JP3190769U - Nursing care site care schedule management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a long-term care establishment care schedule management system capable of confirming the current capacity of a long-term care establishment in a home-visit nursing care, home-visit nursing care and home-visit medical care business in a serviced housing for the elderly. SOLUTION: Based on the daily and hourly schedule information of the monthly service provision table created by the home care support office (care manager), it is formed by day and 24 hours are vertically divided into squares for each unit service time. In addition, it is a schedule table in which the required number of staff per unit time is arranged side by side in multiple rows, and the service usage time schedules of all long-term care users are incorporated in order in the columns, and when they overlap, the left side does not overlap. The columns are arranged side by side in order from the column to the right column, and the required number of staff per unit time is provided in the row, and the long-term care schedule information for all long-term care users is provided in the column, which indicates the required working hours of the staff. [Selection diagram] FIG. 5A

Description

  The present invention, for example, can provide a nursing care plan that matches the processing capacity of a nursing care facility, such as a visiting care business that provides nursing care services, particularly for elderly people with services. It relates to a nursing care facility care schedule management system for performing matching management and operation of a person's schedule.

With the introduction of the long-term care insurance system, it is becoming easier for care users (care recipients) to use care services. In other words, the long-term care insurance system is a system that allows the elderly to receive care services at a self-pay of 10% when the citizens need to pay for long-term care. If you and your spouse are bedridden or have dementia, you will need nursing care. Until recently, the family has played a role in nursing care. However, as life expectancy has increased and the family has become a nuclear family, the family alone can no longer support them, so care insurance started in 2000. A system that can be supported by is born. Here, nursing homes are publicly operated special nursing homes for the elderly (also known as special welfare and nursing homes for the elderly) and privately operated nursing homes (also known as high-residence housing for the elderly with services). The former is a public nursing care facility operated by social welfare corporations and local governments, and mainly heavy care recipients live. This is a “place of life” for care recipients who need constant care such as bedridden conditions, mainly providing nursing care services such as meals and excretion assistance, along with various body care and life assistance, Various recreations are also offered. On the other hand, the latter housing for the elderly with service (also known as Sa Takasumi) is a rental housing that is operated by a private business operator and is approved and registered in units of prefectures. Accepting the elderly in state.

  On the other hand, the features of housing for the elderly with services are that elderly people are more liable to live and rent than ordinary rental housing, and there are many rental-type facilities instead of the right-of-use method. Residents' rights are protected in terms of easy return, etc., and tenants can choose a residential area for the elderly with more options than other nursing homes, so that they can live in a familiar area There is also a merit that it becomes easier to continue living, and it is increasing rapidly. And, unlike many public nursing homes, a system that allows you to receive care services for 30 minutes as a unit time is adopted, and the care staff and care users 1 The biggest merit is that it is operated so that one-on-one care services can be received.

  That is, in the current high-dwelling nursing care system, as shown in FIG. 1, a care user (a high-dwelling resident) 1 and a visiting long-term care service are provided under the landlord who provides the housing for the elderly with services. Visited care establishments (hereinafter referred to as care establishments) and home care support establishments (hereinafter referred to as care managers) 2 that manage care services cooperate with each other to support various care services. It is provided and operated for users 1 who live in high dwellings. Therefore, the care user (sa high resident) 1 enters the application form A and the assessment sheet B, and when receiving the certification for long-term care, first, the care manager belonging to the home care support establishment 2 is the service staff meeting. In consultation, we make care plan (care plan) C, D, and at that time, we choose care establishment from plural choices, and each care when we make plan (plan) 3 A care establishment is determined every unit time and notified to the care establishment, and care based on the care plans C and D is received from the care establishment. Therefore, it is necessary for the nursing care establishment to prepare the nursing care plan G based on the home service plan (1) (2) sent from the care manager, the weekly service plan C, the monthly service provision table, and the service provision schedule D. In many cases, the nursing care establishment has not prepared a monthly service provision slip by contacting the care manager after knowing the capacity of the nursing care establishment to carry out its own nursing care service. When trying to do so, there is a mismatch that it is necessary to prepare a considerable surplus of nursing staff or that the nursing care service cannot be applied as provided by the care manager.

  This is because, in the past, many of the management methods used to manage the care staff's schedule by handwriting on the paper or board management plan table. However, as the number of care staff and care users increases, This is because schedule management including staff assignment work has become complicated, and an efficient management method that supports the work of the manager is desired. Therefore, a lot of support tools and support methods that can efficiently determine a care staff's schedule and manage the data as data on a PC (personal computer) are provided, and literatures are disclosed. The support tool that runs on the computer is used to match the care staff's available working hours with the care user's desired use time, and the care staff candidates who can be dispatched at the desired time of the care user are selected. A schedule management method that can be automatically selected and extracted has been proposed in Patent Documents 1 and 2, and by using such a support tool, care staffs can be assigned to time slots desired by care users. It can be improved significantly.

JP 2002-24493 A JP 2006-133830 A

  However, the schedule table displayed on the computer screen in the conventional support tool simply displays predetermined items such as service provision time, care user name, assigned care staff name, care service content, etc. Because the capacity of the current nursing care establishment cannot be grasped, for example, when a caregiver makes a sudden change inquiry about a schedule, the details of the schedule are displayed on the support tool. Although it can be confirmed for the time being, it was not possible to immediately grasp the staff shift conversion related to the schedule change, and it was not possible to respond quickly. In other words, with the conventional support tool, care staff could be allocated efficiently during the desired service use time of the care user, but it is not easy to check the current care establishment. There is a problem that it is impossible to respond quickly and flexibly to sudden events at times. It is another object of the present invention to provide a schedule management method that can clearly check the situation at a glance and can respond quickly and flexibly to unexpected events.

  The most important thing in managing visiting care is that care must be provided based on the monthly care schedule of the service provision slip created by care manager. This is because the benefit management K to the National Health Insurance Federation is performed based on the result of the plan, and the cost claim 9 is performed. Secondly, what kind of capacity (number of staff members and staff shift status) the visiting care of all nursing care users is operated in, and each staff within the capacity of the care establishment You have to manage how your daily service schedule is determined. This is because an excessively small number of people leads to the failure of the nursing care establishment, and securing an excessive number of staff makes it difficult to maintain the operation of the visiting nursing care business. In addition, mismatches in nursing care services have a profound effect on the performance of nursing care establishments. Therefore, the present inventor diagrammatically shows the high residence management system as shown in FIG. 1. As a result, the information obtained from the monthly service provision slip D1 of all the care users sent from the care manager is divided into units of unit time. The distribution of the squares shows the capacity that can be cared for by the current staff, and the capacity of the nursing care office can be grasped when the arranged columns are divided into rows and rows. As a result, we have been able to respond efficiently to the care instructions from care managers and have solved the problem.

The present invention is a system for displaying a list of all-day care user care schedule data that can be displayed on the screen or paper of a personal computer (FIG. 2).
The means 10 for inputting monthly information based on the monthly service provision form D1 created by the care manager as an input signal, and taking into account the previous day or the later day for each day of the week in order to create the input signal as a 24-hour list for each day of the week or Without consideration, 24 hours are divided into the column of 30 minutes of care service unit time, and these are arranged in multiple rows to form a unit time cell division table, and each unit time is classified as one division from the leftmost column of each day of the week. Enter the planned unit care and user name sequentially, and if the left column of each unit time is clogged, move to the right column and enter the planned unit care and user name so that they do not overlap. All care services for each day of the week can be displayed by the care schedule data management program 20 for managing the above input signals by stuffing the unit time cell division table and the management program Display the monthly information based on the above monthly service provision slip D for all scheduled cares of all care users for each day of the week, and a schedule display with the care-available capacity for each unit time for each day of the care establishment as an output signal And means 40.

  According to the present invention, the row indicates the number of staff required per unit time at that time, while the column indicates the time zone that the staff should be engaged in. The capacity can be grasped (FIGS. 5 and 6). In addition, it is possible to output the care available time during the 24 hours for each day of the week and the number of care available for each unit time on the screen or on paper, so that the capacity of the care establishment can be grasped weekly. (Fig. 7) Therefore, the care manager can see the care management schedule by day of the week and the care management schedule table by week of the present invention, and can make a care management plan by sensing the available schedule (capacity) of the care establishment in the future. Can provide important information on service meetings with Caremanet. On the other hand, the nursing care establishment can look at the care management schedule table according to the day of the week and can consider the necessary number of nursing staff and the necessary shift of the nursing staff based on the nursing care plan sent by care manager to the nursing care establishment. , Can create an efficient care management schedule.

  Moreover, since the input data to the computer (FIG. 4) is the monthly care service information based on the monthly service provision form D1 (FIG. 3) created by the care manager, it is easy to confirm the results D2 (FIG. 3) of the monthly service provision form. The time management in FIG. 1 enables automatic management.

It is a flowchart which shows the whole nursing care schedule management system of this invention. It is a schematic diagram showing the whole care schedule management system of the present invention. The monthly service provision slip D1 created by the care manager and sent to the care establishment is shown. (B) shows whether or not a scheduled nursing care service has been performed at the nursing care establishment and shows a monthly service provision slip D2. The input screen based on the monthly service provision form D1 of FIG. 3 (A) is shown. A list of Monday care schedules in which all services received by all care users by day of the week are written every unit time from 0 o'clock to 24 o'clock are shown, and (A) to (G) are days by day from Sunday to Saturday. A list of Tuesday's care schedules, in which all services received by all care users by day of the week are written every unit time from 0 o'clock to 24 o'clock, is shown. A list of nursing care schedules on Wednesday, in which all services received by all nursing care users by day of the week are written every unit time from 0 o'clock to 24 o'clock, is shown. A list of nursing care schedules on Thursday, in which all services received by all nursing care users by day of the week are written every unit time from 0 o'clock to 24 o'clock, is shown. A list of nursing care schedules on Friday, in which all services received by all nursing care users by day of the week are written every unit time from 0 o'clock to 24 o'clock, is shown. A list of Saturday's nursing care schedules, in which all services received by all nursing care users by day of the week are written every unit time from 0 o'clock to 24 o'clock, is shown. A list of Sunday's care schedules in which all services received by all care users by day of the week are written every unit time from 0 o'clock to 24 o'clock are shown. A list of Monday's care schedules in which all services received by all care users by day of the week are written every unit time from 7 o'clock on the day to 7 o'clock on the next day is shown. A list of care schedules on Tuesdays, in which all services received by all care users by day of the week are written every unit time from 7 o'clock on the day to 7 o'clock on the next day, is shown. A list of nursing care schedules on Wednesday, in which all services received by all nursing care users by day of the week are written every unit time from 7 o'clock on the day to 7 o'clock on the next day, is shown. A list of care schedules on Thursday in which all services received by all care users by day of the week are written every unit time from 7 o'clock on the day to 7 o'clock on the next day is shown. A list of care schedules on Fridays in which all services received by all care users by day of the week are written every unit time from 7 o'clock on the day to 7 o'clock on the next day is shown. A list of care schedules on Saturdays, in which all services received by all care users by day of the week are written every unit time from 7 o'clock on the day to 7 o'clock on the next day, is shown. A list of Sunday care schedules in which all services received by all care users by day of the week are written every unit time from 7 o'clock on the day to 7 o'clock on the next day is shown. It is a computer screen which shows the nursing care service vacancy of each unit time of the week from Sunday to Saturday of a nursing care establishment in color coding. The data shown on the computer screen or paper of the schedule information (I) by staff obtained from all care schedule (H) information of all care users by day of the week is shown. The data shown on the computer screen or paper of the schedule information (I) by staff obtained from all care schedule (H) information of all care users by day of the week is shown. The data shown on the computer screen or paper of the schedule information (I) by staff obtained from all care schedule (H) information of all care users by day of the week is shown. The data shown on the computer screen or paper of the schedule information (I) by staff obtained from all care schedule (H) information of all care users by day of the week is shown. The data shown on the computer screen or paper of the schedule information (I) by staff obtained from all care schedule (H) information of all care users by day of the week is shown. The data shown on the computer screen or paper of the schedule information (I) by staff obtained from all care schedule (H) information of all care users by day of the week is shown. The data shown on the computer screen or paper of the schedule information (I) by staff obtained from all care schedule (H) information of all care users by day of the week is shown. It is a table | surface which shows the service time list used frequently.

  Fig. 1 shows the flow of operation of the high dwelling management system. A resident 1 who enters a residence for the elderly with services (hereinafter referred to as "high dwelling") enters the application form A and creates an assessment sheet B. . Thereafter, the home care support office 2 holds a service staff meeting with the care office, and the care manager (hereinafter referred to as care manager) creates the home service plan C and the service provision form D1 of FIG. Send to office (2 → 3). The care establishment creates a care plan G based on the service plan C and the service provision form D1. On the other hand, the nursing care establishment has the staff information 4 based on the employment contract, and based on this, prepares the monthly work schedule F (4 → 5).

  Here, since the above-mentioned service provision slip D1 is sent every month from the home care support establishment 2, based on this service provision slip D1, all staff nursing care service schedule table for one week from Sunday to Saturday is shown in FIG. 5 (A). Create ~ (G). According to the present invention, as shown in FIG. 4, the input means 10 in FIG. 2 inputs the name of the care user and the care establishment (department code name), and the service and use time based on the service provision slip D1. Is input, the all day care service distribution tables shown in FIGS. 5 and 6 are created. In FIG. 5, the time zone from midnight to 24:00 is divided into squares every 30 minutes, but in FIG. 6, the time zone from 7:00 am to 7:00 the next day is divided into squares every 30 minutes. It is a division. Various work systems are organized, including regular night shift workers.

  Specifically, FIG. 4 is a screen that is input based on the service provision slip D1, and inputs the care user name, the department code of the care establishment, and the care start time, end time, provision time, and provision service code. Then, the service is confirmed by the service name, whether or not it is necessary to use from Sunday to Saturday is checked, and at the same time, the number of laps from the first week is checked. This care user receives a service of physical care 0 from 5:20 to 20 minutes from the first week to the sixth week. Next, the shopping service of Life Assistance 3 is received once a week from 10:00 on Sunday. Then, 1 hour 30 minutes from 14:30 on Monday, 1 hour 30 minutes from Thursday 14:00, 1 hour 30 minutes of body care service, and 1:30 hours on Tuesday, body 1 care service of 30 minutes from 15:30 . Therefore, it is input based on the service provision slip D1.

    When such input signals are totaled, the schedule management table of FIG. 5 or 6 is created for each day of the week, and the schedule management table of FIG. 7 is created for each week. Specifically, the means 10 for inputting the monthly information based on the monthly service provision slip D1 created by the care manager as an input signal inputs the care service code and the provided unit time together with the name of the care user and the department code of the care establishment. The input care schedule data management program 20 creates the schedule management table of FIG. 5 or 6 for each day of the week and the schedule management table of FIG. 7 for each week. That is, in order to distribute the care service of each care user as an input signal for each scheduled use time, it is displayed as a square 24 hour list for each unit time for each day of the week. Each day of the week, with or without taking into consideration the previous day or the later day (Fig. 6), 24 hours are divided into columns of 30 minutes of nursing care service unit time, and these are arranged in multiple rows and unit time It will be a cell division table. Enter the input signal for each day of the week from the left column in the leftmost column for each day of the week, and sequentially enter the unit care and user name scheduled for each unit time. When the left column in each unit time is clogged, move to the right column in sequence. Then, the unit care and the user name that are scheduled to be entered are entered so as not to overlap, and all the care services are packed into the unit time section classification table for each day of the week, and the input signal is distributed. As a result, the monthly information based on the monthly service provision slip D1 displays all planned cares of all care users for each day of the week, and displays the schedule of the care facility capacity for each unit time for each day of the care establishment as an output signal. Displayed by means 40.

Fig. 5 shows the time zone from midnight to 24:00 divided into squares every 30 minutes. Since the schedule for the next day is difficult to understand, the time zone from 7:00 am to 7:00 the next day is shown in Fig. 6. It is divided into squares every 30 minutes to make it easier to understand the working status of night workers.
Looking at the schedule of the care establishment in FIG. 5A, one person who needs care of body 0 from 0:10 and one who needs care of body 0 from 5:00, from 5:20 Three care services for those who need physical care are available, but because there is a time difference, it shows that one care staff can handle it. From 8:00, four persons are provided with a care service for the body 1, but since there are three attendees, it is indicated that one person receives assistance from the day service. Therefore, the number of cases where care service can be provided is displayed in the row, and care staff are prepared. From 8:00 to 18:00, many care staffs can be prepared for daytime work, and it can be seen that six rows of horizontal frames are prepared as the care available frames.

  The column at the left end means that since there is a care service for 24 hours from the top to the bottom, it requires 2 to 3 care staff in 24 hours, including night shift workers. Therefore, considering the schedule of 8:00 working hours and 18:00 leaving work, in FIG. 6, the time zone from 7:00 am to 7:00 the next day is divided into squares every 30 minutes and straddles midnight. Make it easier to understand the working status of.

  Therefore, FIG. 5 and FIG. 6 show the capacity of the nursing care establishment according to the day of the week, which is shown in FIG. When the care service vacant space is indicated by color for each unit time, the care schedule of care manager can be easily adjusted. In other words, if there is no vacancy in the crossed diagonal line, one vacant line indicates vacancy for one person, and no diagonal line indicates vacant for two persons, it can be seen that there is a vacancy on what day of the week.

  Usually, care service is about 2 hours a day, and it is about 30 minutes, and it is often necessary to provide care service within 2 hours before and after, so always leave one person in reserve. In the case of a five-person frame, one nursing staff can perform a 30-minute nursing service four times within two hours, and five nursing staff can perform 4 × 5 20 services within two hours. Thus, the standard care users can handle almost 20 care users with 5 care staffs. However, depending on the degree of care, 8 care services per day are received, and various care services such as body 0 to body 4 and life 1 to 4 are received. It turns out that. Therefore, in order to make an appropriate care schedule for the care user, a care manager needs a screen showing the empty space of the weekly care schedule of FIG.

  Create a daily service schedule (I) for all staff from the confirmed data (H) and separate work slips (F) in the above figure 5 or 6 so that there is no mismatch in daily care at a nursing care facility. There is a need. In the all staff daily service schedule table (I), as shown in FIG. 8, squares of service unit times are arranged in columns for each staff. By selecting the day of the week corresponding to the day from A to G in FIG. 5 or FIG. 6 and transferring the unit service of the scheduled time in order and assigning it to the square of all staff All staff daily service schedule I (Figure 8) is completed. Since February 2 is Sunday, all staff schedules for Sunday by transferring the unit services from the Sunday all staff care service schedule table of FIG. 5 or 6A to the squares of the unit service schedule table for each staff. Is completed. Distribute this to each staff member and distribute it to each person. February 3 from Monday B, February 4 from Tuesday C, February 5 from Wednesday D, February 6 from Thursday E, February 7 from Friday F, February 8th will be completed by extracting the unit service from G on Saturday and filling the squares.

  The salary calculation J of 7 is performed by the work schedule 5 and the attendance management 6 by the time recorder. On the other hand, the work table 5 and attendance management 6 are compared, the presence / absence of the results is totaled (5, 6 → 8), the result of the service provision slip is filled in, and the result slip D2 for the home care support establishment is created. (8 → 2). The home care support establishment sends the benefit management table K to the National Health Insurance Federation 10, and the home care support care benefit date statement L is sent to the care establishment, while the care establishment makes a claim based on the results M 9 is performed by the National Health Insurance Federation 10 via the host server. The National Health Insurance Federation will check the benefit management table K from the home care support establishment and the request from the care establishment, and inform the care establishment of the claim result 11.

  A series of services from such care management to billing services are performed based on the service provision slip created by Care Manager as scheduled and evaluated based on the results. In this invention, the service provision created by Care Manager is provided. Based on the vote, it is created so that the list of all care services by day of the week can be listed, so the care service is scheduled according to the processing capacity of the care establishment, and all staff by day is based on the all care service schedule. Since the schedule is set, no mismatch in care management can occur, and efficient care management according to the processing capacity of the care establishment can be performed.

10 30 Signal input means 20 Management program 40 Display means

Fig. 5 shows the time zone from midnight to 24:00 divided into squares every 30 minutes. Since the schedule for the next day is difficult to understand, the time zone from 7:00 am to 7:00 the next day is shown in Fig. 6. It is divided into squares every 30 minutes to make it easier to understand the working status of night workers.
Looking at the schedule of the care establishment in FIG. 5A, one person who needs care of body 0 from 0:10 and one who needs care of body 0 from 5:00, from 5:20 Three care services for those who need physical care are available, but because there is a time difference, it shows that one care staff can handle it. From 8:00, a care service for 4 people will be provided . Here, the display of the day means preparation for going out to the day service and indicates that the assistance of one day is received. Therefore, the number of cases where care service can be provided is displayed in the row, and care staff are prepared. From 8:00 to 18:00, many care staffs can be prepared for daytime work, and it can be seen that six rows of horizontal frames are prepared as the care available frames.

Usually, care service is about 2 hours a day, and it is about 30 minutes, and it is often necessary to provide care service within 2 hours before and after, so always leave one person in reserve. In the case of a five-person frame, one nursing staff can perform a 30-minute nursing service four times within two hours, and five nursing staff can perform 4 × 5 20 services within two hours. Thus, the standard care users can handle almost 20 care users with 5 care staffs. However, depending on the degree of care, 8 care services per day are received, and various care services such as body 0 to body 2 and life 2 to 3 are received. It turns out that. Therefore, in order to make an appropriate care schedule for the care user, a care manager needs a screen showing the empty space of the weekly care schedule of FIG.

Claims (4)

A system for displaying a list of all care user care schedule data by day of the week that can be displayed on the screen or paper of a personal computer,
Means 10 for inputting monthly information as an input signal based on the monthly service provision slip D created by care manager, and in order to create the input signal as a 24-hour list by day of week, Without consideration, 24 hours are divided into the column of 30 minutes of care service unit time, and these are arranged in multiple rows to form a unit time cell division table, and each unit time is classified as one division from the leftmost column of each day of the week. Enter the planned unit care and user name sequentially, and if the left column of each unit time is clogged, move to the right column and enter the planned unit care and user name so that they do not overlap. All care services for each day of the week can be displayed by the care schedule data management program 20 for managing the above input signals by stuffing the unit time cell division table and the management program The schedule display means for displaying the monthly care based on the monthly service provision slip D for all scheduled cares of all care users for each day of the week, and using the care available capacity for each unit time for each day of the care establishment as an output signal 40. A nursing care facility care schedule management system comprising 40.   The data input to the computer is the monthly care service information based on the monthly service provision slip D created by care manager, and the care user name, care service name and code are entered for each unit service time, for each day of the week, for each week. The system of claim 1.   The system according to claim 1, wherein the schedule display means (40) outputs the available care time during 24 hours for each day of the care establishment and the number of care available for each unit time on a screen or paper.   The system according to claim 1, wherein the schedule display means (40) outputs, on a screen or paper, the care-available time during the 24-hour period of the care establishment and the number of care-available items per unit time for each day of the week.

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