JP2001138668A - Voucher concerning welfare and care and its treating system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a voucher concerning welfare ad care and its treating system wherein it can easily deal with change of a service, and the voucher after recovery can be easily treated. SOLUTION: Nurse utilizing information such as the identification number of a insured person or the like printed on a voucher 20 by a character string 23 of an optical character reader font. An enter column 24 wherein entering by an OMR is executed when a change is generated in the nurse utilizing information is provided, and nurse utilizing information to be indicated by a code entered in the enter column 24 prior to the character string 23 after recovering the voucher, is used.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a voucher for welfare and nursing care and a processing system therefor, and more particularly to a voucher for welfare and nursing care that can easily manage a voucher to be used when a voucher-based service is implemented. It relates to a voucher and its processing system.

[0002]

2. Description of the Related Art With the arrival of an aging society, social needs for nursing care have increased and public or private nursing care insurance systems have been operated. Under this system, if an insured person who is likely to receive nursing care pays the premium and the insured person needs nursing care and satisfies the qualifications specified by the system, the cost of nursing care services recognized by the system will be reduced. All or part will be paid from the scheme. Nursing care services are specified for each insured person based on the degree of need for nursing care and the wishes of the qualified insured person receiving the care service.

[0003] For this reason, the payment of remuneration for the nursing care service becomes complicated, and the introduction of a voucher system is being studied as one of the means for smoothly performing these processes.
In the voucher method, the insured pays the service provider a voucher issued by a long-term care insurance entity, such as a local government, that represents the right of the insured to receive the nursing care service of a specific service provider. You can receive services by submitting instead of.

[0004] The voucher usually describes the insurance number and name of the insured person at the time of issuance, the company providing the service, the scheduled date and time of the service, and the like.

[0005]

Incidentally, the insured person does not always receive the service on the scheduled date and time of implementation. For example, if the physical condition is poor when receiving the bathing assistance service, it is desired to change the schedule and receive the service at another date and time. In such a situation, if the service execution date is described in the voucher, it is necessary to reissue the voucher on the changed service execution date, and the administrative processing burden on both the insured and the local government will be reduced. It will be big.

Further, in the voucher method, regardless of the items described in the voucher, the municipal government needs to sort out the service implementation status and the like based on the voucher collected from the service provider or the like. Are also huge.

Accordingly, the present invention provides a voucher for welfare and nursing care and a processing system therefor, which can easily cope with a change in the date and time of service and the like, and can easily process the voucher after collection. The purpose is to:

[0008]

In order to achieve the above object, a first aspect of the present invention is a voucher for welfare and nursing care in which nursing care use information including at least an insured person number is printed as one or more character strings. In the above, a print column in which at least a part of the nursing care use information is printed as first machine readable information, and an entry column in which information obtained by partially changing the nursing care use information is entered as second machine readable information It is characterized by having.

A second aspect of the present invention is characterized in that, in the first aspect of the invention, the first machine-readable information is a character or a code which is optically read.

According to a third aspect of the present invention, in the first aspect of the present invention, the first machine-readable information is a magnetically readable character or code, and is printed on the print column with magnetic ink. Features.

According to a fourth aspect of the present invention, in the first aspect of the present invention, the second machine-readable information is an optically readable character or code, and the entry field is for entering the character or code. It is characterized by having an entry guide at the time of completion.

[0012] The invention of claim 5 provides a welfare and nursing care voucher issued based on a nursing care service plan that indicates the type and frequency of a nursing care service to be certified as a person requiring long-term care by a long-term care insurance entity. In the care-related voucher processing system, at least a part of care use information related to the care service plan is printed as first machine-readable information based on the care service plan, and the user uses the print field to print the care use information. Means for issuing a welfare / care related voucher for issuing a welfare / care related voucher having an entry field to be filled in as second machine-readable information when a part thereof is changed, and the welfare / care related voucher collected from a user First information obtaining means for reading the first machine-readable information from the print box of A second information acquisition unit that reads the second machine readable information from the entry field of the care-related voucher; and the first machine readable information and the second information acquisition that are read by the first information acquisition unit. Means for checking the second machine-readable information read by the means with care use information relating to the care service plan, wherein the check means reads the second machine readable information by the second information acquisition means. The machine readable information is compared with the nursing care use information related to the nursing care service plan in preference to the first machine readable information read by the first information obtaining means.

According to a sixth aspect of the present invention, in the fifth aspect of the invention, the first machine-readable information is a character or a code to be optically read, and the first information acquiring means is an optical type. It is a character recognition means or an optical code recognition means.

According to a seventh aspect of the present invention, in the fifth aspect of the invention, the first machine-readable information is a magnetically readable character or code, and the first information obtaining means is a magnetic character readable code. It is a recognition means or a magnetic code recognition means.

According to an eighth aspect of the present invention, in the fifth aspect of the invention, the second machine-readable information is a character or a code which is optically read, and the second information obtaining means is an optical type. It is a character recognition means or an optical code recognition means.

[0016]

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, an embodiment of a voucher for welfare and nursing care and a processing system therefor according to the present invention will be described in detail with reference to the accompanying drawings. The term "welfare care" includes at least general elderly welfare care and disabled welfare care.

FIG. 1 is a diagram showing a relationship between individuals when the voucher for welfare and care related to the present invention and its processing system are applied. Here, as shown in the figure, the municipal government 1 and the insured person 2, the care manager (care support specialist) 3, the service provider 4, and the National Health Insurance Federation 5 It is assumed that each person is related to a nursing care service to which nursing care insurance is applied.

When using a care insurance voucher,
First, a care plan is created by the insured person 2 and the care manager 3 or by the insured person 2 (step 11). When the care plan is created, the care plan creator (insured person 2, care manager 3) registers (submits) the care plan to the local government 1 (step 12). Subsequently, the local government 1 issues a voucher according to the care plan and issues it to the insured person 2 (step 13). The vouchers are issued at predetermined intervals, for example, every month.

Thereafter, the service provider 4 provides the service to the insured person 2 at the scheduled date and time of the service (step 14). At this time, the insured person 2 issues a voucher to the service provider 4. Is passed (Step 1
5).

The service provider 4 collects vouchers at predetermined intervals, for example, every month, and submits them to the local government 1 (step 16). The vouchers submitted to the local government 1 are totalized through processing such as collation, and the remuneration examination data and the reward itself created based on the processing result are passed from the local government 1 to the National Health Insurance Association Federation 5 (step 17). ), A fee is paid to the service provider 4 from the National Health Insurance Federation 5 (step 18).

As described above, the insured person 2 can receive the service by using the voucher issued by the local government 1, and the service provider 4 gives a reward based on the voucher received from the insured person 2. Can be obtained.

Next, the voucher will be described. FIG.
FIG. 4 is a diagram showing an example of a voucher.

As shown in FIG. 2, the voucher 20 includes a name of the insured person, a number of the insured person, a name of a care provider, a scheduled service date, etc. in a stub to be used as a copy when the insured person 2 uses the voucher. The nursing care use information 21 is printed. In addition, a character string 23 for an OCR (optical character reader) is printed on the portion passed from the insured person 2 to the service provider 4 together with the nursing care use information 22, and the OMR (optical mark reade) is printed.
An entry column 24 for r) is printed.

The character string 23 for OCR is the care use information 2
2 (21).
For example, when the character strings 23 are all printed by numbers,
Other care use information coded with the insured person number is printed, or a number that can be compared with the care use information recorded on the local government 1 side is printed.

The OMR entry field 24 is a field used when a change is made to the service implementation schedule, in which the name of a care provider, the date of service implementation, and the like can be entered as codes. A usage example of the OMR entry field 24 will be described later.

The voucher 20 prints an optically readable code such as a bar code or OMR instead of the OCR character string 23, or prints an MICR (magnetic ink chord).
A character string for aracter recognition can be printed with magnetic ink to be a part or all of the nursing care use information 22 (21). Further, a character entry field for OCR may be provided in place of the entry field 24 for OMR.

Next, with reference to FIGS. 3 to 5, an embodiment of the processing flow from creation of a care plan to payment of a reward to the service provider 4 will be described. FIG. 3 is a flowchart showing the flow from the creation of the care plan to the issuance of the voucher 20, FIG. 4 is a flowchart showing the flow from the issuance of the voucher 20 to the provision of the service, and FIG. It is a flowchart which shows a flow until.

First, the insured person 2 and the care manager 3 conduct an interview to create a care plan, or the insured person 2 creates a care plan (steps 201 and 301). When the care plan is created, the care plan creator (Insured 2,
The care manager 3 etc.) registers (submits) the care plan to the local government 1 (steps 202, 302, 10).
1). When receiving the care plan, the local government 1 issues a voucher 20 corresponding to the care plan at a predetermined date and time (per period).
Is issued (step 102), and is issued to the insured person 2 (steps 103 and 203).

Also, the insured person 2 requests the care manager 3 to change the care plan when the service is to be provided after the voucher 20 is issued, that is, when the care plan needs to be changed ( Step 211). The care manager 3 receiving the request for changing the care plan (step 311) arranges for the service provider 4 to change the service execution schedule (steps 312 and 411).
The change of the care plan is notified to the local government 1 (step 313). Note that when the care plan is changed, the local government 1 accepts the change (step 11).
1) The voucher 20 is not re-issued following the change.

Subsequently, at the scheduled date and time of the service, the service provider 4 provides a care service to the insured 2 (steps 421 and 221). The voucher 20 is submitted to the person 4 (steps 222 and 422). If the service execution schedule is changed at the time of submission of the voucher 20, the insured person 2 or the service provider 4 writes the details of the change in the OMR entry field 24 of the voucher 20. . If necessary, the insured person 2 or the service provider 4 signs or seals at a predetermined position of the voucher 20 as a proof that the service has been received or that it has been entered in the entry field 24.

Thereafter, the service provider 4 sets the insured person 2
The vouchers 20 received from the company are collected at predetermined intervals, and a settlement application is made to the local government 1 (step 42).
3, 121). The municipal government 1 receiving the settlement application performs the settlement process (counting process of the voucher 20), and passes the resulting remuneration screening data and the reward itself to the Federation of National Health Insurance Organizations 5 (steps 122 and 521). The health insurance association federation 5 pays a reward to the service provider 4 (steps 522 and 424), and ends the processing.

Next, a processing system for issuing a voucher 20 and performing tallying after collection will be described. FIG. 6 is a block diagram showing a schematic configuration of a voucher processing system.

As shown in FIG. 3, the processing system 30
This is a system that is installed in the local government 1 and issues a voucher 20 and counts after collection. A data input device 31 for inputting a care plan, and ticketing data for the voucher 20 based on the care plan input from the data input device 31 A voucher printing device 33 that prints care information 21 and 22 and a character string 23 on a predetermined sheet and issues the voucher 20 as a voucher 20, OCR and OMR from the collected voucher 20 Voucher reader 34, voucher reader 3 that reads nursing care information, sorts vouchers, and outputs read information
4 is provided with a voucher totaling device 35 that performs a totalizing process based on the information read and creates reward examination data.

Note that the processing system 30 can be constituted by general OA equipment such as a personal computer, a workstation, a printer, etc., except for the voucher reader 34, and a detailed description of the structure is omitted.

Here, the voucher reader 34 will be described. FIG. 7 is a block diagram showing an example of the configuration of the voucher reader 34.

As shown in FIG.
4 is a hopper 41, an image reading unit 42 that scans the character string 23 and the entry field 24 on the voucher 20 in one stroke,
Control unit 43, distribution unit 44, stackers 45-1 to 45-
n, a data totaling unit 46, and a data output unit 47. The above-described image reading section 42 includes both OCR reading means and OMR reading means.

The hopper 41 has a configuration in which a plurality of collected vouchers 20 can be placed.
Are sequentially fed out. The OCR reading means of the image reading unit 42 reads the printed information from the character string 23 of the voucher 20 fed from the hopper 41,
The second OMR reading means reads the entry field 24 of the voucher 20. The control unit 43 controls the distribution unit 44 based on the information (care use information) read by the image reading unit 42,
The distribution unit 44 distributes the vouchers 20 to the stackers 45-1 to 45-n based on an instruction from the control unit 43. This distribution is performed for each service provider 4, for each service type, for each service execution date and time, and the distributed vouchers 20 are stacked on any of the stackers 45-1 to 45-n.

On the other hand, the data totaling section 46 includes the image reading section 4
2 compiles the read information (nursing care information), and the data output unit 47 outputs the total data to the voucher totaling device 3
5 is output.

The case where a character string for OCR is adopted as the voucher 20 has been described. However, the present invention is not limited to this, and a character string for bar code or MICR may be adopted. In this case, the image reading unit 42 of the voucher reader 34
OCR reading means is changed to bar code reading means or MICR reading means.

Next, an example of the flow of the collecting process of the collected vouchers 20 will be described. FIG. 8 is a flowchart showing the flow of the tallying process of the voucher 20.

The vouchers 20 placed on the hopper 41 of the voucher reader 34 are sequentially fed out, and first, the image reading unit 42 performs OCR / OMR parallel processing (step 601). If the information indicating that the service execution schedule has been changed has not been read out by the OMR reading means (YES in step 602), the result obtained by the OCR process is obtained as billing data of the voucher. (Step 603).

On the other hand, if the information indicating that the service execution schedule has been changed is read by the OMR reading means (NO in step 602), the voucher billing data is obtained by the OCR process and the OMR process. The obtained result is obtained (step 604).

These processes are repeated until the process is performed on all the vouchers 20 placed on the hopper (NO in step 605), and when the processes on all the vouchers 20 are completed (YES in step 605). ), The acquired billing data is totaled, and output from the data output unit 47 to the voucher totaling device 35 as totalized data (step 606).

Thereafter, the voucher totaling device 35 reads the ticketing data at the time of issuing the voucher 20 or the correction data after accepting the service change from the ticketing data management device 32 (step 607), and compares the read data with the totalized data. (Step 608), and based on the data in which the two match, compensation review data is created (step 60).
9), end the processing.

By the way, the voucher 20 may be a form in which pieces separated one by one are bundled, a form in which a plurality of sheets are continuous as shown in FIG. 9 (a), or a form as shown in FIG. 9 (b). Can be issued and issued from the local government 1 in various forms such as a form in which a plurality of sheets are spelled.

[0046]

As described above, according to the present invention, as shown in the embodiment, the care use information such as the insured person number is printed on the voucher in OCR characters, and the care use information is changed. An OMR field is provided to fill in when it occurs, and after the voucher is collected, the nursing care information indicated by the code written in the OMR field is used in preference to the OCR character. If this happens, without reissuing your voucher,
Care services can be flexibly implemented, and collected vouchers can be easily counted.

[Brief description of the drawings]

FIG. 1 is a diagram showing a relationship between individuals when a voucher for welfare and nursing care according to the present invention and its processing system are applied.

FIG. 2 is a diagram illustrating an example of a voucher.

FIG. 3 is a flowchart showing a flow from creation of a care plan to delivery of a voucher 20.

FIG. 4 is a flowchart showing a flow from issuance of a voucher 20 to provision of a service.

FIG. 5 is a flowchart showing a flow from provision of a service to payment of a reward.

FIG. 6 is a block diagram showing a schematic configuration of a voucher processing system.

FIG. 7 is a block diagram showing an example of a configuration of a voucher reader 34.

FIG. 8 is a flowchart showing a flow of a tallying process of the voucher 20.

FIG. 9 is a diagram showing an example of a form of issuing and issuing a voucher 20.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Local government 2 Insured person 3 Care manager 4 Service provider 5 Federation of National Health Insurance organizations 20 Vouchers 21 and 22 Care use information 23 Character strings 24 Entry fields 30 Processing system 31 Data input device 32 Ticketing data management device 33 Voucher printing device 34 Voucher reader 35 Voucher totaling device 41 Hopper 42 Image reading unit 43 Control unit 44 Distributing unit 45-1 to 45-n Stacker 46 Data totaling unit 47 Data output unit

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Naohiko Ito 1-5-1, Taito, Taito-ku, Tokyo Inside Toppan Printing Co., Ltd. (72) Inventor Iiichiro Sugimura 1-5-1, Taito 1-5-1, Taito-ku, Tokyo Inside Toppan Printing Co., Ltd. (72) Toshikatsu Fukuda, Inventor 1-5-1, Taito, Taito-ku, Tokyo Toppan Printing Co., Ltd. (72) Koji Higuchi 1-3-1, Shimoteno, Himeji-shi, Hyogo Glo Inside of Lee Industry Co., Ltd. (72) Inventor Koichi Nishida 1-3-1 Shimoteno, Himeji City, Hyogo Prefecture F-term inside Groley Industry Co., Ltd. 4C341 LL30 5B035 BB02 BB03 BB08 5B049 AA01 BB41 CC06 CC32 CC36 DD01 DD02 EE00 FF02

Claims (8)

[Claims] 1. A welfare / care-related voucher in which care use information including at least an insured person number is printed as one or a plurality of character strings, wherein at least a part of the care use information is printed as first machine-readable information. A welfare / care-related voucher, comprising: a printed field; and an entry field for entering information obtained by partially changing the care use information as second machine-readable information. 2. The welfare and care related voucher according to claim 1, wherein the first machine-readable information is a character or a code that is optically read. 3. The welfare and nursing care voucher according to claim 1, wherein the first machine-readable information is a character or code that is magnetically read, and is printed on the print column with magnetic ink. 4. The method according to claim 1, wherein the second machine-readable information is a character or a code that is optically read, and the entry field includes an entry guide for entering the character or the code. Item 4. The voucher for welfare and nursing care according to item 1. 5. A system for processing a voucher for welfare and nursing care using a voucher for welfare and nursing care issued based on a nursing care service plan that indicates the type and frequency of a nursing care service that the care insurance subject recognizes as a care insured person requiring care. In the case where at least a part of the nursing care information related to the nursing care service plan is changed based on the nursing care service plan and a part of the nursing care use information is changed by a print column and a user printed as first machine-readable information. Means for issuing a voucher for welfare and nursing care having a voucher for entry as a second machine-readable information; and a voucher issuing means for welfare and nursing care which is collected from a user. 1st machine-readable information reading 1st
Information acquisition means, second information acquisition means for reading the second machine-readable information from the entry field of the welfare / care-related voucher collected from the user, and information read by the first information acquisition means. Matching means for matching the first machine readable information and the second machine readable information read by the second information obtaining means with care use information relating to the care service plan. The second machine readable information read by the second information obtaining means, the nursing care use information related to the care service plan, in preference to the first machine readable information read by the first information obtaining means; A voucher processing system for welfare and nursing care, characterized by performing collation. 6. The first machine-readable information is an optically read character or code, and the first information acquisition means is an optical character recognition means or an optical code recognition means. The voucher processing system for welfare and nursing care according to claim 5. 7. The first machine readable information is a magnetically readable character or code, and the first information obtaining means is a magnetic character recognition means or a magnetic code recognition means. The processing system for a welfare and care related voucher according to claim 5. 8. The second machine readable information is an optically read character or code, and the second information obtaining means is an optical character recognition means or an optical code recognition means. The voucher processing system for welfare and nursing care according to claim 5.