JP3191316U - Nursing staff management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a long-term care staff management system for creating a daily home-visit schedule for all long-term care staff in home-visit nursing care, home-visit nursing care and home-visit medical care business in a serviced elderly housing. SOLUTION: Based on the monthly service provision table created by the home care support office (care manager), all care staffs are classified based on the day-of-week all-care user care schedule information and the work shift monthly information of all staff. It is a long-term care staff management system that creates a visit schedule for each work day. Accurately manage long-term care staff without mismatches in home-visit long-term care services in serviced elderly housing. [Selection diagram] FIG. 8A

Description

  For example, in a home care service that provides nursing care services, especially for elderly homes with services, nursing care according to working days is performed to manage and manage the schedules of nursing staff and care users sent from multiple nursing care establishments. The staff management system.

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. As life expectancy has increased and nuclear families have become more advanced, the family alone can no longer support it. Care insurance started in 2000, and the birth of a care insurance system supports the elderly in nursing care throughout society. The mechanism to be born was born.
Here, nursing homes have public nursing homes (also known as special nursing homes, nursing homes for the elderly) and private nursing homes. The former are social welfare corporations and local governments. It is a public nursing care facility operated mainly by severe care recipients. 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. The characteristics of housing for the elderly with services are that it is easier for elderly people to live and rent than ordinary rental housing, and there are many rental-type facilities instead of the right-of-use method, so the deposits and key money paid when moving in are returned. Residents' rights are protected in terms of easy access, etc., and residents can continue to live in familiar areas by choosing housing for the elderly with more options than other care facilities. There is also a merit that it becomes easier, and it is increasing rapidly.

  As shown in FIG. 1, in the current high-dwelling nursing care system, a care user (a high-dwelling resident) 1 and a visiting long-term care service are provided under the landlord who provides a housing for the elderly with a service as a landlord. The home-visit nursing care facility (hereinafter referred to as the nursing care facility) to be provided and the home care support facility (hereinafter referred to as care manager) 2 that manages the nursing care services are being operated under the cooperation of the National Health Insurance Federation 10 Yes. Therefore, care user (sa high resident) 1 fills out the prescribed application form A and assessment sheet B, and when it is certified as requiring care, first, the service with the care manager belonging to home care support establishment 2 A person in charge meeting is held, and care plans (care plans) C and D are prepared under consultation. Then, a care establishment is selected from a plurality of options, the plan 3 is sent to the care establishment, and care based on the care plan is received from the care establishment. Therefore, the care establishment creates the care plan G based on the home service plan (1) (2), weekly service plan C, monthly service provision table, and service provision separate table D1 (FIG. 3A) sent from the care manager. There is a need.

  In this nursing care insurance system, nursing care insurance benefits are paid for nursing care service costs, including the cost of creating the care plan. Billing service that checks whether or not the service has been performed, returns the monthly service provision table D2 (FIG. 3B) checked to the home care support establishment 2 by hand, and charges the National Health Insurance Federation 10 for 90% of the care costs On the other hand, the care user 1 is charged 10% of the care cost. The home care support establishment, care manager 2, needs to send benefits management table K against the results of monthly service provision table D2 and perform benefits management K.

  By the way, in order to efficiently respond to the increasing number of nursing care users, nursing care offices can accurately manage and work for helping staff and other nursing care staff working hours and desired times. It is necessary to allocate appropriate care staff appropriately to the desired times of care users. Furthermore, instead of simply assigning by matching the care user's desired use time and the care staff's available work time, respond individually to past assignment histories and requests from care users to care staff Need to be assigned properly.

  In the past, many of the management methods used to be managed by handwritten care staff schedules written on a paper or board management plan table. However, as the number of care staff and care users increases, Since schedule management including assignment work has become complicated, an efficient management method that supports the work of the person in charge of management has been 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 is provided in Patent Document 1, and by using such a support tool, the allocation of care staff to the time zone desired by the care user is markedly increased. Can be improved. 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. belongs to. Therefore, events that occur at the present time for each schedule, that is, start / end reports of services from nursing staff, late / non-working communications, nursing staff non-arrival communications, time change communications There was no system for efficiently registering and managing cancellation notices. For this reason, for example, when there is a sudden inquiry from a care user about a certain schedule, the schedule contents can be confirmed on the support tool for the time being, but the event contents related to the schedule can be grasped immediately. I couldn't respond quickly. In other words, with the conventional support tool, the care staff could be efficiently allocated to the care user's desired service use time zone, but because the current status is not easy to check, it is a sudden occurrence during system operation. There is a problem that it is not possible to respond quickly and flexibly to events. Under such circumstances, in the home care business, it is possible to check the schedule and status of care staff and care users at a glance. To provide a schedule management method that can respond quickly and flexibly to specific events, a schedule band based on the scheduled use time information is displayed for each care user on a screen on which a time axis is displayed. A list of care user schedules attached to the list, and a list display of a plurality of care user names in the care user schedule list , Wherein the rearranging every predetermined time so as to be sorted in accordance with the rules based on the drive schedule time information and the current time has been proposed (Patent Document 2).

JP 2002-24493 A JP 2006-133830 A

  However, the most important thing in managing home care is that care must be performed based on the monthly care schedule of the service provision form D1 created by care manager. This is because the benefit management to the National Health Insurance Federation is performed based on the plan and the cost claim 9 is made. And secondly, what kind of capacity (number of staff members and staff shift status) the home care of all nursing care users is operated in, and each staff within the capacity of the nursing care office You have to manage what the daily service schedule is determined. This is because caregiver users who do not consider the capacity of the nursing care facility accept the care service, which results in a mismatch in the care service, and has a profound effect on the results of the care establishment. Therefore, when the present inventor diagrammatically shows the high residence management system as shown in FIG. 1, the care service provided from the monthly service provision slip D1 of all care users sent from the care manager is changed to the care business according to the day of the week. After filling in the all-care schedule table for each office, it is necessary to create a care schedule for each staff member on each work day by transferring to the all-care staff schedule table for each day of the week. The purpose is to provide.

  The present invention uses, as an input signal, the unit care service from the all day care service user care schedule (H) created based on the monthly service provision information (D) created by the home care support establishment (care manager). Based on the monthly service provision information (D) created by the home care support office (care manager) A means 20 for inputting the unit care service from the all-day care service user care schedule (H) created by the day of the week; a means 30 for inputting the work schedule shift by day of the week for each care staff; and the day of the week Separate nursing care schedule shifts are divided into vertical squares for each unit time, and this is divided into multiple rows for each staff, and each unit starts from the leftmost vertical square. The caregiver name and care service name are transferred in order so that the unit care and user name do not overlap each other at intervals, and a program that creates a schedule (I) for each work day is provided. A care staff management system is characterized in that a staff schedule is printed on a computer screen or paper.

  According to the present invention, the care service from the current all-day care schedule information (H) according to the present day is transferred to the work shifts of all the staff in each work day in order to form the care schedule for each work day, so the care staff As the daily schedule is transferred from the unit nursing care service within the nursing care capacity of the nursing care facility, which is confirmed by the whole nursing care facility schedule according to the day of the week, the nursing care service and the nursing care user that the nursing staff can provide Mismatches with nursing care services that you want to receive The capacity of the providing side can be confirmed in the whole schedule of care establishments by day of the week, so it is easy to respond to the change, and staff shift according to the change can secure staff on working days. Also, staff changes can be handled without changing the staff work system, and no mismatch occurs.

  Since the required care service for each staff member can be found from the staff schedule for each work day (I) above, whether or not the care service requested by the care manager can be handled by associating the attendance data (F) for each work day Since it is easy to confirm such results and a care cost bill for each care user can be created, there is no unclaimed care cost.

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'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 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. 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.

The present invention uses as an input signal the care service information from the all-day care service user care schedule (H) created based on the monthly service provision information (D) created by the home care support establishment (care manager). Based on the monthly service provision information (D) created by the home care support establishment (care manager), which is based on the fact that the capacity of the care establishment can be signaled and the cause of the mismatch is eliminated. and means (10) to enter long-term care service information as the input signal from the day of the week by all long-term care service users care schedule that is created (H), the day of the week by nursing schedule shift for each of the nursing staff as an input signal Te multiple and means (30) to enter, the該曜Daily care schedule shift divided in tandem squares of each unit time, this for each of the nursing staff Te In order to avoid overlapping the unit care and user name sequentially every unit time from the leftmost staff column, the care user name and the care service name are sequentially transferred to create a schedule (I) for each work day by staff. And a means (20) for executing a program for executing the program, and further , means (40) for launching a total care staff schedule according to working days on a computer screen or paper.

According to the present invention, the care service from the current all-day care schedule information (H) according to the present day is transferred to the work shifts of all the staff in each work day in order to form the care schedule for each work day, so the care staff of the daily schedule is formed by transfer from the unit long-term care services in long-term care possible capacity of long-term care establishments has been confirmed in the day of the week by long-term care establishments full Schedule, of long-term care services and care available who can provide the care staff There is no mismatch with the care service you want to receive. The capacity of the care service provider can be confirmed in the entire schedule of care facilities by day of the week, so it is easy to respond to changes, and staff shifts according to the changes can ensure staff on working days. Also, staff changes can be handled without changing the staff work system, and no mismatch occurs.

Claims (2)

  Means 10 which takes as an input signal the care service information from the all-day care service user care schedule (H) by day created based on the monthly service provision information (D) created by the home care support establishment (care manager); The means 30 for inputting the work schedule shift by day of the week for each care staff, and the care schedule shift for each day of the week are divided into columns of each unit time, and this is divided into a plurality of rows for each care staff, and the leftmost staff A program 20 for creating a work day schedule (I) for each staff by sequentially transferring the care user name and the care service name so that the unit care and the user name do not sequentially overlap each unit time from the column. A nursing staff management system, characterized in that it comprises means 40 for projecting all nursing staff schedules according to working days on a computer screen or paper. Temu. The care cost invoice for each care user is created from the unit care service obtained from the staff schedule by work day (I) information and the attendance data by staff for each work day providing the unit care service. Management system for each nursing staff.

Images