JP2001306702A - Long-term care service system, long-term care service management computer, long-term care recipient card and service employee card - Google Patents

Abstract

(57) [Summary] [Problem] The present invention relates to a nursing care service system, and transmits and receives information related to nursing care by a wireless telephone, and performs a credit card settlement process for a care service fee paid by a care-requiring person. In addition, the purpose is to significantly reduce the cost and labor involved in nursing care services. SOLUTION: The care service system includes a care recipient 7.
0, a wireless telephone 62 carried by a service employee 70 who provides a nursing care service, a computer system 30a which is installed in a nursing care service organization 30 which provides a nursing care service through the service employee 70 and is remotely accessible, The computer system 30a is accessed by the wireless telephone 62, and information on the actual results of the care service provided to the care recipient 60 is transmitted to and stored in the computer system 30a by operating the wireless telephone 62.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a care service system, a computer for managing a care service, a card for a care recipient, and a card for a service employee.
For example, the present invention is applicable to a public “care insurance” system implemented from April 1, 2000.

[0002]

2. Description of the Related Art Conventional care service systems include:
The one shown in FIG. 9 is known.
No. 2,450,955.

[0003] In FIG. 9, first, an elderly person requiring care or a family member thereof performs an application procedure for issuing a card 2 for a person requiring care to the card issuing organization 1. By this application, the card issuing institution 1 gives the applicant's registration number, name, date of birth, gender, telephone number, pension type, pension account financial institution name, pension account type,
The personal information such as the pension account number is recorded in the information processing device 1b, and the card 2 for the care-requiring person in which the personal information is recorded is issued.

Further, the card issuing organization 1 processes personal information such as the staff number, name, date of birth, gender, date of issuance, expiration date, and personal identification number of the care staff based on the registration of the care staff. 1c, and the care staff card 3 in which the personal information is recorded is issued. And
From the care recipient who owns the registered card 2 for care recipient,
When an application for receiving a nursing care service is made to a nursing care service provider 5 such as a general hospital 1a or a visiting nursing station 5a, the nursing care staff who provides home nursing, home nursing, or rehabilitation according to the application of the care recipient is a general hospital. At 1a, the home-visit nursing station 5a, and the like, based on the nursing care plan written on the card 2 for nursing care recipients, nursing care services are provided to nursing care recipients by using nursing care facilities.

[0005] In carrying out this nursing care service, the nursing care staff inserts the card 2 for a person requiring care into the card reading / writing mechanism of the portable information terminal 8 having a card reading / writing function and carries necessary information of the card 2 for a person requiring care. Read and check the presence or absence of granted care points, read out the care plan, and implement a care service based on the care plan.
After the implementation, the nursing staff records the results of the nursing care service payment by performing a keyboard input or a handwriting input on the portable information terminal 8 with a card reading / writing function. The points associated with the care service payment are counted down from the provided care points read out and recorded from the card for the care-requiring person 2 with the care service payment, and the remaining number of the provided care points is printed by the printer of the portable information terminal 8 with a card reading / writing function. Then, the remaining caregiver points printed out are handed to the care recipient.

After the nursing care service is provided in this manner, the nursing care payment results recorded in the portable information terminal 8 having a card reading / writing function are transmitted to the information provided with the card reading / writing device of the nursing service providing organization 5 through a communication line or the like. The data is transferred to the processing device 6 or the data recorded in the portable information terminal 8 with a card read / write function is written into the care staff card 3, and when the care staff returns to the care service provider 5, the information with the card read / write device is provided. The care staff card 3 is inserted into the card reading / writing device of the processing device 6, and the data is stored in the information processing device 6 with the card reading / writing device.
To record.

[0007]

However, such a conventional care service system has the following problems to be solved. That is, in the conventional care service system, the transfer of the care service payment result provided to the care-requiring person to the information processing device 6 of the care service provider 5 is performed by the portable information terminal 8 and the information processing device 6 through the RS23.
Nursing care staff card 3 with cable connection via 2C, optical communication, or record of benefits
Is set in the card reading / writing device of the information processing device 6 and read by the information processing device 6.

[0008] For this reason, the care staff requires the information processing device 6.
There is a problem that it is necessary to go to a nursing care service provider in which the nursing care staff is installed, and there is a large time loss associated with the movement of the nursing staff.

[0009] The settlement of the fee for the nursing care service received by the care-requiring person is not particularly described in the above-mentioned publication, but the care-requiring person pays to the care service providing institution 5 or the card issuing institution 1 by cash. Transferring to a designated account of a financial institution, etc. can be considered, but all of these procedures are cumbersome for care recipients, and on the other hand, the receiving side also becomes cumbersome because various payment methods are mixed, and it is necessary to collect fees. However, there is a problem that investment such as creation of a new fee payment contract clause and construction of a system is required.

It is an object of the present invention to provide a care service system, a care service management computer, a card for a person requiring care and a card for a service employee, which solves the above problems.

[0011]

In order to solve the above problems, a nursing care service system according to a first aspect of the present invention includes a wireless telephone carried by a service employee providing a nursing care service to a care recipient, and the service employee. A remotely accessible computer system installed at a nursing care service organization that provides nursing care services to care recipients through a caregiver;
The computer system of the long-term care service business organization is accessed by the wireless telephone, the payment result information of the long-term care service implemented for the care recipient,
The information is transmitted and stored in a computer system of a nursing care service organization by operating the wireless telephone.

[0012] In order to solve the above problems, a care service system according to a second aspect of the present invention includes a wireless telephone carried by a service employee who provides a care service to a care recipient,
A computer system that is installed in a nursing care service organization that provides nursing care services to care recipients through the service employee, and that is remotely accessible.The computer system of the nursing care service organization includes an employee of the service employee. A schedule is stored, accessed by the wireless telephone, and the employee schedule is read out by operating the wireless telephone and notified to a service employee.

[0013] The wireless telephone may access the computer system of the nursing care service organization via a packet communication network and the Internet.

[0014] The wireless telephone may access the computer system of the nursing care service organization through a packet communication network and a dedicated line.

[0015] Also provided is a card for a care recipient who is distributed to the care recipient and is made of a storage medium which is detachably attached to the radio telephone and at least data can be read out by operating the radio telephone. The card may store the ID information of the care recipient.

[0016] Further, the card for the care-requiring person may store information about a care service to be received by the care-requiring person.

The card for the care-requiring person can be written with data by operating the wireless telephone, and the actual result of the nursing care service received by the care-requiring person can be read by operating the wireless telephone. It may be written on the caregiver's card.

Further, the card for the care-requiring person stores a telephone number of at least one of an attending physician and an emergency contact of the care-requiring person, and the telephone number can be called by operating the wireless telephone. Is also good.

[0019] Further, there is provided a service employee card which is distributed to the service employee and is made of a storage medium which is detachably attached to the radio telephone and which can at least read data by operating the radio telephone. The card may store the ID information of the service employee.

The service employee card can be written with data by operating the wireless telephone, and the performance of the nursing care service provided to the care recipient is indicated by the employee performance information of the service employee. Alternatively, the data may be written on the service employee card by operating the wireless telephone.

In the computer system of the nursing care service organization, an HTML format file is formed, and when the wireless telephone accesses the computer system of the nursing care service organization, data is read from and written to the file. May be performed.

Further, the wireless telephone may be a low power wireless telephone.

Further, the wireless telephone may be a PHS wireless telephone.

According to a third aspect of the present invention, there is provided a computer for managing a nursing care service, which is provided by a wireless telephone carried by a service employee who provides a nursing care service to a care recipient in need via a packet communication network. The present invention is characterized in that it receives and stores benefit record information of a care service provided to a care recipient who has been accessed.

According to a fourth aspect of the present invention, there is provided an electronic computer for managing a nursing care service which stores an employment schedule of a service employee who provides a nursing care service to a care-requiring person. The service schedule is accessed via a packet communication network, and the employee schedule is read out by operating the wireless telephone and notified to a service employee.

In order to solve the above-mentioned problems, the card for a person requiring care according to the fifth invention is distributed to the person requiring care, and is detachably attached to the wireless telephone so that at least data can be read by operating the wireless telephone. A storage medium for storing the ID information of the person requiring care.

A service employee card according to a sixth aspect of the present invention is provided to a service employee who provides a care service to a care recipient in order to solve the above problem, and is detachably attached to the wireless phone. And a storage medium from which data can be read at least by the above operation, wherein the ID information of the service employee is stored.

In order to solve the above-mentioned problems, a care service system according to a seventh aspect of the present invention provides a care service to a care-requiring person and a computer system of a care service business organization which stores care service payment result data. ,
A computer system of a credit card management institution storing information on a credit card member store contract with the nursing care service organization, and information on a credit card user contract with the care-requiring person or a close relative thereof, The computer system of the nursing care service organization separates the co-payment of the care-requiring person from the fee for the nursing care service performed for the care-requiring person, and creates sales claim data of the co-payment,
Output to the computer system of the credit card management organization, the computer system of the credit card management organization receives the sales claim data of the personal co-payment, the co-payment to the care recipient or close relatives The payment processing is performed as a credit card usage fee.

Further, the remaining fee for the nursing care service after separating the fee paid by the person himself / herself may be charged to a predetermined insurance payment institution.

In addition, the fee paid by the person himself / herself is covered by an insurance fee for a nursing care service covered by the insurance approved by the predetermined insurance paying institution, and a non-covered fee for a nursing care service not covered by the insurance. The sales claim data, which includes a fee and is paid by the person, may be created so that the insurance applicable fee and the non-insurable fee can be identified.

In addition, the credit card management institution includes:
The self-paid fee may be settled as a credit card usage fee so that the credit card user can identify the insurance coverage fee and the non-insurance fee.

In order to solve the above-mentioned problems, a care service system according to an eighth aspect of the present invention includes a wireless telephone carried by a service employee who provides a care service to a care recipient,
A computer system that can be remotely accessed and installed at a credit card management institution that provides a service for performing payment processing by a credit card for a care service received by the care recipient, wherein the care recipient or a close relative thereof is the When a credit card user contract is not signed with a credit card management institution, the computer system of the credit card management institution is accessed by the wireless telephone, and information necessary for the credit card user contract is obtained by operating the wireless telephone. The information is transmitted to the computer system of the credit card management organization, and the computer of the credit card management organization prepares a credit card user contract application form based on the received information.

Also provided is a card for a person requiring care, which is distributed to the person requiring care and is formed of a storage medium which is detachable from the wireless telephone and at least data can be read by operating the wireless telephone. The card may store information necessary for the credit card user contract.

[0034]

1 to 8 are views showing an embodiment of a care service system according to the present invention. In FIG. 1, a care service system includes a card issuer 20 for a care recipient, a care service provider 30, a credit card management agency 40, an insurance payment agency 50, a service employee card 61, a wireless telephone 62, and a care recipient. Card 71
And a credit card (not shown).

The card issuer 20 for a person requiring long-term care is, for example, a life insurance company, a long-term care support service company, a local government, or a public institution. Service implementation plan (hereafter,
In addition to creating a care plan), a card 71 for care recipients required for receiving care services provided by the care service business organization 30 is created and sent to the care recipient 70.

In addition, the card issuing institution 20 for care recipients requires
A service employee card 61 distributed to a service employee 60 who actually provides a care service to the care recipient 70 is provided through the care service business organization 30.
In addition, this service employee card 61 is used by other organizations,
For example, the nursing care service organization 30 may directly issue it.

Here, the above-mentioned nursing care service includes a service provided by visiting the residence of the care-requiring person 70 and a service provided to the care-requiring person 70 who has visited a place such as a rehabilitation facility. It also includes a wide range of services such as agency services and housekeeping support. In other words, it includes all services that can be provided by the nursing care service business organization 30 and is not limited to general nursing care-related services. Fees for long-term care services (reward for long-term care) are categorized into two parts: the self-payment of the person requiring care, and the insurance burden borne by a public insurance payment organization or a private insurance company.

In order to carry out the above-mentioned operations, the card issuing institution 20 for the care recipient requires the computer system 2 connected to an external computer system via a network such as the Internet or a public line network.
0a. The computer system 20a is a computer functioning as a server (hereinafter, referred to as a server).
21, electronic computers (hereinafter, referred to as clients) 22 and 23 functioning as clients, and a printer 2
And these are connected to a network and can mutually input and output various signals such as control signals and data.

The server 21 is a C that a general server has
A large-capacity storage device including a PU, a RAM, a ROM, various input / output interfaces, and a hard disk is provided. The client 22 is a so-called desktop personal computer, and is a CP provided in a general desktop personal computer.
In addition to the U, RAM, ROM, input / output interface, and hard disk, various storage media drives such as an FD drive and a CD-ROM drive are built in, and a display 25, a keyboard 26, a mouse, and the like are further provided.

The client 22 is connected to a card reading / writing device 25 capable of reading and writing data of the care recipient card 71 and the service employee card 61. The card reading / writing device 25 is connected to the client 22.
It may be built in. The client 23 is a so-called notebook computer, and the basic configuration is the same as that of the client 22 except for the difference between whether the display is a CRT or a liquid crystal display.
The client 23 has a built-in card reading / writing device 23a having the same function as that of the card reading / writing device 25 described above.

The nursing care service organization 30 is a local government, an organization entrusted by the local government, a private care service provider, etc., and provides nursing care to the care recipient 70 through a contracted or registered service employee 60. Providing services. The service employee 60 is preferably a care worker and a person who has completed the third grade process from the visiting care worker request training 1; however, in the present embodiment, the service employee is a person who performs housekeeping support, procedure agency, and the like. In other words, the care service business institution 30 includes all persons who execute services that can be provided to the care recipient 70.

The care-requiring person 70 or a close relative thereof makes an application to the care service business organization 30 to request provision of a care service, and concludes a contract. At that time, a contract for paying the care-requiring person's self-paid portion of the received nursing care service fee by credit card is also concluded.

The nursing care service organization 30 requests the credit card management institution 40 for the care-requiring person himself / herself and the insurance payment institution 50 for the payment of the insurance fee, out of the provided nursing care service fee. receive.

In order to carry out the above-mentioned operations, the nursing care service business institution 30 is also required to issue the card issuing institution 2 for the care recipient.
Similarly to the computer system 0, a computer system 30a is provided for connecting to an external computer system via a network such as the Internet or a public line network. The computer system 30a includes a server 31, clients 32 and 33, and a printer 34, which are connected to a network and can mutually input and output various signals such as control signals and data.

The server 31 has C which a general server has.
A large-capacity storage device including a PU, a RAM, a ROM, various input / output interfaces, a hard disk, and the like is provided. The client 32 is a so-called desktop personal computer, and is a CP provided in a general desktop personal computer.
In addition to the U, RAM, ROM, input / output interface, and hard disk, various storage media drives such as an FD drive and a CD-ROM drive are built in, and a display 35, a keyboard 36, a mouse, and the like are further provided. The client 32 has a card 7 for care recipients.
1 and a card reader / writer 35 capable of reading and writing data from the service employee card 61 are connected.
The card reading / writing device 35 may be built in the client 32. The client 33 is a so-called notebook computer, and the basic configuration is the same as that of the client 32 except for the difference between whether the display is a CRT or a liquid crystal display. In the client 33, a card reading / writing device 33a having the same function as the card reading / writing device 35 is built in the main body.

The credit management institution 40 is a so-called credit card company, and concludes a credit card member store contract with the nursing care service business institution 30 and a credit card user contract with the care-requiring person or a close relative such as a family member or relative. Tie. The care-requiring person or his or her close relatives intend to receive the provision of a care service.
If a card use contract has already been made with the credit card management institution 40 that can be used at the same time, there is no need to sign a new contract in order to receive the nursing care service. You can use the existing credit card as it is. If the care-requiring person or a close relative does not have a contract for using a credit card, it is only necessary to conclude a normal credit card use contract with the credit card management organization 40.

In order to carry out the above-mentioned operations, the credit card management institution 40 is also connected to an external computer system by a network such as the Internet, similarly to the card issuing institution 20 for care recipients and the nursing care service institution 30. Alternatively, a computer system 40a connected via a public line network or the like is provided. The computer system 40a includes a server 41 and clients 42 and 43.
And a printer 44, which are connected to a network and can mutually input and output various signals such as control signals and data.

Server 41 and clients 42 and 43
Are the computer systems 20a, 30a of the card issuing institution 20 for long-term care recipients and the nursing care service organization 30 described above.
The description is omitted here.

Each of the computer systems 20a, 30a, 40a of the card issuing institution 20 for care recipients, the nursing care service organization, and the credit card management institution 40
Of course, in addition to the hardware configuration described above, it also includes various programs and data for executing business processes described below.

In FIG. 1, each of the computer systems 20a, 30a, 40a of the card issuing institution 20, the nursing care service institution 30, and the credit card management institution 40 described above is connected to a client-server type network system. The computer systems 20a, 30a, and 40a are each limited to the illustrated system as long as the business process related to the nursing service described below can be realized by executing various programs. Instead, the system may be constructed from another system, for example, one or several personal computers.

The insurance payment institution 50 is an organization or a company that pays the insurance portion of the fee when a care recipient requires a nursing care service. , National Health Insurance Federation) and private life insurance companies. Although not shown, the insurance paying organization 50 also has the aforementioned 3
It has a computer system as well as the two institutions, and responds to the payment of the insurance burden from the nursing care service organization 50.

The wireless telephone 62 is carried by the service employee 60 to provide a nursing care service.
This is a low-power wireless phone generally called a mobile phone. In addition, as shown in FIG.
It accesses the computer system 30a of the nursing care service organization 30 through the packet network 80 and the Internet 90 or through the packet network 80 and the dedicated line 100. In order to use such an access service, it is necessary to apply for a contract separately from a normal voice telephone communication contract, and a contract necessary for providing such a service has already been made to the wireless telephone 62. It is assumed that

The wireless telephone 62 has a slot 62 for a card 71 for a care recipient and a card 61 for a service employee.
When the card 71 for a care recipient or the card 61 for a service employee is inserted (hereinafter referred to as a set) into the slot 62a, the card 71 for the care recipient or the card 71 or Data can be read from and written to the service employee card 61. The wireless telephone 62 is generally lent from the nursing care service organization 30, but may be purchased and owned by the service employee 60 itself.

The wireless telephone 62 is not limited to the above-mentioned portable telephone, but may be a PHS telephone. The service employee 60 does not necessarily need to use a wireless telephone, but may use a notebook personal computer or other portable terminal as long as the terminal can access the Internet using a telephone network or the like. Is also good. Also, the communication system of the wireless telephone 62 is not limited to the current communication system, but may be a next-generation system such as a WCDMA system or a next-generation system.

The care recipient card 71 and the service employee card 61 include a so-called IC card, and a memory element having a large capacity card shape or a stick shape, which has been rapidly spreading recently, is more preferable. Such a memory device has been widely used as a removable storage medium for various devices that handle digital data, such as a digital still / video camera, a portable music player, a home game machine, and a notebook computer. Data can be exchanged with each other through the memory element. Among such memory elements, those having an advanced copyright protection function conforming to the SDMI standard, that is, the creator who writes in the memory element can set how much copying is allowed, Also, those provided with a protect switch for preventing erroneous erasure are commercially available. In the care service system of the present embodiment as well, important personal information is stored, and it is necessary to prevent illegal use, illegal copying, data tampering, etc. of the card. It is desirable to use it as a caregiver card 71 or a service employee card.

Next, the procedure for implementing the above-mentioned care service system will be described with reference to FIGS. 2 to 8 in addition to FIG. First, when the care-requiring person 70 desires to receive the care service, the care-requiring-person card issuing institution 20a is requested to create a care plan. In addition, when a care recipient needs to use the public “nursing care insurance” that starts on April 1, 2000, first apply for a nursing care certification to a municipal government, prefectural government, or national government, and apply for the certification. I need to get it. For this reason, when using the nursing care insurance, the care plan is requested after obtaining the nursing care certification.

The care plan creator of the card issuing institution 20 for care recipients corresponds to the care plan request. Normally, the care plan creator is a publicly qualified person such as a care support specialist (care manager), who conducts interviews with the care recipients 70 and provides care services suitable for the care recipients 70. Collect necessary information for application through application form or interview.

The care plan creator executes the care plan creation software on the client 23 or 25, and
Enter the basic individual information of the care recipient, such as name, date of birth, gender, address, and telephone number. In addition, a method of paying the co-payment of the nursing care service and its related information, information for designating a nursing care service institution desired by the care-requiring person, and the like are also input. As a result, the individual information and the care plan information of the care recipient 70 are input to the client 23 or 25 (step P1 in FIG. 3).

The care plan creator determines the type of care service required, the number of care services required, the time per care, etc., according to the current situation of the care recipient 70, and provides a care plan for a predetermined period such as week or month. And at the same time, the client 22 or 23
In, care plan data including individual information and care plan information of the care recipient is created, and the client 22 or 23 is prepared.
And a storage medium such as a hard disk of the server 21 (step P2).

The care plan data is transferred to the care service business organization 30 through a network such as the Internet or by writing the care plan data to a removable storage medium and sending the storage medium (step P3). The nursing care service organization 30 stores the transferred data in a storage device such as a hard disk.

A card-type or stick-type storage medium serving as a card for the care recipient is set in the card reading / writing device 23a or 25, and the care machine including the individual information of the care recipient 70 is operated by operating the client machine 22 or 23. The plan data is written into the card 71 for the care recipient, and the card 71 for the care recipient is prepared (step P4).

The individual information and care plan information of the care recipient are printed out by the printer 24 (step P).
5). The written card for the care recipient 70 and the printed care plan are handed over or sent to the care recipient 70. In addition, P3 to P5 do not need to be performed in this order, and may be changed as needed.

Here, the data to be written to the storage medium in step P4 may be written in a format as shown in FIG. The individual information of the care recipient 70 includes a card type indicating whether the card is a card for a care recipient or a service employee card, and a unique information assigned to each care recipient to identify the care recipient. Career ID, payment method to specify whether to pay for the service received by credit card, cash, bank transfer form, direct debit, etc., and contact information such as the telephone number of the attending physician of care recipient 70 And emergency contact information such as the telephone number of the family member of the care recipient 70, and may be written as individual information as needed.

The care plan information includes, for each care service, a care service start year / month / day / hour / minute, a care service end year / month / day / hour / minute, and a care service representing the contents of the care service. The service content information, the care service provider code specifying the care service provider 30 providing the care service, and the service employee ID specifying the service employee 60 providing the care service are written.
This care plan information can be written if the arrangement of personnel has been already adjusted and determined with the nursing care service business organization 30, but if not yet determined, the care plan information is written. Instead, the information may be passed to the care-requiring person 70, or the provisionally determined information may be written and passed.

Next, in order to receive the provision of a nursing care service according to the care plan, the nursing care recipient 70 applies to the nursing care service organization 30 that provides the service and concludes a contract. The nursing care service organization 30 inputs the application content information of the care recipient 70 by operating the client 32 or 33 of its own computer system 30a and stores it in a storage device such as a hard disk (step S1 in FIG. 5). The care plan data of the corresponding care-requiring person already stored is read out from the storage device (step S
2) Read out the employee schedule data indicating the employee schedule of each registered service employee 60 and the service employee data such as the type of service that can be provided (step S3). From the application content information, care plan data, and service employee data of the care recipient 70,
It creates care-requiring person management data including the contents, date and time, place, service employee name or ID, service fee, the care-requiring person's self-paying part and the type of insurance burden to be received (step S4). The care recipient management data includes not only the above data but also all data necessary for providing a service to the care recipient 70 and checking whether or not the service has been performed.

In step S4, the service employee 70 is assigned to the care plan of the care-requiring person 70, but is unnecessary if the information on the assignment is already included in the above-mentioned employee schedule data. However, if the service schedule of the service employee is newly filled or changed in step S4, the employee schedule data of the corresponding service employee is updated (step S5).

The care-requiring person management data created in step S4 is created as an HTML format file and stored in the hard disk of the server 31 of the care service business organization 30, for example, in the computer system of the care service business organization 30. Each of the clients 32 and 33 can browse by browser software by inputting a password or the like, and can write or modify data. Here, the HTML format file refers to a file that can support all the functions of the HTML format, and of course, for example, the function of the simplified HTML format whose functions are limited to some extent due to the display performance of the wireless telephone 62 or the like. It also includes files.

FIG. 6 is a flowchart for explaining the operation of the radio telephone 62 necessary for the service employee 60 to perform the nursing care service. First, the service employee 60
Puts his service employee card 61 on the radiotelephone 6
Set to 2. The service employee 60 uses the wireless telephone 6
2 to connect to the site of the nursing care service organization 30 (step K1). Specifically, the server 31 of the computer system 30a of the nursing care service business organization 30
To access. The user browses the service employee's own employee schedule file created in the HTML format stored in the server 31, reads out the data, displays the data on the portable terminal, and writes the data on the service employee card 61 (step K2). Thereafter, the connection with the site is disconnected (step K3).

The service employee 60 visits the home of the care recipient in accordance with the employee schedule displayed on the radio telephone 62, and sets the card 71 for the care recipient on the radio telephone 62 there. Next, the wireless telephone 6 of the service employee 60
By the operation of step 2, the care plan is read from the care-requiring person card 71 and displayed on the display unit of the wireless telephone 62 (step K4), and the service employee 60 checks whether it matches the contents of his or her own employee schedule. Check and provide nursing care services.

The service employee 60 inputs the results of care received corresponding to the provided nursing care service and the related information, writes these in the card 71 for care recipients (step K5), and enters the site of the nursing care service organization 30. Connection is made (step K6). Specifically, it accesses the server 31 of the computer system 30a of the nursing care service organization 30. The care reception result and other related information are written in the management data for the care recipient in the file created in the HTML format stored in the server 31 (Step K7).
Thereafter, the connection with the site is cut off (step K8).

In step K5, if the care plan information of the corresponding nursing care service shown in FIG. May be changed and written to the service “executed”, and other data may be corrected if necessary. If the care plan information of the nursing care service is not written in the card 71 for the care recipient, the data shown in FIG. 4A may be written. In addition, the data of the clock built in the wireless telephone 62 may be displayed on the start date and end date of the nursing service, and in this case, the service employee 60 may When the provision of the nursing service is started, the user operates the wireless telephone 62, writes the time displayed at that time as start time data, and operates the wireless telephone 62 in the same manner when the care service is actually ended. May be written as end time data. Further, in this case, the data may be automatically changed to the “executed” care service at the same time as the writing of the end time data.

Next, the service employee 60 removes the care recipient card 71 from the wireless telephone 62 and removes the care recipient 7.
Return to 0, and set the service employee card 61 this time. An employee record corresponding to the nursing care service provided to the care-requiring person 70 and its related information are input and written into the service employee card 61 (step K9). Next, the user operates the wireless telephone 62 to connect to the site of the nursing care service organization 30 (step K10). Specifically, the computer system 30a of the nursing care service organization 30
Server 31 is accessed. The employee record and other related information are written in the employee schedule data of the file created in the HTML format stored in the server 31 (step K11), and thereafter the connection with the site is cut off (step K12).

In step K9, as in step K5, the service employee card 61 is
If the employee schedule information shown in (b) has already been written, the data of the service “not implemented” may be changed and written to the service “executed”, and other data may be corrected if necessary. May be. If the employee schedule information is not written in the service employee card 61, the data shown in FIG. 4B may be written. In addition, the data of the clock built in the wireless telephone 62 may be displayed on the start date and the end date of the nursing care service. In this case,
The service employee 60 operates the wireless telephone 62 just when starting to provide the nursing care service, writes the time displayed at that time as start time data, and similarly, when the nursing care service actually ends, The user may operate 62 to write the time displayed at that time as end time data. Further, in this case, the data may be automatically changed to the “executed” care service at the same time as the writing of the end time data.

Although the present embodiment has been described assuming a visiting nursing care service, the nursing care service is not used for the outpatient nursing care service or the service for picking up a person requiring nursing care without using the wireless telephone 62. A card reading / writing device connected to a computer installed at a place where the service is provided, for example, a card reading / writing device 35 connected to a client 32 of a computer system 30a of a nursing care service business organization 30, a card 71 for care recipients and a service. The employee card 61 may be set to read and write data. Of course, when this read / write operation is performed outside the computer system 30a of the service business organization 30, the computer that has performed the read / write operation can be communicatively connected to the computer system 30a of the service business organization 30 via the Internet or an intranet. Needless to say.

Next, a procedure for communication with the wireless telephone 62 and creation of billing data executed by the computer system 30a of the nursing care service business organization 30 will be described. First,
Computer system 30 of care service business organization 30
a connects for communication with the wireless telephone 62 of the service employee 60 (step S21 in FIG. 7). This connection corresponds to the connection in steps K1, K6, and K10 in FIG. In response to the request from the wireless telephone 62, the computer system 30a of the nursing care service organization 30
Transmit or update the stored data (step S
22). Specifically, the service schedule data of each service employee stored in the storage device of the server 31 is read and transmitted, or the care service management data of the care-requiring person management data of each care-requiring person 70 stored is received. Updating achievements or storing each service employee 60
Update service employee performance data.

Although the data is updated at any time in step S23 described above, the management data of the individual requiring care is totaled for each predetermined period, in this embodiment, in units of one month, and The charge for the service is calculated separately for the care-requiring person's own burden and the insurance burden (step S2).
3). The above separation ratio is set so that, for example, 10% of the fee for the nursing care service is paid by the person, and the remaining 90% is paid by the insurance.

From the nursing care service fee paid by the care-requiring person, billing data for the care-requiring person is created and stored (step S24). The request is transferred to the computer system 40a as a member store sales request (step S25).

On the other hand, insurance contribution claim data is created and stored from the insurance contribution service fee (step S2).
6), the insurance contribution claim data is transferred to the insurance payment agency 50 as an insurance payment claim (step S27). The structure of the personal co-payment claim data requested in step S24 is represented by, for example, one file from a plurality of batches and one end record. One batch has a header record and a trailer record at the beginning and at the end, respectively, and has one or more data records between them.

Each of the header record, the data record and the trailer record is a care service business institution 3
It is preferable to have a data section indicating a transaction type between 0 and the care-requiring person 70, and to indicate payment for the nursing service by this data section. Specifically, this data category includes "one-time payment", "one-time payment (mail order)",
There are "Bonus lump sum payment", "Twice payment", and "Revolving", and "Pay lump sum (mail order)" may be selected from these payments for the nursing care service. Also, each of the header record, data record and trailer record has a data section indicating a member store number,
In this data section, the number assigned to the nursing care service organization 30 may be entered, and for example, “0001” or “0002” may be further added to the right side of the member store number.
Digit number is added, and the added four digits are "0001"
If it is, the fee for the self-payment of the nursing care service used by the nursing care service business organization 30 is shown, and "000
If it is "2", it may be a fee representing the insurance burden.

The personal co-payment billing data having the above-described structure is recorded, for example, in a recording code of EBCDIC, and is transmitted from the computer system 30a of the nursing care service organization 30 to the credit card management organization through a network such as the Internet or a dedicated line. It is forwarded by sending it to the computer system 40a of 40,
The care service business organization 30 may store the data in a storage medium such as a magnetic tape or a floppy disk, and transfer the storage medium by sending the storage medium.

Finally, the operation of the computer system 40a of the credit card management institution 40 will be described. Upon receiving / inputting the personal co-payment claim data from the nursing care service organization 30 (step T1 in FIG. 8), a member store payment process is executed and the bill is paid to the nursing care service organization 30 (step T2). On the other hand, a credit card user billing process is executed, and a fee is paid to each care-requiring person 70 or a close relative thereof (Step T3). As a result,
The credit card management organization 40 creates a credit card use request and a statement and sends it to the care recipient 70 who has signed a credit card use contract or a close relative thereof.
When the payment method negotiated in the contract between the care recipient 70 and the credit card management institution 30 is a debit from the financial institution account of the care recipient 70 or a close relative thereof, the designated debit date. If the card usage amount including the copayment of the person is deducted from the account and the transfer is by bank transfer, the transfer form will be sent to the person requiring care or his or her close relatives, and the person requiring care by the designated date Or, by paying the co-payment, you can make a transfer with a close relative.

In the above description, the use contract of the credit card is contracted by a normal contract method. However, a contract via the wireless telephone 62 is also possible. That is,
If the care recipient 70 or a close relative is not a member of the credit card management institution, inform the service employee 60 of the request to apply for a credit card,
The name, date of birth, gender, address, and telephone number recorded in the card 71 for the care recipient are extracted and set as data from the wireless telephone 62 carried by the service employee 60, and the credit card management organization concerned Access to 40 computer systems 40a. The credit card management organization 40 automatically accepts a provisional enrollment application based on the accessed data, and the computer system 40
Automatically output a temporary application form from a. This provisional enrollment application is in a sealed mail form and sent to the care recipient's home as it is. This method makes it easy to join a credit card. In this case, it is desirable that the credit card management institution 40 has a separate affiliation agreement with the card issuing institution 20 for care recipients or the nursing care service business institution 30 for issuing and recruiting credit cards.

As described above, according to the present embodiment, the computer system 30a of the nursing care service organization 30 is operated by operating the wireless telephone 62 carried by the service employee.
To access the nursing care service benefit information and the service employee's own employee performance information to the computer system 3
0a for transmission and storage, and the service employee's own work schedule
0a and can be read. For this reason, even if the service employee does not go to the nursing care service organization 30a, it is possible to report the nursing care service payment result and his / her own employee performance information to the nursing care service organization 30 and grasp his / her own employee schedule. Therefore, time loss, labor, transportation costs, and the like for moving the service employee can be omitted, and the nursing care service business organization 30 can grasp and manage various information about the nursing care service almost in real time. it can.

Further, a device serving as a means for accessing the computer system 30a of the service business organization 30 is not a notebook personal computer or a special terminal, but is a radio communication device which is now exploding and many people are used to the operation. Telephone 62
, So anyone can easily operate it, educate service employees on terminal operation,
The load on the service employee can be significantly reduced.

Further, when the wireless telephone 62 accesses the computer system 30a of the nursing care service organization 30 via the packet communication network 80 and the Internet 90, the communication cost can be significantly reduced.

Furthermore, when the wireless telephone 62 accesses the computer system 30a of the nursing care service organization 30 via the packet communication network 80 and the dedicated line 100, the communication cost can be reduced and the security for communication data can be improved. You can also.

Furthermore, since the ID information of the care recipient 70 is stored in the card 71 for the care recipient who is detachable from the radio telephone 62 and can read and write data by operating the radio telephone 62, the service employee 60 is the care recipient 70
Receives the care recipient card 71 from the
By simply setting it to 2 and reading its ID information, it is possible to identify 70 care-requirers.

Further, when the care plan is stored in advance in the card 71 for the care recipient, the service employee 6
0 can be easily checked to see if it matches the employee's schedule.

Furthermore, by operating the wireless telephone 62, the information on the results of the nursing care service received by the care recipient 70 is written on the care recipient card 71.
Can be saved as the benefit data of the
At a later date, it can be used as data for confirming results.

Further, the card 60 for care recipients includes
The phone number of the attending physician or emergency contact of the care recipient 70 is stored, and the phone number can be called by operating the wireless telephone 62. Therefore, when medical treatment is suddenly needed at the care site, etc. In the case of emergency, it is possible to promptly contact the attending physician or inform the family, which is very useful in an emergency at a care site.

Further, similarly to the card 71 for the care-requiring person, the service employee 60 is also provided with the service employee card 6.
Since ID information of the service employee 60 is stored by distributing the service employee 1, the identity of the service employee can be easily confirmed only by causing the wireless telephone 62 or the card reader to read the ID information.

Further, the card 71 for care recipients includes
Since the employee performance information of the service employee 60 is written, it can be used as data for performance confirmation at a later date.

Further, the computer system 30a of the nursing care service business organization 30 includes care-requiring person management data, employee schedule data, employee performance data, and the like, which are accessed from the wireless telephone 62 and are read and written and updated. The file is created in HTML format. The HTML format file has rapidly spread in recent years with the spread of the Internet, and has become a standard file format nationwide and worldwide.
For this reason, the file creation method is well known, and many creation tools are distributed, so that the file creation can be facilitated.

Further, even in the computer system 30a of the nursing care service business institution 30, the file can be easily browsed and managed from each terminal by using the browser software, so that the file can be stored in the computer system 30a very much. Can be used effectively.

Further, the HTML format file is
By using the Internet connection function of a wireless telephone that has already been put into practical use, it is possible to easily access the wireless telephone 62 without designing a special communication system. Preparation and the like can be eliminated.

Furthermore, if the wireless telephone 62 is a low-power type wireless telephone, a so-called portable telephone or a PHS wireless telephone, a completely commercially available wireless telephone can be used as it is and distributed to the service employee 60. Therefore, it is not necessary to manufacture or purchase a dedicated terminal, and the cost can be significantly reduced.

Further, since the self-payment of the care service fee of the care-requiring person 70 can be settled using a credit card, it is not necessary for the care-requiring person to perform a cumbersome payment procedure, thereby reducing the burden. In addition, the recipient of the fee does not need to invest in creating a new fee payment contract clause or building a system for toll collection, greatly reducing the cost and labor of payment processing. it can.

Further, since the remaining fee for the nursing care service after separating the fee paid by the person himself / herself is charged to the insurance payer 50, the care-requiring person 70 has to pay the insurance burden. It is possible to save the trouble of receiving the insurance payment later, and the insurance payment institution 50 can also save the trouble of individually providing the insurance payment to the care recipient 70, which is a great merit for both parties. .

Further, the sales claim data of the co-payment of the individual is provided with the insurance coverage fee for the nursing care service covered by the insurance recognized by the insurance paying organization 50 and the insurance coverage for the unapproved nursing care service not covered by the insurance. Since it is created so that it can be distinguished from the fee, it is possible to manage the personal copayment separately for insurance application and non-insurance application, and to use it effectively in the post-processing process of this claim data it can.

In addition, since the care-requiring person 70 can identify the insurance-applied charge and the non-insurance-required charge, the charge paid by the person is settled as a credit card usage fee. The close relative can separately recognize the charge for the service covered by the insurance and the charge for the service not covered by the insurance, which is convenient for the care recipient or the close relative.

[0101]

According to the present invention, since the nursing care service performance data is transferred to the nursing care service organization using the wireless telephone, the service employee goes to the nursing care service organization and transfers the data to a computer or the like. This eliminates the need, and can eliminate the time loss associated with the movement.

Further, since the wireless telephone is used, that is, the service employee can transfer the performance record data only by operating the mobile phone or the PHS which has become explosively popular and can be operated. The operation is easy and very convenient compared to operating a node personal computer or a special portable terminal.

Furthermore, since the self-payment of the care service fee of the care-requiring person can be settled using a credit card, it is not necessary for the care-requiring person to perform cumbersome payment procedures, and the burden can be reduced. In addition, the fee receiving side does not need to make an investment such as creation of a new fee payment contract clause and construction of a system for fee collection, thereby greatly reducing the cost and labor of the payment process.

[Brief description of the drawings]

FIG. 1 is a diagram showing an entire configuration of a care service system according to the present invention.

FIG. 2 is a diagram showing a communication path between the wireless telephone shown in FIG. 1 and a nursing care service organization.

FIG. 3 is a flowchart showing a processing procedure of the computer system of the card issuing institution for care recipient shown in FIG. 1;

4A is a diagram showing a data format of a card for a person requiring care shown in FIG. 1, and FIG. 4B is a diagram showing a data format of a card for a service employee shown in FIG.

FIG. 5 is a flowchart showing a preparation process procedure before the nursing care service is implemented by the service business organization shown in FIG. 1;

FIG. 6 is a flowchart showing an operation procedure of the wireless telephone shown in FIG. 1 by a service employee.

FIG. 7 is a flowchart showing a transmission process with the wireless telephone of the service business organization shown in FIG.

8 is a flowchart showing a processing procedure of the credit card management organization shown in FIG.

FIG. 9 is a block diagram showing a conventional care service system.

[Explanation of symbols]

 Reference Signs List 20 Nursing care card issuing organization 30 Nursing service business organization 30a Computer system 31 Server 32, 33 Client 40 Credit card management organization 40a Computer system 50 Insurance payment organization 61 Service employee card 62 Wireless telephone 71 Card for nursing care recipient

──────────────────────────────────────────────────の Continued on the front page (51) Int.Cl. ⁷ Identification symbol FI Theme court ゛ (Reference) G06F 17/60 506 G06F 17/60 506 510 510 (72) Inventor Hirokazu Nishimura 1-chome Dogenzaka, Shibuya-ku, Tokyo No. 3-2 F-term in DC Card Co., Ltd. (reference)

Claims (23)

[Claims] 1. A wireless telephone carried by a service employee who provides a care service to a care recipient, and a remote telephone installed in a care service business organization that provides a care service to the care recipient via the service employee. An accessible computer system, comprising:
Nursing care service accessed by the wireless telephone and information on the results of the nursing care service provided to the care recipient are transmitted to a computer system of a nursing care service organization by operation of the wireless telephone and stored. system. 2. A radiotelephone carried by a service employee who provides a care service to a care recipient, and a remote service telephone installed at a care service business institution that provides a care service to the care recipient via the service employee. An accessible computer system, comprising:
A care service system that stores an employment schedule of a service employee, is accessed by the wireless telephone, and the employment schedule is read out by operating the wireless telephone and notified to a service employee. 3. The nursing care service system according to claim 1, wherein the wireless telephone accesses the computer system of the nursing care service provider via a packet communication network and the Internet. 4. The care service system according to claim 1, wherein the wireless telephone accesses the computer system of the care service organization via a packet communication network and a dedicated line. 5. A card for a person requiring care, which is distributed to the person requiring care and is formed of a storage medium which is detachable from the wireless telephone and at least data can be read by operating the wireless telephone, The card shows the I
The care service system according to any one of claims 1 to 4, wherein D information is stored. 6. The care service system according to claim 5, wherein the card for the care-requiring person stores information on a care service to be received by the care-requiring person. 7. The card for the care-requiring person can be written with data by operating the wireless telephone, and the payment result information of the care service received by the care-requiring person is:
7. The care service system according to claim 5, wherein the data is written on the card for the care-requiring person by operating the wireless telephone. 8. A card for at least one of a care physician and an emergency contact number of the care recipient, which can be called by operating the wireless telephone. The care service system according to any one of claims 5 to 7, characterized in that: 9. A service employee card which is provided to the service employee and is made of a storage medium which is detachably attached to the radio telephone and which can at least read data by operating the radio telephone. 9. The care service system according to claim 2, wherein ID information of the service employee is stored in a card. 10. The service employee card is capable of writing data by operating the wireless telephone, and the performance of the nursing care service provided to the care recipient is the employee performance information of the service employee. 10. The care service system according to claim 9, wherein the data is written on the service employee card by operating the wireless telephone. 11. The computer system of the nursing care service organization forms a file in an HTML format. When the wireless telephone accesses the computer system of the nursing care service organization, data is read from and written to the file. The care service system according to any one of claims 1 to 10, wherein 12. The care service system according to claim 1, wherein the wireless telephone is a low-power wireless telephone. 13. The care service system according to claim 1, wherein the wireless telephone is a PHS wireless telephone. 14. A service employee who provides a care service to a care-requiring person is accessed via a packet communication network by a wireless telephone carried by the service employee, and receives payment result information of the care service provided to the care-requiring person. An electronic computer for nursing care service management characterized by storing and storing. 15. An employment schedule of a service employee who provides a care service to a care-requiring person, wherein the employee schedule is accessed via a packet communication network by a wireless telephone carried by the service employee. Is read out by operating the wireless telephone and notified to a service employee. 16. A storage medium which is distributed to a care-requiring person, is detachable from the wireless telephone, and at least data can be read by operating the wireless telephone, and stores ID information of the care-requiring person. A card for those requiring care, characterized by the following. 17. A storage medium which is distributed to a service employee who provides a nursing care service to a care-requiring person and which is detachable from a wireless telephone and at least data can be read by operating the wireless telephone. I
A service employee card, wherein D information is stored. 18. A computer system of a long-term care service business institution that provides long-term care service to care recipients and stores payment result data of long-term care service, information on a credit card member store contract with the long-term care service business institution, And, a computer system of a credit card management organization that stores information related to a credit card user contract with the care-requiring person or a close relative thereof, and the computer system of the care service business organization,
Separate the co-payment of the care-requiring person from the fee for the nursing care service performed for the care-requiring person, create sales claim data of the co-pay person, and send the data to the computer system of the credit card management organization. Outputting, the computer system of the credit card management organization receives the sales claim data of the personal co-payment,
A long-term care service system, wherein a fee paid by the individual himself / herself or a close relative thereof is settled as a credit card usage fee. 19. The nursing care system according to claim 18, wherein the remaining fee for the nursing care service after separating the self-paid fee is charged to a predetermined insurance payment institution. 20. The personal copayment fee includes an insurance coverage fee for insurance-applied nursing care services certified by the predetermined insurance paying institution and an insurance coverage fee for unapproved non-insurance nursing care services. 20. The nursing care service system according to claim 19, wherein the sales claim data including the fee is created so that the insurance applicable fee and the non-insurable fee can be identified. 21. The credit card management institution carries out a settlement process of the charge paid by the user as a credit card charge so that the credit card user can identify the insurance charge and the non-insurance charge. 21. The care service system according to claim 20, wherein: 22. A radiotelephone carried by a service employee who provides a care service to a care recipient, and a credit card management institution which provides a service for performing payment processing by a credit card for a fee for the care service received by the care recipient. A remote accessible computer system installed in the, the caregiver in need or a close relative thereof does not have a credit card user contract with the credit card management institution, the computer system of the credit card management institution The information required for a credit card user contract is transmitted to the computer system of the credit card management organization by operating the wireless telephone, and the computer of the credit card management organization Base Long-term care service system, characterized in that to create the application form of credit card user contract have. 23. A card for a care recipient who is distributed to the care recipient and comprises a storage medium which is detachable from the wireless telephone and at least data can be read out by operating the wireless telephone. 23. The care service system according to claim 22, wherein information necessary for the credit card user contract is stored in a card.