JP2002318856A - Method for processing care giving information and system for adjusting between enterprises - Google Patents

Abstract

PROBLEM TO BE SOLVED: To reduce a burden in adjusting a care giving service plan and a actual provision achievement of care giving service, and charge an adequate payment for the care giving service. SOLUTION: A device 101 houses an inputted care giving service plan in a device 104, and a device 102 houses an inputted actual achievement of care giving service in the device 104. A device 103 reads out the housed care giving service plan and the actual achievement of care giving service, obtains and houses difference information in the device 104. The devices 101 and 102 read out and display the difference information from the device 104, and the user checks a difference between the plan and the actual achievement, and revises the plan and the actual achievement respectively. The device 101 houses the revised plan, and the device 102 houses the revised actual achievement in the device 104. The device 101 reads out the care giving service plan from the device 104, and produces a payment managing slip. The device 102 reads out the actual achievement of care giving service from the device 104, detects service which is out of the plan when the actual achievement is more than the plan, and produces a bill of particulars on care giving payment expenditure excluding the service which is out of the plan.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a system for submitting plans and results of nursing care services in a nursing care insurance to an examination and payment institution, and more particularly to a plan for a nursing care service exchanged between a care support business operator and a care service business operator. The present invention relates to an inter-enterprise coordination system that efficiently adjusts results, and a method of nursing care information processing in each device constituting the system.

[0002]

2. Description of the Related Art With the advent of an aging society, the number of people requiring care and the burden on caregivers have increased. An insurance system was introduced. In this long-term care insurance system, 90% of remuneration for long-term care services provided by long-term care service providers is paid by insurers such as municipalities, and the remaining 1
The percentage will be borne by the recipients of the nursing care services. Also, the insurer entrusts the examination of payment for the nursing care service remuneration request to an examination payment organization (the National Federation of National Health Insurance, etc.).

In order for a long-term care service provider to receive a long-term care service fee, a long-term care payment cost statement (recept) describing the number of bills for performing the long-term care service must be submitted to an examination and payment organization. I have. On the other hand, if the nursing care support company makes changes to the plan based on the nursing care plan (care plan) formulated by the business, the nursing care service plan reflecting the changes will be sent to the examination payment institution as a payment management form. It is to be submitted. The screening and payment institution checks the nursing care service billing statement sent by the nursing care service provider against the payment management slip sent by the nursing care support company, and pays the amount of the examination to the nursing care service provider. It is supposed to be. The details of the examination include whether or not the number of claims on the nursing care benefit claim statement is equal to or less than the planned number of the benefit management slip, and whether the number of claims on the nursing care benefit claim statement is greater than the planned number of the benefit management slip. If it does, the service will not be implemented as planned and will be returned to the nursing care service provider.

A care service provider is basically supposed to provide services based on a care service plan formulated by a care support provider. If it is necessary to increase or decrease the number of service provisions or the provision time due to the improvement or deterioration, naturally a service different from the nursing care service plan is provided. In such a case, the care service provider informs the care support company that a service different from the care service plan has been implemented by telephone, facsimile, or the like. However, there is a problem that communication between the nursing care service provider and the nursing care support operator is not reliably transmitted, and even if information indicating that you want to change the nursing care service plan is not reflected on the benefit management slip, There is a problem that the care service provider does not reflect the information that the care service plan determined by the business operator is not changeable in the nursing care benefit billing statement.

[0005]

As described above, in the long-term care insurance system, the contents of the payment management slip prepared by the long-term care support business and the contents of the long-term care payment cost billing statement prepared by the long-term care service business match. Therefore, when a service different from the schedule is implemented, it is necessary to request a care support provider to change the care service plan. In particular, care services undergo sudden changes due to changes in the physical condition and living environment of the care-requiring person, so each time the care service provider and the care support provider need to adjust the care service plan. There is a problem. Further, there is a problem that the request for changing the nursing care service plan is transmitted without fail, and the changed contents are surely reflected on the payment management slip and the nursing care benefit billing statement. An object of the present invention is to solve the above problems, reduce the load on adjusting the care service plan and the record of providing care services, and make it possible to claim a reward for an accurate care service.

[0006]

In order to achieve the above object, according to the present invention, a care support company processing device stores an input care service plan in an external storage device, and stores the plan and results from the external storage device. The difference information of the plan and the result is determined, and it is determined whether or not there is a mismatch between the plan and the result.When there is a mismatch, the difference information between the plan and the result is displayed, and whether or not the user has performed a correction input of the care service plan. When the correction input is made, the care service plan is corrected and stored in the external storage device, and at the time of creating a payment management slip, the care service plan is read from the external storage device, and the read care service plan is read. A benefit management slip is created based on this. Also, the care service provider processing device stores the input nursing service results in the external storage device, reads the difference information between the plan and the results from the external storage device, and determines whether there is a mismatch between the plan and the results. Determine, when there is a mismatch, display the difference information between the plan and the results, determine whether the user has made a correction input to the care service results, when the correction input, correct the care service results It is stored in the external storage device, and at the time of preparing the nursing care benefit billing statement, the difference information between the plan and the result is read from the external storage device, and the plan and the result match, the plan exceeds the result, or the result exceeds the plan. If the plan and the result match, or if the plan exceeds the result, create a nursing care benefit claim statement.If the result exceeds the plan, detect the unplanned service and detect the unplanned service. Service To exclude the track record so that to create a nursing care payment invoice. The difference determination processing device reads the care service plan and the care service result from an external storage device that stores the care service plan and the care service result, obtains a difference between the plan and the result, and obtains the difference between the plan and the result. Is stored in the external storage device. In addition, the inter-enterprise coordination system has an external storage device and a care support provider processing device, a care service provider processing device, and a difference determination processing device connected to the external storage device, respectively. ,
Means for storing the input nursing service plan in the external storage device, means for reading and displaying the nursing service results from the external storage device, and means for reading difference information between the plan and the results from the external storage device, A means for displaying difference information between the plan and the result when there is a mismatch, a means for creating a corrected care service plan when a correction to the care service plan is input, and storing it in an external storage device; A means for creating a benefit management slip based on the revised care service plan; the care service provider processing device storing the input care service results in an external storage device; and a care service from the external storage device. Means for reading and displaying the plan; and reading difference information between the plan and the result from the external storage device, and when there is a mismatch between the plan and the result, the total Means for displaying difference information between the results of the nursing care service, means for creating a corrected nursing service result when a correction to the nursing service result is input, and storing the result in an external storage device; Means to detect unplanned services when the plan exceeds the plan, and nursing care expenses based on the results of the nursing care service when the plan matches the actual results or the plan exceeds the actual results at the time of preparing the nursing care benefit billing statement A means for creating a billing statement and, when the result exceeds the plan, creating a bill for nursing care benefit excluding the unplanned service from the result of the nursing care service, the difference determination processing device A means for reading the care service plan and the result of the care service and calculating a difference between the plan and the result; and a means for storing the difference between the determined plan and the result in the external storage device. To have.

[0007]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A description will now be given of an inter-enterprise coordination system according to an embodiment for adjusting a nursing care service plan of a nursing care support operator and a nursing care result of the nursing service operator. FIG. 1 is a diagram showing a schematic configuration of an inter-enterprise coordination system of the present embodiment. As shown in FIG. 1, an inter-enterprise adjustment system 100 of the present embodiment includes a care support operator processing device 101.
, A care service provider processing device 102, a difference determination processing device 103, and a magnetic disk device 104. The care support company processing device 101 is a device that stores a monthly care service plan to be provided to a person requiring care and creates a payment management slip to be submitted to an examination and payment organization. The nursing care service provider processing device 102 is a device that stores the nursing care service results provided to the care recipient and creates a nursing care benefit claim statement to be submitted to the examination payment organization. The difference determination processing device 103 is a device that compares the stored care service plan with the results of the care service. The magnetic disk device 104, which is an external storage device, is a device that stores a care service plan, a care service result, and difference information between the plan and the result.

FIG. 2 is a diagram showing a schematic configuration of a care support company processing apparatus 101 of the present embodiment. As shown in FIG. 2, the care support provider processing device 101 of the present embodiment includes a central processing unit 201, an input device 202, and a screen display device 20.
3, a storage device 204, and a magnetic disk device 104. The central processing unit 201 is a device that controls the operation of the entire care support provider processing device 101. The input device 202 is a device for inputting operation instructions such as registration of a care service plan and creation of a payment management slip. Screen display device 20
Reference numeral 3 denotes a device for displaying a care service plan, a care service result stored by a care service provider, difference information between the care service plan and the care service result, and the like. Storage device 20
Reference numeral 4 denotes a device that loads various processing programs and data when controlling the operation of the entire care support provider processing device 101. The magnetic disk device 104 is a storage device that stores data such as the various processing programs and the nursing care service plan. The care support provider processing device 101 includes a care service plan storage processing unit 205, a care service result display processing unit 206, and a plan and result difference information display processing unit 2
07 and a payment management slip creation processing unit 208.

[0009] The care service plan storage processor 205 stores the monthly care service plan to be provided to the care recipient in need by the input device 3.
It is a processing unit that is created in response to an input from the HDD 02 and stored in the magnetic disk device. Nursing care service result display processing unit 20
Reference numeral 6 denotes a processing unit that displays the results of the nursing care service stored from the nursing care service provider processing device 102. The difference display processing unit 207 between the plan and the actual is
Is a processing unit for displaying the result of comparison between the nursing care service plan and the nursing care service result stored from. The payment management slip creation processing unit 208 is a processing unit that creates a payment management slip to be submitted to the examination payment organization. The care support provider processing device 101 includes a care service plan storage processing unit 205, a care service result display processing unit 206, a difference display processing unit 207 between the plan and the result,
A program for functioning as the benefit management slip creation processing unit 208 is recorded on a recording medium such as a CD-ROM, stored on a magnetic disk or the like, and then loaded into a memory and executed. The recording medium for recording the program may be a medium other than the CD-ROM.

FIG. 3 is a diagram showing a schematic configuration of the care service provider processing device 102 of the present embodiment. As shown in FIG. 3, the care service provider processing device 102 of the present embodiment
Has a central processing unit 301, an input device 302, a screen display device 303, a storage device 304, and a magnetic disk device 104. The central processing unit 301 is a device that controls the operation of the entire care service provider processing device 102. The input device 302 is used to register care service results,
This is a device for inputting operation instructions such as preparation of a statement of bills for nursing care benefits. The screen display device 303 is a device that displays a care service plan, a care service result, and difference information between the care service plan and the care service result stored from the care support provider processing device 101. The storage device 304 is a device that loads various processing programs and data when controlling the operation of the entire care service provider processing device 102.
The magnetic disk device 104 is a storage device for storing data such as the various processing programs and the results of nursing care. The care service provider processing device 102 includes a care service plan display processing unit 305 and a care service result storage processing unit 30.
6, a plan / actual difference display processing unit 307, an unplanned service detection processing unit 308, and a care payment billing statement preparation processing unit 309.

[0011] The care service plan display processing section 305 is a processing section for displaying the care service plan stored from the care support provider side apparatus 101. The nursing care service result storage processing unit 306 is a processing unit that creates the nursing care service result provided to the care recipient in response to an input from the input device 302 and stores the result in the magnetic disk device. The difference display processing unit 307 between the plan and the result is a processing unit that displays the result of comparison between the care service plan and the result of the care service stored from the difference determination processing device 103. Unplanned service detection processing unit 308
Is a processing unit that detects, when the result of the nursing care service exceeds the result of the nursing care service plan and the result of the nursing care service as an unplanned service, the excess. The nursing care benefit claim statement preparation processing unit 309 is a processing unit that creates a nursing care benefit claim statement to be submitted to the examination payment organization.
The care service provider processing device 102 is provided with a care service plan display processing unit 305 and a care service result storage processing unit 30.
6. The program for functioning as the difference display processing unit 307 between the plan and the actual result, the unplanned service detection processing unit 308, and the care benefit billing statement preparation processing unit 309 is a CD-R.
After being recorded on a recording medium such as an OM and stored on a magnetic disk or the like, it is loaded into a memory and executed. The recording medium for recording the program is a CD-ROM.
Other media other than the above may be used.

FIG. 4 shows a difference judgment processing device 10 according to this embodiment.
FIG. 3 is a diagram showing a schematic configuration of No. 3; As shown in FIG. 4, the difference determination processing device 103 according to the present embodiment includes a central processing unit 401
, An input device 402, a screen display device 403, a storage device 404, and a magnetic disk device 104.
Further, the difference determination processing device 103 has a plan and actual difference determination processing unit 405 and a plan and actual difference storage processing unit 406. The difference determination processing unit 405 between the plan and the result is provided by the care support provider processing device 101. The processing unit compares the delivered nursing service plan with the nursing service results stored from the nursing service provider processing device 102, determines the difference therebetween, and creates difference information. The plan / actual difference storage processing unit 406 is a processing unit that stores the difference information created by the plan / actual difference determination processing unit 405 in the magnetic disk device. A program for causing the difference information determination apparatus 103 to function as a plan / actual difference determination processing unit 405 and a planned / actual difference storage processing unit 406 is a CD-ROM.
After being recorded on a recording medium such as a ROM and stored on a magnetic disk or the like, it is loaded into a memory and executed.
The recording medium for recording the program is CD-RO.
A medium other than M may be used. FIG. 5 is a flowchart showing a procedure of processing in the care support provider processing device of the present embodiment. In step 501, the care service plan storage processing unit 205 of the care support provider processing device 101 stores the care service plan information input from the care manager in the magnetic disk device 104 as a care service plan. In step 502, the difference display processing unit 207 between the plan and the result of the care support provider processing device 101 refers to the difference between the plan and the result stored in the magnetic disk device 104, and matches the care service plan with the result of the care service. If there is no difference, the process proceeds to step 506. If the care service plan does not match the actual result of the care service and a difference exists, the process proceeds to step 503. In step 503, the difference display processing unit 207 between the plan and the result of the care support provider processing device 101 displays the difference between the plan and the result on the screen display device 203. In step 504, the care support company processing device 10
1 proceeds to step 505 if there is an instruction from the care manager to modify the care service plan, and proceeds to step 506 if there is no instruction from the care manager to modify the care service plan. In step 505, the care service plan storage processing unit 205 of the care support provider processing apparatus 101 stores the care service plan correction information input from the care manager in the magnetic disk device 104, and returns to step 502. In step 506, the payment management slip creation processing unit 209 of the care support provider processing device 101
Creates a benefit management slip from the care service plan.

FIG. 6 is a diagram showing an outline of a care service plan according to this embodiment. FIG. 6 shows an outline of a nursing care service plan in January as an example of a nursing care service plan created by the nursing care service storage processing unit 205 of the nursing care support provider processing apparatus 101. On the other hand, a nursing care service plan is shown in which a CCC operator as a service operator provides a nursing care service for 90 minutes of housework assistance from 7:00 to 8:30 on April 1.

FIG. 7 is a diagram showing an example of data of a care service plan according to the present embodiment. FIG. 7 shows an example of data when the care service plan as shown in FIG. 6 is stored on the magnetic disk 104 as care service plan data. In FIG. 7, the insurer number is a number for identifying an insurer such as a municipal government, and the insurer name represents the name of a municipal office identified by the insurer number. The care support company ID is a number for identifying the company to which the care manager who formulated the care service plan belongs, and the care support company name represents the company name identified by the care support company ID. . The insured person number is a number for identifying a person who provides the nursing care service, and the insured person name represents the name of the insured person identified by the insured person number. The long-term care service provider ID is a number for identifying a company that provides long-term care services to an insured person, and the long-term care service company name represents the name of the company identified by the long-term care service company ID. The scheduled date and time indicates the scheduled date and time when the nursing care service to be provided to the insured person is to be performed, and the scheduled start and end times. The service code is a code for identifying the nursing care service provided to the insured person, and the service name represents the name of the nursing care service identified by the service code. In the care service plan data of the present embodiment, a plurality of data are recorded in each item after item No. 7 in accordance with the number of care services provided to one insured person, and the same care service plan is provided. Is created for each of a plurality of insured persons.

FIG. 8 is a flowchart showing a procedure of processing in the care service provider processing apparatus of the present embodiment. In step 801, the care service provider processing device 10
When the care service plan display processing unit 305 receives a care service plan display instruction from the operator of the care service provider-side device 102, the care service plan display processing unit 305
Display the nursing care plan stored in the screen display device 30
3 is displayed. The care service provider performs the care service according to the displayed care service plan. In step 802, the nursing care service result storage processing unit 306 of the nursing care service provider processing device 102 creates a nursing care service result based on the nursing care service execution result information input from the operator of the nursing care service provider processing device 102, and Is stored in the magnetic disk device 104. In step 803, the difference display processing unit 307 between the plan and the result of the care service provider processing device 102
With reference to the difference between the plan and the actual result stored in 04, if the nursing care service plan and the actual result of the nursing service do not exist and the difference does not exist, the process proceeds to step 807. If there is, go to step 804. In step 804, the difference display processing unit 307 between the plan and the result of the care service provider processing device 102 displays the difference between the plan and the result on the screen display device 303. In step 805, the care service provider processing apparatus 102 proceeds to step 806 when there is an instruction from the operator to modify the results of the nursing service, and proceeds to step 807 when there is no instruction from the operator to modify the results of the nursing service. In step 806, the care service result storage processing unit 306 of the care service provider processing device 102 stores the care service result correction information input by the operator in the magnetic disk device 104,
Return to step 803.

In step 807, the care service provider processing device 102 refers to the difference data between the plan and the result stored in the magnetic disk device 104, and determines whether the care service plan and the care service result match, or If the plan is exceeded, proceed to step 809; if the nursing service performance is exceeded, step 8
Proceed to 08. In step 808, the unplanned service detection processing unit 308 of the care service provider processing device 102 detects a portion of the care service result that exceeds the care service plan as a non-insurance service, and proceeds to step 809. In step 809, the nursing care service provider statement statement preparation processing unit 309 of the nursing care service provider
The service record detected in step 8 is regarded as non-insurance, and the other service records are regarded as in-insurance services, and a long-term care benefit billing statement is prepared.

FIG. 9 is a diagram showing an example of the nursing care service result data of the present embodiment. FIG. 9 illustrates an example of data when the care service results as illustrated in FIG. 8 are stored on the magnetic disk 104 as the care service results data. In FIG. 9, the nursing care service provider ID is a number for identifying a company that provides care service to the insured person, and the nursing care service company name is the name of the business entity identified by the care service company ID. Represents. The insurer number is a number for identifying an insurer such as a municipality, and the insurer name represents a name of the municipality identified by the insurer number.
The care support company ID is a number for identifying a company to which a care manager who has formulated a care service plan belongs, and the care support company name represents a company name identified by the care support company ID. The insured person number is a number for identifying a person who provides the nursing care service, and the insured person name represents the name of the insured person identified by the insured person number. The scheduled date and time indicates the scheduled date and time when the nursing care service to be provided to the insured person is to be performed, and the scheduled start and end times. The scheduled service code is a code for identifying a care service scheduled to be provided to the insured person, and the scheduled service name indicates the name of the care service identified by the scheduled service code.

The nursing care performance date and time represent the implementation date of the nursing care service provided to the insured person and the time when the care service started and ended. The enforcement service code is a code for identifying the nursing care service provided to the insured person,
The service name represents the name of the nursing care service identified by the service code. The nursing care target category is an item for identifying whether the nursing care service identified by the implemented service code is within the nursing care target or not, and the initial value is assumed to be within the nursing care target. .

Items 1 to 11 are items stored when care service plan data is sent from the care support company processing device 101, and items 12 to 15 are items of the care service company processing device 102. This item is recorded when the operator registers results. Therefore, a plurality of data are stored in the item numbers 9 to 11 of the nursing care service result data according to the present embodiment according to the number of scheduled nursing care services,
A plurality of data items are stored in the item numbers 12 to 15 in accordance with the number of care services performed. Further, it is assumed that similar care service performance data is created for each of a plurality of insured persons.

FIG. 10 is a view showing an example of a care service plan and result registration screen of the present embodiment. The care service plan and results registration screen is displayed on the screen display device 203 when registering care service plan data input by the care manager of the care support provider device 101, and is also input by the operator of the care service provider processing device 102. Screen display device 3 when registering the nursing care service result data
03 is a screen displayed on the screen. In the example of the nursing care service plan and result registration screen of FIG. 10, the nursing care service plan stored from the nursing care support provider processing device 101 is displayed as “予 定”, and the care service plan stored from the nursing care service provider processing device 102 is displayed below. "O" is displayed as the result of the provided nursing care service. The schedule column can be updated and referenced by the care manager of the care support provider device 101, and can only be referenced by the operator of the care service provider processing device 102. The result column can be updated and referenced by the operator of the care service provider processing device 102, and the care manager of the care support provider device 101 can only reference the result column.

FIG. 11 is a view showing an example of a difference display screen between the plan and the actual result of the present embodiment. In the example of the difference display screen between the plan and the result shown in FIG. 11, the basic screen is the screen shown in FIG. 10, and when the difference between the plan and the result stored in the magnetic disk device is referred to, the registered care service is displayed. "Unplanned service" as a message indicating that the actual result of the nursing care service is not in the scheduled service code and the scheduled date and time of the nursing care service actual data, and the result of the nursing care service that matches the scheduled service code and the scheduled date and time in the nursing care actual result data are registered. "Not implemented" is displayed as a message indicating that the operation has not been performed. April 2 in the example of FIG.
The “visit bath” on the day is an unscheduled service, and the “housework assistance 90 minutes” on April 3 has not been implemented.

In this embodiment, a message is displayed on the screen display device 203 as a means for notifying the care manager or the operator of the difference between the care service result data and the care service plan data.
3 to indicate that the registered care service performance data is different from the care service plan data, such as displaying the color of the schedule and performance fields differently from other fields, and notifying by voice. It is sufficient that the operator can recognize. However, even if the nursing care service is implemented on a day different from the day scheduled in the nursing care plan, if the total number of actual months does not exceed the total number of months scheduled in the nursing care plan, the nursing care benefits are eligible. In other words, you can receive a nursing care fee, so compare the schedule with the actual results by the total number of months, and if the number of actual results is less than the expected number, display a message indicating that there is no implementation in that month, If the number of results is larger than the number of times, a message indicating that there is an unplanned service in the month may be displayed. FIG.
In the above, “○” is displayed as a method of expressing the schedule and the result, but a number or a character may be displayed.

FIG. 12 is a flowchart showing a procedure of processing in the difference judgment processing device of the present embodiment. In step 1201, the difference determination processing unit 405 of the plan and the result of the difference determination processing device 103 compares the care service plan stored in the magnetic disk device 104 with the result of the care service and determines the difference. In step 1202, the difference storage processing unit 406 of the plan and the result of the difference determination processing device 103
Stores the difference between the plan and the actual result in the magnetic disk device 104. As described above, according to the inter-enterprise coordination system of the present embodiment, the plan and performance of the nursing care service exchanged between the nursing care support operator and the nursing care service provider are efficiently adjusted, and the accurate nursing care service reward is provided. It is possible to request

[0024]

According to the present invention, it is possible to efficiently adjust the plans and results of the nursing care services exchanged between the nursing care support operators and the nursing care service operators, and to claim a correct nursing care service reward. .

[Brief description of the drawings]

FIG. 1 is a diagram showing a schematic configuration of an inter-enterprise coordination system of the present embodiment.

FIG. 2 is a diagram showing a schematic configuration of a care support company processing device of the present embodiment.

FIG. 3 is a diagram showing a schematic configuration of a care service provider processing device of the present embodiment.

FIG. 4 is a diagram illustrating a schematic configuration of a difference determination processing device according to the present embodiment.

FIG. 5 is a flowchart showing a procedure of processing in the care support provider processing device.

FIG. 6 is a diagram showing an outline of a care service plan.

FIG. 7 is a diagram showing an example of data of a care service plan.

FIG. 8 is a flowchart showing a procedure of processing in the care service provider processing device.

FIG. 9 is a diagram showing an example of data of a nursing care service result.

FIG. 10 is a diagram showing an example of a care service plan and results registration screen.

FIG. 11 is a diagram showing an example of a difference display screen between a plan and an actual result.

FIG. 12 is a flowchart illustrating a procedure of processing in the difference determination processing device.

[Explanation of symbols]

 REFERENCE SIGNS LIST 100 Coordination system between operators 101 Nursing support operator processing device 102 Nursing service operator processing device 103 Difference determination processing device 104 Magnetic disk device 201, 301, 401 Central processing device 202, 301, 401 Input device 203, 303, 403 Screen Display devices 204, 304, 404 Storage device 205 Nursing service plan storage processing unit 206 Nursing service performance display processing unit 207 Difference display processing unit between plan and actual results 208 Payment management slip creation processing unit 305 Nursing service plan display processing unit 306 Nursing service performance Storage processing unit 307 Plan / actual difference display processing unit 308 Unplanned service detection processing unit 309 Nursing care benefit statement statement preparation processing unit 405 Plan / actual difference judgment processing unit 406 Plan / actual difference storage processing unit

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Norihiro Mori 1-1-14 Uchikanda, Chiyoda-ku, Tokyo Inside Hitachi Plant Construction Co., Ltd. Hitachi, Ltd. Business Solution Division

Claims (4)

[Claims] 1. A care information processing method in a care support provider processing device for performing care insurance business processing, wherein an input care service plan is stored in an external storage device, and a difference between the plan and the result is stored from the external storage device. Read the information,
It is determined whether or not there is a mismatch between the plan and the actual result. If there is a mismatch, the difference information between the plan and the actual result is displayed, and it is determined whether or not the user has input a correction of the care service plan. When the input is made, the care service plan is corrected and stored in the external storage device, and at the time of creating the benefit management form, the care service plan is read from the external storage device, and the benefit management form is read based on the read care service plan. A care information processing method characterized by being created. 2. A care information processing method in a care service provider processing device for performing care insurance business processing, wherein an input care service result is stored in an external storage device, and a difference between a plan and a result is stored from the external storage device. Read the information,
It is determined whether or not there is a mismatch between the plan and the result. If there is a mismatch, the difference information between the plan and the result is displayed, and it is determined whether or not the user has made a correction input to the nursing care service result. When the nursing care service results are corrected and stored in the external storage device, at the time of preparing the nursing care benefit claim statement, the difference information between the plan and the results is read from the external storage device, whether the plan and the results match,
Judge whether the plan exceeds the result or the result exceeds the plan, and when the plan and the result match or the plan exceeds the result,
Creates a long-term care benefit claim statement, detects an unplanned service when the result exceeds the plan, and excludes the detected unplanned service performance to create a long-term care benefit claim statement. Nursing information processing method. 3. A care information processing method in a difference determination processing device for performing care insurance business processing, wherein the care service plan and the care service result are stored in an external storage device storing the care service plan and the care service result. A method of reading care information, wherein a difference between the plan and the result is read out, and the obtained difference between the plan and the result is stored in the external storage device. 4. An inter-enterprise coordination system comprising an external storage device, a care support provider processing device, a care service provider processing device, and a difference determination processing device connected to the external storage device, respectively. The company processing device is means for storing the input nursing service plan in the external storage device, means for reading and displaying the nursing service results from the external storage device, and difference information between the plan and the results from the external storage device. Means for displaying the difference information between the plan and the result when there is a discrepancy between the plan and the result, and creating a corrected care service plan when a correction to the care service plan is input, the external storage device And a means for creating a payment management slip based on the nursing care service plan or the modified nursing care service plan. The business processing apparatus is means for storing the input nursing service results in the external storage device, means for reading and displaying a nursing service plan from the external storage device, and difference information between the plan and the results from the external storage device. Means for displaying difference information between the plan and the result when there is a mismatch between the plan and the result, and creating a corrected care service result when a correction to the care service result is input; Means for detecting a service plan when the result exceeds the plan at the time of preparing the nursing care benefit claim statement; and If the result exceeds the actual result, a long-term care service claim statement is created based on the results of the nursing care service. A means for preparing a bill for a nursing care benefit bill, wherein the difference determination processing device reads the care service plan and the care service result from the external storage device, and obtains a difference between the plan and the result. And a means for storing the difference between the determined plan and the actual result in the external storage device.