JP2000259971A - Nursing monitoring system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To obtain a nursing mentoring system for reliably and easily confirming and monitoring the situation of the home nursing service execution of a plurality of persons to be nursed. SOLUTION: This nursing monitoring system is constituted of terminal devices A1, A2, A3,... connected as attachments to telephones P1, P2, P3,... of each person to be nursed and set so as to be fixed to the room of the person to be nursed and a computer H connected through communication lines L1, L2, L3, LL1, LL2, and LH with the terminal devices A1, A2, A3,... of all the persons to be nursed. The nursing schedules of all the persons to be nursed is maintained in the storage part of the computer H, and each terminal devices A1, A2, and A3 is provided with reading devices R1, R2, and R3 for reading the identification code of an identification card D specific to a nurse. When the nurse enters and leaves the room of the person to be nursed for nursing, the identification card D is inserted into the reading devices R1, R2, and R3 of the terminal devices A1, A2, A3,..., and the entering and leaving time is communicated through the communication lines to the computer H. Thus, the situation of the nursing schedule execution can be monitored.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a care monitoring system for visiting homes such as visiting nurses and home helpers to collectively monitor the status of care services of a large number of care receivers and collectively monitor them.

[0002]

2. Description of the Related Art With the aging of the population, the number of elderly people who enter facilities or receive home care services is increasing. The government and municipalities are working to enhance this care support. A long-term care insurance system is planned to be implemented.

In care management related to medical care and nursing care, a care support specialist (care manager) needs to adjust care services and manage the schedule. In home-based nursing care services, i.e., home help services, home-visit nursing services, and home-based rehabilitation, the status of nursing care can only be understood by both home-visit nurses or home helpers and other care service providers and the cared person themselves. It is difficult to accurately grasp the situation.

[0004] When the care recipient is in a dementia state, it is not possible to accurately confirm whether or not the visiting care service has been performed according to a schedule. Differences in perception can occur, and in the worst case, lead to conflict. In addition, a cared person with a high degree of need for nursing care, who has a severely reduced ability to perform daily life and needs full assistance throughout his or her life, needs to carry out the care schedule on time as accurately as possible.

[0005] In order for the care manager to grasp the implementation status of such a nursing care service, the care manager receives a spontaneous report from both the care receiver and the service provider, or the care manager checks the both, that is, the care receiver. It is necessary to confirm with the service provider by telephone. However, since the point at which the implementation status is confirmed is after the fact, there is a possibility that both or one of them may forget the date and time of the nursing care service or the nursing care service actually received. Further, as described above, when the care receiver is in a dementia state, it may be impossible to confirm the implementation status of the care service. Usually, since the number of cared persons is extremely large, such confirmation work involves a great deal of labor and time waste for the care manager or the care management facility.

[0006]

SUMMARY OF THE INVENTION In view of the above-mentioned various problems in the conventional method, an object of the present invention is to provide a method for reliably providing home care services to a large number of cared persons.
Another object of the present invention is to provide a care monitoring system that can easily check and monitor.

[0007]

SUMMARY OF THE INVENTION According to the present invention, the above-mentioned object is achieved by connecting to the telephones P ₁ , P ₂ , P ₃ ,... terminal a ₁ being, a _2, a _3, ... and the communication line _{L 1, L 2, L 3} , LL 1, LL
_2, L _H terminals of all the care via the _{A 1, A 2, A 3} ,
And a computer H connected to the nursing care monitoring system. The storage unit of the computer H stores the nursing care schedules of all the cared persons, and the terminal devices A ₁ , A ₂ , A ₃ ,... Read readers R ₁ , R ₂ , R ₃ ,.
When the caregiver enters and leaves the care-receiver's room for care, the identification card D is transferred to the terminal device A ₁ ,
A ₂ , A ₃ ,... Are inserted into the readers R ₁ , R ₂ , R ₃ ,..., And the times of entering and leaving the room are communicated to the computer H via the communication line, respectively. It has been solved by monitoring the execution status.

[0008] Further advantageous configurations according to the invention are set out in the dependent claims.

[0009]

DESCRIPTION OF THE PREFERRED EMBODIMENTS In the above-described configuration, a terminal device attached to each cared person's telephone is provided, and this terminal device is connected to a supervisory computer of a care manager, that is, a host computer via a communication line. are doing. Then, the time at which the caregiver entered the room of the care receiver and the time at which the caregiver exited can be transmitted to the host computer in real time on the spot, and can be recorded in the storage unit therein. In this way, it is possible to monitor the execution status of the care schedule of many care receivers. If necessary, the stored data can be printed by the attached printing device.

According to the present invention, a telephone line is used as a communication line, but a satellite line or a wireless line can be used in principle. However, at present, telephone lines are the cheapest and economical in terms of cost, maintenance cost, and the like.

According to the advantageous configuration of the present invention, when the caregiver's entry time is later than the time scheduled in the care schedule by a predetermined time interval or more, an alarm is displayed on the screen of the host computer by emitting light. be able to. In some cases, an electronic voice alarm signal can be issued.

According to another advantageous configuration of the present invention, if the length of stay in the caregiver's room is shorter than a predetermined minimum target period or longer than a predetermined maximum target period, the host computer is set forth above. By issuing such an alarm display or an alarm sound signal, the administrator is alerted.

Further, according to an advantageous configuration of the present invention, when the host computer issues the above-mentioned alarm, at the same time, the care service provider accompanying the caregiver is notified via the telephone line that the care is not scheduled. A message to be reported is prepared in the host computer, and a message is transmitted to the care service provider each time an alarm should be issued. Then, receiving a report of the situation from the nursing care service provider, depending on the case, unexpectedly incurred expenses, unnecessary expenses not performing nursing care work, additional equipment used or not used, etc. You can record a list of

Further, according to an advantageous configuration of the present invention, the identification card is a card on which a bar code corresponding to an identification code unique to a caregiver is printed, and the corresponding reading device is, for example, a light emitter (LED) and a reflector. This is a photoelectric reading device including a light receiving element (phototransistor) that receives light.

In another embodiment according to the present invention, the identification card is a card having a built-in magnetic stripe corresponding to an identification code, and the corresponding reader is a magnetic reader comprising a magnetic flux detecting coil.

According to another embodiment of the present invention, an identification card is a card having an IC containing an identification code built therein.
The corresponding reader is an electromagnetic reader including an electromagnetic induction coil for emitting and receiving electromagnetic waves.

[0017]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, the present invention will be described in more detail based on preferred embodiments shown in the drawings.

FIG. 1 is a general view 10 of a weekly care schedule and related items for one cared person displayed on a CRT of a host computer in a management facility. As is well known, each care recipient determines the necessity of nursing care based on a visit survey on prescribed abilities and a written opinion of his / her physician at the nursing care certification committee, and if it is determined that nursing care is required, A support specialist (care manager) consults with each cared person from the perspective of an expert and creates a care service plan by appropriately combining care services. Usually, there is a three month service period for each cared person.

FIG. 1 shows an overall service plan for one week of a cared person, which is shown in Table 12 on the left. Write down the menu (the 12 menus in Table 14 on the right) and their care hours on the CRT. In the actual operation, the start time and the end time of the care are designated by the mouse with the cursor, and the corresponding care menu in Table 14 is clicked and dragged in the left figure. In the host computer, the schedules of all the cared persons created in this manner for the entire period are stored in the attached storage unit, and the schedules are stored whenever necessary.
Display on RT. In addition, FIG. 1 shows Table 16 for service details and Table 18 for overall costs.
Can also be displayed. The detailed items are as if they had been entered, and a detailed description is omitted here. A detailed list of the care plan of each cared person is also stored in the storage unit of the host computer.

Although the chart of FIG. 1 also includes schedules for facility services and outpatient services that are not home services, the invention of this application focuses on home services, that is, monitoring of visiting services. It has been placed.
It is easy to determine that each display of the care menu is displayed with a different contrast or color as shown in FIG.

FIG. 2 shows a care monitoring system according to the present invention.
FIG. 1 is a schematic system diagram showing a basic principle of a system. Each cared person 1,
Telephone P at home in 2,3 ...₁, P_Two, P_Three, ....
Terminal device A attached to and fixedly attached to₁, A_Two, A_Three,
 .... is the corresponding subscriber line L of the telephone network, respectively.₁, L
_Two, L_Three, ...., relay station T₁, T_Two, Trunk line LL₁, LL_Two,During
Relay station T_Three And subscriber line L_HEstablished in a nursing care facility via
Telephone P corresponding to the host computer H installed
_HConnected to This arrangement is shown by way of example, and
If the area of the caregiver is small, there is only one relay station and the relay line LL
not exist. Visiting caregivers providing home care services (home
Luper, nurse, doctor, etc.) bring identification card D
When visiting the home of the cared person, enter the cared person's room
Then, the identification card D is transferred to the terminal device A.₁, A_Two, A_Three,
 .... corresponding photoelectric reader R₁, R_Two, R _Three, .... inserted at
I do. In this embodiment, the identification card D has a barcode.
Printed, this barcode is unique to the visiting caregiver.
This is a so-called “ID code”. The host computer H
It is a regular personal computer, and records and displays various monitoring results.
In order to show, a printing device (not shown)
) Is effective if included.

As shown in FIG. 2, the visiting caregiver enters, for example, the room of the care receiver _{1 and} the photoelectric reader R of the terminal device A _1.
When the identification card D is inserted into ₁ , the ID code of this card is read and access is permitted. Of course, if the barcode is an outsider, access is not possible. If the terminal device A ₁ can access, the terminal device A ₁ stores the telephone number of the partner, that is, the host computer H, in the corresponding DTMF (dual tone
multifrequency) signal to be sent to the host computer H (call of the host computer).

At the time of this call, the telephone number of the terminal device A ₁ or an appropriate code corresponding to the telephone number, and the service provider and / or visiting care to which the visiting caregiver included in the identification card D belongs. The code corresponding to the person's personal name is also transmitted as a DTMF signal to the host computer H (transmission of the care receiver and the type of care).

The host computer H receives the received DTM
The F signal is converted into a binary digital signal for decoding by a microprocessor in the host computer, the cared person 1 is identified from all stored cared person numbers, and at the same time, the transmitted signal is transmitted. Is determined from a built-in clock (determination of entry time).

Next, the host computer H receives the signal transmitted from the terminal device A ₁ of the care receiver 1 by the DTM.
Informing the terminal device A ₁ that has transmitted in the F signal. Terminal A ₁ that has received the signal of the reception completion it has finished the call hang up the telephone (this operation is referred to as hooks) inform the speech end signal corresponding to the telephone line (line break).

Next, visitors caregiver immediately prior to exiting the room the caregiver 1, inserted into the identification card D again photoelectric reader R ₁ of the terminal apparatus A _1. This operation, telephone number of the host computer H, its own terminal apparatus A ₁ phone number or a suitable code corresponding to a telephone number, and the visitors caregiver contained in the identification card D belongs to a service provider and A code corresponding to the personal name of the visiting caregiver is transmitted again to the host computer H by a DTMF signal. The host computer H receives the received DT again.
Among the numbers of all the cared persons stored from the MF signal, the cared person 1 is specified, and at the same time, the reception time of the transmitted signal is determined from the built-in clock (determination of the exit time).

Next, the host computer H receives the signal transmitted from the terminal device A ₁ of the care receiver 1 by the DTM.
Informing the terminal device A ₁ that has transmitted in the F signal. Terminal A ₁ that has received the signal of the reception completion notifying the call termination signal corresponding to the completion of the call hang up the telephone to a telephone line (line break).

During this monitoring process, the care schedule
Specified entry time T_ESignal is still sent
If not, a certain grace period T_PIs established,
Scheduled entry time T_EGrace time T_PTime (T_E
+ T_P), It can be determined that no entry has been made
If the current time is t, then t> T_E+ T _P
Then, a warning is displayed on the CRT of the host computer H.
U. When the list of cared persons is displayed, the corresponding
For example, give a flashing red light emitting area to the caregiver's name.
I can. If necessary, two types of grace time T_P1,T
_P2And the initial grace time T_P1Has passed, the above
And a longer grace time T_P2Also
If it has passed, make the flashing cycle of the flashing light faster
And emit an electronic warning sound from the attached speaker.
(Delay time detection).

In this case, the care support specialist takes measures such as inquiring the service provider of the situation via a telephone line, or inquires by telephone or facsimile according to a program stored in the host computer H. (This message is also stored in the program in advance) automatically to the service provider (corresponding action).

If the user is in the room, it is effective to set the time range on the table 12 of the schedule diagram of the cared person to, for example, a blue light emitting area in order to notify the user.

Further, a period Δ from the time of entering the room until the time of exiting from the room.
The longest T that T is planning₀₁If it is longer (ΔT≫T
₀₁) Or the shortest period T₀₂If it is significantly shorter (ΔT
≪T ₀₂), In any case, schedule at the cared person
Judge that work other than the work that was
The inquiries should be made to the service provider over the phone.
Or stored in the host computer H
Phone or facsimile according to the program
Automatically send a message to the service provider
Send to According to the report from the service provider,
Nursing care professionals will report any unplanned work costs and equipment
Replacement, damage, etc. are added to the relevant columns (Tables 16 and 18).
Add and record (corresponding action).

When a notification that the planned nursing care service is to be defaulted for some reason is received from the service provider in advance, a command to cancel the monitoring routine is input to the host computer.

All of the above-described processing operations, except for the actions actually performed by humans, are all stored in a storage medium built in or attached to the host computer, for example, a CDROM, or a rewritable recording medium, for example, a floppy disk. ing.

Although the above operation and processing have been described for only one cared person, this operation is performed for all cared persons. Usually, the total number of care recipients handled by one care service support company reaches up to 2000 or more,
The care support specialists are grouped into several care support professionals, and each care support professional monitors the care status of several to 50 care receivers.

[0035]

As described above, with the use of the care monitoring system according to the present invention, it is possible to reliably and easily confirm and monitor the state of implementation of the home care service of a large number of cared persons.

[Brief description of the drawings]

FIG. 1 is a chart on a CRT showing a weekly care schedule and accompanying care items of one care receiver;

FIG. 2 is a schematic diagram showing a configuration of a care monitoring system of the present invention.

[Explanation of symbols]

A _1, A _2, A ₃ terminal R ₁ of the caregiver, R _2, R ₃ photoelectric reader P _1, P _2, P ₃ telephone T ₁ of the cared's phone H host computer P _H host computer, T ₂ , T ₃ relay station L ₁ , L ₂ , L ₃ , L _H subscriber line

────────────────────────────────────────────────── ───

[Procedure amendment]

[Submission date] March 15, 1999 (1999.3.1.
5)

[Procedure amendment 1]

[Document name to be amended] Drawing

[Correction target item name] Fig. 1

[Correction method] Change

[Correction contents]

FIG.

Continued on the front page F-term (reference) 5B049 BB41 CC13 CC32 DD02 DD04 EE23 EE56 FF03 FF04 FF06 GG02 GG03 GG04 GG07 GG09 5C087 AA10 AA14 AA16 AA24 AA32 AA44 BB12 BB21 BB74 DD03 GG21 GG21 GG23 AA06 BA34 BA35 DA02 DC03 EB07 FB08 FB09 HA20 HA21 5K101 KK13 LL01 MM07 NN03 NN18 NN21 PP03

Claims (7)

[Claims] 1. The telephone of each cared person (P ₁ , P ₂ , P ₃ , ...)
And a terminal device (A ₁ , A ₂ , A ₃ ,...) Fixedly installed in the care receiver's room and a communication line (L ₁ , L 2).
Composed of a _{2, L 3, LL 1,} LL 2, L H) terminals of all the care via _{(A 1, A 2, A} 3, computerized machine that connects to ...) (H) In the care monitoring system, ・ The care schedule of all the care receivers is stored in the storage unit of the computer (H). ・ Each terminal device (A ₁ , A ₂ , A ₃ ,...) Readers (R ₁ , R ₁ ) for reading the identification code of the unique identification card (D)
₂ , R ₃ , ...), and when the caregiver enters and leaves the care receiver's room for nursing care, the identification card (D) is transferred to the terminal device (A ₁ , A ₂ ) each time. , A ₃ , ...) reader (R ₁ , R ₂ , R ₃ , ...)
, The time of entry and exit is transmitted to the computer (H) via the communication line, respectively, and the execution status of the care schedule is monitored. 2. The computer (H) according to claim 1, wherein the computer (H) issues an alarm when the caregiver's entry time is later than the time scheduled in the care schedule by a predetermined time interval or more. Care monitoring system. 3. The computer (H) issues an alarm if the period of staying in the caregiver's room is shorter than a predetermined minimum target period or longer than a predetermined maximum target period. 3. The care monitoring system according to 1 or 2. 4. When the computer (H) reports an alarm, the computer (H) simultaneously sends a message to the care service provider attached to the caregiver via the communication line to the effect that the care is unscheduled. The care monitoring system according to claim 2 or 3, wherein the care monitoring system is prepared in H), and a message is transmitted to the care service provider each time. 5. The identification card (D) is a card on which a bar code corresponding to an identification code is printed, and the corresponding reading device (R ₁ , R ₂ , R ₃ ,...) Is a photoelectric reading device. The care monitoring system according to any one of claims 1 to 4, wherein: 6. The identification card (D) is a card incorporating a magnetic stripe corresponding to an identification code, and the corresponding reader (R ₁ , R ₂ , R ₃ ,...) Is a magnetic reader. The care monitoring system according to any one of claims 1 to 4, wherein: 7. The identification card (D) is a card having a built-in IC including an identification code, and a corresponding reading device (R ₁ ,
R _2, R _3, ...) it is care monitoring system according to any one of claims 1 to 4, characterized in that an electromagnetic reader.