JP4149035B2 - Care management support system - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a computer system that supports “care management” for effectively providing care for an elderly person or a disabled person.
[0002]
[Prior art]
Care management is to sort out the problems of elderly people who need care (= care recipients), first consider measures (= care plans) to solve those problems, and care according to those measures (= services) Providing)). It also includes re-picking and organizing (= monitoring) problems if the measures are not really effective. A person who manages this series of flows is called a “care manager”. The care manager coordinates the service providing organization that actually provides care with the care recipient so that the best care is provided to the care recipient.
[0003]
Service benefits in the public long-term care insurance system are based on the premise that the services are implemented based on the care plan, and services that are not listed in the care plan are considered “in-kind benefits”. Therefore, care management is very important not only for the care recipient but also for the service provider.
[0004]
Organizations or businesses directly related to care management can be broadly divided into “care plan creation organizations” and “service provision organizations”. The care plan creation organization is called an “home care support provider” in the public long-term care insurance system, and is an organization that accepts consultations regarding care recipients and creates a care plan suitable for the care recipient. The care manager belongs to this care plan creation organization. A service provider is called a “home service provider” or “nursing care facility” in the public long-term care insurance system. The agency that actually provides the service.
[0005]
[Problems to be solved by the invention]
In conventional care management, each related organization manages information individually, and performs business individually based on each information. For this reason, both organizations do not grasp the total information of the care recipients, such as what services the care recipient uses and in what situation. As a result, there is a problem in that there is an excess or shortage of services and bias.
[0006]
For care management, grasp the status of the person requiring care and evaluate it to help create a care plan (care assessment), create a care plan based on the results of the care assessment, and actually provide services based on the care plan. This includes various tasks such as providing, monitoring the situation of the care recipient and the service results at the service provision site, re-picking the problem and feeding it back to the correction of the care plan (monitoring). Conventionally, these operations are performed based on information individually managed by each related organization, and it cannot be said that the information and operations between related organizations are sufficiently linked. The efficiency and appropriateness of those operations still has room for improvement.
[0007]
Accordingly, an object of the present invention is to provide a computer-based support system for coordinating information of a care plan creation organization and a service providing organization in total, thereby enabling more effective care management. It is in.
[0008]
Another object of the present invention is to provide a care management support system that can contribute to streamlining and optimizing various tasks such as care assessment, care plan creation, service provision, and monitoring in care management.
[0009]
[Means for Solving the Problems]
A care management support system according to the first aspect of the present invention includes a care plan creation institution system installed in a care plan creation institution, a service provision institution system installed in a service provision institution, status information and care of a care recipient Centralized management of nursing care charts including plans, a nursing care chart management database that can be accessed from both the care plan creation institution system and the service provision institution system, and care resource information related to the care resources of the service provision institution A care resource management database that is managed and accessible from both the care plan creation institution system and the service providing institution system. Each of the care plan creation institution system and the service providing institution system has an information inquiry service section for inquiring about the nursing care chart in the care chart management database and the care resource information in the care resource management database.
[0010]
According to this care management support system, a care plan creation organization and a service providing organization can share various information related to care recipients and care resources necessary for care management. Therefore, both organizations can coordinate each other's work via the shared information, and therefore, more efficient and appropriate care management is possible compared to the conventional technology where each organization individually manages information. Become.
[0011]
A care management support system according to the second aspect of the present invention is installed in a care plan creation organization and includes a care plan creation organization system having a care plan creation business unit that creates a care plan for a care recipient, and a service providing organization. A service provider organization that has a reservation coordinating department that coordinates appointments for care services that are installed and scheduled in a care plan, and a care chart that includes information on the status of care recipients and care plans in a centralized manner. A care chart management database accessible from both the plan creation institution system and the service providing institution system.
[0012]
The care plan creation business unit creates a care plan based on the status information of the care recipient who is registered in advance in the care chart database, and registers the created care plan in the care chart database. The reservation adjustment work refers to the care plan registered in the care chart database, determines whether or not to accept a service reservation scheduled in the care plan, and registers the determination result in the care chart database.
[0013]
According to this care management support system, a care plan created by a care management creation organization is notified to the service providing organization via the nursing care chart database, and the service providing organization makes a service reservation scheduled in the care plan. It is possible to decide whether or not to accept, and to feed back the decision result to the care management organization through the care chart database again. In this way, the care plan schedule is adjusted between the care management organization and the service provider through the shared care chart database, so it is possible to efficiently create a care plan. .
[0014]
In a preferred embodiment, the care plan creation business unit refers to the determination result on acceptability of reservations registered in the care chart database, and if necessary, corrects the care plan and registers it again in the care chart database. Thereby, the service providing organization can make a decision to start accepting reservations for the modified care plan again and notify the care plan creation organization again. A care plan can be created efficiently through such interaction between the care plan creation organization and the service providing organization.
[0015]
In the preferred embodiment, care resource information relating to care resources including acceptance information of the service providing organization is centrally managed and can be accessed from both the care plan creating institution system and the service providing institution system. Is further prepared. The care plan creation institution system refers to acceptance information registered in advance in the care resource management database when creating a care plan. Thereby, since the care plan creation organization can create a care plan from the beginning so as to match the acceptance status of the service providing organization, it is possible to efficiently create an appropriate care plan.
[0016]
The care management support system according to the third aspect of the present invention includes a care plan creation organization system installed in a care plan creation organization, a service provision organization system installed in a service provision organization, and acceptance information of the service provision organization. It includes a care resource management database that centrally manages care resource information related to care resources and is accessible from both the care plan creation institution system and the service provision institution system. The service providing organization system registers acceptance information of the service providing organization in the care resource management database. The care plan creation department of the care plan creation institution system refers to the acceptance information registered in the care chart database when creating the care plan. Thereby, since the care plan creation organization can create a care plan from the beginning so as to match the acceptance status of the service providing organization, it is possible to efficiently create an appropriate care plan.
[0017]
A care management support system according to a fourth aspect of the present invention is installed in a care plan creation organization and has a care plan creation organization system having a care plan creation business unit for creating a care plan for a care recipient, Nursing care chart including the type of care recipient and the results of care assessment are centrally managed, and a basic care plan management database that can be accessed from the care plan creation institution system and a basic care plan for each type of care recipient And a table management database that manages information and is accessible from the care plan creation institution system. Then, the care plan creation business unit extracts the original care plan corresponding to the type of the care recipient registered in the care chart database in advance from the table management database, and the extracted original care plan is extracted from the care chart database. In accordance with the care assessment result of the care recipient registered in advance, the care plan is created.
[0018]
According to this care management support system, based on the original care plan according to the type of care recipient, it is revised according to the care assessment result of the care recipient and a care plan for the care recipient is created. can do. Therefore, an appropriate care plan can be created easily and efficiently.
[0019]
In a preferred embodiment, a key assessment result of a care recipient (assessment result for a basic item as a key) is registered in advance in the care chart management database, and the table management database includes Furthermore, a type indexing logic for determining the type of care recipient from the key assessment result is registered in advance. Then, before extracting the original care plan, the care plan creation service department uses the type index logic registered in the table management database based on the key assessment results of the care recipient registered in the care chart management database. Is used to determine the caregiver type of the care recipient, and the determined care recipient type is registered in the care chart management database. As a result, the type of care recipient can be determined easily and appropriately, so that the care plan creation becomes more efficient and appropriate.
[0020]
In a preferred embodiment, a problem area extraction logic for extracting a problem area held by a care recipient from the care assessment result is registered in advance in the table management database. Then, when the care plan creation department modifies the original care plan, the problem plan extraction logic registered in the table management database is extracted based on the care assessment result of the care recipient registered in the care chart database. Use it to extract the problem area (problem) of the care recipient and modify the original care plan based on this extracted problem area, so that the original care plan can be easily and properly corrected, Making care plans becomes more efficient and appropriate.
[0021]
In a more preferred embodiment, the assessment items of care assessment are registered in advance in the table management database, and the care plan creation business unit is registered in the table management database before extracting the original care plan. The assessment item is displayed on the screen, and the assessment result input for the displayed care assessment item is registered in the care chart management database as the care assessment result of the care recipient. As a result, care assessment can be performed appropriately and easily, so that the care plan can be created more efficiently and appropriately.
[0022]
The care management support system according to the fifth aspect of the present invention is installed in a care plan creation organization, installed in a care plan creation organization system having a monitoring business unit that generates monitoring results of care recipients, and a service providing organization. A service providing institution system having a service results management operation section for generating observation records of care recipients, and a care plan creation institution system for centrally managing care charts including observation records and monitoring results of care recipients; and A care chart management database accessible from both of the service providing institution systems. The service performance management business unit registers the created observation record of the care recipient in the care chart management database. The monitoring business unit displays the observation record of the care recipient registered in the care chart database on the screen, and the monitoring result of the care recipient determined based on the displayed observation record is displayed on the care chart management database. Register with.
[0023]
According to this care management support system, it is possible to feed back a record of the status of a care recipient observed by a service provider to a care plan creator through a care chart database. It is possible to grasp and evaluate the condition of the care recipient based on the record, and to reflect the result in the correction of the care plan and the observation instruction to the service provider. In this way, monitoring is performed efficiently and properly.
[0024]
The present invention can typically be implemented using a computer, and a computer program for this purpose can be installed or loaded on the computer through various media such as disk storage, semiconductor memory, and communication network.
[0025]
DETAILED DESCRIPTION OF THE INVENTION
FIG. 1 shows the overall configuration of a care management support system according to an embodiment of the present invention.
[0026]
The computer system 3 of the care plan creation organization 1, the computer system 7 of the service providing organization 5, and the computer system 11 of a public organization 9 such as a local government overseeing care management support a public communication network or dedicated care management The network 13 is communicably connected. Although only one each of the engines 1 and 5 is illustrated, there may be a plurality of each. In particular, there are usually a large number of service provision periods 5 for one care plan creation institution 1, and as will become clear from the following description, these institution share the same information and pass through it. Is one important advantage of this system.
[0027]
The care plan creation institution system 3 includes a communication network such as a LAN 15 and a number of machines (computers) 15, 19,. A machine 17 among them manages a care chart management database 21, a caregiver resource management database 23, and a table management database 25. Further, another machine, for example, a care manager or other terminal 19 used by the staff of the relevant organization for business, manages the business individual database 27 unique to the business. Each of the terminals 19 includes application programs 29 to 43 for various operations as described below, that is, a user registration operation 25, a consultation reception operation 31, a care plan preparation operation 33, a monitoring operation 35, and a plan receipt preparation operation 37. , Care management statistics creation work 39, information inquiry work 41, and system setting work 43.
[0028]
The service providing institution system 7 and the public institution system 21 may also be configured by a number of machines connected by a network in the same manner as the care plan creation institution system 3, but these systems are here for the sake of simplicity of explanation. 7 and 21 are shown together in one block.
[0029]
The service providing institution system 7 includes a provider individual database 45 unique to the institution, and includes application programs 47 to 59 for various operations such as a service registration operation 47, a reservation adjustment operation 49, a service execution management operation 51, A service receipt creation service 53, a service statistics creation service 55, an information inquiry service 57, and a system setting service 59 are provided.
[0030]
The public institution system 11 includes a business individual database 61 unique to the institution, and includes application programs for various business operations as described below, that is, a care management supervisor business 63, an information inquiry business 65, and a system setting business 67.
[0031]
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, centrally manage all information necessary for care management. That is, the nursing care chart database 21 centrally manages the “care chart”. The nursing care chart is various information about caregivers (eg consultation records, care plans, service records, etc.) that occur in each process of care management, as will be shown later, and is registered from the screen of related business applications. 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 (for example, bed, pick-up person, helper, etc.), as will be described later, and the reservation status and results are related. Registered from the screen of the business application to be executed. The table management database 25 centrally manages basic information (specifically described later) necessary for care management. The operations of each of the institutions 1, 3, and 5 include a process of accessing various information that is centrally managed in the three databases 21, 23, and 25, and the same information can be shared and used. Will be coordinated to work together to achieve effective care management.
[0032]
FIG. 2 is an information flow chart showing what information is exchanged between the various databases 21, 23, and 25 by various business applications of each organization.
[0033]
In the block 71 shown at the top of FIG. 2, business applications commonly given to the three institutions 1, 5, 11, that is, the information inquiry business 41 (57, 65) and the system setting business 43 (69, 67). Are shown together.
[0034]
The information inquiry service 41 inquires about various types of information that are centrally managed in the three databases 21, 23, and 25. With this information inquiry service 41, the care plan creation organization 1 and the service providing organization 5 that are directly involved in care management are centrally managed in the care chart managed by the care chart management database 2 and the care resource management database 23. You can share information about nursing care resources.
[0035]
The system setting task 43 registers basic information necessary for care management in the table management database 25. This basic information includes insurer information, business operator information, nursing care compensation system information, standard behavior information, care assessment management information, weekly model management information, model level management information, individual system information, etc. The contents will be described later).
[0036]
In the care plan creation organization 1, as described above, the user registration work 29, the consultation reception work 31, the care plan creation work 33, the monitoring work 35, the plan receipt creation work 37, and the care management statistics creation work 39 are executed. can do.
[0037]
The user registration operation 29 registers basic information (for example, items described in an insured person's card, family, medical environment, living environment, etc.) in the care chart management database 21 of a user (typically a care recipient).
[0038]
The consultation reception service 31 registers consultation information (for example, consultation content, complaint content, response processing content, etc.) in the nursing care chart management database 21 when receiving a consultation related to nursing care from a user or a family member, or results information (Corresponding processing contents, date and time, name of person in charge, etc.) are registered in the caregiver resource management database 23, and the consultation history of the user is inquired from the care chart management database 21.
[0039]
The care plan creation operation 33 is an application for creating a care plan based on the assessment result. The care plan management is performed for accreditation information (contents of accreditation notice, accreditation assessment result, etc.), care assessment result, and care plan. Register in the database 21 or register the plan creation result information in the care resource management database 23.
[0040]
The monitoring task 35 is an application for instructing monitoring to the service providing organization 5 and feeding back the results to the assessment. Monitoring information (monitoring level, observation instruction information, monitoring results, etc.) is sent to the caregiver medical record management database 21. Register or register the monitoring results in the care-related management database 23.
[0041]
The plan receipt creation service 37 is an application for creating a care plan creation cost invoice, and registers the created invoice (receipt) in the care chart management database 21 or records the receipt creation results in the caregiver resource management database 23. Or register.
[0042]
The care management statistics creation business 39 performs statistical processing of data related to care management, and registers the created statistical information in the care resource management database 23.
[0043]
As described above, the service providing organization 5 can execute the service registration task 47, the reservation adjustment task 49, the service performance management task 51, the service receipt creation task 53, and the service statistics creation task 55.
[0044]
The service registration task 47 is an application for registering information about services that can be provided, and registers service basic information (service contents, basic schedule, staff information, etc.) in the care resource management database 23.
[0045]
The reservation adjustment business 49 is an application for adjusting a reservation for a service to be provided. Service reservation information (operation schedule for each service type and staff, reservation status, etc.) is registered in the care resource management database 23 or received. Information (such as the number of services that can be accepted for each service type and each staff member) is referred from the care management database 23.
[0046]
The service performance management work 51 is an application for managing the provision and monitoring of services, inquiring reservation information from the care resource management database 23, registering service provision result information in the care resource management database 23, The observation instruction information is inquired from the care chart management database 21, and the observation contents are registered in the care chart management database 21.
[0047]
The service receipt creation service 53 is an application for creating an invoice for service provision expenses. The created invoice (receipt) information is registered in the care chart management database 21 and the service provision result information is managed as a care resource management. Or register it in the database 23. The service statistics creation service 55 is an application that performs statistical processing of data related to service provision, and registers the created statistics information in the care resource management database 23.
[0048]
Further, as described above, the public institution 63 can execute the care management supervisor business 63. The care management supervising business 63 is an application that performs processing for handling complaints received for care management and processing for improving the quality of care plans, and provides supervising information (contents of complaints, content of handling processes, etc.). Register in the care resource management database 23.
[0049]
3, 4, and 5 show the contents of information managed in the table management database 25, the care chart management database 21, and the care resource management database 23, respectively.
[0050]
As shown in FIG. 3, the table management database 25 includes insurer information (basic information on insured persons, upper limit of benefits, municipal special benefits, etc.), office information (basic information on companies, services that can be provided, etc.), nursing care Remuneration system information (such as points for each care service), standard code information, care assessment management information (type of care assessment, care assessment items, problem area extraction logic, etc.), weekly model management information (key assessment items, care recipients) Type type, care recipient type determination logic, weekly model for each type, etc.), model level management information (model monitoring level type, model observation instruction item for each level type, model level determination logic, etc.), and individual system Manage information.
[0051]
As shown in FIG. 4, the care chart management database 21 includes basic user information (items described in the user's insured card, family information, medical information, living environment information, services used, etc.), consultation information ( Consultant name, consultation content, response processing content, etc.), accreditation information (accreditation content, accreditation assessment results, benefits ceiling, etc.), care assessment information (care assessment results, extracted problem areas, established goals and measures, etc.) , Care plan information (key assessment results, determined care recipient type, weekly model corresponding to the type, set weekly plan or monthly plan, etc.), service performance information (results of services used, observation contents, etc.) , Monitoring information (monitoring level, observation instruction items, monitoring evaluation details, etc.), receipt information (planned receipt details, service details) Sureseputo content, etc.) to manage the like.
[0052]
As shown in FIG. 5, the care resource management database 23 includes basic service information (service types that can be provided, basic schedules for each service type, staff members, service types and basic schedules for each staff member), service reservation information (for each service). Operation schedule, acceptance status, reservation status, operation schedule for each staff, reception status, reservation status, etc.), performance information (care management performance, service performance, etc.), statistical information (care management statistical information, service status) Statistical information, etc.) and supervisor information.
[0053]
FIG. 6 shows a general overall flow of business processing in this system.
[0054]
First, as preparation before system operation, the system setting work 43 or 59 is executed in the care plan creation organization 1 or the service providing organization 5. The system setting operations 43 and 59 include insurer information registration processing, business operator information registration processing, nursing care reward system information registration processing, standard code information registration processing, care assessment management information registration processing, weekly model management information registration processing, model level Management information registration processing and system individual information registration processing are included.
[0055]
If necessary, the information inquiry services 41 and 57 can be executed in each of the care plan creation organization 1 and the service providing organization 5. The information inquiry services 41 and 57 include a care chart inquiry process 81 for referring to a care chart that is centrally managed in the care chart management database 21, and a care that refers to care resource information that is centrally managed in the care resource management database 23. Resource information query processing 83 is included.
[0056]
The care plan creation organization 1 first executes a user registration operation 29 when receiving a consultation from a user for the first time. This user registration service 29 includes a user basic information registration process 85 for registering basic information of the user in the care chart management database 21. Subsequently, the consultation reception work 31 is executed every time a consultation is received. The consultation reception work 31 includes a consultation information registration process 87 for registering the contents of the received consultation in the care chart management database 21 and registering the results corresponding to the consultation in the care resource management database 23.
[0057]
In the care plan creation organization 1, a care plan creation task 33 is executed for the authorized target person. The care plan creation task 33 includes a certification information registration process 89 for registering the certification information of the target person (care recipient status classification, certification period, etc.) in the care chart management database 21, and the status of the care recipient included in the certification information. Weekly model creation processing 91 that creates a weekly model of the subject based on the classification and separately performed key assessment results, and a care assessment processing 93 that registers the care assessment results in the care chart management database 21 to extract problem areas and organize the problems. And a care plan creation process 95 for creating a weekly or monthly care plan suitable for the subject by modifying the previously created weekly model according to the result of the care assessment process. The care plan creation process 95 refers to the acceptance information of the service providing organization 5 from the care resource management database 23 in order to coordinate the care plan with the schedule of the service providing organization 5, and also manages the created care plan for the care chart management. Register in the database 23.
[0058]
Further, in the care plan creation organization 1, a monitoring task 35 is executed in order to evaluate the result of the care plan and reflect it in the correction of the care plan. In this monitoring task 35, observation instruction information (monitoring level (problem, required observation, no problem, etc.), observation items necessary for monitoring, etc.) based on the problem area extracted in the care assessment process 93 is stored in the care chart database. The observation instruction information registration process 97 to be registered in 21 and the observation information registration process 115 to be described later are used to inquire and review the observation records registered in the care chart management database 21 from the service providing organization 5 and register the results in the care relation management database 21. A monitoring process 99 is included.
[0059]
After the care plan is created, the care plan creation institution 1 executes a plan receipt creation work 101, which includes a process 101 for creating a bill for care plan creation costs. Thereafter, a care management statistics creation job 39 is also executed, which includes a care management statistics creation process 103.
[0060]
On the other hand, in the service providing organization 5, first, a service registration task 47 is executed, which includes a service basic information registration process 105 for registering the service type and the basic information of the staff in the care resource management database 23.
[0061]
Thereafter, the service providing organization 5 executes a reservation adjustment task 49 for adjusting a reservation for the service at any time. The reservation adjustment task 49 includes an operation schedule information registration process 107 for registering operation schedule information of each service type and each staff member in the service nursing resource management database 23, acceptance information for each service type and each staff member (reservation from the operation schedule information). The information obtained by subtracting the information), and confirming the reservation in the care plan with reference to the care plan registered in the 21 of the care chart management database, and the information on the confirmed reservation A reservation information registration process 111 to be registered in the management database 23 is included.
[0062]
The service providing organization 5 executes a service performance management task 51 at any time. The service result management operation 51 refers to reservation information from the care resource management database 23, and records service information (whether or not, implementation details, etc.) in the care resource management database 23 based on the reservation information. 113 and an observation information registration processing measure 115 for inquiring observation instruction information from the care chart management database 21 and registering an observation item and an emergency alarm in the care chart management database 21 if necessary.
[0063]
After the service is executed, the service providing organization 5 executes the service receipt creation work 53, which includes a service cost bill creation process 117. Thereafter, a service statistics creation job 55 is also executed, which includes a service statistics creation process 119.
[0064]
In the public institution 11, a care management supervisor service 63 is executed as necessary. The care management supervisor business 63 includes a complaint handling process, an operator evaluation process, a care plan quality improvement process, a service amount simulation process, and the like.
[0065]
The entire system has been described above. In the following, the business applications that are essential to the system, particularly the information inquiry business 41 (57, 65), the care plan creation business 33, the monitoring business 35, and the reservation adjustment business 49 will be described. Each will be described in detail.
[0066]
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 inquiry process 81, and FIG. 8 shows the function of the care resource information inquiry process 83.
[0067]
As shown in FIG. 7, the care chart reference processing 81 is performed from the screen of the business application used individually by each organization such as the care care plan creation work 33, the consultation reception work 31, and the reservation adjustment work 49 to the care chart management database 21. Various information (care charts) related to registered users is aggregated, sorted, and displayed on a common screen (care chart inquiry screen) that supports information sharing among institutions. As shown in FIG. 8, the care resource information inquiry process 83 is performed in the care resource management database 23 from a screen of a business application individually used by each organization such as the reservation adjustment business 49, the service performance management business 51, and the monitoring business 35. The registered care resource information is aggregated, distributed, and displayed on a common screen (care resource information introduction screen) that supports information sharing among each organization.
[0068]
Next, the care plan creation work 33 will be described. FIG. 7 shows a detailed flow of the entire care plan creation work 33.
[0069]
As described with reference to FIG. 6, the care plan creation task 33 includes an authorization information registration process 89, a weekly model creation process 91, a care assessment process 93, and a care plan creation process 95.
[0070]
As shown in FIG. 7, first, authorization information registration processing 89 is performed (step S <b> 1), and authorization information (such as a nursing care status classification and a certification period) of a subject who has received certification for nursing care is registered in the nursing care chart management database 21. Is done. The authorized information registered here is used in the subsequent care plan creation process.
[0071]
Next, the weekly model creation process 91 is entered. First, the assessment results 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 the service, and is set in advance in the weekly model management information table in the table management database 25 as shown in FIG. . Examples of key assessment items include the presence / absence of nursing care, the use / non-use of welfare tools, the quality of the housing environment, the presence / absence of social activities, and the like. In addition to the registration of the key assessment result, the record information of the registration of the key assessment result is registered in the care resource management database 23.
[0072]
Following the key assessment result registration, the type of care recipient type is determined (step S3). In this process, based on the care recipient status classification and key assessment result registered in the care relation management database 21, it is necessary to set in advance in the weekly model management information table (see FIG. 3) of the table management database 25. In accordance with the caregiver type definition and indexing logic, the type of care recipient of the subject is automatically determined. FIG. 10 shows an example of the type of care recipient type determination logic.
[0073]
Next, the weekly model display process starts (step S4). The weekly model is a basic care plan that combines the minimum necessary services 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), a weekly model corresponding to each type of care recipient is registered in advance. In this process, the weekly model corresponding to the type of care recipient determined previously 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 modification of the method for determining the weekly model, a weekly model is prepared in advance for each care recipient status category, the key assessment is omitted, and the target care recipient status category is selected The weekly model may be determined directly.
[0074]
This completes the weekly model creation process 91. Since only the rough status of the subject (care recipient type) can be grasped from the key assessment items, the weekly model remains a care plan that combines the minimum necessary services for the subject. Therefore, in order to create a care plan that is more suitable for the condition of the target person, a detailed care assessment (such as a recommended care assessment by the Ministry of Health and Welfare) is performed to grasp the problem area of the target person in detail and to solve the problem area. Need to be added to the weekly model. For this purpose, a care assessment process 93 is performed.
[0075]
In the care assessment process 93, first, a care assessment result registration process is performed (step S5). FIG. 12 shows this process in more detail. As shown in FIG. 12, in the care assessment management information table of the table management database 25, care assessment items for each predetermined type of care assessment (such as a recommended care assessment by the Ministry of Health and Welfare) are registered in advance by the system setting work 43. ing. In the care assessment result registration process, the care assessment items of the desired care assessment type are extracted from the care assessment management information table and displayed on the screen, and the assessment results of each care assessment item are entered on the screen for the target person. . The entered assessment result is registered in the care chart management database 21.
[0076]
Subsequently, a problem area extraction process is performed based on the care assessment result (S6). In this process, using the problem area extraction logic for each care assessment type preset in the care assessment management information table (see FIGS. 3 and 12) of the table management database 25, the target person is based on the result of the care assessment. Automatically extract problem areas (some problems).
[0077]
Next, the process of creating a problem sorting list is started (step S7). The problem organization list is a list of goals and countermeasures (service contents to be implemented) for each problem included in the extracted problem area (see FIG. 12). In this process, this problem organization list is created on the screen for the subject's problem area, and is registered in the care chart management database 21.
[0078]
Thus, the care assessment process 93 ends. Next, the care plan creation process 95 is entered. First, a process for creating a weekly plan is performed by correcting the weekly model previously created (step S8). The weekly plan is a schedule for providing a specific service in units of one week, and shows the day of the week, date and time, the type of service to be provided, the service content, the reception night, etc. A care plan created by a process (step S9) described later is a development of this weekly plan for the certification period.
[0079]
FIG. 13 shows the function of the weekly model correction process. As shown in FIG. 13, the weekly model of the subject and the countermeasures for the problem area are read from the care chart management database 21, and the weekly model is displayed on the screen, and countermeasures are added thereto. In addition, the acceptance information of the service providing organization is inquired from the care resource management database 23, and the weekly model is adjusted and corrected so as to match it. Further, the upper limit of the benefit is also managed by reading the payment limit amount corresponding to the subject's need for nursing care status from the table management database 25 and displaying the payment limit and the service cost of the weekly plan in a graph on the screen. 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 indicating that the weekly plan has been created is registered in the care resource management database 23.
[0080]
Next, a process for automatically developing a weekly plan and creating a care plan is entered (step S9). In this process, a care plan is created by developing the weekly plan created earlier for the subject person's certification period read from the care relationship management database 21. After that, all of the service provision will move around this care plan. The care plan shows a service provision schedule for the accreditation period and a breakdown of service costs. The created care plan is registered in the care chart management database 21. 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.
[0081]
By the way, at the initial stage when the care plan is registered in the care chart management database 21, reservations for each scheduled service have not yet been confirmed. Reservation is confirmed only after the service provider that implements the contents of each service of the care plan registered in the care chart management database 21. In order to confirm the reservation, 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 providing organization has confirmed the reservation of the service. The initial value is off (reservation confirmation has not been completed), and the service providing organization confirms this and turns on. The reservation refusal flag is a flag indicating whether or not the service providing organization can accept the service. The initial value is off (reservation acceptance complete), and the service providing organization turns on when the service cannot be accepted.
[0082]
FIG. 14 shows a flow of a procedure for determining a care plan reservation. The procedure for confirming the reservation is performed in cooperation with the care plan creation work 33 of the care plan creation agency 1 and the reservation adjustment work 49 of the service providing agency 5.
[0083]
When the care plan created by the care plan creation service 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 adjustment business 49 extracts the service in charge of the organization from the care plan registered in the care chart management database 21 and displays it on the screen (step S13). .
[0084]
When the staff of the service provider confirms the reservation of the service in charge displayed on the screen and determines whether or not to accept the reservation, and inputs the result on the screen of the reservation adjustment business 49, the reservation adjustment business 49 inputs the reservation. The received reservation acceptance result is registered in the care plan flag of the care chart database 21. That is, the confirmation flag of each confirmed service is turned on, and when the reservation of each service is accepted, the rejection flag is left at the initial value off, and when the acceptance flag is not accepted, the rejection flag is turned on (step S14).
[0085]
Then, a reservation completion alarm is automatically sent to the care plan creation organization (step S15), and in response to this reservation completion alarm, the care plan creation work 33 is rejected from the care plan in the care chart management database 21. Service reservations are extracted and displayed on the screen (step S16). Subsequently, the care plan creation task 33 enters a process for correcting and adjusting the reservation in the care plan (step S17).
[0086]
On the other hand, in the service providing organization, the reservation adjustment business 49 automatically extracts a service that can be accepted from the care plan in the care chart management database 21 and registers it as reservation information in the care resource management database 23 ( Step S18). Subsequently, the reservation adjustment job 49 reads the acceptance information in the care resource database 23, and subtracts the reservation information from the acceptance information and registers it as new acceptance information in the care resource management database 23 (step S19).
[0087]
Although not shown, the reservation adjustment task 49 can also send a care plan correction request to the care plan creation organization when registering the reservation acceptance result in the database 21. If the current care plan needs to be revised due to this revision request or the above-mentioned reservation acceptance refusal (addition of service, cancellation, date change, etc.), the care plan creation work 33 is performed at the time of creation of the weekly plan described above. Similarly, the care plan is revised while performing adjustment according to the acceptance information of the service providing organization and the upper limit management of benefits.
[0088]
Next, the monitoring work 35 performed at the care plan creation organization will be described.
[0089]
FIG. 15 shows the flow of processing performed by the monitoring service 35. As shown in the figure, the process of the monitoring service 35 is linked with the service result management 51 (observation information registration process 115 (see FIG. 6)) of the service providing organization 5.
[0090]
In the care plan creation organization 1, first, an observation instruction information registration process 97 is executed. In the observation instruction information registration process 97, first, a process of 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. For example, there are types such as “red light (attention required)”, “yellow light (attention required)”, “blue light (no problem)”, and monitoring frequency. Etc. The observation instruction item means an item that needs to be monitored for the subject, is set according to the state of the subject, and is a basis for observation contents of the service providing organization. In this model value display processing, a monitoring level and observation instruction items as a basic model that seems 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 previously stored based on the key assessment result, the type of care recipient, and the problem area of the subject registered in the care chart management database 21. The monitoring level to be a model is determined according to the registered level determination logic. Then, the determined model monitoring level registered in advance in the model level management information table of the table management database 25 and the observation instruction item corresponding thereto are extracted and displayed on the screen.
[0091]
Next, the process which sets the monitoring level and observation instruction | indication item suitable for a subject is performed (step S22). That is, the monitoring level displayed on the screen and the model value of the observation instruction item are examined more carefully based on the subject's key assessment result read from the care 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 observation instruction item are registered in the care chart management database 21.
[0092]
The observation instruction item registered in the care chart management database 21 is used to create an observation record by the observation information registration process 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 care chart management database 21 and displays a list on the screen when creating the observation record of the subject, and the observation contents of each item on this screen Can be entered. The observation content entered on this screen is registered in the care chart management database 21 as an observation record.
[0093]
The care plan creation organization 1 executes the monitoring process 99 periodically or as needed. In the monitoring process 99, first, a list display process of monitoring subjects is performed (step S23). In this list display process, the monitoring target person registered in the care chart management database 21 is monitored at a monitoring frequency corresponding to the monitoring level registered in advance in the table management database 25 according to the monitoring level. Display the monitoring target person list screen. In other words, subjects whose monitoring level is high, such as a red light, have a high monitoring frequency, so they are displayed on the monitoring subject list screen at a high frequency, while those whose monitoring level is low, such as a green light, are monitored. Since the frequency is low, it is displayed on the monitoring target person list screen at the low frequency. On the monitoring target person list screen, the target person name, the monitoring level, and the previous monitoring date are displayed. When the observation record is created by the service provider 5, an emergency signal (meaning that urgent monitoring is required) can be turned on / off on the observation record, and this emergency signal is turned on. The target person is always displayed on the monitoring target person list screen regardless of the monitoring level.
[0094]
Next, the observation history is inquired (step S24). In this step, when an arbitrary target person is selected from the displayed monitoring target person list screen, a past observation record of the selected target person is read from the care chart management database 21, and each observation item is based on this. Edit and display an observation history inquiry screen that shows the transition of past observation contents. Next, the monitoring result registration process starts (step S25). In this step, the staff determines the monitoring result (no problem, needs 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 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.
[0095]
Although one embodiment of the present invention has been described above, the above embodiment is merely an example for explaining the present invention, and is not intended to limit the present invention only to that 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 an 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 the types of information managed in the database 25. FIG.
FIG. 4 is a diagram showing the types of information managed in the database 21.
FIG. 5 is a view showing types of information managed in the database 23;
FIG. 6 is a flowchart showing a general overall flow of business processing in this system.
FIG. 7 is a block diagram showing functions of a care chart inquiry process 81;
FIG. 8 is a block diagram illustrating functions of a care resource information inquiry process 83;
FIG. 9 is a flowchart showing a detailed flow of the entire care plan creation work 33;
FIG. 10 is a diagram showing an example of a care recipient type determination logic.
FIG. 11 is a diagram showing an example of a weekly model.
FIG. 12 is a diagram showing the function of care assessment processing 93;
FIG. 13 is a block diagram showing functions of a weekly model correction process.
FIG. 14 is a flowchart of a procedure for determining a care plan reservation.
FIG. 15 is a flowchart of processing performed by a monitoring service 35;
[Explanation of symbols]
1 Care plan making organization
3 Computer system of the care plan creation organization
5 service providers
7 Computer system of service provider
9 Public institutions
11 Public institution computer systems
13 Care management support network
21 Nursing Care Chart Management Database
23 Nursing Care Resource Management Database
25 Table management database
29 User registration work
31 Consultation service
33 Care plan creation work
35 Monitoring operations
37 Planned receipt creation work
39 Care management statistics creation
41, 57, 65 Information inquiry service
43, 59, 67 System setting work
47 Service registration business
49 Reservation adjustment work
51 Service performance management
53 Service receipt creation work
55 Service statistics creation
63 Care management supervisor business

Claims (29)

A care plan creation institution system that is installed in a care plan creation organization and has a care plan creation department that creates a care plan for care recipients;
The care chart management that centrally manages the care chart including the type of care recipient of the person requiring care or the status classification of the person requiring care and the care assessment result of the person requiring care, and is accessible from the care plan creation institution system A database,
A table management database that manages basic information including a basic care plan according to a plurality of care recipient types or a plurality of care recipient status categories and is accessible from the care plan creation institution system,
In the table management database, the upper limit of benefit for each care recipient status category is stored in advance for each care recipient,
The care plan created business unit,
Extracts the care recipient types or care recipient state corresponding to segments original care plan that is pre-registered in the nursing chart management database from the table management database, the care of the original care plan issued extracted While creating the care plan with correction according to the care assessment result of the care recipient registered in advance in the medical record management database ,
The benefit upper limit corresponding to the care recipient status category of the care recipient is read from the table management database, and the benefit upper limit management is executed by comparing the read benefit upper limit with the service cost of the created care plan. care management support system according to claim. In the care chart management database, the key assessment results of the care recipient are registered in advance,
In the table management database, a type indexing logic for prescribing the care recipient type from the key assessment result is registered in advance,
The care plan creation business unit is registered in the table management database based on the key assessment result of the care recipient registered in the care chart management database before extracting the original care plan. 2. The care management support according to claim 1, wherein a caregiver type of the care recipient is determined using the type indexing logic, and the determined care recipient type is registered in the care chart management database. system. In the table management database, problem area extraction logic for extracting the problem area of the care recipient from the care assessment result is registered in advance,
The care plan creation business unit is registered in the table management database based on the care assessment result of the care recipient registered in the care chart management database when correcting the original care plan. with the problem area extraction logic, the extracts care recipient problem area, according to claim 1 or claim 2, wherein the modifying the original care plan based on the extracted problem areas Care management support system. In the table management database, the assessment items of the care assessment are registered in advance,
The care plan creation business unit displays the assessment items registered in the table management database on the screen before extracting the prototypical care plan, and displays the assessment results input for the displayed care assessment items. The care management support system according to any one of claims 1 to 3, wherein the care management support system is registered in the care chart management database as a care assessment result of the care recipient. Installed in service providers, including the service providers system having a reservation adjustment work unit that adjusts a reservation for scheduled care services in the care plan,
The care plan creation business unit creates the care plan based on the status information of the care recipient who is registered in advance in the care chart management database, and registers the created care plan in the care chart management database. ,
The reservation adjustment business unit, the nursing care to read out the care plan, which is registered in medical records management database, to determine whether or not to accept the scheduled the service book with the care plan, the long-term care medical record this decision result The care management support system according to any one of claims 1 to 4, wherein the care management support system is registered in a management database . In that the care plan created business unit, read the decision result of the long-term care the reservation whether registered in the medical record management database, if necessary, re-registered in the long-term care medical record management database to modify the care plan The care management support system according to claim 5, wherein A care resource management database that centrally manages care resource information related to care resources including acceptance information of the service providing organization, and that can be accessed from both the care plan creating institution system and the service providing institution system, is further provided.
The said care plan creation organization system reads the said acceptance information registered beforehand in the said care resource management database, when creating the said care plan, The Claim 1 characterized by the above-mentioned. Care management support system. The care plan created institutions system, have a monitoring business unit that generates a monitoring result of the care recipient,
The service providers system, have a service performance management business unit to generate the observed record the care recipient,
The care chart management database centrally manages the care chart including the observation record and the monitoring result of the care recipient ,
The service performance management business unit registers the created care record of the care recipient in the care chart management database,
The monitoring services unit, the nursing chart the registered in the management database to obtain the care recipient of observations on the screen, the display was observed recorded in the care recipient determined based monitoring the results care chart The care management support system according to any one of claims 1 to 7, wherein the care management support system is registered in a management database. And wherein each of the previous SL care plan created engine system and the service providers system, having the care reads the resource information information inquiry business unit within the nursing chart and care resource management database in the care chart management database The care management support system according to claim 7 or 8 . Before SL service providers system includes a service registration business unit that registers the acceptance information to the care resource management database,
10. The care plan creation business unit of the care plan creation institution system reads the acceptance information registered in the care chart management database when creating the care plan . The care management support system described in any one . A care management support method used in a care management support system having a care plan creation institution system having a care plan creation business unit that creates a care plan for care recipients, which is installed in a care plan creation organization,
The care plan creation business department
The care chart management that centrally manages the care chart including the type of care recipient of the person requiring care or the status classification of the person requiring care and the care assessment result of the person requiring care, and is accessible from the care plan creation institution system The process of reading out the type of care recipient who is registered in advance in the database ,
It manages basic information including a basic care plan for each type of care recipient type or for a plurality of care recipient status categories, and is accessible from the care plan creation institution system. The basic form corresponding to the read type of care recipient out of the basic care plans for each type of care recipient registered in advance in the table management database in which the upper limit of benefit is stored in advance for each care recipient The process of extracting care plans;
In accordance with the care assessment result of the care recipient who is registered in advance in the care chart management database , modifying the extracted original care plan and creating a care plan for the care recipient;
The process of executing the benefit upper limit management by reading the benefit upper limit corresponding to the care recipient status category of the care recipient from the table management database and comparing the read benefit upper limit with the service cost of the created care plan When,
A care management support method characterized by comprising: The care plan creation engine system has a process in which the care based on the state information before SL care recipient registered in advance in the medical record management database, to create a care plan for the care recipient,
Before Symbol care plan creation engine system has a process of registering a care plan for the care recipient that you created in the long-term care medical record management database,
A service providing institution system installed in the service providing organization reads the care plan registered in the care chart management database and determines whether or not to accept a service reservation scheduled by the care plan ;
The service providing institution system has a process of registering the determination result of acceptability of the service reservation in the care chart management database ;
The care plan creation institution system has a process of reading the determination result registered in the care chart management database .
The care management support method according to claim 11. The service providing institution system installed in the service providing institution has a process of generating an observation record of a care recipient and registering it in a care chart management database ,
Care plan creation engine system installed in care plan creation engine has a step of displaying the care the registered in the medical record management database care recipient of observations on the screen,
The care plan creation institution system has a process of registering the monitoring result of the care recipient determined based on the displayed observation record in the care chart management database ,
A service providing institution system has a process of reading the monitoring result registered in the care chart management database ;
The care management support method according to claim 11 or 12, characterized in that: Before SL care plan creation engine system has a process of reading any information of said care resource information in the nursing chart and care resource management database in the care chart management database,
The service providing institution system has a process of reading out any information of the nursing care chart in the nursing care chart management database and the nursing care resource information in the nursing care resource management database .
The care management support method according to claim 12 or 13, wherein the care management support method is performed. The service providing institution system has a process of registering acceptance information of the service providing institution in a care resource management database ;
The care plan creation institution system has a process of creating a care plan for a care recipient ,
The care plan creation institution system has a process of reading the acceptance information registered in the care chart management database when creating the care plan ,
The care management support method according to any one of claims 12 to 14, wherein the care management support method is provided. A system installed in a care plan creation organization that can access a care chart management database that centrally manages care charts including types of care recipients and results of care assessment, and requires multiple care recipients. It has access to a table management database that manages basic information including original care plans by type, and has a care plan creation department that creates care plans for care recipients.
In the table management database, the upper limit of benefit for each care recipient status category is stored in advance for each care recipient,
The care plan created business unit,
The extracts the care has been registered in the medical record managing database care recipient original care plan corresponding to the type from the table management database previously registered the original care plan that the extracted to the care chart management database In accordance with the care assessment result of the care recipient who is being made to create the care plan ,
Reading the upper limit of benefit according to the care recipient status category of the care recipient from the table management database, and executing the benefit upper limit management by comparing the read benefit upper limit with the service cost of the created care plan,
A care plan creation institution system characterized by being configured as described above. Before Symbol care plan created business unit,
Was registered in the long-term care medical record management database to create the care plan on the basis of the care recipient of state information that has been pre-registered before Symbol care medical records management database,
The determination result of the reservation whether that was registered in the long-term care medical record management database to determine the previous Symbol service providers system, read from the long-term care medical record management database,
The care plan creation organization system according to claim 16 characterized by things . The care chart management database centrally manages the care chart including observation records of care recipients created by the service provider,
The care displayed chart managed registered in the database the principal caregiver observations recorded on the screen, and registers the determined on the basis of the observations that the display of the care recipient monitoring result to the care chart management database Monitoring business department ,
18. The care plan creation institution system according to claim 17, further comprising: Accessible to care resource management database and the care resource information about nursing resources the service providers have central administrator,
An information inquiry service section for reading the care chart in the care chart management database and the care resource information in the care resource management database ;
The care plan creation institution system according to claim 17 or 18, characterized by comprising: A care plan creation institution system having a care plan creation department for creating a care plan for a care recipient, a care plan type of the care recipient or a care recipient status classification and the required A care chart management database that centrally manages care charts including care assessment results of caregivers and is accessible from the care plan creation institution system, and a plurality of care recipient types or a plurality of care recipient status classifications A table management database that manages basic information including another prototypical care plan and is accessible from the care plan creation institution system. The table management database includes benefits for each care recipient status category. An upper limit is stored in advance for each care recipient, and the care plan creation business unit is configured to manage the care chart management database. Extracting from the table management database the original care plan corresponding to the type of the care recipient who is registered in advance or the care recipient status classification, and registering the extracted original care plan in the care chart management database in advance The care plan is prepared by modifying according to the care assessment result of the care recipient who is being read, and the upper limit of benefit corresponding to the care recipient status category of the care recipient is read from the table management database, and the read A service providing institution system used in a care management support system characterized in that the benefit upper limit management is performed by comparing the upper limit of the benefit and the service cost of the created care plan,
It is installed to service providers,
Before Machinery protection is accessible to medical records management database, reading the care plan, which is registered in the long-term care medical record management database is created in the care plan created institutions, determine the acceptability of a scheduled service reservation in the care plan Then, the reservation adjustment business unit for registering the determination result in the care chart management database ,
A service providing institution system comprising: The care recipient of observations to create a registered the care chart management database, and the observation information registration unit for reading the one monitoring result is registered from the care plan created institution to the care chart management database,
The service providing institution system according to claim 20, comprising: Accessible care resource information about nursing resources with the previous SL service providers to centrally manage the care resource management database, the care resource information in the nursing chart and care resource management database in the care chart management database information inquiry business unit for reading,
The service providing institution system according to claim 20 or 21, further comprising: A system installed in a care plan creation organization that can access a care chart management database that centrally manages care charts including types of care recipients and results of care assessment, and requires multiple care recipients. It has access to a table management database that manages basic information including original care plans by type, and has a care plan creation department that creates care plans for care recipients.
In the table management database, the upper limit of benefit for each care recipient status category is stored in advance for each care recipient,
The care plan created business unit,
The extracts the care has been registered in the medical record managing database care recipient original care plan corresponding to the type from the table management database previously registered the original care plan that the extracted to the care chart management database In accordance with the care assessment result of the care recipient who is being made to create the care plan ,
Reading the upper limit of benefit according to the care recipient status category of the care recipient from the table management database, and executing the benefit upper limit management by comparing the read benefit upper limit with the service cost of the created care plan,
The computer-readable recording medium which recorded the computer program for functioning a computer as a care plan creation organization system characterized by this. Before Symbol care plan created business unit,
Create the care plan based on the status information of the care recipient registered in advance in the care chart management database and register it in the care chart management database ,
The determination result of the reservation whether that was registered in the long-term care medical record management database to determine the previous Symbol service providers system, read from the long-term care medical record management database,
The computer-readable recording medium which recorded the computer program for functioning a computer as a care plan creation organization system of Claim 23 characterized by the above-mentioned . The care chart management database centrally manages the care chart including observation records of care recipients created by the service provider,
The care displayed chart managed registered in the database the principal caregiver observations recorded on the screen, and registers the determined on the basis of the observations that the display of the care recipient monitoring result to the care chart management database Monitoring business department ,
Computer readable recording medium having recorded thereon a computer program for causing a computer to function as a care plan creation engine system, according to claim 24, characterized in that it comprises a. Care resource information about the long-term care resources with the service providers is accessible to centrally manage the care resource management database,
An information inquiry service section for reading the care chart in the care chart management database and the care resource information in the care resource management database ;
Recorded computer-readable recording medium a computer program for causing a computer to function as a care plan creation engine system, according to claim 24 or claim 25, characterized in that it comprises. Installed in care plan created institutions, the care plan created engine system having a care plan created business unit to create a care plan for the care recipient, the care recipient of care recipient type or care recipient state classification and the A care chart management database that centrally manages care charts including care assessment results of care recipients, and is accessible from the care plan creation institution system, and a plurality of care recipient types or a plurality of care recipient statuses A table management database that manages basic information including a prototypical care plan for each category, and is accessible from the care plan creation institution system. The table management database includes a table for each care recipient status category. The upper limit of benefits is stored in advance for each care recipient, and the care plan creation business unit is in the care chart management database. Extracting from the table management database the original care plan corresponding to the type of the care recipient who is registered in advance or the care recipient status classification, and registering the extracted original care plan in the care chart management database in advance The care plan is prepared by modifying according to the care assessment result of the care recipient who is being read, and the upper limit of benefit corresponding to the care recipient status category of the care recipient is read from the table management database, and the read A service providing institution system used in a care management support system characterized in that the benefit upper limit management is performed by comparing the upper limit of the benefit and the service cost of the created care plan,
It is installed to service providers,
Before Machinery protection is accessible to medical records management database, reading the care plan, which is registered in the long-term care medical record management database is created in the care plan created institutions, determine the acceptability of a scheduled service reservation in the care plan Then, the reservation adjustment business unit for registering the determination result in the care chart management database ,
A computer-readable recording medium having recorded thereon a computer program for causing the computer to function as a service providing institution system. The care recipient of observations to create a registered the care chart management database, and the observation information registration unit for reading the one monitoring result is registered from the care plan created institution to the care chart management database,
The computer-readable recording medium which recorded the computer program for functioning a computer as a service provision organization system of Claim 27 characterized by the above-mentioned . Accessible care resource information about nursing resources with the previous SL service providers to centrally manage the care resource management database, the care resource information in the nursing chart and care resource management database in the care chart management database information inquiry business unit for reading,
A computer-readable recording medium recording a computer program for causing a computer to function as the service providing institution system according to claim 27 or 28 .

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