JP2001250003A - System for operating at-home care service and evaluating quality of care service while using communication means such as internet - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system for quickly responding to a change in the condition or sudden request of a person to be cared and periodically executing the evaluation of the quality of care services as a means for providing the care services of stable and high quality regardless of whether the experience of the supervisor of care staff such as care support expert or responsible person of the office is much or little or the working style of the care staff in the case of providing at-home care services. SOLUTION: By exactly grasping the condition of a person to be cared and evaluating the quality of care services while using an information communication means, the care needs of the person to be cared and the quality of services to be provided by the care staff are exactly grasped and while using an information processing means, optimal matching of the person to be cared and the care staff is performed.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a business model related to the operation of home care, and more particularly to a model that enables efficient and high-quality staffing and operation using the Internet and mobile communication. In addition, this model enables periodic evaluation of the quality of home care services, which has been difficult to implement conventionally.

[0002]

2. Description of the Related Art Conventionally, when dispatching a home care worker to a care recipient, a supervisor arranges the care staff in consideration of the characteristics of the care recipient and the care staff and their own experience. Was.
For this reason, when the supervisor has little experience, there is a problem that not only it takes time to arrange the care staff, but also that the proper arrangement cannot be performed.

[0003] In addition, the characteristics of caregivers are grasped on a supervisory basis. When the number of caregivers is increased or the number of caregivers is increased, it is necessary to increase the number of supervisors, and a stable nursing care service is provided. It made it difficult to build a stable business base required for supply.

[0004] In addition, when a care-requirer requests a change in a care plan including a sudden staffing, or when a care worker suddenly becomes unable to perform his / her duties, when the supervisor is absent, There was a problem that it became difficult to respond.

[0005] Furthermore, due to the nature of the work, care workers often return directly to their homes, and means for confirming whether or not a care plan is being carried out reliably is based on a method such as telephone reporting. There were many problems that became uncertain.

In addition, since caregivers often go straight to their homes, it is necessary for the supervisor to change the nursing care plan while properly grasping the state of the care recipient and changes in care needs. Despite the work, it is difficult to grasp information such as a change in the state of the care recipient required by the care worker satisfactorily, and there is a problem that a care plan according to the change in care needs cannot be maintained.

[0007] Finally, the quality of care plans and the quality of care services provided by caregivers are often evaluated by supervisors interviewing caregivers, and the quality cannot be evaluated as appropriate. Was.

[0008]

Therefore, the problem to be solved by the present invention depends on the intuition and experience of the supervisor,
After making it possible to optimally allocate care staff for the execution of the care plan, to ensure that the care staff performs the care plan, and to enable the supervisor to change the care plan as needed To provide home care service operation and evaluation equipment that provides standardized high-quality care plans and care services backed by quality assessment by implementing the quality of care plans and care services. is there.

[0009]

The present invention has solved the above-mentioned problems by using a computer and a communication device.

The computer and the communication device are systems for arranging, operating, and evaluating care staff. The system includes a private business operator, an NPO, a local government, etc.
Name, age, address, nearest transportation, contact information (phone number, e-mail address, etc.), qualifications, nursing care and other practical experience and years of experience, and date and time when nursing care service can be provided (Operable date and time), desired operating year,
Means for computer-readable recording of the care worker's personality, work attitude, visit history, evaluation, etc.,

Means for inputting the data from a terminal such as a personal computer connected to the Internet or a mobile communication portable terminal to a server (hereinafter referred to as a server) such as a business operator;

[0012] The name, age, address, nearest transportation, contact information (telephone number,
E-mail address, etc.), means for computer-readable recording of data on basic attributes required by care staff to meet the care plan, caregiver status and care needs,

Means for inputting the data to a server from a personal computer or a mobile communication terminal connected to the Internet,

The recorded data of the caregiver and the data of the caregiver are used to determine the order of the basic attributes required by the caregiver in order to adapt to the form and care needs of the caregiver, and to be determined in the care plan. Screening based on factors related to nursing care, such as the hours of providing nursing care services, the operable date and time of nursing care staff, visit history of nursing care staff, evaluation of nursing care staff, required travel time to the home of the nursing care needed, etc. Means to create and output,

The prepared nursing care staff allocation plan and the information of the nursing care staff and nursing care staff can be transmitted to the supervisor of the nursing care staff, the nursing care staff, and the nursing care staff such as care support specialists and office managers (hereinafter referred to as supervisors) on the Internet. Means to send to

Means for transmitting work start data from a telephone, a mobile portable terminal or a personal computer connected to the Internet or the like to the server when the care worker starts the care service;

Means for receiving the data at the server and confirming that a care service for the care recipient has been started;

If the server does not receive the start data within a certain period of time from the scheduled start time of providing the nursing service,
Means for transmitting a warning signal to the supervisor that the care worker has not started providing the care service to the care recipient,

When it is determined that the care worker specified in the care staff assignment plan cannot visit the care recipient, the substitute staff is
Again, means to search and extract,

Means for transmitting the data of the care-requiring person to the substitute care worker and transmitting the information of the replacement care worker to the care recipient;

At the end of providing the nursing service, data such as the end time, the state of the care recipient and changes in nursing needs are transmitted.
Means for provisionally confirming that a nursing care service was provided according to the nursing care plan,

Means for transmitting data for confirming the contents of the nursing care service provided to the care-requiring person after the data recording of the provision of the nursing care service is completed;

Means for evaluating the quality of the nursing care service provided by the nursing care staff when requesting the care recipient to confirm the contents of the nursing care service provided;

Means for totalizing the visit hours of each care worker and creating billing and payment data.

[0025]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention comprises a server such as a business operator, a mobile terminal carried by a care recipient and a care worker, and a personal computer connected to the Internet.

The server comprises an input / output device, a transmission / reception device, a central processing unit, a file device, a control program, and other hardware.

The file device includes a care worker data file, a care recipient data file, and a correction condition file.

[0028] The care worker data file and the care recipient data file contain the names of care workers and care recipients in advance.
Age, address and contact information, qualification of care staff, care experience,
In addition, data such as a visit history and the like, a state of a person requiring care, a need for care, and the like are stored. The correction condition file records the order of basic attributes required by caregivers in order to meet the condition and care needs of the care recipient.

The server first reads from the correction condition file the order of the basic attributes required by the care worker to meet the condition and care needs of the care recipient. According to the read order, a care worker having an attribute suitable for the care of the care recipient is selected from the care staff data. This is set as the first candidate for the care staff.

Next, the server, from among the first nursing care staff candidates, provides the nursing care service provision time period, the nursing care staff visit history, the nursing care staff evaluation, and the required A care worker who can actually provide a care service to the care-requiring person, such as a travel time of the care-requiring person, is selected. This is set as the second candidate for the care staff.

Then, the server transmits the second care worker candidate to the supervisor, determines the care worker, receives the data of the determined care worker, and stores the care staff allocation table in the care worker, the care recipient, and the supervisor. Output to the person.

The nursing care staff provides the nursing care service in accordance with the output arrangement table, and transmits data on starting and ending the nursing care service and updated data on the state of the care recipient to the server.

When the server does not receive the care service start / end data from the care staff within the scheduled time, the server sends an abnormal signal to the supervisor and sends the substitute care staff in the same manner as described above. And extract it and send it to the supervisor.

[0034] When the server receives the confirmed data of the alternative care worker from the supervisor, the server transmits the data of the alternative care worker to the care recipient.

When the server receives the nursing care service start and end data within the scheduled time, the server temporarily updates the data of the visit history of the nursing care staff and the data of the state of the care recipient,
The temporary transmission data of the visit history and the evaluation table of the provided nursing care service are transmitted to the care recipient, and the visit history and the temporary update data of the state of the care recipient are transmitted to the supervisor.

The care recipient who has received the temporary update data of the visit history and the evaluation table of the provided nursing care service confirms the updated visit history and performs the evaluation of the provided nursing care service, and sends it to the server. Send.

The server receiving the data confirms the update of the visit history data, updates the evaluation data of the care staff, and transmits it to the supervisor.

The server, based on the determined visit history,
Create payment data to caregivers and billing data to care recipients.

[0039]

[Examples] (1) Home care workers ((assisted) nurses (caregivers), care workers, social workers, home helpers, etc.) belonging to private businesses, NPOs, etc. ) Name, age, address, nearest transportation, contact information (telephone number, e-mail address, etc.), qualification, nursing care and other practical experience and their years of experience, date and time when nursing service can be provided (operable Data such as date and time and desired operating time of the year are input and stored in the server (hereinafter referred to as “server”) of the company or the like from a terminal such as a personal computer or mobile communication terminal possessed by the company or nursing staff who is connected to the Internet. I do. Visit history does not depend on manual input,
Automatically updated as caregivers visit more. Whenever a new caregiver is registered, the data is added in a similar manner each time. Supervisors of caregivers, such as caregiver specialists and office managers (hereinafter referred to as supervisors), add data such as the characteristics of caregivers, work attitudes, and recruitment evaluations.

(2) Needs nursing care, supporters (needs nursing care)
The name, age, address, nearest transportation, contact information (telephone number, e-mail address, etc.), status, care needs, care plans, etc., were connected to the Internet owned by the business operator or supervisor. Input to a server from a personal computer or mobile communication terminal and save it. The supervisor inputs correction condition data such as the order of the basic attributes required for the care staff in order to meet the condition and care needs of the care recipient.

(3) According to (1) and (2), the stored data of the care worker is matched with the data of the care recipient,
Optimize the staffing for the care plan implementation of each care recipient. The matching method is based on the order of basic attributes required by caregivers in order to meet the needs of caregivers and the needs of caregivers. It is extracted as a candidate for a staff member, and then, from among the candidates for the first care staff member, the visit time period specified in the care plan of the care recipient, the availability date and time of the care staff member, the visit history, the evaluation of the care staff member, the evaluation of the care staff member, Appropriate nursing care personnel are extracted as candidates for the second nursing care staff in the order of the nearest transportation means and the time required to move to the nursing home. It should be noted that the number of candidates to be extracted as the second nursing care staff has a certain range, and a mechanism to finally select from among several second candidates at the discretion of the supervisor is empirically effective. .

(4) The staffing arrangement plan created in (3) is transmitted to the care-requiring person, the care worker, and the supervisor, and the information of the care-requiring person is transmitted to the care worker and the supervisor via the Internet or the like.

(5) When the nursing care staff starts the nursing care service in accordance with the staffing arrangement plan of (3), the personal computer connected to the telephone or the Internet or the like corresponding to the number display of the nursing care home, or The data is sent from the mobile terminal owned by the care worker to the server.

(6) If the transmission of (5) is not performed within a certain time from the scheduled time of starting the provision of the nursing care service, the server side warns the supervisor that the provision of the nursing care service has not been started. Send out signals and encourage supervisors to respond.

(7) As a result of the measures in (6), the caregiver starts providing the nursing service at the scheduled time for providing the nursing service, but if the transmission of the start information is delayed, the supervisor starts the operation. If the data is confirmed and the care staff is found to be delayed in providing the care service, the care plan for the day (start time and end time if necessary) should be checked after confirming the care recipient. Fix it.

(8) As a result of the action (6), when it is determined that the scheduled care worker cannot be visited, the alternative care staff who can respond immediately can be determined from the data of the care staff stored in the server by the method 3 In the same day, search and extract again and send the data of the nursing care recipient to the alternative nursing staff, and transmit the information of the extracted alternative nursing staff to the nursing care required, including the change of the nursing care service providing time. Ask for the change in the nursing care plan and confirm the change in the nursing care plan.

(9) When the provision of the nursing care service is completed, data such as the end time and the change in the state of the care recipient are transmitted to the server in the same manner as in 5 and it is assumed that the nursing care service according to the nursing care plan is provided. Determine. The transmitted information on the change of the care recipient's condition is added to the database of the care recipient, and the supervisor improves the care plan according to the change of the care needs accompanying the change of the condition.

(10) After receiving the data from the nursing care worker side in (9), the server transmits data for confirming that the nursing care service is provided to the nursing care recipient side as appropriate, and the nursing care service is actually implemented. Confirming and replying that the care has been taken is performed by the care recipient.

(11) In (10), when asking the care-requiring person for confirmation of the execution data, a format prepared in advance is transmitted to the care-requiring person, and the quality of the provided care service of the care worker is evaluated. Do. The evaluation returned from the care-requiring person to the server is added to the database of (1) as an evaluation of the nursing care service provided by the care worker, and becomes an element in the matching described in (3). In addition, if the evaluation of the quality of the service provided by each care worker is used as an index, the quality of the service is also evaluated. The evaluation of the quality of a company or the like can be used as an index when a care-requiring person or a care support professional selects the company. The evaluation may be performed at an appropriate time separately from the transmission of the data for confirming the provision of the care service of the care recipient.

(12) The evaluation in (11) may be transmitted to a server of a third-party evaluation organization. In addition, the data of (1) to (4) was shared with the third-party evaluation organization, and the third-party evaluation organization that received the finalized data of providing the nursing care service from the business etc. was provided directly to the care recipient. The form which requires evaluation of a nursing care service may be sufficient.

(13) Based on the visit history, payment data to each care worker and billing data to each care recipient are created.

[0052]

By using the present invention, it is possible not only to rely on the experience of the supervisor but also to dispatch the caregivers who meet the needs of the caregiver, and to properly grasp the state of the caregiver. By doing so, it is possible to maintain a high-quality nursing care plan that matches the changing needs of nursing care,
Further, it is possible to constantly maintain and improve the quality of the care services provided.

Claims (6)

[Claims] Claims: 1. A system for managing home care services and evaluating the quality of care services provided by care workers suitable for various home care needs, comprising: a private business operator, an NPO, a local government, etc. Means for recording the information on the attributes and abilities of registered home care personnel belonging to a person, etc. in a computer-readable manner, and transferring the data from a terminal such as a personal computer connected to the Internet or a mobile communication Means for inputting to a server (hereinafter referred to as a server), means for recording the attributes of needs for nursing care, persons requiring care (hereinafter referred to as nursing care needs) and needs in a computer-readable manner, and data from a computer or mobile communication terminal connected to the Internet Means to input to. 2. A management system for screening the data of the nursing care personnel and the data of the nursing care recipient recorded in claim 1 in accordance with the attributes and abilities of the nursing care staff and the nursing care needs of the nursing care staff, and appropriately allocating the nursing care staff. Means and management means to create and output a care staffing plan after the appropriate assignment of care staff. 3. The care staff allocation plan created in claim 2 and the information on the care recipients and care staff recorded in claim 1 can be provided on the Internet and the like by the care recipients, care staff and care support specialists and establishments. Means to send to the supervisor of the care staff such as the supervisor (hereinafter referred to as the supervisor). When the care staff starts the nursing service, the data of the work start can be transmitted from the telephone, mobile portable terminal or personal computer connected to the Internet etc. Means for transmitting to the server, means for receiving the data by the server, and means for confirming that the nursing care service for the care-requiring person has been started; Means for transmitting a warning signal to the supervisor that the care worker has not started providing the care service to the care recipient if the reception is not received; If it is determined that the nursing care staff cannot visit the nursing care recipient specified in, the replacement staff will be searched again.
Means for extracting, means for transmitting data of the care-requiring person to the replacement care worker, and means for transmitting the information on the replacement care worker to the care-requiring person; A means for transmitting data on changes in conditions and care needs, and provisionally confirming that care services were provided in accordance with the care plan. Details of care services provided to care recipients after recording data on the end of care service provision Means to send data to confirm. 4. A means for evaluating the quality of a nursing care service provided by a nursing care staff when requesting confirmation of the contents of a nursing care service provided to a care recipient in claim 3. 5. A means for totalizing visit times of each care worker and creating billing and payment data. A home care service management system and a quality evaluation system for care services using communication means such as the Internet as described above. 6. A system for evaluating the quality of worker dispatch management and worker dispatch using the method according to claim 1.