JP2005321956A - Nursing care service supporting device, method, program, and recording medium - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To distribute task processing such as the change confirmation of a nursing care service by periodically accepting an activity result from each person in charge of a nursing care, and always confirming the activity real circumstance of each person in charge of a nursing care before receiving an activity result report at the beginning of a claim month. <P>SOLUTION: This nursing care service supporting device 10 is provided with a change contact DB 13 connected through a network 30 to a telephone 20 used by a person in charge of a nursing care, in which change contact preliminarily made from the person in charge of a nursing care to an established nursing care service plan is registered, an input accepting means 11 for accepting the input of an activity result(as scheduled or the presence of change) to the nursing care service plan from the telephone 20, an activity result DB 12 in which the accepted activity result is registered so as to be associated with the person in charge of the nursing care, an activity result deciding means 14 for deciding the registered change contact and the matching of the activity result and an activity result confirmation information notifying means 15 for preparing and notifying the activity result confirmation picture of the person in charge of the nursing care based on the decision result. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  TECHNICAL FIELD The present invention relates to a care service support device, method, program, and recording medium, and more particularly, to a care service support device, method, program, and recording medium for supporting efficiency of paperwork related to a care service business. .

  In recent years, a long-term care insurance system has been introduced in which municipalities such as municipalities lead medical care and welfare services for the elderly. In this long-term care insurance system, when a person receiving care (caregiver) applies to a local government (insurer), the local government determines the degree of care required and determines the care points, and according to the care points , A care support specialist (care manager) who belongs to a home care support business operator creates a care service plan (care plan), and based on this care plan, the care service business operator is referred to as a caregiver (hereinafter often referred to as a helper). ) Is sent to care recipients' homes to provide various care services.

  Each time the helper provides a care service to a care recipient, the activity result report is stamped, and the activity result report is mailed to the service establishment in a batch or several times. At the service establishment, an administrative process occurs in which an invoice is prepared and sent to the local government by a predetermined date (legally 10th of every month) based on the activity report sent by mail. At this time, at the service office, paperwork was concentrated at the beginning of the billing month when the activity report from the helper was received.

FIG. 15 is a diagram for explaining the flow of paperwork in a conventional care service.
First, when a user (care recipient) contracts, a care manager D belonging to a corporation X (supporting office) that plans care services and manages the implementation status looks at the user A's care needs. A care service plan (service usage slip) is created (S101). If the content of the service usage slip is OK, the user A makes a contract with the corporation X, and then makes a contract with a service establishment that actually provides the care service (corporation Z in this example) (S102).

  Next, in the previous month of service provision, the care manager D creates a service provision slip based on the nursing care service plan, and requests the corporation Z to provide nursing care service (S103). Here, the service provider C who belongs to the corporation Z is generally in a position to supervise 20 to 30 helpers, and assigns helpers and instructs each helper on an activity plan based on the service provision slip ( S104).

  Next, in the service provision month, for example, the helper B provides a care service to the user A according to the activity plan (S105). After providing the nursing care service, the user A is stamped on the visit record (activity report). Here, when the helper B receives a request for changing the care service from the user A (S106), the helper B notifies the service provider C of that fact (S107). The service provider responsible C who has received the notification of the change request makes an adjustment with the care manager D whether or not the change is permitted (S108). Specifically, we will examine whether the upper limit of benefits is exceeded. As a result, when the change is permitted, the service provision form is corrected. The service providing manager C informs the helper B of the result (S109), and when the change is permitted (in the case of OK), provides the corresponding care service to the user A (S110).

FIG. 16 is a continuation of FIG. 15 for explaining the flow of the paperwork in the conventional care service.
In the month following the service provision, the helper B mails the stamped visit record to the service provision manager C (S111). The person in charge of service provision C manually matches the mailed visit record (activity result report) and the service provision slip (care service plan), and confirms whether the care service has been provided as instructed. (S112). Depending on the service establishment, visit records may be mailed in two or three times during the month of service provision in order to balance the burden of paperwork. This matching process is performed each time or collectively.

  Further, the service provider C creates a bill for the National Health Insurance Federation (National Health Insurance Federation), which is an agency for billing the municipality, and sends it by a predetermined date (S113). On the other hand, the care manager D creates an invoice as a planned fee based on the service provision slip and sends it to the National Health Insurance Federation by a predetermined date (S114).

  In the above National Health Insurance Federation, the bill from the corporation Z (service provider C) and the bill from the corporation X (care manager D) are collated, and the corporation Z (service establishment) is as planned by the care manager D. It is judged whether or not a nursing care service is provided (S115). The National Health Insurance Federation pays the corporation Z if the billing details match. If there is a discrepancy in the contents of the request, the request of the corporation Z is rejected (returned, assessed) (S116).

  Thus, the bill of the service establishment (corporation Z) is created based on the activity result report from each helper. If this billing content is different from the care service plan created by the care manager, the billing will be rejected (returned, assessed), so the service office is taking time for paperwork related to the bill. It is a fact. The main paperwork is confirmation of the activity results of each helper (whether the care service is performed as planned), confirmation of the change of the care service (whether the care service is performed according to the change notification made in advance), and changes in advance Processing when there is no contact and an activity result different from the plan is reported (for example, contacting a helper, checking with a care manager, changing a care service plan, etc.).

  As described above, the paperwork related to the care service is concentrated at the beginning of the billing month when the activity result report is mailed from the helper, and there is a problem that the paperwork burden at this time is heavy at the service establishment. For example, if a nursing care service change occurs, the service establishment needs to coordinate with the care manager, but if a sudden service change occurs and the helper forgets a prior change report An activity report is sent by mail from the helper, and it is the first time that the above changes can be understood by reconciling with the nursing care service plan, and a post-adjustment is necessary within the limited period at the beginning of the month. . More specifically, it takes a lot of labor to check whether the upper limit of benefits is exceeded when services are changed.

Conventionally, as a method for reducing the burden of paperwork in a care service provider, for example, in Patent Document 1, a care information server is stored in a care recipient information storage unit and a service performance record information storage unit Based on the information, the burden on the care recipient and the amount charged to the insurance-related organization are calculated, and based on the calculation result, the billing processing unit that makes a payment request to the care-requiring person and the insurance-related organization, and the service performance record information storage A compensation calculation unit that calculates the compensation of care workers based on the information stored in the department and the actual report information storage unit, and reports the calculation results to the care service provider. A technique is disclosed that can reduce the load.
JP 2002-92174 A

  However, the invention described in Patent Document 1 enables automation of paperwork (accounting processing) related to payment of money generated in connection with service provision by the billing processing unit and the reward calculation unit provided in the care information server. However, since the activity results report from the helper that is the basis for the accounting process is mailed at the beginning of the billing month, the problem of clerical work during this period is not improved.

The present invention has been made in view of the above-described circumstances, and receives an activity result (as scheduled or changed) from each care worker on a regular basis (for example, every day or every service, etc.) Before receiving the activity report, you can always check the actual status of each caregiver's activity, making it possible to distribute administrative work such as confirmation of changes in care services,
At the time of confirmation of activity results, determine whether the activity results should be confirmed from the activity results received from each caregiver, so that the activity results to be confirmed can be picked up according to the judgment results,
Furthermore, the above-mentioned activity results are easily communicated from the telephone or the like, and based on this, the activity results can be confirmed.

  The nursing care service support device according to the present invention has a change communication database for registering a change communication when a care worker has received a change notification in advance with respect to a planned care service plan, and an activity record for the care service plan. Input accepting means for accepting the input from the caregiver, an activity result database for registering the received activity results in association with the caregiver, an activity result judging means for judging the consistency between the registered change notification and the activity results, It is characterized by comprising activity result confirmation information notifying means for creating and notifying the care worker's activity result confirmation information based on the determination result.

Before receiving an activity report at the beginning of the billing month by receiving activity results (as scheduled or subject to change) from each caregiver on a regular basis (for example, every day or every service) Can be checked at any time, so even if a sudden change in care service occurs, it is possible to check for any prior changes in communication and to distribute administrative processes such as confirmation of change in care service. it can.
When confirming activity results, it is possible to determine whether the activity results should be confirmed from the activity results received from each caregiver, and the activity results to be confirmed can be picked up according to the determination results. (Services) can be checked with priority, and then the activity results as planned can be checked.

  In all the drawings for explaining the following embodiments, portions having the same functions are denoted by the same reference numerals, and repeated description thereof is omitted.

  FIG. 1 is a block diagram showing an internal configuration example of an information processing apparatus according to the present invention. In FIG. 1, 10 is an information processing apparatus, and the information processing apparatus 10 is a storage device 4 such as a CPU 1, RAM 2, ROM 3, HDD or the like. , An input device 5, a display device 6, a communication device 7, an output device 8, and a system bus 9, a care service support device of the present invention described later is configured based on the information processing device 10, A program and data for causing the information processing apparatus 10 to function as each unit included in the care service support apparatus is stored in the ROM 3 or the storage device 4 and is executed by the CPU 1 reading it into the RAM 2 at the time of execution.

  The information processing apparatus 10 can be connected to a public line, a network such as a LAN, a WAN, or the Internet through the communication apparatus 7, and can output data to an external device such as a printer through the output apparatus 8. Further, the progress of the process and the processing result are presented to an operator or the like through a display device 6 such as a CRT or LCD, and the operator needs the input device 5 such as a keyboard and a mouse (pointing device) in each process. Input parameters and so on. The CPU 1, RAM 2, ROM 3, storage device 4, input device 5, display device 6, communication device 7, and output device 8 are connected to each other via a system bus 9. In each of the following embodiments, the information processing apparatus 10 will be described as the care service support apparatus 10.

(First embodiment)
FIG. 2 is a block diagram illustrating a configuration example of the care service support apparatus 10 according to an embodiment of the present invention. The care service support apparatus 10 includes an input receiving unit 11, an activity result database (hereinafter, activity result DB) 12, A change contact database (hereinafter referred to as change contact DB) 13, an activity result determination means 14, and an activity result confirmation information notification means 15 are provided, and a registration means 20 (hereinafter referred to as a mobile phone, PHS, public telephone, landline telephone, telephone with facsimile function). Often referred to as a telephone 20) via a network 30 such as a public network. This care service support device 10 is managed by a service provider that provides various care services, and is directly operated by a service provider who supervises a plurality of caregivers (hereinafter referred to as helpers) or via a network. It is configured to be operable from a terminal device or the like. The activity result DB 12 and the change communication DB 13 may be configured in the storage device 4 shown in FIG. 1 described above or may be configured in a storage device connected externally.

  The input receiving means 11 of the present embodiment has an automatic telephone receiving function for receiving, from each helper, an input of activity results for a care service plan designed by a care manager. For example, when a helper dials a predetermined telephone number using the telephone 20, it is connected to the care service support apparatus 10, and the input reception means 11 executes an automatic telephone reception function. Specifically, an automatic voice guidance sends a message, for example, “Please press“ 1 ”if scheduled (for plan),“ 2 ”if there is a change”. ” Press the push button “1” or “2” to hang up. The input receiving means 11 registers the activity record corresponding to the pressed button (that is, “as scheduled” or “changed”) in the activity record DB 12 in association with the helper.

  Note that information such as an identification number, a telephone number, and a name related to the helper is registered in the care service support device 10 in advance. The input receiving means 11 can automatically recognize the caller telephone number when receiving a call from the helper, and can identify the helper from the recognized telephone number. Thereby, the activity results can be registered in association with the helper.

  The activity results corresponding to the push buttons of the telephone 20 may be associated with “as scheduled” or “changed” by providing a more detailed hierarchy. For example, when “with change” is selected, the details of the change (for example, “accompanying hospital”) are associated with the push button as a lower hierarchy. Thereby, the service provider can grasp the activity status of each helper in more detail.

  The input receiving means 11 may have a helper authentication function. For example, an identification number or the like assigned to each helper is registered in advance as an authentication number, and a message “Please enter your password” is played by the automatic voice guidance. In response to this message, the helper presses the corresponding number on the push button of the telephone to input the password, and the care service support device 10 compares the input password with the password registered in advance to use the helper. Certify.

  Further, the input receiving means 11 may have a voice recognition function. In this case, voice information (for example, “as scheduled” or “changed”) input from the helper through the telephone 20 is recognized as voice, and the voice recognition activity result is converted into character data and registered in the activity result DB 12. To do.

  When there is a change notification from the helper in advance with respect to the care service plan, the change notification DB 13 registers the change notification. The activity record determination unit 14 determines the consistency between the change report registered in the change report DB 13 and the activity record registered in the activity record DB 12. The activity result confirmation information notifying means 15 creates helper activity result confirmation information (described later) based on the determination result of the activity result determination means 14, and the created activity result confirmation information is a notification means such as a screen, a form, or an e-mail. Notify by. Hereinafter, a case where notification is performed on a screen will be described as a representative example.

  Specifically, for example, if the activity record is not registered but the activity record “changed” is registered in the activity record, the activity record determination unit 14 determines that the activity record and the change report are not consistent. The activity result confirmation information notifying means 15 confirms the activity result for the operator (such as a service provider) by displaying the corresponding color on the activity result confirmation screen based on the determination result. Display to prompt. As a result, the person in charge of service provision can easily pick up the activity results that need to be confirmed on the activity result confirmation screen, confirm the circumstances with the helper who entered these activity results, for example, forget to change In this case, the change contents can be immediately reported to the care manager and appropriate measures such as a change process of the care service plan can be taken.

FIG. 3 is a diagram for explaining an example of the flow of business processing in the care service when the care service support apparatus 10 shown in FIG. 2 is introduced.
First, the helper provides a care service to a care recipient on a predetermined service provision day, and then accesses the care service support apparatus 10 from the telephone 20 and registers the activity result of the day in the activity result DB 12. The registered contents are either “as scheduled” or “changed”. On the other hand, if a change has occurred in advance with respect to the care service plan, the helper notifies the person responsible for service provision to that effect. In addition, the service provider contacts the care manager and coordinates whether to allow changes. When the change is permitted as a result of the adjustment, the service providing manager registers the change notification (that is, “notified”) in the change notification DB 13. The person in charge of service provision always checks the achievement status of each helper on the screen of the care service support apparatus 10 and picks up the achievements that need to be confirmed to pursue the cause.

  Further, the helper mails the activity result report to the service provider in charge on a specific result report date. The person in charge of service provision receives the activity result report from the helper, performs the manual match process of the received activity result report and the care service plan, or the automatic match process described later, etc., and a predetermined date (10th of every month as required by law) Create an invoice by.

Here, the person in charge of service provision can always check the activity status of the helper shown below before receiving the activity result report by the care service support device 10.
(1) Whether there is a sudden change to the planned care service (for example, when the service is changed at the home of a care recipient)
(2) Whether the helper has notified the service establishment in advance about the service registered as “changed” by automatic telephone reception

  According to this embodiment, activity results (as scheduled or subject to change) are regularly received (for example, every day) from each helper, and the activity status of each helper is constantly confirmed before receiving an activity report at the beginning of the billing month. Therefore, even when a sudden change in the care service occurs, it is possible to check for any prior change notifications and to distribute office work such as confirmation of change in the care service. Furthermore, since the activity results can be input from the telephone or the like, the helper does not need to perform complicated input operations and can easily input the daily activity results.

(Second Embodiment)
FIG. 4 is a block diagram illustrating a configuration example of the care service support apparatus 10 according to another embodiment of the present invention. The care service support apparatus 10 according to this embodiment includes an input receiving unit 11, an activity result DB 12, and a change communication DB 13. In addition to the activity record determination unit 14 and the activity record confirmation information notification unit 15, it further includes an OCR (Optical Character Reader) unit 16, which is connected to the telephone 20, the facsimile apparatus 21, and a network 30 such as a public line network. ing. The OCR means 16 is realized by software, and has a function of taking a handwritten document (an activity result report in this example) from the facsimile apparatus 21 and comparing it with a previously stored pattern and converting it into character data. .

  The care service support apparatus 10 according to the present embodiment further includes an OCR function in addition to the automatic telephone reception function, so that FAX data can be captured. Accordingly, the helper can send the activity result report from the facsimile apparatus 21 at an appropriate timing, which is mailed together at the beginning of the month. On the other hand, since the service establishment side can capture the activity result report from the helper in a distributed manner, the paperwork related to the achievement determination can be distributed, for example, during the service provision month.

FIG. 5 is a diagram for explaining an example of the flow of business processing in the care service when the care service support apparatus 10 shown in FIG. 4 is introduced.
First, the helper provides a care service to a care recipient on a predetermined service provision day, and then accesses the care service support apparatus 10 from the telephone 20 and registers the activity result of the day in the activity result DB 12. The registered contents are either “as scheduled” or “changed”. On the other hand, if a change has occurred in advance with respect to the care service plan, the helper notifies the person responsible for service provision to that effect. In addition, the service provider contacts the care manager and coordinates whether to allow changes. When the change is permitted as a result of the adjustment, the service providing manager registers the change notification (that is, “notified”) in the change notification DB 13. The person in charge of service provision always checks the actual situation of each helper on the screen of the care service support apparatus 10 and picks up the achievement that needs to be confirmed to pursue the cause.

Next, the helper sends an activity result report from the facsimile machine 21 at an appropriate timing to make an intermediate report. The care service support device 10 takes in an activity result report from the facsimile device 21, matches it with a pattern stored in advance by the OCR means 16, converts it into character data, and registers it in the activity result DB 12.
Furthermore, the helper mails all activity result reports including the remaining amount excluding the amount already faxed or the amount faxed to the service provider on a specific performance report date. The person in charge of service provision receives the activity result report from the helper, performs the manual match process of the received activity result report and the care service plan, or the automatic match process described later, etc., and a predetermined date (10th of every month as required by law) Create an invoice by.

  According to this embodiment, activity results (as scheduled or subject to change) are regularly received (for example, every day) from each helper, and the activity status of each helper is constantly confirmed before receiving an activity report at the beginning of the billing month. Therefore, even if sudden changes in nursing care services occur, it is possible to check for any prior changes in communication and to decentralize administrative processes such as confirmation of changes in nursing care services. In addition, since the activity results reports can be captured at different times by the facsimile apparatus, it is possible to decentralize the paperwork related to the achievement determination.

FIG. 6 is a flowchart for explaining an example of the care service support method to which the present invention is applied. This example shall be described based on the configuration of the care service support apparatus 10 shown in FIG.
First, the care service support apparatus 10 reads a telephone reception (activity result) file from the activity result DB 12 (step S1), and reads a change contact file from the change contact DB 13 (step S2). Next, the activity result determination means 14 of the care service support apparatus 10 determines whether the telephone reception file is “changed” and the change notification file is “changed notification” (step S3, determination 1). In the case of “and there is a change notification” (in the case of YES), an indication of alerting (for example, the background is displayed in yellow) is displayed at the corresponding location as an activity change (step S4).

In the above step S3, if “changed” and “changed notification” are not found (in the case of NO), the activity result determination means 14 indicates that the telephone reception file is “changed” and the changed notification file is “not contacted (corresponding) No data) ”(step S5, determination 2). If“ changed ”and“ not contacted ”(in the case of YES), a warning is displayed at the corresponding location as a change notification forgotten (for example, background) Is displayed in red) (step S6).
In step S5, if “changed” and not “not contacted” (NO), the activity result determination means 14 indicates that the telephone reception file is “as scheduled” and the change notification file is “changed notification”. (Step S7, decision 3). If “as scheduled” and “change notification is present” (in the case of YES), a display indicating a warning at the corresponding location (for example, red background) as a result report inconsistency Display) (step S8).

In step S7, if “on schedule” and “not informed of change” (NO), the activity result determination means 14 indicates that the telephone reception file is “no report (no relevant data)” and the change notice file is not present. It is determined whether or not “change notification exists” (step S9, determination 4). If “no report” and “change notification exist” (in the case of YES), a warning is displayed at the corresponding location as an inconsistency in the performance report. (For example, the background is displayed in red) (step S10).
In step S9, if “no report” and “no change notification” are found (in the case of NO), the activity result determination means 14 indicates that the telephone reception file is “on schedule” and the change notification file is “no contact (corresponding) (No data) ”(step S11, determination 5). If“ as scheduled ”and“ not contacted ”(in the case of YES), a display (no background color) is displayed at the corresponding location as planned (no background color). Step S12). In step S11, if it is not “as scheduled” and “not contacted” (in the case of NO), the process ends as it is.

  FIG. 7 is a diagram illustrating an example of table data in which a display method corresponding to the determination result of the activity result determination unit 14 is stored in the care service support method illustrated in FIG. 6. The activity result confirmation information notification unit 15 refers to the table data shown in FIG. 7 based on the determination result of the activity result determination unit 14, and determines a corresponding display method (for example, character color, background color, etc.). When this display method is set to a different background color, for each activity result, for example, if the judgment result is “as planned”, there is no background, “warning” is red, “warning” is yellow. And so on. Note that this display method is not limited to the character color and background color, and any information can be used as long as it is information that can identify determination results such as “as scheduled”, “warning”, and “warning”.

  For example, the activity result confirmation information notifying means 15 displays “warning” from the table data shown in FIG. 7 (ie, the background turns yellow) in the case of YES in step S3 (determination 1) shown in FIG. Display). This reminder means that the change report from the helper and the activity performance report have been made correctly, but there has been some change to the initial care service plan. On the other hand, after the service provider has mailed the activity result report from the helper, he checks the details as the priority confirmation target at the time of matching process with the care service plan. That is, it is checked whether the care service plan, the activity result, and the content of the change notification match.

  Further, the activity result confirmation information notifying means 15 displays “warning” from the table data shown in FIG. 7 (that is, a display whose background is red) in the case of YES in step S5 (determination 2) shown in FIG. )I do. This warning means that the service office has not been notified in advance of the service change. Similarly, in the case of YES in step S7 (determination 3), a display indicating “warning” (that is, a display in which the background is red) is performed. This warning means that there is a discrepancy in what is reported from the helper to the service establishment. Similarly, in the case of YES at step S9 (determination 4), a display indicating “warning” (that is, a display whose background is red) is performed. This warning means that the activity report at the automatic telephone reception has been forgotten or there is an error in the content of the change notification. On the other hand, the person in charge of service provision confirms with the corresponding helper about the above-mentioned reason, and after that, those who need adjustment with the care manager, such as when the number of units of nursing care benefits changes, make adjustments separately.

  Further, the activity result confirmation information notifying means 15 displays “scheduled” (ie, display without background color) from the table data shown in FIG. 7 in the case of YES in step S11 (determination 5) shown in FIG. )I do. This schedule means that the care service was provided to the user as originally planned. On the other hand, after the activity report is mailed from the helper, the service providing manager checks it as a simple confirmation target at the time of matching process with the care service plan.

  As described above with reference to FIGS. 6 and 7, the activity record confirmation information notifying means 15 includes the activity record in which the change notification is registered in the change report DB 13 and the activity record registered as “changed” in the activity record DB 12. Activity result confirmation information is created so that at least one can be distinguished from other activity results. Furthermore, the activity results registered as “changed” in the activity result DB 12 are classified into activity results that are consistent with the change notification (in this example, alerts) and activity results that are not consistent (in this example, warnings). The activity result confirmation information may be created so that the classified activity results can be distinguished.

  In addition, when each helper uses a terminal (for example, a PC, a mobile phone, a PDA, etc.) having an e-mail transmission / reception function, the care service support device 10 matches the change notification by the activity result determination means 14. An activity result determined not to be extracted may be extracted, and a means for transmitting a message prompting confirmation of the activity result or change notification to the helper terminal that has input the activity result may be provided. For example, in FIG. 7, the message is transmitted to a helper who has made an input corresponding to the “warning” display. Upon receiving this message, the helper contacts the service provider by e-mail or telephone and confirms the registered contents.

  Moreover, at the time of confirming the activity results, the plan and the results are matched manually, but according to the care service support device 10 of the present invention, the service providing manager can provide each activity result (service). Therefore, it is possible to classify whether the service is as scheduled or a service with a change before performing the reconciliation process, so that it is possible to grasp the service to be confirmed with priority. For example, it is possible to efficiently proceed with the paperwork, such as checking the service that has been changed first, and then checking the activity results as planned.

(Third embodiment)
FIG. 8 is a block diagram illustrating a configuration example of the care service support apparatus 10 according to another embodiment of the present invention. The care service support apparatus 10 according to this embodiment includes an input receiving unit 11, an activity result DB 12, and a change communication DB 13. In addition to the activity result judging means 14, the activity result confirmation information notifying means 15, and the OCR means 16, a match result DB 17 is further provided, which is connected to the telephone 20, the facsimile apparatus 21, and the network 30 such as a public line network. Yes.

  Furthermore, the care service support apparatus 10 according to the present embodiment can access the care service plan DB 22 in which the care service plan created by the care manager is registered and the activity result report DB 23 in which the activity result report for the care service plan is registered. The plan data (plan CSV) is acquired from the nursing care service plan DB 22, and the record data (actual CSV) is acquired from the activity result report DB 23, and the match result of the acquired plan data and record data is registered in the match result DB 17. . The activity record determination means 14 determines the consistency between the plan data and the record data from the match result registered in the match result DB 17.

  Conventionally, the matching process between the plan and the results has been performed manually, but the care service support device 10 of the present embodiment further includes a plan (care service plan) and a result (activity result report) by providing an automatic matching function. ) Is automatically performed. As a result, it is possible to pick up the activity results that need to be confirmed and perform the results determination work more efficiently.

  As another embodiment, the care service support device 10 accesses the care service plan DB 22 to obtain plan data, and obtains result data from the activity result DB 12 in which the activity result report from the facsimile device 21 is registered. You may make it do. Also in this case, the match result of the acquired plan data and actual data is registered in the match result DB 17, and the activity record determination means 14 determines the consistency between the plan data and the record data from the match result registered in the match result DB 17. To do.

FIG. 9 is a flowchart for explaining another example of the care service support method to which the present invention is applied. This example will be described based on the configuration of the care service support apparatus 10 illustrated in FIG. 8. Note that the processing from step S21 to step S32 shown in this example is the same as the processing from step S1 to step S12 shown in FIG.
That is, the care service support apparatus 10 reads a telephone reception (activity result) file from the activity result DB 12 (step S21), and reads a change contact file from the change contact DB 13 (step S22). Next, the activity result determination means 14 of the care service support device 10 determines whether the telephone reception file is “changed” and the change notification file is “changed notification” (step S23, determination 1). In the case of “and there is a change notification” (in the case of YES), an indication of alerting (for example, the background is displayed in yellow) is displayed at the corresponding location as an activity change (step S24).

In step S23, if “changed” and “not changed” (if NO), the activity record judging means 14 indicates that the telephone reception file is “changed” and the changed notification file is “not contacted (corresponding) No data) ”(step S25, determination 2). If“ changed ”and“ not contacted ”(in the case of YES), a warning is displayed at the corresponding location as a change notification forgotten (for example, background) Is displayed in red) (step S26).
In step S25, if “not changed” and “not contacted” (NO), the activity result determination means 14 indicates that the telephone reception file is “as scheduled” and the changed contact file is “changed notification”. (Step S27, determination 3). If “as scheduled” and “change notification exists” (in the case of YES), a display indicating a warning at the corresponding location (for example, the background is red) Is displayed) (step S28).

In step S27, if it is not “as scheduled” and “change notification is present” (in the case of NO), the activity result determination means 14 indicates that the telephone reception file is “no report (no relevant data)” and the change notification file is It is determined whether or not “change notification exists” (step S29, determination 4). If “no report” and “change notification exist” (in the case of YES), a warning is displayed at the corresponding location as an inconsistency in the performance report. (For example, the background is displayed in red) (step S30).
Further, in the above step S29, if “no report” and “not notified of change” are determined (in the case of NO), the activity result judging means 14 indicates that the telephone reception file is “as scheduled” and the change notification file is “not notified” (corresponding) (No data) ”(step S31, determination 5). If“ as planned ”and“ not contacted ”(in the case of YES), a display (no background color) is displayed at the corresponding location as planned (no background color). Step S32).

  In step S31, if it is not “as scheduled” and “not contacted” (in the case of NO), the care service support apparatus 10 reads a match result file from the match result DB 17 (step S33). The activity record determination means 14 determines whether the contents of the service plan file and the contents of the service record file match (step S34, determination 6), and if both file contents match (in the case of YES), the corresponding part In step S35, a display representing the schedule (no background color) is performed. In step S34, if the contents of the files do not match (in the case of NO), the activity is changed, and a display indicating alerting (displaying the background in yellow) is displayed at the corresponding location (step S36).

  FIG. 10 is a diagram illustrating an example of table data storing a display method corresponding to the determination result of the activity result determination unit 14 in the care service support method illustrated in FIG. 9. The activity result confirmation information notifying unit 15 determines the corresponding display method with reference to the table data shown in FIG. 10 from the determination result of the consistency between the plan data and the result data by the activity result determining unit 14.

  For example, if the activity result confirmation information notifying means 15 is NO (non-match) in step S34 (determination 6) shown in FIG. 9, the activity data confirmation information notifying means 15 displays “reminding” from the table data shown in FIG. (Displayed in yellow). This reminder means that there has been some change to the initial care service plan. If YES (match) in step S34 (determination 5), a display indicating “as planned” (ie, a display without a background color) is performed from the table data shown in FIG. This schedule means that the care service was provided to the user as originally planned.

  FIG. 11 is a diagram for explaining a detailed example of the flow of the paperwork in the care service when the care service support device 10 shown in FIG. 2 is introduced. Note that the processing at the time of the contract of the user (care recipient) and the previous month of service provision is the same as the processing shown in FIG. In this example, the processing after the service provision month will be described below.

  In the service provision month, for example, the helper B provides the care service to the user A according to the activity plan from the service provision manager C (S41). After providing the nursing care service, the user A is stamped on the visit record (activity report). The helper B registers the activity results of the day from the telephone 20 to the care service support apparatus 10 (activity results DB 12) (S42). Here, when the helper B receives a request for changing the care service from the user A (S43), the helper B notifies the service provider C of that fact (S44). The service provider responsible C who has received the notification of the change request makes an adjustment with the care manager D whether or not the change is permitted (S45). Specifically, we will examine whether the upper limit of benefits is exceeded. As a result, when the change is permitted, the service provision form is corrected. The service providing person C registers the result in the care service support device 10 (change communication DB 13) and contacts the helper B (S46). When the helper B is permitted to change (in the case of OK). Provides the corresponding care service to the user A (S47).

  Does the care service support apparatus 10 need to check each activity result from the activity result (as scheduled / changed) registered in the activity result DB 12 and the change notification (changed / not changed) registered in the change notification DB 13? Judgment is made and the result is displayed on the screen. The service provider C confirms with the helper B the activity results that need to be confirmed (S48), and further coordinates with the care manager D for the activity results that need to be adjusted (S49).

FIG. 12 is a diagram for explaining a detailed example of the flow of the paperwork in the care service when the care service support device 10 shown in FIG. 2 is introduced, and is a continuation of FIG.
In the month following the service provision, the helper B mails the stamped visit record to the service provision manager C (S50). The person in charge of service provision C manually matches the mailed visit record (activity result report) and the service provision slip (care service plan), and confirms whether the care service has been provided as instructed. (S51). At this time, according to the care service support device 10, the service provider C classifies each activity result as a scheduled service or a service with a change before performing the matching process. Therefore, it is possible to grasp the services that should be confirmed with priority. For example, it is possible to efficiently proceed with the paperwork, such as checking the service that has been changed first, and then checking the activity results as planned.

  In S51, when the plan data can be acquired from the care service plan DB 22 and the result data can be acquired from the activity result report DB 23, the care service support apparatus 10 may perform an automatic matching process.

  Further, the service providing manager C creates a bill for the National Health Insurance Federation, which is an agency for billing to the municipality, and sends it by a predetermined date (S52). On the other hand, the care manager D creates an invoice as a planned fee based on the service provision slip and sends it to the National Health Insurance Federation by a predetermined date (S53).

  In the above National Health Insurance Federation, the bill from the corporation Z (service provider C) and the bill from the corporation X (care manager D) are collated, and the corporation Z (service establishment) is as planned by the care manager D. It is examined whether or not a nursing care service is provided (S54). The National Health Insurance Federation pays the corporation Z if the billing details match. If there is a discrepancy in the content of the claim, the request of the corporation Z is rejected (returned, assessed) (S55), but by introducing the care service support device 10, the number of inconsistencies in the content of the claim can be reduced, and the result As a result, the number of rejected claims (returns, assessments) can be reduced.

  FIG. 13 is a diagram showing an example of a helper activity result confirmation screen displayed by the care service support apparatus 10 of the present invention. In the figure, 50 is a helper activity result confirmation screen, and the helper activity result confirmation screen 50 is a helper activity result confirmation screen. Activity status list 51 that displays a list of activity status for one month (March 2004 in this example), activity status that displays the activity status for the corresponding month (March 1st to 31st in this example) on a daily basis 52, activity status button 53 for displaying the detailed activity status of each helper unit, staff information button 54 for displaying staff (helper) information, print button 55 for printing the data displayed on the screen as a form, day A detailed button 56 for displaying the detailed activity status of the unit and a registered content memo confirmation button 57 for displaying the registered memo content are provided. The helper activity record confirmation screen 50 shown in FIG. 13 is created by the activity record confirmation information notifying means 15 provided in the care service support apparatus 10 and is displayed and output on the screen.

  In the helper activity status list 51 shown in FIG. 13, the staff number, staff name, service provider, telephone registration, change notification, matching result, and the like are displayed. Telephone registration is “as scheduled” or “changed” information registered at the automatic call reception from the helper, and “as scheduled” means that nursing care services are provided as originally planned for nursing care services. , There is no background color of the corresponding part. “Changed” means that there was some change to the initial nursing care service plan, and the background color of the corresponding part is displayed in yellow, indicating that it is a warning item that needs to be confirmed. .

  If there is a service change for the initial nursing care service plan, the change notification is whether there was a change notification from the helper, that is, any information of “***”, “with contact”, or “without contact” Thus, “***” means that it is in accordance with the initial care service plan, and there is no background color of the corresponding part. In addition, “with contact” means that “changed” was registered at the automatic call reception, and there was a change notification from the helper. The background color of the corresponding part is displayed in yellow, and a reminder that needs to be confirmed Indicates that In addition, “No contact” means that there was no change notification from the helper even though “Changed” was registered in the automatic call reception, and the background color of the corresponding part was displayed in red, so Indicates a warning item that needs to be confirmed.

  If the match result is that the plan CSV can be obtained from the care service plan DB 22 and the result CSV from the activity result report DB 23, both match results, that is, “match” or “no match” information. This means that the matching results of the planned CSV and the actual CSV are all the same (no change to the care service plan), there is no background color of the corresponding part, and “inconsistency” indicates that the planned CSV and the actual CSV This means that the contents differ depending on the result of the reconciliation (the care service plan is subject to change), and the background color of the corresponding part is displayed in yellow, indicating that it is a warning item that needs to be confirmed. For example, in the figure, in the row of staff number 1118 “Sumitomo Hachiro”, the telephone registration is registered as “changed”, the changed notification is registered as “not contacted”, and the matching result is registered as “mismatched”. The background colors are displayed in yellow, red, and yellow, respectively.

FIG. 14 is a diagram showing an example of a care service details confirmation screen displayed by the care service support apparatus 10 of the present invention. In the figure, reference numerals 60 and 61 denote care service details confirmation screens.
The care service details confirmation screen 60 is displayed by selecting a helper from the helper activity status list 51 shown in FIG. 13 and pressing the activity status button 53, and the care service details confirmation screen 61 is displayed in the activity shown in FIG. This is displayed by selecting a date from the situation 52 and pressing the detail button 56.

  When the above-mentioned care service details confirmation screens 60 and 61 can acquire the plan CSV from the care service plan DB 22 and the actual CSV from the activity result report DB 23, the contents of the plan CSV and the actual CSV (provided date, day of the week, start time) , End time, user name, service type, service item, activity category, etc.) are displayed side by side, and when a row with a planned CSV is clicked, the corresponding actual CSV row is selected and displayed in reverse video.

  As mentioned above, although each embodiment was described centering on each function in the care service support device of the present invention, the present invention is a care service support method as described also as a method of executing each step in the care service support device. Can take the form of Further, similarly to the care service support apparatus having each function, a form as a program for causing a computer to function as a care service support apparatus or a form as a recording medium storing the program are possible.

  An embodiment of a recording medium storing a program and data for realizing the function of assisting care service according to the present invention will be described. Specific examples of the recording medium include CD-ROM (-R / -RW), magneto-optical disk, DVD-ROM (-R / -RW), FD, HD, flash memory, memory card, memory stick, Various other ROMs, RAMs, and the like can be assumed, and the functions of the devices according to the embodiments of the present invention described above are executed by the computer on these recording media, and a program for realizing the care service support function is recorded and distributed. This facilitates the realization of the function. Then, the recording medium as described above is mounted on an information processing apparatus such as a computer and the program is read by the information processing apparatus, or the program is stored in a storage medium provided in the information processing apparatus. By reading, it is possible to execute the care service support function related to the present invention.

It is a block diagram which shows the example of an internal structure of the information processing apparatus concerning this invention. It is a block diagram which shows the structural example of the care service assistance apparatus which is one Embodiment of this invention. It is a figure for demonstrating an example of the flow of the paperwork in the nursing care service at the time of introducing the nursing care service support apparatus shown in FIG. It is a block diagram which shows the structural example of the care service assistance apparatus which is other embodiment of this invention. It is a figure for demonstrating an example of the flow of the paperwork in the nursing care service at the time of introducing the nursing care service support apparatus shown in FIG. It is a flowchart for demonstrating an example of the care service support method to which this invention is applied. In the care service support method shown in FIG. 6, it is a figure which shows an example of the table data which stored the display method corresponding to the determination result of an activity performance determination means. It is a block diagram which shows the structural example of the care service assistance apparatus which is other embodiment of this invention. It is a flowchart for demonstrating the other example of the care service assistance method to which this invention is applied. In the care service support method shown in FIG. 9, it is a figure which shows an example of the table data which stored the display method corresponding to the determination result of an activity performance determination means. It is a figure for demonstrating the detailed example of the flow of the paperwork in the nursing care service at the time of introducing the nursing care service support apparatus shown in FIG. FIG. 12 is a view for explaining a detailed example of the flow of the paperwork in the care service when the care service support device shown in FIG. 2 is introduced, and is a continuation of FIG. It is a figure which shows an example of the helper activity performance confirmation screen displayed by the care service assistance apparatus of this invention. It is a figure which shows an example of the care service details confirmation screen displayed by the care service support apparatus of this invention. It is a figure for demonstrating the flow of the paperwork in the conventional nursing care service. It is a figure for demonstrating the flow of the paperwork in the conventional nursing care service, and is a continuation of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... CPU, 2 ... RAM, 3 ... ROM, 4 ... Storage device, 5 ... Input device, 6 ... Display device, 7 ... Communication device, 8 ... Output device, 9 ... System bus, 10 ... Information processing device (care service) Support device), 11 ... input reception means, 12 ... activity result DB, 13 ... change communication DB, 14 ... activity result determination means, 15 ... activity result confirmation information notification means, 16 ... OCR means, 17 ... matching result DB, 20 ... Registration means (telephone), 21 ... facsimile device, 22 ... care service plan DB, 23 ... activity results report DB, 30 ... network, 50 ... helper activity results confirmation screen, 51 ... helper activity status list, 52 ... activity status 53 ... Activity status button 54 ... Staff information button 55 ... Print button 56 ... Detail button 57 ... Registered content memo confirmation button 60, 61 ... Care service details confirmation screen

Claims (14)

  This is a nursing care service support device for supporting the efficiency of paperwork related to the nursing care service business. If there is a change notice in advance from a caregiver for a planned care service plan, the change notice is registered. A change communication database, an input receiving means for receiving an input of an activity result for the care service plan from a care worker, an activity result database for registering the received activity result in association with the care worker, and the registered It is provided with activity result determination means for determining the consistency between the change notification and the activity result, and activity result confirmation information notifying means for creating and notifying care worker's activity result confirmation information based on the determination result Nursing care service support device.   The nursing care service support apparatus according to claim 1, wherein the input receiving unit includes a unit that receives an input from an operation button included in a telephone, and when any of the operation buttons of the telephone is pressed according to voice guidance, An nursing care service support apparatus that receives an input of an activity result previously associated with an operation button and registers the received activity result in the activity result database.   The nursing care service support apparatus according to claim 1, wherein the input receiving unit stores either “on schedule” or “changed” as the activity result in the activity result database with respect to the care service plan. A care service support device characterized by registration.   4. The care service support apparatus according to claim 3, wherein the activity result confirmation information notifying means includes an activity result in which change notification is registered in the change contact database and an activity registered in the activity result database as “changed”. The care service support apparatus characterized in that the activity result confirmation information is created so that at least one of the results can be distinguished from other activity results.   5. The care service support apparatus according to claim 4, wherein the activity result confirmation information notification means further includes an activity result registered with “changed” in the activity result database, and an activity result that is consistent with the change notification. And the activity result confirmation information is created so that each of the classified activity results can be distinguished from each other.   The care service support apparatus according to any one of claims 1 to 5, wherein the care service person can connect to a terminal used by a care worker via a network, and is not consistent with the change notification by the activity result determination unit. It is characterized by comprising means for extracting the determined activity results and transmitting a message for prompting confirmation of the activity results or change communication to the terminal of the caregiver who has input the extracted activity results. Nursing care service support device.   The nursing care service support apparatus according to any one of claims 1 to 6, wherein the input receiving unit includes an OCR unit that reads a handwritten document and converts it into character data, and an activity result report for the nursing service plan. Is received from the facsimile apparatus, the received activity result report is read by the OCR means, and the read activity result report is registered in the activity result database.   The care service support apparatus according to any one of claims 1 to 7, wherein the care service plan database in which the care service plan is registered and the activity result report database in which the activity result report for the care service plan is registered. Means for acquiring the plan data from the care service plan database, acquiring the result data from the activity result report database, and a match result database for registering a match result of the acquired plan data and the result data; The nursing care service support device is characterized in that the activity result determination means determines the consistency between the plan data and the result data from the match result registered in the match result database.   8. The care service support apparatus according to claim 7, wherein the care service plan database in which the care service plan is registered is accessible, plan data is acquired from the care service plan database, and an activity result report from the facsimile apparatus is obtained. Means for acquiring the result data from the activity result database registered, and a match result database for registering the acquired plan data and the result data, and the activity result determination means is registered in the match result database. A care service support device that determines the consistency between the plan data and the actual data from the matching result.   The care service support device according to claim 8 or 9, wherein the activity result confirmation information notifying unit creates the activity result confirmation information including a determination result of consistency between the plan data and the result data. Nursing care service support device.   It is care service support method to support efficiency improvement of office work work to affect care service business, and change notice is changed when there is change notice in advance from care worker about planned care service plan A change contact registration step for registering in the contact database; an input reception step for receiving an input of an activity result for the care service plan from a caregiver and registering the received activity result in association with the caregiver in the activity result database; , An activity result determination step for determining the consistency between the registered change notification and the activity result, and an activity result confirmation information notification step for creating and notifying the care worker's activity result confirmation information based on the determination result A care service support method characterized by that.   In the input receiving step, when any one of the operation buttons provided on the telephone is pressed according to the voice guidance, the input of the activity results previously associated with the operation button is received, and the received activity results are converted into the activity results. The care service support method according to claim 11, wherein the care service support method is registered in a database.   The program for performing the function as a care service assistance apparatus of any one of Claims 1-10.   A computer-readable recording medium on which the program according to claim 13 is recorded.

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