculating a state image guide value based on state confirmation information of a cared person's body and mental state, and a care service prepared for each state image corresponding to the state image guide value Selecting the content, if the state image guide value is greater than or equal to a predetermined value, select facility care, if lower than the predetermined value, select home care
The secondary plan creation program includes a step of changing a care facility based on an area and cost so that the cost is less than or equal to the amount that can be paid in the case of the facility care; And a step of deleting a part of the content of the care service selected by the primary plan creation program.

  In the care plan creation system according to the aspect, the primary plan creation program may include a step of creating a radar chart of a status image of the care recipient.

  In the care plan creation system according to the above aspect, the secondary plan creation program includes a step of selecting facility care regardless of the state image when the urgency level is determined and the value of the urgency level is higher than a certain value. May be.

  In the care plan creation system according to the aspect described above, the status confirmation information of the cared person's body and mental state includes eight groups of data of physical condition, meal, excretion, bathing, conditioning, movement, sleep, and mental condition. Each group has data of a plurality of items, each data is digitized, and the score increases as the need for care increases, and based on the addition result of the numerical value for each group, It is good to calculate a low price.

  In the care plan creation system according to the aspect, the step of deleting a part of the care service content selected in the primary plan creation program, when the care service content has a short stay, preferentially deletes the short stay, The service on Saturday or Sunday may be preferentially deleted over the care service on weekdays.

  In the care plan creation system of the above aspect, the care service / primary plan and the secondary plan present care service contents including expenses, a 24-hour care daily schedule, and a care service week schedule. There should be.

  In the care plan creation system according to the aspect, the electronic computer may be an electronic computer system in which a server that can access the storage unit and a personal computer that functions as the input / output device are connected via a network. .

  It should be noted that any combination of the above-described constituent elements, and those obtained by converting the expression of the present invention between methods and systems are also effective as aspects of the present invention.

  According to the care plan creation system according to the present invention, it is possible to automatically calculate the state image standard value of the care recipient (usually corresponding to the degree of care required) from the state confirmation information of the care recipient's body and mental state. . An appropriate nursing care plan corresponding to the calculated state image guideline value can be automatically selected and presented so that the cost of nursing care can be seen at a glance, and nursing care services can be quickly received. It is possible to be

  Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings. In addition, the same code | symbol is attached | subjected to the same or equivalent component, member, process, etc. which are shown by each drawing, and the overlapping description is abbreviate | omitted suitably. In addition, the embodiments do not limit the invention but are exemplifications, and all features and combinations thereof described in the embodiments are not necessarily essential to the invention.

  FIG. 1 to FIG. 3 are embodiments of a care plan creation system according to the present invention, which are flowcharts of care service / primary plan creation by a care service / primary plan creation program, and FIGS. 4 to 5 are care services. A care service based on the secondary plan creation program and a secondary plan creation flowchart, and FIG. 6 is a block diagram of an electronic computer system used in the care plan creation system.

  As shown in FIG. 6, this care plan creation system is connected to a server 10 having an input / output interface 11, a central processing unit (CPU) 12 and a storage means 13, and a network 30 such as a LAN or the Internet. And a personal computer (PC) 20 as an input / output device (input / output terminal).

  The central processing unit 12 of the server 10 is connected to the network 30 via the input / output interface 11, can receive data input information from each personal computer 20 via the network 30, and can send data output information to each personal computer 20. .

  The storage means 13 stores a care service / primary plan creation program 40, a care service / secondary plan creation program 50, and data 60 such as care facilities, care service providers / instruments / meals. It can be accessed by the arithmetic processing unit 12. Further, the central processing unit 12 can perform a predetermined processing according to each program.

  Next, the flow from the input of the person status confirmation sheet to the creation of the care service / primary plan will be described with reference to the care service / primary plan creation flowchart of FIGS. By executing the care service / primary plan creation program 40, the processes shown in the care service / primary plan creation flowchart are sequentially performed.

* Entering the person's condition confirmation sheet The person's condition confirmation sheet is a document for accurately obtaining state confirmation information on the physical and mental states of the care recipient (person). Based on the information that the care manager has obtained from the family in advance, meet with the user directly and confirm the mental status of the person through simple questions and communication. Check your physical condition by touching it directly. The information obtained there is organized and written on the person status confirmation sheet. For example, as shown in FIGS. 7A and 7B, the state confirmation information obtained from the person state confirmation sheet is composed of eight groups, that is, “physical condition”, “meal”, “excretion”, and “bath”. , “Condition”, “movement”, “sleep”, “mental situation”, and each group has data divided into a plurality of items. For example, the group “physical condition” includes seven items “sight”, “glasses”, “hearing”, “hearing aid”, “language”, “paralysis”, and “contracture”. Then, as shown in FIG. 7A, points are assigned that increase in value as the degree of need for care increases for each item, and from “physical situation” to “mental situation” as shown in FIG. 7B. By entering the score for each item of the seven groups, the contents of the personal status confirmation sheet are digitized. In the step of inputting the personal status confirmation sheet, the score for each item is input to the server 10 from the personal computer 20 as an input / output device. FIG. 7B shows an example of the score of each item when the state image guide value is 4.69.

* Calculate the state image standard value based on the information entered on the person's condition confirmation sheet. In this step, "physical condition" is calculated from the contents entered on the person's condition confirmation sheet (the number of points for each group according to the points in Fig. 7A). (Sum of points for each item (visual acuity to contracture)) is calculated. In the same manner, the score (sum of each item) of “meal”, “excretion”, “bathing”, “conditioning”, “movement”, “sleep”, and “mental condition” is calculated. Then, the score of the mental state is added to the sum of the scores from “physical situation” to “sleep” multiplied by a constant α, and the result obtained by dividing the addition result by the number of items becomes the state image standard value. The constant α is set so that the state image guide value corresponds to the degree of care required. For example, when the state image guideline value is 1 or more and less than 2, it corresponds to the level of care required 1, when the state image guideline value is 2 or more and less than 3, it corresponds to the level of care required 2 and so on. When the low price is 4 or more and less than 5, it is most desirable to correspond to the degree of care required 4, and the state image guide value is 5 or more to correspond to the degree of care required 5.

* Create a radar chart based on the standard values of the state image. In this step, according to the points in Fig. 7 (A), from the sum of the maximum points (MAX) of the points of each item (visual acuity-contracture) of the group "physical condition" The value obtained by subtracting the score of the “physical condition” of the cared person (the sum of the scores of each item) and dividing the result by the sum (MAX) is displayed in%. If there is no problem in the “physical condition” of the cared person and the score is zero, the radar chart state image in FIG. 8 has an independence degree of “physical condition” of 100%, and there is a problem in “physical condition”. As the need for nursing care increases, the percentage of independence indicated decreases.

  Similarly, for the “meal”, “excretion”, “bathing”, “conditioning”, “movement”, “sleep”, and “mental situation”, the% display value of independence is calculated, and the radar chart of FIG. create. The example of FIG. 8 shows a case of a state image 5 (the state image guideline value is 5 or more and corresponds to a degree of care 5).

* Select the contents of the care service, 24-hour care daily schedule, and care week schedule based on the state image guideline value. In this step, the cost prepared in advance for each state image corresponding to the calculated state image guide value is selected. The contents of the nursing care service to be included, the 24-hour nursing care daily schedule, and the nursing care service weekly schedule are presented (presented by screen display or printing of the personal computer 20).

  Specifically, as shown in FIG. 3, it is first determined whether or not the state image guideline value is 5 or more. If yes (YES), it is determined that the state image 5 (corresponding to the level of care required 5). The contents of the care facility for the state image 5 are selected, the 24-hour care daily schedule for the state image 5 (admission) is selected, and the care week schedule for the state image 5 (entrance) is selected.

  Next, it is determined whether or not the state image guideline value is 4 or more. If yes, it is determined that the state image 4 (corresponding to the level of care required 4) is selected, and the contents of the care facility for the state image 4 are selected. The 24-hour care daily schedule for image 4 (admission) is selected, and the care week schedule for status image 4 (admission) is selected.

  Next, it is determined whether or not the state image guideline value is 3 or more. If yes, it is determined that the state image is 3 (corresponding to the level of care required 3) and the service is required based on the content entered on the person status check sheet. -Select Unnecessary, select the contents of the care service for the state image 3, select the 24-hour care daily schedule for the state image 3 (at home), and select the care week schedule for the state image 3 (at home).

  Next, it is determined whether or not the state image guideline value is 2 or more. If yes, it is determined that the state image 2 (corresponds to the level of care required 2) and the service is required based on the content entered on the person status check sheet. -Select unnecessary, select the contents of the care service for the state image 2, select the 24-hour care daily schedule for the state image 2 (at home), and select the care week schedule for the state image 2 (at home).

  Next, it is determined whether or not the state image guideline value is 1 or more. If yes, it is determined that the state image is 1 (corresponding to the level of care required 1), and the service is required based on the content input on the person state confirmation sheet. -Select Unnecessary, select the contents of the care service for state image 1, select the 24-hour care daily schedule table (at home) for state image 1, and select the care week schedule table (at home) for state image 1.

  Next, it is determined whether or not the state image guideline value is 0.5 or more. If yes, it is determined as the state support image 2 (corresponding to support 2 required), and the service is performed based on the input contents of the person status check sheet. Select the necessary / unnecessary, select the contents of the care service for the state support image 2, select the 24-hour care schedule schedule (at home) for the state support image 2, and select the care week schedule (at home) for the state support image 2 select.

  Finally, it is determined whether or not the state image guideline value is greater than 0. If yes, it is determined that the state support image 1 (corresponding to support 1 required), and based on the input contents of the person's state confirmation sheet, Select Unnecessary, select the contents of the care service for the state support image 1, select the 24-hour care daily schedule for the state support image 1 (at home), and select the care week schedule for the state support image 1 (at home).

  It is determined whether or not the state image guide value is greater than 0. If no (NO), it is determined that no support is necessary, and the process ends.

  9, 10, and 11 are examples of presenting a care service / primary plan with a status image of 2 or 3, FIG. 9 is a case of home care, and details of care service including costs, FIG. Home Care Daily Schedule for Time, FIG. 11 shows a Home Care Service Week Schedule.

  Next, according to the care service / secondary plan creation flowchart of FIG. 4, the flow from the person status check sheet and the care service / primary plan input to the care service / secondary plan creation will be described. By executing the care service / secondary plan creation program 50, the processes shown in the care service / secondary plan creation flowchart are sequentially performed.

  In this secondary plan creation flowchart, the primary plan presented is corrected by paying attention to the state image obtained in FIG. 3, the degree of urgency interviewed by the person or family, and the amount that can be paid. First, determine whether the status image is greater than 3, and if yes, you can only choose facility care, so change the care facility based on the area and cost so that the cost is less than the possible amount, The contents of the care service including the cost, the 24-hour care daily schedule, the care service week schedule, and the comparison table are presented (presented by screen display or printing of the personal computer 20). The comparison table allows the primary plan and the revised secondary plan to be written together on one sheet (or one screen) for comparison. Regarding the change or the like of the care facility, the data 60 of the care facility / care service provider / appliance / meal stored in the storage means 13 is used.

  On the other hand, it is determined whether or not the state image is greater than 3, and if no, it is determined whether or not the urgency is greater than 1. Here, the urgency level is ranked according to the presence or absence of a caregiver and whether or not he / she is alone. If there is a caregiver, the urgency level is low, and the value is “0”. No), the urgency level is medium and the numerical value is “1”, and when living alone, the urgency level is high and the numerical value is “2”.

  When it is determined that the degree of urgency is greater than “1” (in the case of “Yes”), only care for a facility is selected regardless of the state image, a care facility is selected based on the region, and the cost is less than the amount that can be borne. Thus, the nursing care facility is changed based on the area and cost, and the contents of the nursing care service including the cost, the 24-hour nursing care daily schedule, the nursing care service weekly schedule, and the comparison table are presented.

  When it is determined that the degree of urgency is “1” or less (no), a part of the care service content is deleted so that the cost is less than or equal to the amount that can be paid.

  FIG. 5 is a flowchart for deleting a part of the content of the nursing care service. If there is a short stay, it is determined whether the short stay is deleted and the cost is less than the allowable amount. If present, the contents of the care service including the cost, the 24-hour care daily schedule, the care service week schedule, and the comparison table are presented.

  If the cost does not fall below the allowable amount after deleting the short stay, delete the service in the following order: Sunday service, Saturday service, Friday service, Thursday service, Wednesday service, Tuesday service, Monday service. The cost is set to be less than the possible amount. That is, deletion deletes Saturdays and Sundays preferentially over weekdays. When the service to be deleted is determined, the contents of the care service including the cost, the 24-hour care daily schedule, the care service weekly schedule, and the comparison table are presented.

  12 to 17 are presentation examples of the care service / secondary plan modified from the care service / primary plan (FIGS. 9 to 11), and FIG. 12 shows the contents of the care service including expenses (home care), 13 is a 24-hour home care daily schedule, FIG. 14 is a home care week schedule, FIG. 15 is a comparison table of care service contents including expenses, and FIG. 16 is a primary plan of a 24-hour daily care schedule. FIG. 17 is a comparison table of the primary plan and the secondary plan of the care service week schedule.

  In this way, it is possible to automatically calculate the state image guide value based on the state confirmation information on the person's state confirmation sheet, and automatically present the care service / primary plan based on the state image guide value. Furthermore, the care service / secondary plan can be created and presented by automatically correcting the care service / primary plan according to the cost and urgency spent on care. By using this system, the need for nursing care can be felt, and it can be introduced in a minimum of one week from consultation to the start of nursing care services. In addition, although formal recognition of the degree of care required is several weeks after the start of the service, care insurance is applied by raising it on the date of application for care certification.

  According to the present embodiment, the following effects can be achieved.

(1) Although the care manager creates the personal status check sheet, the care service / primary plan creation program 40, the care service / secondary plan creation program 50, the care facility, and the care stored in the storage means of the server 10 By using the data 60 of service providers, appliances, meals, etc., it is possible to provide appropriate and efficient care services based on the user's physical / mental situation, family life situation, and economic situation.

(2) Numeric care service / primary plan can be automatically created and presented after the contents of the person status confirmation sheet are digitized and entered. In addition, a radar chart showing the status image of the cared person can be created at the same time. Furthermore, the secondary plan can be automatically created and presented by correcting the primary plan according to the cost and urgency. In these cases, it is possible to make it easier for family members to understand the flow of care by looking at a chart. For example, the flow of care for 24 hours can be seen with a daily chart, and the flow of care for one week can be seen with a weekly schedule. It is also possible to clearly show the differences between the primary and secondary plans in the comparison table.

(3) The time from consultation to service use can be as short as one week. FIG. 18 shows a comparison between the current care service flow and the care service flow according to the present invention. The care service plan program design document in FIG. 18 includes the contents of the person status confirmation sheet.

(4) The care manager only needs to focus on the preparation of the person status confirmation sheet, and the burden of preparing the care plan can be reduced.

  The present invention has been described above by taking the embodiment as an example. However, it is understood by those skilled in the art that various modifications can be made to each component and each processing process of the embodiment within the scope of the claims. By the way. Hereinafter, modifications will be described.

  The network 30 in FIG. 6 is a LAN, the Internet, or the like. When using the Internet, the server 10 is a web server, a system that can use a mobile phone in addition to a personal computer, as an input / output terminal for various information. It is also possible.

It is embodiment of the care plan preparation system which concerns on this invention, Comprising: It is a care service and primary plan preparation flowchart. It is a flowchart which shows the step which produces a radar chart among nursing care service and primary plan creation flowcharts. It is a flowchart which shows a plan selection step among care service and primary plan creation flowcharts. It is a care service / secondary plan creation flowchart. It is a flowchart which shows the step which deletes a part of care service content in the care service / secondary plan creation flowchart. It is a block diagram which shows the computer system of embodiment of the care plan creation system which concerns on this invention. Each group of each person status check sheet and each item in each group are shown, (A) is a score chart for quantifying the status of each item in each group, (B) is a numerical value of the contents of the person status check sheet FIG. It is a radar chart created in the step of creating the radar chart. It is explanatory drawing of the nursing care service content including the expense created by the nursing care service and primary plan creation program. This is a 24-hour home care daily schedule created by the care service / primary plan creation program. It is a home care service week schedule created by the care service / primary plan creation program. It is explanatory drawing of the content of care service including the expense created by the care service and the secondary plan creation program. This is a 24-hour home care daily schedule created by the care service / secondary plan creation program. It is a home care service week schedule created by the care service / secondary plan creation program. It is a comparison table of nursing care service contents including costs. It is a comparison table | surface which compares and shows the primary plan and secondary plan of a 24-hour home care daily schedule schedule. It is a comparison table | surface which shows the primary plan and secondary plan of a home care service week schedule compared with each other. It is explanatory drawing which shows the flow from the present consultation to receiving care service, and the case by this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Server 11 Input / output interface 12 Central processing unit 13 Storage means 20 Personal computer 30 Network 40 Primary plan creation program 50 Secondary plan creation program 60 Data of nursing care service provider, appliance, meal, etc.

Claims (7)

Necessary for the storage unit storing the care service / primary plan creation program and the care service / secondary plan creation program, the central processing unit for performing predetermined arithmetic processing according to each program, and the processing of the central processing unit A nursing care plan creation system using an electronic computer having an input / output device capable of inputting data and outputting an operation processing result by the central processing unit,
The primary plan creation program includes a step of calculating a state image guide value based on state confirmation information of a cared person's body and mental state, and a care service prepared for each state image corresponding to the state image guide value Selecting the content, if the state image guide value is greater than or equal to a predetermined value, select facility care, if lower than the predetermined value, select home care
The secondary plan creation program includes a step of changing a care facility based on an area and cost so that the cost is less than or equal to the amount that can be paid in the case of the facility care; And a step of deleting a part of the content of the care service selected by the primary plan creation program.   2. The care plan creation system according to claim 1, wherein the primary plan creation program includes a step of creating a radar chart of a status image of a care receiver.   3. The care plan creation system according to claim 1 or 2, wherein the secondary plan creation program determines an urgent level and selects a facility care regardless of the state image when the urgency level is higher than a certain value. A care plan creation system having a step of performing   The care plan creation system according to any one of claims 1 to 3, wherein the status confirmation information of the cared person's body and mental status includes physical status, meal, excretion, bathing, conditioning, movement, sleep, mental status 8 groups of data are included, each group has multiple items of data, each data is digitized, and the score increases as the need for care increases. The care plan creation system which calculates the said state image standard value based on.   5. The care plan creation system according to claim 1, wherein the step of deleting a part of the care service content selected by the primary plan creation program is performed when the care service content includes a short stay. A care plan creation system that deletes short stays preferentially and deletes services on Saturdays or Sundays preferentially over weekday care services.   The care plan creation system according to any one of claims 1 to 5, wherein the care service / primary plan and the secondary plan include care service contents including expenses, a 24-hour care daily schedule, and care service week. A care plan creation system that presents a schedule.   7. The care plan creation system according to claim 1, wherein the electronic computer connects a server capable of accessing the storage means and a personal computer functioning as the input / output device via a network. A nursing care plan creation system, which is an electronic computer system.