JP2001282928A - Visiting service operation system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system that accurately grasps the contents of home nursing care work, needed time, etc., and performs costs charging processing. SOLUTION: When a nurse and a helper visit the house of a person to be cared and performs nursing care, time needed for the nursing caring is recorded in such a manner that a handy terminal reads the non-contact type IC tag of the house of the person to be cared, and nursing care contents are simultaneously inputted and recorded in the handy terminal. The person information of the person to be cared and nursing care information are transmitted together with the personal information of the nurse or the helper being in charge of the nursing care to a visiting service management center, and the visiting service management center edits, processes, records and stores the nursing care information on the basis of the transmitted information, also conducts charging calculation for performing costs settlement and charges the costs to the account of the person to be cared.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a visiting service operation system for efficiently performing a visiting service.

[0002]

2. Description of the Related Art In Japan, where the population is aging in recent years, the problem of nursing care for the elderly has been highlighted. Along with this, a nursing care system centered on nursing care for the elderly has been promoted by the national administration, and various approaches to nursing care for the elderly have been made in local communities that actually take care of nursing care.

[0003] In the long-term care insurance system implemented from 2000, 12 types of home care services are available when a home care is desired. In-home care services include a visit system in which a caregiver visits a care-receiver's home, a day-care system that goes to a facility on a day trip, and a short-term entrance that enters a facility for a short period of time. The visiting services include visiting care by a caregiver, visiting nursing by a nurse, visiting rehabilitation by a rehabilitation specialist, visiting bathing care by a bathing team, and home care management guidance for consultation by doctors, dentists, dietitians and the like.

[0004] Above all, visiting services provided by nurses and caregivers with specialized knowledge and skills are expected to play a central role in the care of the cared person in the local community. Such a visiting service is characterized in that a detailed service is provided by a nurse or a caregiver from the viewpoint of a cared person being cared for.

[0005] When introducing the nursing care system, nurses and caregivers are provided with efficient visit services, and the contents of nursing and nursing work at the time of visit and the time required for nursing and nursing care are accurately grasped.
There is a demand for efficient operation of the nursing care system, including billing for the costs required for nursing and nursing care.

[0006]

In order to efficiently operate a care service, a computer-based system has been proposed. However, in general, the information is managed solely by the central management center of the system,
In fact, sufficient consideration has not been given to the activities of nurses and caregivers who play a central role in home care. The present invention provides efficient visit services for nurses and caregivers, accurately grasps the contents of nursing and care work at the time of visits, the time required for nursing and care, etc., and reduces the cost of nursing and care. The present invention provides a system for efficiently operating a visit service, including a billing process.

[0007]

Means for Solving the Problems The invention of claim 1 comprises at least a care receiver, a nurse, a caregiver, a care provider and a visiting service management center, and a recording medium on which personal information of the care receiver is recorded. Means for reading recorded personal information of a cared person, means for inputting and recording nursing / care information, means for inputting personal information of a nurse or caregiver, personal information of a cared person, nursing / care information and Means for transmitting the personal information of the nurse or caregiver in charge of the nursing / care to the visit service management center, personal information of the cared person,
Means for recording and accumulating nursing information and personal information of the nurse or caregiver in charge of the nursing / care in a database, personal information of the cared person, nursing / care information, and the nurse or nursing in charge of the nursing / care Means for editing and processing the personal information of the caregiver, means for editing and processing the personal information of the cared person, nursing and care information, and means for posting the personal information of the nurse or caregiver in charge of the nursing and care on the homepage; A visit service operation system comprising means for calculating charges for nursing and nursing care and debiting the expenses.

[0008] The invention of claim 2 is a visiting service operation system, wherein the recording medium on which the personal information of the cared person is recorded is a non-contact IC tag.

The invention according to claim 3 is characterized in that the means for reading recorded personal information of the cared person and inputting and recording nursing / care information is a handy terminal (portable reader / writer). Management system.

According to a fourth aspect of the present invention, a caregiver, a visiting care station stores personal information of a cared person and nursing / care information recorded in a handy terminal and personal information of a nurse or caregiver in charge of the nursing / care. , A visit service management system transmitted from at least one of nurses.

[0011] The invention of claim 5 is that the nurse or caregiver
This is a visiting service operation system characterized by reading recorded personal information of a care receiver and inputting nursing / care information and personal information of a nurse or a caregiver.

According to a sixth aspect of the present invention, the visiting service management center records and accumulates, in a database, personal information of a cared person, nursing / care information, and personal information of a nurse or caregiver in charge of the nursing / care. , Cared person's personal information, nursing
Edit care information and personal information of the nurse or caregiver in charge
This is a visiting service operation system characterized by processing, posting on a homepage, calculating the cost of nursing and nursing care, and debiting the required cost.

[0013] The invention of claim 7 is a visit service management system, characterized in that the care service provider has means for receiving nursing / care information and billing information transmitted from the visit service management center.

The present invention relates to a visiting service provided by a caregiver or a nurse at a care-receiver's house. The cared person has a recording medium that records personal information of the cared person. This recording medium is preferably a non-contact type IC tag. 2. Description of the Related Art Nurses and caregivers have devices for reading personal information of a cared person and for inputting and recording details of nursing and care.
The device is a handy terminal (portable reader / writer)
It is preferred that When a nurse or caregiver visits a care-receiver's home to perform nursing or care, the time required for the nursing or care can be measured using a non-contact IC tag at the care-receiver's home with a handy terminal (portable reader / writer). Record by reading,
At the same time, the nursing and care content is input and recorded in the handy terminal. The care recipient's personal information and nursing / care information are transmitted to the visit service management center together with the personal information of the nurse or caregiver in charge of nursing / care, and the transmitted care recipient's personal information, nursing / care information In addition, based on the personal information of the nurse or caregiver in charge of nursing and care, the visiting service management center edits and records the nursing and care information and saves it. This is a system for direct debit.
This system aims to be a system that is particularly useful for efficient management of visiting services in the long-term care insurance system.

When a nurse or caregiver performing a visiting service arrives at the care-receiver's home, a non-contact type IC tag (hereinafter referred to as a non-contact IC tag) which is a recording medium recording personal information of the care-receiver at the care-receiver's home. A contact type IC tag will be mainly described, but the present invention is not limited to this, and a handy terminal (hereinafter, mainly a handy terminal will be described, but the present invention is not limited to this). The personal information of the cared person, that is, the personal information of the cared person such as the code number, address, name, date of birth, etc., is read into a memory in the handy terminal which is a recording device. At this time, a clock in the handy terminal records the time and sets it as the start time of the nursing / care work. When the nursing / care work is completed, the non-contact type IC tag is read, and the work end time is recorded.
At this time, the contents of the nursing and care work performed are input to the handy terminal and recorded. In this manner, the nursing / care information such as the personal information of the cared person, the contents of the nursing / care and the time at which the nursing / care was performed are recorded in the handy terminal.

The nurse / caregiver returns to himself / herself or the visiting care station, connects the handy terminal to the personal computer, uploads the contents recorded in the handy terminal to the personal computer, and receives the contents via the communication line to the visiting service management center. Send the caregiver's personal information, nursing / care information and your own personal information. The visiting service management center receives the cared person's personal information, nursing
The personal information of the nurse or caregiver in charge of nursing is recorded in a database (abbreviated as DB), the nursing and nursing work status is edited and posted on a homepage. Then, billing of expenses required for nursing and nursing care is performed and account debiting is performed. In addition, regulatory agencies, cared persons or their families, care providers, etc. use ID numbers and passwords,
The status of the visiting service can be checked by opening the homepage.

[0017]

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, the present invention will be described based on an embodiment,
A description will be given based on FIG. At the care receiver's house, a recording medium recording personal information of the care receiver is placed. The recording medium is preferably a non-contact type IC tag. The place where the non-contact type IC tag is installed may be at the entrance of the care receiver's house, at the entrance of the room to receive care, or may be worn by the care receiver.

An IC chip and an antenna are embedded in the non-contact type IC tag. When the reader / writer approaches, the antenna receives radio waves transmitted from the reader / writer, and operates the IC using the radio waves as energy to read information. A non-contact type IC tag can take an optimal form according to a use situation. It may be rectangular, such as a so-called telephone card, or square.

The non-contact type IC tag is capable of exchanging information simply by approaching the reading / writing device without making contact with the reading / writing device. Since the non-contact type IC tag is not brought into direct contact with the device, it has few features such as failures and accidents, is excellent in maintenance, and has features such as difficulty in falsifying recorded contents.

The nurse / caregiver has a device for receiving personal information from a recording medium on which the personal information of the cared person is recorded, and a nursing / caregiver for inputting and recording the contents of the processed nursing / care.
You have a device for entering care details. The device is preferably a handy terminal (portable reader / writer). The handy terminal receives a personal information recording medium in which personal information of a cared person is recorded, and inputs and records the contents of nursing and care work.

The handy terminal is a portable reader / writer. Reading and writing of IC tags, input of necessary information, and the like are possible. It has a memory inside and records read and written information.

A nurse / caregiver visits a care-receiver's home with a handy terminal. When arriving at the care recipient, the handy terminal is brought close to the non-contact type IC tag owned by the care recipient to read the personal information of the care recipient. At the same time, the date and time of arrival at the care recipient's home, that is, the start time of nursing / care work, is recorded in the handy terminal. The date and time of the visit are automatically recorded when the non-contact IC tag of the care receiver is read by the clock held in the handy terminal. Handy terminals are rechargeable, small, lightweight, single-function and inexpensive. Further, it is preferable to use a frequency of 125 KHZ which is safe for the human body.

After the nurse / caregiver has performed the prescribed nursing / care work, the nurse / caregiver reads the non-contact type IC tag of the care receiver at the handy terminal. When the non-contact type IC tag is read, the date and time of the end of the care work is automatically recorded in the handy terminal. At this time, nursing and
Enter and record the details of care work.

The nurse / caregiver returns to his / her home or visiting care station, and records the personal information of the cared person recorded in the handy terminal, the contents of nursing / care and the start of work.
Upload nursing / care information such as the end date and time to the computer. At the same time, the personal information of the nurse or caregiver is uploaded to the computer. The information uploaded to the computer is transmitted to the visiting service management center via a communication line. The communication line preferably uses the Internet. The information recorded by the nurse or caregiver at the handy terminal may be transmitted to the visit service management center by the nurse or caregiver from the home of the nurse or caregiver, or at the visit care station by himself or herself. The person in charge of these centers can also transmit. In addition, the personal information of the nurse or caregiver, that is, code number, name, address, telephone number, fax number, e-mail address, affiliation and station code number input,
It is not limited to the time when various information is transmitted to the visiting service center, and may be performed before the nurse or caregiver goes to the care recipient's home, may be at the time when visiting the care recipient's home,・ It may be at the end of nursing care. In any case, it is possible to specify a nurse or a caregiver who has performed nursing / care.

A visiting care station is a visiting dispatch base for nurses or caregivers. The Visiting Service Management Center collects, edits, processes and classifies information on visiting services, edits and provides necessary materials to caregivers, calculates the costs of visiting services, and debits expenses. An organization that performs

The visiting service management center receives the personal information of the cared person, the nursing / care information, and the personal information of the nurse / carer transmitted by the nurse / caregiver, and records and accumulates the information in a database. Edit and process the status of nursing and nursing care and post it on our website. Based on this information, various expenses required for nursing and nursing care are calculated, and the bank account is debited. Also, the information required by the care provider is edited and provided to the care provider. This information includes data such as how much care and nursing care each nurse and caregiver gave to each cared person and how much time was required.

The information transmitted by the nurse and caregiver to the visit service management center includes the care receiver's personal information such as the code number, address, name, and date of birth, the contents of nursing care and nursing care. Nursing / care start time, nursing / care end time, nursing / care information such as work category and addition category, and personal information such as code numbers, names, and affiliations of nurses / caregivers. This information is stored in the database of the visiting service management center.

FIG. 2 shows the system configuration of the visiting service management center. In addition to the processing control unit, a communication control device for connection to a communication line, the Internet, etc., various files in an information database unit, an information editing unit, a billing processing unit,
In addition, a display device, an input device, and an output unit are provided. The data required for the management of the visiting service is recorded and stored as a database. As shown in FIG. 2, the database is composed of files such as a guardian master, a station master, a helper master, a care receiver master, and a nursing / care worker master.

The caregiver master has the code number, name or name, address, telephone number, FAX number and e of the caregiver.
-The mail address is recorded. The station master records the code number, name or name, address, telephone number, fax number and e-mail address of the station. The helper master records the code numbers, names, addresses, telephone numbers, fax numbers, e-mail addresses, affiliations, and station code numbers of each nurse and caregiver. The care receiver master has the code number, name or name, address, telephone number, fax number, e-
The mail address and the code number of the personal information nursing / caregiver helper are recorded. The nursing / care master includes the code number of the cared person, the work start time, the work end time, the work content, the work unit price or amount, the added category, the added unit price, the addition coefficient, the total amount, and the individual Information is recorded.

The nursing / care status is edited based on the information of the care receiver's personal information, the nursing / care information, and the personal information of the nurse / caregiver and posted on a homepage. FIG. 3 shows an example of the search screen. When the name of the care provider is input and the GO button is pressed, the name of the corresponding care provider is displayed. Double-click the name of the care provider to display a list of station names. You can scroll up and down the caregiver name with the vertical bar. When the name of the visiting care station is input and the GO button is pressed, the matching station name is displayed. Double-click the name of the visiting care station to display a list of the names of the helpers. You can scroll up and down the names of visiting care stations using the vertical bar. Enter the name of the nurse / caregiver and enter G
When the O button is pressed, the matching nurse / caregiver name is displayed. Double-click the name of the nurse / caregiver to display a list of the cared person. Nurse / caregiver names can be scrolled up and down using the vertical bar. When the name of the cared person is input and the GO button is pressed, the matching cared person name is displayed. Double-clicking on the cared person's name displays the corresponding nursing / care work content screen. You can scroll up and down the care recipient name with the vertical bar. When the button is pressed, the names can be sorted in ascending / descending order by flip-flops.

FIG. 4 shows an example of a nursing / care work screen. First, the name of a care provider, the name of a visiting care station, the name of a nurse / caregiver, the name of a cared person, and a regional coefficient selected in FIG. 3 are displayed. Next, a detailed list of nursing / care work start date and time, end date and time, work time, work content, and usage fee is displayed in order of start date and time. When the start date / time button is pressed, the display can be changed by a flip-flop in ascending / descending order. In addition, the display contents can be scrolled up and down with the vertical bar.

The information edited on the homepage can be viewed by caretakers, government agencies in charge of care insurance, cared persons and their family members by entering an ID number and password (see FIG. 5). ). Since the homepage on the Internet uses a browser that supports multimedia, information can be viewed effectively at low cost. Regulatory authorities can open a homepage on the Internet to check the status of nursing and nursing care.
This is expected to contribute to the smooth operation of the long-term care insurance system.

The care provider receives necessary information on nursing and care transmitted from the visiting service management center.

In the calculation of the charge, the contents correspond to the contents of nursing / care, the time required for nursing / care, the contents of nursing / care, and the level of nursing care of the care-receiver when the nurse / caregiver visits the care-receiver home. The cost required for nursing and nursing care is calculated from the unit price. This cost is conveniently displayed for each care provider and for each cared person. Further, the costs are divided into those that request payment for long-term care insurance and those that are paid by the cared person themselves. The cared person's contribution is obtained by multiplying the cost required for nursing and care of the cared person by the burden ratio. The insurance cost can be calculated by subtracting the cared person's share from the total cost. Alternatively, it is also possible to obtain the insurance burden first and subtract this from the entire cost to obtain the care receiver's contribution.

The costs required for nursing and nursing care are
For each cared person, the total cost, insurance share, details of the cared person's share and the total thereof can be regularly tabulated, and necessary data can be provided to care providers and related parties.

In FIG. 1, an output section is provided at each of the nurse, caregiver, care provider, and visiting service management center. The output section outputs necessary data when necessary, for example, prints. It is for out.

[0037]

The present invention relates to a visiting service provided by a caregiver or a nurse at a care-receiver's home. The non-contact type IC tag at the care-receiver's home is read from a handy terminal based on the time required for nursing / care. At the same time, input the contents of nursing and care into the handy terminal, transmit this information to the visit service management center, and send the
Based on the nursing care information, the visiting service management center edits and processes the information, records and saves the information, calculates the charges for performing the cost settlement, and provides necessary materials to the care provider.

With this system, nurse and caregiver visit services are efficiently implemented, and the contents of nursing and care work at the time of visit, the time required for nursing and care, and the like are accurately grasped, and nursing and nursing care is performed. There is an effect that the efficient operation of the visit service is performed, including the billing processing of the required cost.

[Brief description of the drawings]

FIG. 1 is a diagram showing a concept of a system configuration of the present invention.

FIG. 2 is a diagram showing an example of a system configuration of a visiting service management center.

FIG. 3 is a diagram showing an example of a nursing / care search screen.

FIG. 4 is a diagram showing contents of nursing and care.

FIG. 5 is a diagram showing the concept of the present invention.

Claims (7)

[Claims] 1. A recording medium comprising at least a cared person, a nurse, a caregiver, a care provider and a visiting service management center, wherein a recording medium on which the cared person's personal information is recorded, and the recorded cared person's personal information are stored. Means for reading, means for inputting and recording nursing / care information, means for inputting personal information of a nurse or caregiver, personal information of a cared person, nursing / care information, and a nurse or caregiver in charge of the nursing / care. Means for transmitting the personal information of the caregiver to the visit service management center, means for recording and accumulating in the database the personal information of the cared person, nursing and care information, and the personal information of the nurse or caregiver in charge of the nursing and care. Means for editing and processing the personal information of the cared person, nursing and care information and the personal information of the nurse or caregiver in charge of the nursing and care, personal information of the cared person edited and processed, nursing and care information Means for posting the personal information of the nurse or caregiver in charge of the nursing / care on the homepage, and means for calculating the charge required for the nursing / care and debiting the cost. And visit service operation system. 2. The visiting service operation system according to claim 1, wherein the recording medium on which the personal information of the cared person is recorded is a non-contact type IC tag. 3. The handy terminal (portable reader / writer), wherein the means for reading the recorded personal information of the cared person and inputting and recording the nursing / care information is a handy terminal (portable reader / writer). Visiting service operation system described in 1. 4. The personal information of the cared person recorded in the handy terminal, nursing / care information, and the personal information of the nurse or caregiver in charge of the nursing / care provided to at least the caregiver, the visiting care station, and the nurse. The visiting service operation system according to any one of claims 1 to 3, wherein the system is transmitted from the beginning. 5. The nurse or caregiver reads the recorded personal information of the cared person and inputs the nursing / care information and the personal information of the nurse or caregiver.
A visiting service operation system according to any one of claims 1 to 4. 6. A visiting service management center records and accumulates in a database personal information of a cared person, nursing / care information, and personal information of a nurse or caregiver in charge of the nursing / care, and stores the cared person's personal information. Edit and process personal information, nursing and nursing care information and personal information of the nurse or caregiver in charge, post them on the website, calculate the charges for nursing and nursing care, and debit the required expenses. The visiting service operation system according to any one of claims 1 to 5, characterized in that: 7. The visit according to claim 1, wherein the care provider includes means for receiving nursing / care information and billing information transmitted from the visit service management center. Service operation system.