JP3057079B2 - Care management support system - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a computer system for supporting "care management" for effectively providing care for an elderly person or a disabled person.

[0002]

2. Description of the Related Art Care management is to sort out the problems of elderly people who need nursing care (= nursing care recipients), first consider measures to solve the problems (= care plan), and follow the measures. It refers to the flow of a series of tasks such as nursing (= service provision). Also, if the measures are not really effective, this includes picking up and reorganizing (= monitoring) problems. The person who manages this sequence is called "care manager". The care manager coordinates the service provider that actually provides care with the care recipient so that optimal care is provided for the care recipient.

[0003] In the service payment in the public long-term care insurance system, it is premised that the service is provided based on a care plan, and services not described in the care plan are regarded as "not covered by in-kind payment". Therefore, care management is very important not only for the person requiring care but also for the service provider.

[0004] Institutions or businesses directly related to care management can be broadly classified into "care plan preparation organizations" and "service providing organizations". A care plan making organization is a "home care support company" in the public long-term care insurance system.
It is an organization that accepts consultations on care recipients and creates a care plan suitable for those requiring care. Care managers belong to this care planning organization. A service provider is a public care insurance system that is called a "home service provider" or a "nursing care insurance facility." An organization that actually provides services.

[0005]

In the conventional care management, each related organization individually manages information and carries out work individually based on the information. Therefore, the two organizations do not know the total information of the care recipients, such as what services the care recipients use and in what situation. As a result, there is a problem that excess or deficiency or bias of services occurs.

[0006] Care management includes grasping the condition of the care recipient and evaluating the condition to be useful for preparing a care plan (care assessment), preparing a care plan based on the results of the care assessment, and actually performing a care plan based on the care plan. This includes various services such as providing services to the public, grasping the situation of the care recipients and the service results at the service providing site, re-picking up the problems and providing feedback to the correction of the care plan (monitoring). Conventionally, these tasks are performed based on information individually managed by the related organizations, and cooperation between the information and the tasks of the related organizations is not sufficient. The efficiency and adequacy of their work still has plenty of room for improvement.

Accordingly, an object of the present invention is to provide a computer-based support system for coordinating information of a care plan making organization and a service providing organization in total, thereby enabling more effective care management. To provide.

Another object of the present invention is to provide a care management support system that can contribute to the efficiency and appropriateness of various tasks such as care assessment, care plan creation, service provision, and monitoring in care management. .

[0009]

Means for Solving the Problems] care management support system according to the first aspect of the present invention, a care plan created engine system installed in care plan created institution, services
Service provider system installed in the service provider,
A care chart management database and a care resource management database are provided. The care chart management database centrally manages the care chart including the state information of the care recipient and the care plan, and can be accessed from both the care plan creation institution system and the service providing institution system. The care resource management database centrally manages care resource information on care resources including service provider acceptance information, and is accessible from both the care plan creation system and the service provider system. The service providing institution system has a care plan preparation business unit for preparing a care plan for the care recipient, and the care plan preparation business unit is configured to store the state of the care recipient in advance registered in the care chart management database. A care plan is created with reference to the information and the service provider's acceptance information registered in the care resource management database in advance, and the created care plan is registered in the care chart management database. Service
The service provider makes an appointment for a registered care plan.
We have a reservation coordination business department that processes
The administrative department is responsible for the care registered in the nursing chart management database.
For the plan, the reservation reception result indicating whether the reservation
Create and register it in the nursing chart management database. Do
And the care plan creation business department
Care plan according to the reservation reception result registered in
Correct it and register it again in the nursing chart management database.

[0010] According to the care management support system, the care plan preparation organization and the service providing organization can share various kinds of information on care recipients and care resources required for care management. As a result, the two organizations can coordinate each other's work through the shared information, which enables more efficient and appropriate care management compared to the conventional technology in which each organization manages information individually. Become. In particular, when the care plan preparation organization prepares the care plan, it refers to the state information of the care-requiring person registered in the care chart database in advance and the service provider's acceptance information registered in the care resource management database in advance. Therefore, it is possible to efficiently create an appropriate care plan that matches the condition of the care recipient and the acceptance capacity of the service provider. Further, since the created care plan is registered in the nursing care chart database, the service providing organization can smoothly schedule the service provision according to the care plan by referring to this.

[0011] In a preferred embodiment, the reservation adjustment business unit
In addition, new reception information is created from the reservation reception result to provide nursing care.
Register in the resource management database.

According to this care management support system, the acceptance information of the service providing organization is registered in the care resource management database, and the care plan creation organization refers to the acceptance information registered in the care resource management database to provide the service. Care plans can be tailored to the institution's capacity. In addition, the care plan created by the care plan making organization is registered in the nursing chart database, and the service provider refers to the care plan registered in the nursing chart database to make a service reservation scheduled by the care plan. Can be adjusted. In this way, the information required to carry out their respective work between the care management creation organization and the service provider is
Since the information is exchanged through the shared database, care management can be appropriately and efficiently performed.

[0013] Care management according to a second aspect of the invention
The support system is provided by a care plan
Installed in Aplan creation organization system and service provider organization
The provision of services based on the care plan
A service provider with a service performance management department that performs processing
Provider system, status information and care plan of care recipients
For managing care charts including
From both the service system and the service provider system.
An accessible nursing chart management database and service
Nursing care resources related to nursing resources, including information on service provider acceptance
Source information is centrally managed, and a care plan making organization system
And access from both service provider systems
And a care resource management database. Care plastic
The monitoring agency system has a monitoring operation unit.
Of the monitoring work department of the
Observation instruction items that indicate the occurrence in the nursing chart management database
sign up. Service providers system has a service performance management business unit, the service performance management business unit, through
Observation instruction items registered in the medical chart management database
Therefore , the observation record of the care recipient is created, and the created observation record of the care recipient is registered in the care chart management database.
Then, the monitoring operation section displays on the screen the observation records of the care recipients registered in the nursing chart management database, and displays the monitoring results of the care recipients determined based on the displayed observation records on the nursing chart management. Register in the database. As a result, the observation record of the care recipient required based on the result of the service provider's observation of the care recipient at the time of providing the service is registered in the nursing chart management database and fed back to the care plan preparation agency, The care planning organization can monitor the observation records and perform monitoring work efficiently. Also,
Since the monitoring result created by the care plan creating organization is also registered in the nursing care chart management database, the service providing organization can efficiently review the service provision based on the monitoring result. Good fruit
In the embodiment, the monitoring business unit
The observation record of the care recipient registered in the database is displayed on the screen.
When presenting, transition of past observation contents based on observation records
Is created and displayed. In addition, service
The Performance Management Department needs to monitor urgent
For caregivers, in addition to observation records, emergency monitoring
A signal indicating the need for nursing care
Register in the database.

The components constituting the care management support system of the present invention can be typically implemented by using a computer, and the computer programs for the components include various types such as a disk storage, a semiconductor memory, and a communication network. It can be installed or loaded on a computer through a medium.

[0015]

FIG. 1 shows an overall configuration of a care management support system according to an embodiment of the present invention.

The computer system 3 of the care plan making organization 1, the computer system 7 of the service providing organization 5, and the computer system 11 of a public institution 9 such as a local government which supervises care management are connected to a public communication network or a dedicated communication system. It is communicably connected by a care management support network 13. Although only one of each of the engines 1 and 5 is shown, a plurality of each may be present. In particular, there are usually many service provision periods 5 for one care plan making organization 1, and as will become clear from the following description, those many organizations share the same information and pass through them. One important advantage of the system is that it is coordinated.

The care plan creation institution system 3 includes a communication network such as a LAN 15 and a number of machines (computers) 15, 19,... Connected thereto. Some of the machines 17 include a care chart management database 21, a caregiver resource management database 23,
The table management database 25 is managed. Also,
Another machine, for example, a terminal 19 used by a care manager or the staff of the concerned organization for business manages a company specific database 27 unique to the company. In addition, each of the terminals 19 has application programs 29 to 43 for the following various tasks: a user registration task 25, a consultation reception task 31, and a care plan creation task 3.
3. Monitoring work 35, Planning receipt preparation work 3
7. It has a care management statistics creation business 39, an information inquiry business 41, and a system setting business 43.

The service providing institution system 7 and the public institution system 11 may also be composed of a number of machines connected by a network similarly to the care plan making institution system 3, but here, for the sake of simplicity, Each of these systems 7, 11 is shown in one block.

The service providing institution system 7 includes an institution-specific database 45 unique to the institution, and has application programs 47 to 59 for various services as follows: a service registration service 47, a reservation coordination service 49, a service execution management. Business 51, service receipt creation business 5
3, a service statistics creation service 55, an information inquiry service 57, and a system setting service 59.

The public institution system 11 includes an institution-specific company-specific database 61, and has application programs for the following various tasks: a care management supervisory task 63, an information inquiry task 65, and a system setting task 67. .

The three databases managed by the care plan creation institution system 3, that is, the care chart management database 21, the care resource management database 23, and the table management database 25 integrally manage all information necessary for care management. I do. That is, the care chart database 21 manages the “care chart” in a unified manner. The nursing care chart is a variety of information (such as consultation records, care plans, service records, etc.) relating to caregivers generated in each step of care management, as will be specifically shown later. Is done. The care resource management database 23 centrally manages “care resource information”. Care resource information is various information (basic information, reservation status, results, etc.) related to caregiver resources (eg, beds, pick-ups, helpers, etc.). Registered from the business application screen. The table management database 25 centrally manages basic information (specifically described later) necessary for care management. The various operations of each institution 1, 3, 5 are made up of these three databases 2
Includes the process of accessing various information that is centrally managed in 1, 23 and 25, and the same information can be shared and used, so it is coordinated to achieve effective care management in cooperation with each other Will be.

FIG. 2 is a flow chart of information showing how various business applications of each institution exchange information with the three databases 21, 23, 25.

In a block 71 shown at the top of FIG. 2, business applications commonly provided to the three institutions 1, 5, and 11, ie, the information inquiry business 41 (57, 6).
5) and the system setting operation 43 (59, 67) are shown together.

The information inquiry service 41 inquires of various information managed in a unified manner in the three databases 21, 23 and 25. By this information inquiry work 41, the care plan making organization 1 and the service providing organization 5 directly involved in care management are unifiedly managed by the nursing care chart management database 2 and the nursing care resource management database 23. You can share information on the nursing resources you have.

The system setting operation 43 registers basic information necessary for care management at least in the table management database 25. This basic information includes insurer information,
Includes company information, care remuneration system information, standard code information, care assessment management information, weekly model management information, model level management information, system individual information, etc. (the contents of each information will be described later).

As described above, the care plan making organization 1 has a user registration business 29, a consultation reception business 31, a care plan preparation business 33, a monitoring business 35, a plan receipt preparation business 37, and a care management statistics preparation business 3,
9 can be performed.

The user registration service 29 stores basic information (eg, information on the insured person's card, family, medical environment, living environment, etc.) of the user (typically a care recipient) in the care chart management database 21. sign up.

The consultation reception service 31 provides consultation information (eg, consultation content, complaint content, response processing content, etc.) when a consultation regarding nursing care is received from a user or his / her family.
Is registered in the nursing chart management database 21, the result information (corresponding processing contents, date and time, person in charge, etc.) is registered in the caregiver resource management database 23, and the consultation history of the user is referred from the nursing chart management database 21. Or

The care plan creation operation 33 is an application for creating a care plan based on the result of the assessment. The care plan creation operation 33 includes the certification information (contents of the certification notice, the certification assessment result, etc.), the care assessment result, and the care plan. Register in the nursing care chart management database 21 and record plan creation result information in the nursing care resource management database 2
3 and so on.

The monitoring service 35 is an application for instructing the service provider 5 to perform monitoring and feeding back the result to the assessment, and manages the monitoring information (monitoring level, observation instruction information, monitoring result, etc.) for the caregiver chart. The registration is made in the database 21 or the monitoring result is registered in the care-related management database 23.

The plan receipt preparation service 37 is an application for preparing a care plan preparation cost bill. The prepared bill (recept) is registered in the care chart management database 21 and the result of the receipt preparation is managed by the care resource management. Or register it in the database 23.

The care management statistics creation service 39 performs statistical processing of data relating to care management, and registers the created statistical information in the care resource management database 23.

In the service providing organization 5, as described above, the service registration business 47, the reservation coordination business 49, the service performance management business 51, the service receipt creation business 53,
And a service statistics creation task 55.

The service registration operation 47 is an application for registering information on services that can be provided, and stores basic service information (service contents, basic schedule, staff information, etc.) in the care resource management database 23.
Register with.

The reservation adjustment service 49 is an application for adjusting a reservation for a service to be provided.
The service reservation information (operation schedule for each service type and each staff, reservation status, etc.) is registered in the care resource management database 23, and the reception information (the number of services that can be accepted for each service type and each staff, etc.) from the care management database 23. Or make inquiries.

The service performance management task 51 is an application for managing the provision and monitoring of services. The service performance management task 51 refers to reservation information from the care resource management database 23 and registers service provision performance information in the care resource management database 23. The observation chart information is referred to from the care chart management database 21, and the observation content is registered in the care chart management database 21.

The service receipt creation service 53 is an application for creating a bill for service provision costs. The created bill (recept) information is registered in the nursing care chart management database 21 and the service provision result information is stored. For example, it registers in the care resource management database 23. The service statistics creation task 55 is an application that performs statistical processing of data related to service provision, and registers the created statistical information in the care resource management database 23.

Further, the public institution 63 can execute the care management supervisory service 63 as described above. Care management supervising business 63
Is an application that performs processing for responding to a complaint sent to the care management and processing for improving the quality of the care plan, and stores the supervisor information (contents of the complaint, details of the corresponding processing, etc.) sign up.

FIGS. 3, 4, and 5 show a table management database 25, a nursing chart management database 21,
The content of the information managed by the care resource management database 23 is shown.

As shown in FIG. 3, the table management database 25 stores insurer information (basic information of the insured person, upper limit of benefits, municipal special benefits, etc.), business information (basic information of the business, services that can be provided, etc.). ), Care reward system information (points for each care service, etc.), standard code information, care assessment management information (care assessment types, care assessment items, problem area extraction logic, etc.), weekly model management information (key assessment items, Type of care recipient type, logic for determining the type of care recipient, weekly model for each type, etc.), model level management information (type of model monitoring level, model observation instruction item for each level type, model level determination logic, etc.),
And manage system individual information.

As shown in FIG. 4, the nursing chart management database 21 stores basic user information (items described in the user's insured person's certificate, family information, medical information, living environment information, used services, etc.), Consultation information (consultant name, consultation content, response processing content, etc.), certification information (certification content, certification assessment result, benefit limit, etc.), care assessment information (care assessment result, extracted problem areas, set goals, Measures, etc.), care plan information (key assessment results, identified care recipient types, weekly models corresponding to the types, set weekly plans and monthly plans, etc.), service performance information (performance of used services, observation Contents, monitoring information (monitoring level, observation instruction items, monitoring evaluation contents, etc.), receipt information (planning Content, such as a service receipt contents) to manage the like.

As shown in FIG. 5, the care resource management database 23 stores basic service information (service types that can be provided, basic schedules for each service type, staff, service types and basic schedules for each staff, etc.), service reservation information ( Operation schedule, acceptance status, reservation status, operation schedule, acceptance status, reservation status, etc. for each service, performance information (care management performance, service performance, etc.), statistical information (care management statistical information) ,
Service statistics, etc.), and supervisor information.

FIG. 6 shows a general overall flow of business processing in the present system.

First, as preparation before operating the system, the care plan making organization 1 or the service providing organization 5 executes the system setting operation 43 or 59. The system setting tasks 43 and 59 include an insurer information registration process, a company information registration process, a care remuneration system information registration process, a standard code information registration process, a care assessment management information registration process,
This includes weekly model management information registration processing, model level management information registration processing, and system individual information registration processing.

As required, each of the care plan making organization 1 and the service providing organization 5 can execute the information inquiry services 41 and 57. The information inquiry services 41 and 57 include:
A care chart reference process 81 for referencing a care chart centrally managed in the care chart management database 21 and a care resource information reference process 83 for referencing care resource information centrally managed in the care resource management database 23 are included. .

The care plan making organization 1 first executes the user registration business 29 when the user first receives a consultation. The user registration job 29 includes a user basic information registration process 85 for registering the basic information of the user in the care chart management database 21. Subsequently, each time a consultation is received, a consultation reception service 31 is executed. The consultation reception service 31 includes a consultation information registration process 87 for registering the contents of the received consultation in the nursing care chart management database 21 and for registering the results corresponding to the consultation in the nursing care resource management database 23.

In the care plan making organization 1, a care plan making operation 33 is executed for the certified subject. In the care plan creation task 33, the certification information registration processing 8 for registering the certification information (target care recipient status classification, certification period, etc.) of the target person in the care chart management database 21.
9. Weekly model creation processing 91 for creating a weekly model of the subject based on the care-requiring person status classification included in the certification information and the separately performed key assessment result, and registering the care assessment result in the care chart management database 21 and the problem area Assessment process to extract problems and organize problems 9
3 and a care plan creation process 95 for modifying the previously created weekly model according to the results of the care assessment process to create a weekly or monthly care plan suitable for the subject. The care plan creation process 95 refers to the reception information of the service provider 5 from the care resource management database 23 and coordinates the created care plan with the care chart management in order to coordinate the care plan with the schedule of the service provider 5. Register in the database 21.

In the care plan making organization 1, a monitoring work 35 is executed in order to evaluate the results of the care plan and reflect the results in the modification of the care plan. In this monitoring work 35, observation instruction information (monitoring level (problem, observation required, no problem, etc.), observation items necessary for monitoring, etc.) is managed based on the problem area extracted in the care assessment process 93. The observation instruction information registration process 97 to be registered in the database 21 and the observation record registered in the care chart management database 21 from the service provider 5 by the observation information registration process 115 described later are examined and examined, and the result is stored in the care chart management database 21. A monitoring process 99 for registration is included.

After preparing the care plan, the care plan preparing organization 1
Then, a plan receipt preparation operation 37 is executed, which includes a plan cost invoice preparation process 101 for preparing a bill for a care plan preparation cost. Thereafter, a care management statistic creation task 39 is also executed, which includes a care management statistic creation process 103.

On the other hand, the service providing organization 5 first executes a service registration operation 47, which includes a service basic information registration process 105 for registering basic information of service types and staff in the care resource management database 23.

After that, the service providing organization 5 arbitrarily
A reservation adjustment work 49 for adjusting the reservation for the service is executed. The reservation adjustment work 49 includes an operation schedule information registration process 107 for registering operation schedule information of each service type and each staff in the service care resource management database 23, reception information for each service type and each staff (reservation from the operation schedule information). (A value obtained by subtracting the information), an acceptance information inquiry process 109 for referring to the care plan information registered in the nursing chart management database 21, and confirming the reservation in the care plan. A reservation information registration process 111 to be registered in the management database 23 is included.

The service provider 5 executes a service performance management task 51 at any time. The service performance management task 51 refers to the reservation information from the care resource management database 23 and records the service performance information (whether or not to perform the service, the content of the execution, etc.) in the care resource management database 23 based on the reservation information. 113 and an observation information registration procedure 115 for inquiring observation instruction information from the nursing chart management database 21 and registering an observation item and, if necessary, an emergency alarm in the nursing chart management database 21 based on the observation instruction information.

After the service is provided, the service providing organization 5 executes a service receipt creation service 53, which includes a service cost bill creation process 117. Thereafter, a service statistics creation service 55 is also executed, which includes a service statistics creation process 119.

In the public institution 11, a care management supervisory service 63 is executed as needed. The care management supervisory service 63 includes a complaint handling process, a company evaluation process, a care plan quality improvement process, a service amount simulation process, and the like.

The entire system has been described above. In the following, the business applications,
In particular, the information inquiry service 41 (57, 65), the care plan creation service 33, the monitoring service 35, and the reservation adjustment service 49 will be individually described in detail.

First, the information inquiry service 41 (57, 65) will be described. As described with reference to FIG. 6, the information inquiry service 41 (57, 65) includes a care chart inquiry process 81 and a care resource information inquiry process 83. FIG. 7 shows the function of the care chart reference processing 81, and FIG. 8 shows the function of the care resource information reference processing 83.

As shown in FIG. 7, a care chart reference process 8
1 is nursing care plan creation business 33, consultation reception business 3
1. Various information (care charts) on users registered in the nursing care chart management database 21 from the screen of a business application used individually by each institution such as the reservation adjustment work 49 is tabulated, sorted, and Display on a common screen (care chart reference screen) that supports information sharing. As shown in FIG.
Calculates and sorts nursing resource information registered in the nursing resource management database 23 from a screen of a business application individually used by each organization such as the reservation coordinating business 49, the service performance management business 51, and the monitoring business 35;
Then, the information is displayed on a common screen (care resource information inquiry screen) that supports information sharing of each institution.

Next, the care plan creation operation 33 will be described. FIG. 9 shows a detailed flow of the entire care plan creation operation 33.

As described with reference to FIG. 6, the care plan creation business 33 includes a certification information registration process 89 and a weekly model creation process 9
1. It comprises a care assessment process 93 and a care plan creation process 95.

As shown in FIG. 9, first, a certification information registration process 89 is performed (step S1), and certification information (required nursing care status classification, certification period, etc.) of the subject who has been certified as requiring long-term care is stored in the care chart management database. 21 is registered. The certification information registered here is used in the subsequent care plan creation process.

Next, the process enters the weekly model creation processing 91, and first, the results of the assessment for the key assessment items are registered in the care chart management database 21 (step S2). Here, the key assessment item is an item that is a basic key in determining a service, and as shown in FIG.
Is set in the weekly model management information table. The key assessment items include, for example, the presence or absence of nursing power, the use of welfare equipment, the quality of the housing environment, the presence of social activities, and the like. In addition to the registration of the key assessment result, the result information that the key assessment result has been registered is registered in the care resource management database 23.

Subsequent to the registration of the key assessment result, a process of determining the type of care recipient is performed (step S3). In this process, it is necessary to set in advance in the weekly model management information table (see FIG. 3) of the table management database 25 based on the care-requiring person status categories registered in the care chart management database 21 and the key assessment results. According to the caregiver type definition and determination logic,
Automatically determine the care recipient type of the subject. FIG. 10 shows an example of the care recipient type determination logic.

Next, the process enters a weekly model display process (step S4). The weekly model is a basic care plan that combines the minimum services required for the target person, and indicates the day of the week, the date and time, the type of service to be performed, the content of the service, and the like. In the weekly model management information table of the table management database 25 (see FIG. 3), weekly models corresponding to each care-requiring person type are registered in advance. In this process, a weekly model corresponding to the previously determined type of care-requirer is extracted from the weekly model management table of the table management database 25 and displayed on the screen. FIG. 11 shows an example of a weekly model. In addition, as a modified example of the method of calculating the weekly model, a weekly model is prepared in advance for each of the care-requiring person status categories, and the key assessment is omitted. The week model may be directly calculated.

Thus, the weekly model creation processing 91 is completed. Since only the general status of the target person (care-requiring type) can be grasped from the key assessment items, the weekly model is a care plan that combines the minimum necessary services for the target person. Therefore, in order to create a care plan that is more suited to the condition of the subject, a detailed care assessment (such as that recommended by the Ministry of Health and Welfare) was conducted.
It is necessary to understand the problem areas of the target in detail and add measures to solve the problem areas to the weekly model. For this purpose, a care assessment process 93 is performed.

In the care assessment process 93, first, a care assessment result registration process is performed (step S).
5). FIG. 12 illustrates this process in more detail. FIG.
As shown in FIG. 2, in the care assessment management information table of the table management database 25, care assessment items for each of several predetermined types of care assessments (such as those recommended by the Ministry of Health and Welfare) are included in the system setting work 43.
Is registered in advance. In the care assessment result registration process, a care assessment item of a desired care assessment type is extracted from the care assessment management information table and displayed on the screen, and the assessment result of each care assessment item for the target person is entered on the screen. . The entered assessment result is registered in the care chart management database 21.

Subsequently, a problem area extraction process is performed based on the result of the care assessment (S6). In this process, the target person is determined based on the care assessment result using problem area extraction logic for each care assessment type set in the care assessment management information table (see FIGS. 3 and 12) of the table management database 25 in advance. Problem areas (some problems) are automatically extracted.

Next, the process enters a process of preparing a problem sorting list (step S7). The problem sorting list is a list of targets and measures (service contents to be implemented) for each problem included in the extracted problem area (see FIG. 12). In this process, for the problem area of the subject, this problem sort list is created on the screen and registered in the care chart management database 21.

Thus, the care assessment process 93 ends. Next, the process enters the care plan creation process 95. First, a process of creating a weekly plan by modifying the previously created weekly model is performed (step S8). What is a weekly plan?
The specific service provision schedule on a weekly basis indicates the day of the week, the date and time of each day of the two weeks, the type of service to be provided, the service content, and the reception of one-line poetry. The care plan created in the process (step S9) described later is obtained by developing the weekly plan for the certification period.

FIG. 13 shows the function of the weekly model correction processing. As shown in FIG. 13, the weekly model of the subject and the measures for the problem area are read from the nursing chart management database 21, the weekly model is displayed on the screen, and measures are added to this. At the same time, the reception information of the service provider is queried from the nursing care resource management database 23, and the weekly model is adjusted and corrected to conform to this. Further, the maximum payment amount according to the subject's nursing care status classification is read from the table management database 25,
By displaying the payment limit and the service cost of the weekly plan side by side on a screen and displaying a graph, the upper limit of the payment is also managed.
The weekly plan thus created is registered in the care chart management database 21. In addition to the registration of the weekly plan, the result information that the weekly plan has been created is registered in the care resource management database 23.

Next, processing for automatically developing a weekly plan and creating a care plan is started (step S9). In this process, the care plan is created by expanding the previously created weekly plan for the certification period of the subject read out from the care chart management database 21. Thereafter, all of the service provisions will move around this care plan. The care plan shows the service provision schedule and service cost breakdown for the certification period. The created care plan is the care chart management database 21
Registered in. In addition to the registration of the care plan, the result information that the care plan has been created is registered in the care resource management database 23.

By the way, at the initial stage when the care plan is registered in the nursing chart management database 21, the reservation of each scheduled service has not been confirmed yet.
The reservation is confirmed only after the service provider that executes the service checks the contents of each service of the care plan registered in the nursing chart management database 21. For the reservation confirmation processing, a reservation confirmation flag and a reservation rejection flag are prepared for each service included in the care plan in the care chart management database 21. The reservation confirmation flag is a flag indicating whether or not the service provider has confirmed the reservation of the service. The initial value is off (reservation has not been confirmed), and the service provider confirms this and turns on. The reservation refusal flag is a flag indicating whether or not the service provider can accept the service. The initial value is off (reservation acceptance completed). If the service cannot be accepted, the service provider turns on.

FIG. 14 shows the flow of the procedure for determining the reservation of the care plan. This procedure for confirming the reservation is performed in cooperation with the care plan creation operation 33 of the care plan creation organization 1 and the reservation adjustment operation 49 of the service providing organization 5.

When the care plan created by the care plan creation business 33 in the care plan creation organization 1 is registered in the care chart management database 21 (step S11), a plan notification alarm is automatically sent to the service providing organization 5 (step S12). ). In the service providing organization 5, in response to the plan notification alarm, the reservation coordinating operation 49 extracts the service in charge of the organization from the care plan registered in the nursing chart management database 21 and displays the service on the screen (step S13). .

The staff at the service providing organization checks the reservation of the service in charge displayed on the screen, determines whether or not to accept the reservation, and inputs the result on the screen of the reservation adjustment business 49. Registers the input reservation reception result in the care plan flag of the care chart management database 21. That is, the confirmation flag of each confirmed service is turned on, and the rejection flag is kept at the initial value off when accepting the reservation of each service, and the rejection flag is turned on when not accepted (step S14).

Then, a reservation completion alarm is automatically sent to the care plan preparation organization (step S15). In response to the reservation completion alarm, the care plan preparation operation 33 receives a reservation from the care plan of the care chart management database 21. The rejected service reservation is extracted and displayed on the screen (step S16). Next, care plan creation business 33
Enters the process of correcting and adjusting the reservation in the care plan (step S17).

On the other hand, in the service providing organization, the reservation coordinating service 49 automatically extracts a service that can be reserved from the care plan of the nursing care chart management database 21 and uses this as reservation information.
3 (step S18). Subsequently, the reservation adjustment work 49 reads out the reception information in the nursing resource database 23, subtracts the reservation information from the reception information, and registers it as new reception information in the nursing resource management database 23 (step S19).

Although not shown, the reservation adjustment work 49
Can register a care plan correction request to a care plan preparation organization when registering the reservation acceptance result in the database 21. If the current care plan needs to be modified due to this modification request or the above-mentioned refusal of reservation acceptance (addition of service, cancellation, change of date and time, etc.), the care plan creation work 33 is performed at the time of creating the weekly plan described above. Similarly, the care plan is modified while adjusting according to the reception information of the service provider and managing the upper limit of the payment.

Next, the monitoring work 35 performed by the care plan making organization will be described.

FIG. 15 shows the flow of processing performed by the monitoring service 35. As shown in the figure, the processing of the monitoring work 35 cooperates with the service performance management 51 (observation information registration processing 115 (see FIG. 6)) of the service provider 5.

At first, the care plan making organization 1 executes the observation instruction information registration process 97. In the observation instruction information registration processing 97, first, processing for displaying the monitoring level and the model value of the observation instruction item is performed (step S21).
The monitoring level means a level indicating the state of the subject, and includes, for example, "red light (needs attention)", "yellow light (needs observation)", "blue light (no problem)", and the like, and the monitoring frequency is used. And so on. The observation instruction item means an item that needs to be monitored for the target person, is set according to the state of the target person, and is the basis of the observation contents of the service providing organization. In this model value display processing, a monitoring level and an observation instruction item as a basic model considered to be suitable for the subject are extracted from the table management database 25 and displayed. That is, first, the model level management information table (see FIG. 3) of the table management database 25 is stored in advance based on the result of the key assessment of the subject registered in the care chart management database 21, the care recipient type, and the problem area. A monitoring level to be a model is determined according to the registered level determination logic. Then, the determined model monitoring level and the observation instruction item corresponding to the model monitoring level registered in advance in the model level management information table of the table management database 25 are extracted and displayed on the screen.

Next, a process for setting a monitoring level and an observation instruction item suitable for the subject is performed (step S2).
2). That is, the monitoring level displayed on the screen and the model value of the observation instruction item are more carefully examined based on the result of the key assessment of the subject read from the nursing chart management database 21, the type of care recipient, and the problem area. Modify to be more suitable for the condition of the subject. Then, the corrected monitoring level and the observation instruction item are registered in the care chart management database 21.

The observation instruction items registered in the nursing care chart management database 21 are used for creating an observation record by the observation information registration processing 115 in the service providing organization 5. That is, the observation information registration process 115 reads out the observation instruction items of the subject from the nursing chart management database 21 and creates a list on the screen when creating the observation record of the subject, and displays the observation contents of each item on this screen. So that you can enter The observation contents input on this screen are registered in the care chart management database 21 as observation records.

The care plan making organization 1 executes the monitoring process 99 periodically or as needed. In the monitoring process 99, a process of displaying a list of persons to be monitored is performed first (step S23). In this list display processing, the monitoring target person registered in the nursing chart management database 21 is monitored at a monitoring frequency corresponding to the monitoring level registered in the table management database 25 in advance according to the monitoring level. To display the monitoring target list screen.
In other words, a subject whose monitoring level is high, such as a red light, has a high monitoring frequency, and is displayed on the monitoring subject list screen at that high frequency.On the other hand, a subject whose monitoring level is low, such as a green light, is monitored. Since the frequency is low, it is displayed on the monitoring subject list screen at the low frequency. The monitoring subject list screen displays the subject name, the monitoring level, and the date of the previous monitoring. When the observation record is created by the service providing organization 5, an emergency signal is displayed on the observation record (meaning that urgent monitoring is required).
Can be turned on and off, and the subject whose emergency signal is turned on is always displayed on the monitoring subject list screen regardless of the monitoring level.

Next, a history inquiry of the observation contents is performed (step S24). In this step, when an arbitrary subject is selected from the displayed monitoring subject list screen, past observation records of the selected subject are read from the nursing chart management database 21 and each observation is performed based on this. Edit and display an observation history inquiry screen so that the transition of the past observation contents of the item can be understood. Next, a monitoring result registration process is started (step S25). In this step, the staff judges the monitoring result (no problem, need to review, etc.) from the history on the observation history inquiry screen, and inputs it on the screen. The input monitoring result is registered in the care chart management database 21. When the monitoring result indicating that the review is necessary is registered, the alarm is sent to the service providing organization 5, and the observation information registration processing 115 outputs the alarm.

As described above, one embodiment of the present invention has been described.
The above embodiment is merely an example for describing the present invention, and is not intended to limit the present invention to only the embodiment. Therefore, the present invention can be implemented in various forms other than the above-described embodiment.

[Brief description of the drawings]

FIG. 1 is a block diagram showing the overall configuration of a care management support system according to one embodiment of the present invention.

FIG. 2 is a flow chart of information between various business applications of each institution and databases 21, 23, 25;

FIG. 3 is a diagram showing types of information managed by a database 25.

FIG. 4 is a diagram showing types of information managed by a database 21.

FIG. 5 is a diagram showing types of information managed by a database 23.

FIG. 6 is a flowchart showing a general overall flow of business processing in the present system.

FIG. 7 is a block diagram showing functions of a care chart reference process 81;

FIG. 8 is a block diagram showing functions of a care resource information inquiry processing 83;

FIG. 9 is a flowchart showing a detailed flow of the entire care plan creation job 33.

FIG. 10 is a diagram illustrating an example of a care-requiring person type determination logic.

FIG. 11 is a diagram showing an example of a weekly model.

FIG. 12 is a diagram showing functions of a care assessment process 93;

FIG. 13 is a block diagram showing functions of a weekly model correction process.

FIG. 14 is a flowchart of a procedure for confirming reservation of a care plan.

FIG. 15 is a flowchart of a process performed by a monitoring task 35;

[Explanation of symbols]

 REFERENCE SIGNS LIST 1 care plan making institution 3 care plan making institution computer system 5 service providing institution 7 service providing institution computer system 9 public institution 11 public institution computer system 13 care management support network 21 care chart management database 23 care resource management database 25 table Management database 29 User registration business 31 Consultation reception business 33 Care plan creation business 35 Monitoring business 37 Plan receipt creation business 39 Care management statistics creation business 41, 57, 65 Information inquiry business 43, 59, 67 System setting business 47 Register service Business 49 Reservation coordination business 51 Service performance management business 53 Service receipt creation business 55 Service statistics creation business 63 Care management supervisory business

──────────────────────────────────────────────────続 き Continuation of the front page (56) References JP-A-8-30692 (JP, A) Minato "(7) Care management support system for long-term care insurance" NTT Technical Journal, Vol. Ten. No. 5, 1998, pp. 23-24 (58) Fields investigated (Int. Cl. ⁷ , DB name) G06F 19/00 G06F 17/60 JICST file (JOIS)

Claims (5)

(57) [Claims] Claims: 1. Set up at a care plan preparation organization, requiring nursing care
Care Plan Creation Department to create care plans for the elderly
A care plan making organization system withAbout the care plan
Had a reservation coordinating business department to process reservations forService delivery
Institutional system, care including state information of the care recipient and the care plan
Manage medical records in a unified manner
System and the service provider system.
A nursing chart management database that can be accessed, and nursing care resources including the acceptance information of the service provider.
Centrally manage nursing care resource information and create the care plan
From both the system and the service provider system
A care resource management database that is accessible
For example, the care plan creation operation section performs the care chart management day.
Status information of the care recipient in need registered in the database in advance
Registered in the care resource management database in advance.
Create the care plan with reference to the acceptance information
And the created care plan is stored in the care chart management data
Register to databaseAnd The appointment coordinating business unit manages the nursing chart management database.
For the care plan registered in the application
Create the reservation reception result shown and create the nursing chart management data
Register on the base, The care plan creation operation section performs the care chart management data
According to the reservation reception result registered in the database,
Modify the care plan and re-enter the nursing chart management database
To register,  Care management support system. 2. The reservation coordinating operation unit further comprises:
Create new reception information from the reception result
The care management support system according to claim 1, wherein the system is registered in a medical management database . (3)Set up by a care plan preparation organization, requiring nursing care
Care Plan Creation Department to create care plans for the elderly
And a module that performs processing related to monitoring of the care recipient
A care plan creation institution system with a
And Installed in the service provider and based on the care plan
Service performance management business that performs processing related to service provision
A service provider organization system with an administrative department, Nursing care including the status information of the care recipient and the care plan
Manage medical records in a unified manner
System and the service provider system.
An accessible nursing chart management database, Nursing resources related to the service provider
Centrally manage nursing care resource information and create the care plan
Both the institution system and the service provider system
A care resource management database accessible from With The monitoring operation unit should monitor the care recipient.
The observation instruction items that indicate the items to be
Register on the database, The service performance management business unit manages the care chart management data.
According to the observation instructions registered in the database Saisuke
Creates an observation record of the caregiver and observes the created care recipient
Register records in the nursing chart management databaseAnd The monitoring operation unit, The care chart management data
The observation record of the care recipient registered on the base is displayed on the screen.
Indicated and determined based on the displayed observation record
The monitoring results of the care recipients
Register in the tele management database,  Care management support system. (4) The monitoring business unit is configured to
Observation of the care recipient in the Lute management database
When displaying the record on the screen, the
Create and display an observation history showing the transition of past observations
The care management support system according to claim 3. (5) The service performance management business unit
For those in need of monitoring,
In addition to the observation records, the need for said emergency monitoring
Create a signal to indicate to the nursing chart management database
The care management support system according to claim 3, which is registered.
M