JP2003016190A - System and method for managing care support, and care support management program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a care support management system capable of providing secure and speedy care service to a person requiring care, remarkably reducing the business of a care support employer and reducing cost. SOLUTION: The care support management system is provided with a care support terminal 20 arranged on a home care support employer side performing a care insurance system, care service terminals 30a and 30b arranged on a care service employer side, a portable terminal 30c, a care support managing server 10 generating the care plan of the person requiring care based on information on the registered employer of care service and information on the person requiring care and performing payment/charging processing, a computer network 50 such as the Internet and providers 40a to 40d.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a care support management system, a care support management method, and a care support management program for managing care support using a computer network such as the Internet. In particular, the present invention relates to a care support management system, a care support management method, and a care support management program that can manage each information for each local government and create a care plan surely and promptly and perform payment / claim processing.

[0002]

2. Description of the Related Art In Japan in recent years, the average life expectancy has been increasing along with the improvement of eating habits and the development of pharmaceuticals. Has become a very serious problem. for that reason,
A nursing care insurance system has been introduced in which local governments take the lead in providing medical and welfare services for elderly people so that the burden of care for family members, relatives, etc. can be reduced and the elderly people can lead an independent life as much as possible.

In this long-term care insurance system, when a person requiring care receives an application from a local government (insurer) such as a municipality, the insurer certifies the degree of long-term care and determines a nursing care score. A care support specialist (care manager) who belongs to a home care support company creates a care service plan (care plan), and based on this care plan, a care worker (care worker) and a care service business that belong to the care service provider. The person carries out various nursing care services.

As a system for managing or supporting such nursing care service, a system for accumulating various information related to home care services via a communication line and centrally managing it (Japanese Patent Laid-Open No. 8-30692). Or a system for exchanging information necessary for performing each work between a care management creation institution and a service providing institution through a shared database (Japanese Patent Laid-Open No. 2000-3404).
System) that consistently manages from the creation of the care plan to the approval of the care record for the care plan involving the care recipient, the caregiver, the care implementation group, and the care plan creation group (Japanese Patent Laid-Open No. 2000-20596). Gazette> etc. are known.

On the other hand, conventionally, a computer network (hereinafter, also simply referred to as “network”) in which a plurality of computers are connected by a communication line or the like, data and programs are stored and exchanged between the computers, and data is shared. Say) is being built.

As a method of such a network,
As a general rule, an open network method that allows computers to be freely connected if they comply with prescribed communication protocols, etc., and a host computer manages the network, and terminal devices such as connected computers have certain security restrictions. There is a closed network system for preventing unmanaged computer nodes from connecting to the network.

The Internet is a typical example of the above-mentioned open network system. In this Internet, the communication protocol is TCP (Transfer
Control Protocol) / IP (Internet Protocol) is adopted, and in principle, any computer that complies with this communication protocol can connect to the network.

In recent years, against the backdrop of a free network environment such as the Internet, WWW (World Wide W
eb) and other multimedia environments have been developed. In particular, in recent years, many so-called Internet businesses (e-businesses) that provide specific services using the Internet have been proposed and operated.

In this Internet business (e-business), there is also a service in which a virtual store is provided on the server side and sample photographs of products and explanations are put on a Web page to buy and sell products.

[0010]

However, in the system disclosed in Japanese Patent Application Laid-Open No. 8-30692, only the information about the insurer and the care service provider is managed, and the home care support provider, the care provider Since information about support specialists, caregivers, and care recipients is not managed, there has been a problem that it is not sufficient to provide reliable and prompt care services.

In the system disclosed in Japanese Unexamined Patent Publication No. 2000-3404, only the information about the home care support business operator and the care service business operator is managed. There is a problem that it is not sufficient to provide the nursing care service reliably and promptly because the information about the person is not managed.

Further, the system disclosed in Japanese Unexamined Patent Publication No. 2000-20596 manages information about an insurer, a home care support business operator, a care service business operator, a caregiver and a care recipient, but Since the support business operator, the care service business operator, and the caregiver each have their own database, the caregiver support specialist and the caregiver cannot obtain information immediately at the care recipient's home, and they can be surely and quickly. There was a problem that providing nursing care services was not sufficient.

In any of the above cases, the home care support company, the care support specialist, the care service company, and the caregiver need to make their own bills, reports, etc., so the work is not reduced. However, there was a problem that the cost could not be reduced.

The present invention has been made in view of the above conventional problems, and an object thereof is to provide a reliable and prompt care service to a care recipient, and
It is to provide a care support management system, a care support management method, and a care support management program capable of significantly reducing the work of a care support business operator and reducing costs.

[0015]

In order to solve the above problems, a care support management system of the present invention is a care support management system that manages care support using a computer network such as the Internet. Care service provider terminals that are connected to the computer network of Nursing Care and register information of care service providers, and care support providers that are connected to computer networks such as the Internet and register information of care support providers and care recipients A terminal, connected to the computer network, based on information about the care service provider registered from the care service provider terminal, and information about the care recipient registered from the care support terminal, And a care support management server that creates a care plan for the care recipient. The features.

[0016] Here, the care support server sends the care service provider terminal and the care support terminal via a computer network such as the Internet,
An information registration screen can be provided by a web page.

Further, the care support server is stored in the information storage means and information storage means for storing information on the care service provider, information on the care support provider, and information on the care recipient. Based on the information of the business of the care service and the information of the care recipient, the care plan creating means for creating a care plan for the care recipient, and the reception of the care plan created by the care plan creating means. Use for each care recipient based on the ordering processing means for placing an order, the record processing means for recording the care record input from the care service provider terminal, and the care record recorded by the record processing means And a usage fee calculation means for calculating fees and benefits.

Here, the information storage means manages and stores information about the care service provider, information about the care support provider, and information about the care recipient for each local government.
It is good to do so.

In order to solve the above problems, the care support management method of the present invention is a care support management method for managing care support with a care support management server connected to a computer network such as the Internet, (A)
Information on care service providers, information on care support providers,
And receiving and storing information about the care recipient, and (B) creating a care plan for the care recipient based on the stored information about the care provider and the care recipient information. It is characterized by

The step (A) can provide a registration screen of information on the care service provider, information on the care support provider, and information on the care recipient by a Web page.

Further, after the step (B),
(C) Place and receive the created care plan,
(D) Record the nursing care results based on the care plan,
(E) It is preferable to calculate the usage fee and the benefit amount for each care recipient based on the recorded care record.

Here, in the step (A), it is possible to manage and store information about the care service provider, the care support provider, and the care recipient information for each local government. .

In order to solve the above-mentioned problems, the care support management program of the present invention receives and stores (a) information on a care service provider, information on a care support provider, and information on a care recipient. And (b) creating a care plan for the care recipient based on the stored information about the care provider and the information about the care recipient. To do.

Here, in the step (a), it is possible to provide a registration screen of information on the care service provider, information on the care support provider, and information on the care recipient by a Web page. .

Further, after the step (b), (c) ordering and receiving the created care plan, and (d) recording a nursing care record based on the care plan ( e) a step of calculating a usage fee and a benefit amount for each care recipient based on the recorded care record.

Here, the step (a) is a step of managing and storing information on the care service provider, information on the care support provider, and information on the care recipient for each municipality. It is good to do so.

[0027]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of a care support management system, a care support management method, and a care support management program of the present invention will be described below with reference to the drawings. Here, in the care support management system, the care support management method, and the care support management program of the present invention, a communication network such as the Internet can be used.

FIG. 1 is a diagram showing one form of a care support management system of the present invention. This care support management system
It has a client function, inputs information about care support specialists (care managers), etc., and is a P provided on the home care support business side, which is each institution for implementing the care insurance system.
A care support terminal 20 such as C (Personal Computer),
A PC that has a client function, inputs information about caregivers (care workers), and is provided on the side of care service providers
Care service terminals 30a, 30b, a mobile terminal 30c such as a mobile phone owned by a care support specialist (care manager) or a caregiver (care worker), and a server function, and the care service terminals 30a, 30b and mobile phones. Terminal 30c
Creates a care plan for the care recipient based on the information on the care service provider registered from the information and the information on the care recipient registered from the care support terminal 20 or the mobile terminal 30c, and the payment / claim process Nursing care support management server (hereinafter, also simply referred to as “server”) 10 and each terminal 20, 3
A computer network such as the Internet (hereinafter, simply referred to as “network”) that enables information to be transmitted and received between 0a to 30c and the care support management server 10.
50 and each terminal 20, 30a-30c to the network 5
Provider 40a-40d for connecting to 0.

Here, the care support management server 10 manages the information from each of the terminals 20, 30a to 30c in units of local governments.

FIG. 2 is a diagram showing one form of the care support management server 10. In FIG. 2, the care support management server 10 is provided by the network control unit 11 that provides an information registration screen and the like by a Web page to each terminal 20, 30a to 30c (FIG. 1), and the network control unit 11. WebDB (DataBa
se) 12, information on the care service provider, information on the care support provider, and information on the person requiring care for each municipality (22a ...
・ 22n) stores the local government DB 22 and each terminal 20,
Based on the DB registration unit 13 that registers the information from 30a to 30c (FIG. 1) in the local government DB 22, and the information of the care service provider and the care recipient stored in the local government DB 22, the need for care Input from the care plan creation unit 14 that creates the care plan, the ordering and processing unit 15 that receives and orders the care plan created by the care plan creation unit 14, and each terminal 20, 30a to 30c (FIG. 1). A record processing unit 16 that records the care record, a charge calculation unit 17 that calculates a charge and a benefit for each care recipient based on the record record recorded by the record processor 16, a care plan, and a receipt. Nursing care service DB 21 that stores ordering information, nursing care results, usage fee and benefit information, and nursing care service DB
21 and a DB management unit 19 that manages the local government DB 22, and a mail processing unit 18 that exchanges electronic mails between the terminals 20 and 30a to 30c (FIG. 1).

Here, the local government DB 22 stores each local government A to.
Information on the care service provider, information on the care support provider, and information on the care recipient is managed and stored for each N.

FIG. 3 shows the local government A22a of the local government DB 22.
It is a figure which shows DB of. In FIG. 3, the local government DB 22
The DB of the local government A22a stores the information of the care support specialists (care managers) belonging to the local government A, and the information of the home-care support business that is each institution for implementing the long-term care insurance system. DB 23a and a care service provider DB 23 that stores information about care workers (care workers) belonging to the municipality A and information about care service providers
b, and a care-requirer DB 23c that stores information about a care-requiring person who belongs to the local government A and is a care target. In this way, the care support management server 10 manages care information for each local government.

4 to 7 are flowcharts showing the care support management method of the present invention. In FIG. 1 to FIG. 7, first, a home care support terminal 20 or a home care support company, which is an institution for implementing a long-term care insurance system, designated by a contract with a sales franchisee contracted for each local government, or The information of the home care support business operator and the care support specialist (care manager) is registered from the mobile terminal 30c (step 401). Here, the network control unit 11 of the server 10 provides the information registration Web page prepared in the WebDB 12 to the terminals 20 and 30c, and the DB registration unit 13 receives the information input from the terminals 20 and 30c.
D of the local government A to which he / she belongs via the DB management unit 19.
It is stored in B22a.

Further, the care service provider specified by the contract with the sales franchisee registers the information of the care service provider and the caregiver (care worker) in the server from the care service terminals 30a and 30b or the portable terminal 30c ( Step 402). This registration is also step 40
It is performed in the same manner as 1 and is stored in the care service provider DB 23b managed by each local government. This registration content registers, as basic information, information about the care service provider itself, that is, the contact information of the care service provider, the corporation name, and the like.

Further, as the facility information, the information of the facility providing the care service is registered. When registering this facility,
Specify the service type provided by the facility. further,
The service content provided by the care service provider is registered as service information. Specifically, the service code, discount rate, service provision period, etc. are registered. At this time, free service information is registered for each service type as free service information. This is referred to when reserving a service. Specifically, the free space information is registered in units of 15 minutes as the free space information of the visiting office service. Further, it is possible to collectively register the vacant information in the same time zone in the designated period. In addition, vacant information for short-term entrance / facility care services is registered on a daily basis.

Information such as employees is registered as detailed information. Register free information for each employee as free employee information. This is referred to when a care worker is specified when making a reservation. In addition, it is possible to register the vacant information for each employee, and it is possible to collectively register the vacant information for the same time period during the designated period. As free information by date, it is possible to register the free information of employees on a specified date. It is also possible to specify a plurality of employees here. Free information for the same time zone can be registered for multiple employees at once. They are,
By registering as schedule management information, it is possible to manage schedules such as employee work schedules and working hours. That is, as the employee schedule, the working hours (off-hours / holidays), breaks / movement times of employees are registered in units of 15 minutes. The work schedule is automatically reflected in the schedule when receiving an order for "service reservation status". You can register working hours in the same time zone at once. Furthermore, the schedule of the employee on the specified date is registered as the daily employee schedule. As described above, a plurality of employees can be designated, and the working hours of the same time zone can be collectively registered for the plurality of employees. In addition, it is possible to reflect the vacant information of the employee from the employee's schedule.

Also, the welfare equipment to be rented is registered. By specifying the product number of the welfare equipment uniquely, the same product with different rental fee can be registered. As the welfare equipment loan availability information, the inventory status such as availability of welfare equipment and the order period is registered.

Under the current long-term care insurance system, care service providers provide services such as home-visit nursing care and welfare equipment lending at home, as well as at homes for the elderly and care facilities for the elderly. Two types of facility service providers to be provided are stipulated, but the present invention is a concept including a company providing additional services such as a construction company, a funeral service company, and a taxi transporter.

Next, apply to the local government that is the insurer,
A person requiring nursing care who has been certified as having a degree of long-term care requests a home-care provider to create a care service plan (care plan). Upon request, the home care support company dispatches the care support specialist (care manager) to which the home care support company belongs to the home of the care recipient. The dispatched care support specialist visits the care recipient's home and conducts a survey to understand the physical function, psychology, and social environment of the care recipient. The information of the care-requiring person thus obtained is used as the care support terminal 20 or the mobile terminal 30c.
To register (step 403). This registration is also performed in the same manner as in step 401, and is stored in the care recipient DB 23c managed for each local government.

At this time, service reservation registration can be performed. If you accept the service by phone, etc., register your reservation. Service reservation details differ for visiting services, facility services, and welfare equipment lending. When making a reservation for a visiting service, the care worker (the employee registered in the detailed information of "Basic information registration") to visit can be specified. Further, in the case of making a reservation for a facility service, the facility that provides the service can be designated.
Further, in the case of making a reservation for welfare equipment loan, welfare equipment (the welfare equipment registered in the detailed information of "basic information registration") can be designated.

Next, the care plan creation unit 14 of the server 10
Creates a care plan based on the information in the local government DB 22 (step 404). This registers the nursing care service provided for each day of the weekly plan creation, and specifies the service code, the service time, and the service provider. In the case of facility services, specify the name of the facility, and in the case of lending welfare equipment, specify the welfare equipment. A care worker can be specified in the case of visiting services. In addition, the service is registered in the care plan for the month when the care plan is created. Specify the service code, date and time of service, and service provider. In the case of facility services, specify the name of the facility, and in the case of lending welfare equipment, specify the welfare equipment. A care worker can be designated for visiting services. In addition, a monthly care plan is created from the weekly care plan. Then, the service is reserved based on the reservation care plan. When making a reservation, refer to the service availability information. Checks whether the specified service and date / time are available. If a care worker is specified, the employee availability information is referenced to check whether there is an availability. Based on the care plan created in this way, the unit calculation of the service usage table appendix is performed. At this time, if the care plan is different from the reservation content, such as when a service is reserved from a function other than this function or the reservation content is changed, a care plan can be created from the reservation information. In addition, a benefit management vote (CSV file) is created based on the care plan. The created benefit management form (CSV file) is downloaded to the user (client) side and can be linked (browsed and processed) with the National Health Insurance Federation transmission software.

Further, it is possible to retrieve service availability information. The vacant information of the service registered by the entrepreneur is referred to, and the entrepreneur having the vacant service is searched. Search for vacant service information By inputting the desired date and time, service type, and other conditions, you can search for a service provider that has a vacant service. The vacancy information is registered by the service provider in the item “service vacancy information registration”. After searching the service reservation availability information, select the service provider. Service reservations can be made for selected service providers. In the case of visiting services, care workers can be designated and booked. For facility services, specify the facility and make a reservation.

Further, it is possible to search for welfare equipment available information. Searching for welfare equipment By entering conditions such as the type of welfare equipment you want, you can search for the corresponding welfare equipment. Welfare equipment is registered by the service provider in the item "basic information registration". The size and function of the retrieved welfare equipment,
Availability of inventory Information such as rental fees can be viewed, and the presence or absence of inventory is registered by the service provider in the "Registration of welfare equipment vacancy information" item. Reservation of welfare equipment loan You can select the desired product from the retrieved welfare equipment and make a reservation.

Further, it is possible to total the number of service units used by the care recipient for short-term entrance transfer to visit the outpatient service, and obtain the number of days that can be transferred to the short-term entrance transfer.

Further, by inputting conditions such as the location and the service that can be provided to the information of the business operator registered in the "basic information" by the business operator, the corresponding business operator can be searched.

As described above, according to the present invention, the care manager, which is the most complicated work, prepares a care plan. The care plan information and the reservation information are converted bidirectionally when making a reservation from the care plan and when making a care plan from the reservation information. As a result, the reservation information and the care plan information can be synchronized. Moreover, since the care plan information is shared with the service provider via the Internet 50, the service provider can refer to it as a service provision form. Also, by creating a monthly care plan from the weekly plan, it is not necessary to create a new monthly care plan, and the paperwork of the care manager can be reduced. Specifically, create a weekly plan. Make a care plan from the weekly plan. Further, since the care plan can be created from the reservation information, the care plan can be easily changed even when the service content is changed. The care manager needs to change the care plan according to the changed service content, but since the care manager can update the care plan, the paperwork can be reduced. Specifically, a care plan is created from the reservation information. At this time, the designated care worker, facility, and welfare equipment are also reflected according to the service type. It is possible to calculate the separate table for the service use form from the updated care plan.

Service reservation information is registered from the care plan to make a temporary reservation (step 405). At this time, an electronic mail is transmitted to the terminals 30a to 30c on the care service provider side (step 406). That is, when the service reservation information is registered, an electronic mail is automatically sent to the business operator requesting the service.

On the side of the care service provider, the request based on the content of the reservation information is examined, and if it is inconvenient (step 407), the change information is transmitted to the server 10 and the server 10 changes the reservation information ( Steps 408, 404). In this change processing, service contents such as service providing time and service code can be changed. The changed contents are temporarily stored in another data, and after changing the service contents for one month, the reservation information is collectively updated. At this time, check the overlap of service provision time. In the case of visiting services, you can specify the care worker to visit (employee registered in "Detailed information" of basic information). Delete and add the care worker specified when making a reservation. Also, it is possible to specify multiple care workers.

If the request contents are acceptable (step 407),
The temporary order processing is performed (step 409), the e-mail is sent to the care manager side (step 410), and the formal reservation (steps 411 and 415) on the care manager side is waited. Here, formal reservation (Step 41
In the case of 5), an e-mail is sent to the care service provider (step 416), and when it is approved (step 417)
Receives an order for the reserved service (step 4
19). Here, the services temporarily reserved by the care plan for the same time and with the same service code are temporarily ordered. In other cases, temporary orders will be received one by one. At the time of this provisional order, an electronic mail is automatically sent to the care manager in charge of the care recipient (step 410). On the other hand, when canceling (steps 412 to 414), there is a method of canceling each case, and a method of collectively canceling as in the case of a temporary order. At the time of cancellation, an electronic mail is automatically transmitted to the care manager in charge of the care recipient (step 413), and the cancellation process is performed (step 414).

If there is a change in the officially reserved contents (step 417), the care service provider side performs a change process (step 418) and then an ordering process (step 419).

If the content of the officially reserved service is OK on the side of the care service provider (step 417), the ordering process is performed (step 419). When you receive an order for a visiting service, you will be registered in the schedule of the designated care worker. When receiving an order, an e-mail is automatically sent to the care manager in charge of the care recipient (step 420),
The care manager confirms this (step 421).
The above-mentioned processing of “temporary reservation”, “temporary order”, “reservation”, and “order reception” is performed by the ordering / ordering processing unit 15.

When there is a change such as addition / deletion of a care worker in the visiting service after receiving an order (step 42)
2) After inputting the change information, the service reservation information is corrected and the care manager and the care recipient are confirmed (step 423).

A nursing care service is provided according to the reservation information created as described above (step 42).
4). At this time, reception information such as questions and complaints about the service is registered. In addition, work schedules and working hours of employees are registered, and schedule management is also performed. That is,
Register the working hours (off-hours / holidays), breaks / movement times of employees in units of 15 minutes. The work schedule is automatically reflected in the schedule when receiving an order for "service reservation status". You can register working hours in the same time zone at once. Register the employee schedule for the specified date. You can also specify multiple employees. It is possible to register working hours in the same time zone for multiple employees at once. It can be reflected in the vacant information of the employee from the employee's schedule. In addition, the work status of employees is displayed in real time. According to the work status of the employee reported from the mobile phone 30c or the like, "unworked", "work started", and "work completed" are displayed. As a result, it is possible to display the work start / end time of the work schedule designated date, the care recipient information of the visiting destination, and the like.

Further, care worker information for carrying out a service is added to the reservation information. When an order is placed, it will be automatically reflected in the schedule of the care worker and scheduled for work. As a result, the care service provider can easily manage the schedule of the care worker. In this way, the schedule of the care worker is automatically registered at the time of receiving an order for reservation, so that the paperwork for schedule creation is reduced.
Specifically, a care service provider registers a care worker. The care manager specifies a care worker when reserving a visiting service. When a service provider receives an order for a reservation, it is automatically registered in the schedule of the care worker. The care worker can confirm the work schedule and contents from the site using the mobile phone 30c or the like.

The care worker uses the mobile phone 30c or the like to
The work status is reported via the Internet 50 (step 425). Since the office of the care service provider can know whether the person actually visited the site or provided the work according to the reservation contents, trouble with the care recipient can be resolved.
For this, the care worker reports the work from the site using the mobile phone 30c or the like. The office side can check the work status of the care worker in real time. If the service content is different from the schedule, the care worker can change the work result on site. In this way, the work status is reported using the mobile phone 30c. Depending on the work status, the reservation information is switched to "unworked", "work started", and "work finished". The work status can be referred to in real time by "schedule management". Change of work result When work time etc. is different from the reservation, it can be changed. The changed contents are temporarily saved in the data and reflected in the reservation information in "Service reservation status". In addition, the work status of employees is displayed in real time. Depending on the work status of the employee reported from the mobile phone 30c or the like, "unworked", "work started",
"Completed" is displayed. In this way, when the work of the reserved service is performed, the work completion is registered for each case. If the service provided is different from the reservation, the service can be changed in the same manner as the “service reservation status”. These data are recorded in the care service DB 21 as the service work result by the performance processing unit 16.

When the care is completed (step 426),
The service provider performs the performance report processing (step 42).
7). Based on the service work results recorded in the care service DB 21, this creates a record of the service provision form / service provision form and a statement of bills for nursing care benefits. The "actual result" of the service provision form is generated from the service work result. The "actual result" is displayed in the "actual result" line of the service provision form created by the care manager. A separate table for the service provision form is calculated from the "actual results" of the service provision form. The calculated number of units of service is used as information when creating a long-term care benefit bill. Nursing care payment bill statement (CSV file) can be created by creating a service provision slip / service provision slip separate table.
To create. Created bills for nursing care payments (CS
The V file) is downloaded to the care service provider side and can be linked (browsing and processing) with the National Health Insurance Federation transmission software. You can check the difference between the planned and actual results by comparing the results of the schedule calculation of the actual results with the results of the schedule calculation of the care plan. When the actual number of service units exceeds the schedule, a warning is given on the screen.

Next, the usage fee calculation unit 17 creates a nursing care benefit bill (step 428). Step 427
Based on the information in the service provision form and the service provision form attached table created in step 1, create a nursing care benefit bill and a billing statement. In addition, a nursing care village fee bill attached sheet is created from the provided service information registered in the basic information. Also, register the necessary information regarding long-term care benefit billing. Create a long-term care payment bill (CSV file) from service performance information. Create a separate sheet of care payment request form from the provided service information registered in the basic information of the care service provider. Create a bill for nursing care payment (CSV file) from service record information. The care payment bill, the care payment bill attached sheet, and the care payment bill statement (each CSV file) are sent to the server 10.
Download more. The care payment bill, the care payment bill attached sheet, and the care payment bill statement (each CSV file) downloaded to the care service provider can be linked (browsing and processing) with the National Health Insurance Federation transmission software. . In addition, as the care payment claim information, the necessary information about the care payment claim is registered (information such as food expenses, emergency facility medical expenses, specific medical expenses, etc.). The registered information is reflected on the nursing care payment bill (CSV file).

On the basis of the information of "nursing care payment bill", the burden on the user is calculated, and the user bill is prepared.
In addition, it is possible to register the cost that is not covered by the long-term care insurance. If the self-pay amount is written on the nursing care ticket, etc., allocate the amount to the business operator who provided the specified service. Self-payment information is registered with the public expense information of "Registration of care recipient information".

The care manager confirms the service record (step 428) and, if it is necessary to correct the care plan, automatically updates the care plan based on the work result information (step 429). Create a benefit management form from the service use form created in the care plan and the information in the service use form attached table. Create a CSV file of the benefit management form from the care plan information. The benefit management form (CSV file) is downloaded from the server 10. The benefit management form (CSV file) downloaded to the care manager side can be linked (browsed and processed) with the National Health Insurance Federation transmission software.

As described above, the benefit management slip created by the care manager is created from the care plan, which can be updated from the work result (reservation information). Further, the long-term care benefit bill created by the service provider is created from the results created from the work results. That is, the care support management system of the present invention centrally manages service reservation information, and the care manager and the service provider share the reservation information via the Internet 50. When the National Health Insurance Federation matches the benefit management form created from this reservation information and the long-term care benefit bill, the claim passes without the actual number of units exceeding the number of units on the care plan.

As described above, since the benefit management form can be automatically created from the created care plan, it is possible to reduce the administrative work related to the benefit of the care manager. Similarly, since it is possible to automatically create a nursing care benefit bill from the actual result information, it is possible to reduce the paperwork involved in the billing of the nursing care service provider. In addition, by managing the benefit management form and long-term care benefit payment form (CSV file) using the National Health Insurance transport software at your own office, you can perform more secure and reliable benefit management operations and National Health Insurance Federation billing operations. .

Next, the service provision form separate table of the care plan created by the care manager is totaled, and the number of service units scheduled to be provided in one month is totaled (monthly plan separate table total).
(Step 431).

It is also possible to transmit the created long-term care benefit bill to the National Health Insurance Federation on behalf of the National Health Insurance Federation without using the National Health Insurance Federation transmission software. Further, when the bill statement is returned, the content can be displayed on the browser and the bill content can be corrected (re-billed) while referring to it.

It is also possible to transfer the created benefit management form to the National Health Insurance Federation on behalf of the National Health Insurance Federation without using the National Health Insurance Federation transmission software. Further, when the benefit management form is put on hold, the content can be displayed on the browser and the benefit management form can be corrected while referring to it.

The care support management system and the care support management method of the present invention have been described above. A program having steps for realizing each function of the care support management system is created, and this program is stored in a computer as a care support management program. Can be run.

[0066]

As described above, according to the care support management system, the care support management method, and the care support management program of the present invention, it is possible to provide a reliable and prompt care service to the care recipient, and It has become possible to significantly reduce the work of support businesses and reduce costs.

[Brief description of drawings]

FIG. 1 is a diagram showing an example of a care support management system of the present invention.

FIG. 2 is a diagram showing an example of a server of the present invention.

FIG. 3 is a diagram showing an example of a database of the present invention.

FIG. 4 is a flowchart showing processing of a care support management method of the present invention.

FIG. 5 is a flowchart showing processing of a care support management method of the present invention.

FIG. 6 is a flowchart showing processing of a care support management method of the present invention.

FIG. 7 is a flowchart showing processing of a care support management method of the present invention.

[Explanation of symbols]

10 Care support management server 11 Network control unit 12 WebDB 13 DB registration section 14 Care plan making department 15 Ordering and processing section 16 Results processing unit 17 Usage Charge Calculation Department 18 Email processing section 19 DB management department 20 Care support device 21 Care service DB 22 Local government DB 22a Local government A 22n municipality N 23a Care support company DB 23b Care service company DB 23c DB for care recipient 30a, 30b Care service terminal 30c mobile terminal 40a, 40b, 40c, 40d providers 50 computer network

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Yunobu Toba             Office 22, Kanda Toyama-cho, Chiyoda-ku, Tokyo             S22 4th floor, S Co., Ltd. (72) Inventor Shuji Suwa             Office 22, Kanda Toyama-cho, Chiyoda-ku, Tokyo             S22 4th floor, S Co., Ltd. (72) Inventor Atsushi Shino             Office 22, Kanda Toyama-cho, Chiyoda-ku, Tokyo             S22 4th floor, S Co., Ltd. (72) Inventor Yuichi Kobayashi             Office 22, Kanda Toyama-cho, Chiyoda-ku, Tokyo             S22 4th floor, S Co., Ltd. (72) Inventor Yoshiyuki Kobayashi             Office 22, Kanda Toyama-cho, Chiyoda-ku, Tokyo             S22 4th floor, S Co., Ltd.

Claims (12)

[Claims] 1. A care support management system for managing care support using a computer network such as the Internet, which is a care service business that is connected to a computer network such as the Internet and registers information of a care service provider. A caregiver support terminal that is connected to a person's terminal and a computer network such as the Internet to register information on a caregiver support provider and information on a care recipient, and is connected to the computer network and registered from the care service provider terminal A care support management server that creates a care plan for the care recipient based on information about the care service provider and information about the care recipient registered from the care support terminal. Nursing care support management system. 2. The care support server sends a web to the care service provider terminal and the care support terminal via a computer network such as the Internet.
The care support management system according to claim 1, wherein an information registration screen is provided by a page. 3. The care support server, information storage means for storing information on the care service provider, information on the care support provider, and information on the care recipient, and stored in the information storage means. A care plan creating means for creating a care plan for the care recipient based on the information of the business operator of the care service and the information of the care recipient, and receiving the care plan created by the care plan creating means. Based on the nursing care record recorded by the result processing unit, the use for each care recipient based on the ordering processing unit for placing an order, the record processing unit for recording the care record input from the care service provider terminal 3. A use support calculation system for calculating charges and benefits, and the care support management system according to claim 1 or 2. 4. The information storage means manages and stores information on the care service provider, information on the care support provider, and information on the care recipient for each local government. The care support management system according to claim 3. 5. A care support management method for managing care support using a care support management server connected to a computer network such as the Internet, comprising: (A) information on a care service provider, and a care support provider's information. And receiving and storing the information and the information on the care recipient, and (B) creating a care plan for the care recipient based on the stored information about the care service provider and the information about the care recipient. A care support management method characterized by: 6. The step (A) provides a registration screen of information on the care service provider, information on the care support provider, and information on the care recipient by a Web page. The care support management method according to claim 5. 7. Further, after the step (B), (C) the ordering and placing of the created care plan is performed, (D) the nursing care record based on the care plan is recorded, and (E) the recorded result. The nursing care support management method according to claim 5 or 6, wherein a usage fee and a benefit amount for each care recipient are calculated based on the nursing care record. 8. The step (A) manages and stores information about the care service provider, information about the care support provider, and information about the care recipient for each municipality. The care support management method according to claim 5. 9. (a) Receiving and storing information on a care service provider, information on a care support provider, and information on a care recipient, and (b) storing the stored service provider's information. A care support management program, comprising: creating a care plan for the care recipient based on information and information about the care recipient. 10. The step (a) provides a registration screen of information of the care service provider, information of the care support provider, and information of the care recipient by a Web page. The care support management program according to claim 9. 11. Further, after the step (b), (c) receiving and placing an order for the created care plan, and (d) recording a nursing care record based on the care plan. The care support management program according to claim 9 or 10, further comprising: e) calculating a usage charge and a benefit amount for each care recipient based on the recorded care record. 12. The step (a) is a step of managing and storing information on the care service provider, information on the care support provider, and information on the care recipient for each local government. The care support management program according to claim 9, wherein: