JP2001359300A - Method for managing pay home for the aged - Google Patents

Abstract

PROBLEM TO BE SOLVED: To eliminate unfairness depending on age and health condition by setting the facility usage fee as a monthly charge, so that elderly persons can readily go into this home as a resident, in comparison with the existing payment for the lump-sum money and the facility usage fee changes depending on his residence period, and in addition, when a resident desires change in the lump- sum payment system, such a desire can be satisfied, and thereby the resident can fix risk for long-life at that time and the resident can stay continuously in this home with a peace of mind. SOLUTION: In this method for managing a charged home for elderly persons or the similar facilities, the facility usage fee corresponding to the rent and management fee are set as the monthly charges, and when a resident desires the payment of the facility usage with a lump-sum money, the total or a partial monthly facility usage fee can be exempted, in the case where the relevant resident pays a temporary money which corresponds to the average remaining life time.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method for operating a nursing home for the elderly or similar facilities, and more particularly to a new operation method which replaces the conventional operation method such as, for example, a lifetime use method.

[0002]

2. Description of the Related Art As a method of operating a paid nursing home in Japan, a method of paying a rent portion in advance with a lump-sum payment at the time of occupancy and selling a right for life use (lifetime use right system) is generally used.

[0003] This method is characterized in that the same amount of lifetime use right is sold to all residents in the same type of room. This lump sum is 15% to 2% when you move in.
0% is amortized, and the remaining amount is amortized on a straight-line basis over 15 to 6 years, with an average of 12 years, depending on the platform. When you move out, you will return the remaining book value. It will not be returned after the end of the amortization period. The average age of 12 years is because the home management considers the average life expectancy of a resident at the time of occupancy to be about 12 years. In 1996, it is assumed that women will move in at the age of 77 and men will move in at the age of 73.

[0004]

The conventional lifetime use right system has an advantage that a resident can be free from a long life risk of rent. The monthly expenses after the lump-sum payment is approximately 160,000 yen in total for administrative expenses and food expenses, so there is a guarantee that the general pension (employee pension) can be paid for life.

[0005] However, in the lifetime use method, a large lump sum is required when moving in. Therefore, it is extremely difficult to use the room, and the same lump sum is required for a room of the same type. Unfair regardless of life expectancy.
For example, it is very cheap for a woman occupying at the age of 60 (mean life expectancy of 26 years), but it is high for a man of 85 years old (mean life expectancy of 5.38 years).

[0006] In addition to the above, there are other types of condominiums such as condominiums and condominiums which have the right to condominiums to be sold and transferred to others as personal assets, and rental-type condominiums such as rental condominiums. There are pros and cons for people.

[0007] It is, therefore, a primary object of the present invention to provide a new method of operating a toll nursing home or similar facility.

[0008] Another object of the present invention is to provide a method of operating a pay nursing home or similar facility which is easy to use.

Another object of the present invention is to provide a method for operating a pay nursing home or similar facilities that does not become unfair at the age of entering.

[0010]

SUMMARY OF THE INVENTION The present invention relates to a method of operating a paid nursing home or a similar facility, in which a facility use fee and a management fee equivalent to a rent are set on a monthly basis, and a resident who is occupying the facility is required to pay a facility use fee. If the resident wishes to pay a lump-sum payment, the resident pays a lump-sum payment according to his or her life expectancy, thereby exempting all or part of the monthly facility usage fee.

The present invention also relates to a method of operating a pay nursing home in which a facility use fee equivalent to a rent and a management fee are set on a monthly basis. (A) A resident who pays a lump sum of a facility use fee (B) If so, the tenant shall calculate the lump sum amount according to his or her life expectancy, and the tenant shall pay the lump sum for the monthly facility usage fee. A method of operating a pay nursing home characterized by exempting all or part of the nursing home.

When a resident is certified as requiring support or requiring nursing care under the nursing care insurance, a nursing care fee corresponding to the level of certification under the nursing care insurance is collected on a monthly basis.

[0013] However, this monthly care fee is the same as the specific facility nursing service usage fee or the home insurance amount in the nursing care insurance (when the paying nursing home or a similar facility does not select the specific facility nursing service as a facility). .

If the resident who has selected the lump-sum payment method survives and retires, a part of the lump-sum payment is returned to the departed person according to the remaining book value.

[0015]

According to the present invention, the facility usage fee is set on a monthly basis, so that it is easier to move in compared to the conventional lump-sum payment method.
Moreover, as a result, the facility usage fee according to the occupancy period is paid, so that unfairness due to age and physical condition is eliminated. Also,
If the resident desires to change to the lump-sum payment method, the resident can respond to the request, so that the resident can fix the risk of longevity at that time and can continue to move in with peace of mind.

The above and other objects, features, and advantages of the present invention will become more apparent from the following detailed description of embodiments with reference to the drawings.

[0017]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The monthly fee for a paid nursing home or similar facility to which the present invention is applied includes the following three expenses. First, the part of the lease agreement that corresponds to the rent,
That is, it is called a “monthly facility usage fee” and is a usage fee as a consideration for the right to use the living room portion and the shared portion of the facility that the contractor has contracted. Next, there is a “monthly administration fee” that includes some of the administrative and common service charges in the lease contract, but is equivalent to services (other than nursing care and assistance) that provide services. Finally, there is a “monthly meal” that provides three meals a day throughout the year. However, for example, electricity and water charges in the living room will be charged as actual expenses.

That is, in the method of operating a pay nursing home or a similar facility according to the present invention, the facility use fee and the management fee are set on a monthly basis. Therefore, since there is no need for a large rent as in the conventional lump-sum payment method, it is relatively easy to move in, and the resident can move in only for a period of time that he or she wants to keep moving in. Therefore, the flow of people is large and there is a free atmosphere, and it is possible to enter as many times as necessary. Therefore, especially the elderly who are difficult to enter the paid nursing home (the elderly who are expensive compared with the conventional lump-sum payment and the period of possible occupancy), for example, the elderly aged 75 or older, are promoted. You.

The pay nursing home or similar facility operated according to the operation method of the present invention is intended for an elderly who needs nursing and assistance as one target. On the other hand, recently, the so-called care insurance started,
Nursing care insurance payments are now paid according to the certification level.

Therefore, according to the present invention, when a resident who enters a paid nursing home or a similar facility requires assistance and nursing care, and has received level certification under the long-term care insurance, Insurance according to the level (degree of nursing care required), specifically, the fee for use of a specific facility nursing service or home care insurance (when a paying nursing home or similar facility does not select a specific nursing service as a facility) ), The same amount of nursing care fee is collected on a monthly basis.

For example, in the specific facility resident nursing care service, 71.400,000 yen is required for support, and 16.
470,000 yen, for long-term care 2 18,480,000 yen, for long-term care 3 2049,000 yen, for long-term care 4 22.5 million yen,
In the case of 5 requiring long-term care, the cost is 24,540,000 yen.

For example, in the case of home care, 6150,000 yen for the need for support, 160,580,000 yen for the need for nursing care 1, 19,480,000 yen for the need for nursing care 2, and 26.75 for the need for nursing care 3 30,000 yen for 10,000 yen, 4 for long-term care, 3 for 5 for long-term care
It is 583,000 yen.

As described above, if the nursing care fee at the nursing home is set to the amount of the insurance money corresponding to the certification level of the nursing care insurance, the resident can receive the nursing care with ease.

Furthermore, although the monthly system of the present invention has the above-mentioned advantages, there is anxiety about paying a considerable amount every month without knowing how many years to live as estimated from life expectancy. For example, if the monthly facility usage fee is assumed to be 150,000 yen, the sum of both the monthly management fee and the monthly meal fee is approximately 150,000 yen per person. Combining both is 3
It's about $ 100. The average amount of the current pension is about 230,000 yen, and it is about 280,000 yen if you join a welfare pension fund of a large company, but still paying 300,000 yen monthly fee Is still not enough. Other expenses are about 10,000 yen for utilities, 10,000 yen for newspapers and telephones, and about 80,000 yen for a total of about 400,000 yen, so there is concern about insufficient cash flow.

Therefore, in the present invention, a system is adopted in which a resident who is occupying the monthly fee system is allowed to change to the lump sum system if desired. In short, this lump-sum payment switching method simply calculates a lump sum based on the life expectancy of the resident, and after paying the lump sum, all or part of the monthly facility usage fee is paid until departure. Exempt system. Thereby, it is possible to determine anxiety caused by not knowing the length of self-survival and anxiety about future price increases (these are collectively referred to as “longevity risk”).

However, in this case, the remaining portion of the lump sum in the case of death within the life expectancy becomes the income of the paid nursing home, but the resident is given the right to continue living forever after the life expectancy. If you survive within the life expectancy, the remaining portion of the lump sum will be returned to the resident. In the case of this surviving departure, it is necessary to convert the book value of the remaining portion into a market value and return the remaining market value. For example, a method of integrating the inflation rate during the period in which the tenant was occupied with the lump sum and converting the remaining book value to the present value (market value) using the integrated inflation rate can be considered.

This lump sum switching system is for those who are currently occupied and want to live here until the end because they like living in a pay nursing home.
At that point in time, if you keep your lump sum in the form of your life expectancy, you will have the advantage that you can live without a facility fee equivalent to your rent for a lifetime. In addition, when moving out and surviving, part of the lump sum (remaining portion) will be returned, so the security of the monthly system will not be lost, and the departed person will return the necessary funds in the case of surviving with lump sum payment Obtainable. In this example, the monthly facility usage fee is set as the target of the lump sum switch, but it may be sufficiently considered that the monthly portion required by the resident or prospective occupant is set as the target of the lump sum switch.

Here, an example of the relationship between the life expectancy and the lump sum in the case of using the lump sum switching system is shown in a table.

[0029]

[Table 1]

[0030]

[Table 2]

When the woman in Table 1 lives alone in a room of type B (monthly facility use fee 147,000 yen), assuming that the woman is 75 years old, the risk is fixed at that time (75 years old). The lump sum will be 24,364,800 yen.
If the men have the same conditions, from Table 2, the lump sum is 19,03
It will be 5,000 yen. In the case of the conventional lump-sum occupancy calculation method, it is estimated to be approximately 24,000,000 yen including the initial depreciation. This corresponds to life expectancy of about 75 years for women and about 70 years for men. However, in the lump-sum switching method, women aged 75 or older and men aged 70 or older are cheaper than the conventional lump-sum payment.

Here, a lump sum calculation system for the lump sum switching system will be described. This system 10 is specifically realized using the Internet 12.
That is, the server 14 is connected to the Internet 12,
A user computer 16 can access the server 14 through the Internet 12. The user computer 16 is a computer provided in each department in the pay nursing home or similar facility and registered in the system. The user computer 16 has
An ID (identification) number and a password are individually assigned to each.

The server 14 is a computer managed by the operator of the system 10 and includes a database 18. The database 18 stores all data necessary for calculating the switching lump sum together with the ID and the password. For example, a table of age and life expectancy, a table of monthly usage fee (equivalent to rent) of each room, and the like are stored.

When the server 14 is accessed from the user computer 16 via the Internet 12, the server 14 displays an initial screen (initial menu) on the user computer 16 in the first step S1 of FIG. On the initial screen, processing items that can be selected by the user computer 16, that is, the user, are displayed.

Assuming that the user clicks "Calculate lump sum" on the initial screen displayed on user computer 16, server 14 determines "YES" in step S2 of FIG. At S3, the user computer 1 is connected via the Internet 12.
6, an input screen 20 as shown in FIG. 2 is presented.

In the input screen 20, in addition to the date, name, degree of care, etc., items necessary for calculating the switching lump sum, that is, input or setting fields 22, 24 and 26 for age, gender and room number are provided. Is formed. Therefore,
The user sets the data of the resident who wants to switch in the input fields 22, 24, and 26. However, if data that can be set selectively is previously set in these input fields 22-26 in the form of a pull-down menu, it is only necessary to select it.

In step S 4, the server 14 calculates a switching lump sum based on the input data, that is, the age, gender, and room number, and displays it in the display box 28. Specifically, the life expectancy of the resident is obtained by referring to the table of the database 18 based on the age and gender of the resident, and similarly, the required monthly amount is obtained from the room number, and by multiplying the two, the current time is obtained. You can calculate the lump-sum switchover in.

However, in calculating the lump sum, parameters such as the current degree of care of the resident may be considered.

In step S5, if the NO of the YES / NO button 30 on the input screen 20 is operated, the process returns to the input in step S3, but if YES is clicked,
The input screen 20 is output as it is or transformed so that at least the switching lump sum can be clearly confirmed at step S6.

Although the system in FIG. 1 connects the server 14 and the computer 16 via the Internet, the system may use the server 14 as a stand-alone machine. In that case, an input is made on the screen of the server 14, and the server 14 outputs a print.

In the case of using the lump-sum switching method of the present invention, a resident who is currently occupied by a manager or a responsible person of a paying nursing home or a similar facility is first charged with the facility usage fee. Confirm that you would like to make a lump-sum payment. The confirmation may be in the form of an arcade or a form of interview as required.

When the resident desires to switch the lump sum, the lump sum amount corresponding to the life expectancy of the resident is calculated using the system shown in FIG. 1, for example. Then, the lump sum is presented to the desired resident. Tenants pay a lump-sum payment to exempt all or part of the monthly facility usage fee.

[Brief description of the drawings]

FIG. 1 is an illustrative view showing a switching lump sum calculation system according to the present invention;

FIG. 2 is a flowchart showing the operation of the system in FIG. 1;

FIG. 3 is an illustrative view showing one example of an input screen displayed in the embodiment in FIG. 1;

[Explanation of symbols]

 10 Lump sum calculation system 12 Internet 14 Server 16 User computer 18 Database 20 Input screen

Claims (5)

[Claims] Claims: 1. A method of operating a nursing home for a nursing home in which a facility usage fee equivalent to a rent and a management fee are set on a monthly basis, wherein a resident is requesting a lump-sum payment of the facility usage fee. A method of operating a pay nursing home, wherein a resident pays a lump sum of an amount corresponding to his or her life expectancy to exempt all or part of the monthly facility usage fee. (2) A method of operating a pay nursing home in which a facility use fee equivalent to a rent and a management fee are set on a monthly basis, wherein: (a) a resident who wishes to pay a lump sum of the facility use fee; (B) If desired, the tenant calculates a lump sum amount corresponding to his or her life expectancy, and the tenant pays the lump sum of the amount, whereby the monthly facility use fee is calculated. A method of operating a paid nursing home characterized by exempting all or part of the above. 3. If the resident has been certified as requiring support or requiring nursing care under the long-term care insurance, the nursing care fee corresponding to the level of certification under the long-term care insurance is collected on a monthly basis. How to operate a paid nursing home. 4. The method of operating a pay nursing home according to claim 3, wherein said monthly fee for nursing care is the same as a fee for use of a specific facility nursing service or home insurance amount in said long-term care insurance. 5. The method according to claim 1, wherein said resident is alive and departed.
The method for operating a pay nursing home according to any one of claims 1 to 4, wherein a part of the lump sum is returned to the departed person according to the remaining book value of the lump sum.