Medical care facility collaboration system

Abstract

To provide a system which coordinates information on care facility residents, between a medical institution such as a hospital, and a staff of a care facility group which collaborates with the medical institution.SOLUTION: A medical care facility collaboration system: constructs an information sharing network between a medical institution and a care facility group; previously shares information required for medical treatment of a patient, by the network; enables consultation via the network between a staff of the medical institution and the staff of the care facility about change of condition of a resident; promptly performs inspection or medical treatment for the resident having aggravation risk, while reducing mental burden of a care worker; and prevents aggravation. The medical care facility collaboration system comprises: facility registration means which registers facility names of the medical institution and the care facility; staff in charge registration means for each facility which registers the staff in charge for each facility; and message time series display means which displays transmission and reception of messages between the staff in charge of the medical institution and the staff in charge of the care facility, in time series.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention relates to a system for sharing information about residents of nursing care facilities between staff at a medical institution such as a hospital and staff at a group of nursing care facilities affiliated with the medical institution. [Background technology]

[0002] Traditionally, nursing homes that house elderly people who require nursing care (those requiring care) have had many relatively healthy elderly people, and only a limited number of elderly people who require medical care. However, with the aging population, the number of people requiring medical care has increased dramatically. For this reason, there is an increasing need to enable minor medical procedures in nursing homes, as well as to detect elderly people who are at risk of developing serious illnesses early and connect them to early treatment at medical institutions. Prior art documents relevant to this application include the following: [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Japanese Patent Application Laid-Open No. 2002-73803 [Patent Document 2] Japanese Patent Application Laid-Open No. 2005-339309 [Patent Document 3] Patent Application No. 2022-179989 Summary of the Invention [Problem to be solved by the invention]

[0004] Previously, if a resident in a care facility was unwell, the facility's contracted doctor or the resident's family doctor would be contacted and, if necessary, a house call would be requested. However, neither contract doctors nor family doctors are full-time physicians, and they usually see outpatients at clinics, etc. For this reason, even if a doctor is contacted at 10:00 a.m. on a Monday morning to report that a resident is feeling unwell, it is difficult to interrupt outpatient work and respond immediately, and the doctor usually only makes a house call in the afternoon or evening. During this time, the condition progresses and sometimes emergency hospitalization is required. Furthermore, there are only a limited number of hospitals that can accept emergency patients, and emergency patients may end up being passed around from one hospital to another without being able to decide where to admit them.

[0005] In recent years, the number of elderly people requiring nursing care has increased dramatically, and among them, the number of people requiring emergency medical treatment for conditions such as fractures and pneumonia, especially those living in nursing homes, is on the rise. However, there is no doctor on-site at nursing homes, and in most cases there are no nurses or they are only there during the day. Since the caregivers' main focus is caring for the residents, and many of them do not necessarily have extensive medical knowledge, they are confused when residents become ill. There are particularly few caregivers working at night, which causes significant psychological stress and is one of the major reasons for people leaving their jobs. For medical institutions that accept emergency patients, it is difficult to make quick decisions about whether they can treat them because they do not know the patient's usual condition. Even if they are accepted, it is necessary to first obtain information necessary for treatment and hospitalization, such as the illness they are currently being treated for, the medications they are taking, their past medical history, whether they have allergies, the degree of dementia, and the amount of assistance they require for daily living, and so the current situation is that it takes time before treatment can begin.

[0006] The present invention has been made to solve these conventional problems, and its purpose is to build an information-sharing network between medical institutions and groups of care facilities, to share information necessary for patient treatment in advance within said network, and to enable medical institution staff and care facility staff to consult via said network about changes in the condition of residents, thereby reducing the psychological burden on caregivers and enabling prompt testing and treatment for residents at risk of developing serious conditions, thereby preventing the condition from worsening. [Means for solving the problem]

[0007] As a means for achieving the above-mentioned objective, the medical and nursing care facility collaboration system described in claim 1 is characterized by comprising: (1) a facility registration means for registering the names of medical institutions and nursing care facilities; (2) a facility-specific staff registration means for registering the staff in charge of each facility; and a message chronological display means for displaying the sending and receiving of messages between the staff in charge of the medical institution and the staff in charge of the nursing care facility in chronological order.

[0008] The medical and nursing care facility collaboration system described in claim 2 is characterized in that, in the medical and nursing care facility collaboration system described in claim 1, the medical and nursing care facility collaboration system is equipped with a facility-specific resident registration means for registering residents for each facility, and a resident-specific message chronological display means for displaying the sending and receiving of messages regarding residents between the staff in charge of the medical institution and the staff in charge of the nursing care facility in chronological order for each resident.

[0009] The medical and nursing care facility collaboration system described in claim 3 is characterized in that, in the medical and nursing care facility collaboration system described in any of claims 1 and 2, the facility-specific resident registration means is equipped with a resident-specific attribute registration means for registering the attributes of the resident.

[0010] The medical and nursing care facility collaboration system described in claim 4 is characterized in that in the medical and nursing care facility collaboration system described in claim 3, the medical and nursing care facility collaboration system is equipped with an electronic medical record information sharing means for sharing information between at least one of a message chronological display means for each resident and an attribute registration means for each resident and an electronic medical record system within the medical institution.

[0011] The medical and nursing care facility collaboration system described in claim 5 is characterized in that, in the medical and nursing care facility collaboration system described in either claim 1 or 2, it is provided with a new message arrival alarm generating means that generates a new message arrival alarm to the medical institution staff and the nursing care facility staff of the facility when a new message is created in the message chronological display means or the message chronological display means for each resident.

[0012] The medical and nursing care facility collaboration system of claim 6 is characterized in that in the medical and nursing care facility collaboration system of claim 5, the new message arrival alarm generating means is provided with a response completion display means that displays that the message has been responded to when the medical institution staff has completed the response. [Effects of the Invention]

[0013] The medical and nursing care facility collaboration system described in claim 1 comprises (1) a facility registration means for registering the names of medical institutions and nursing care facilities, (2) a facility-specific staff registration means for registering the staff in charge of each facility, and a message chronological display means for displaying messages sent and received between the staff in charge of medical institutions and the staff in charge of the nursing care facilities in chronological order, thereby creating an information sharing network between medical institutions and groups of nursing care facilities, and enabling the sharing of information necessary for patient treatment in chronological order.

[0014] The medical and nursing care facility cooperation system according to claim 2 includes an occupant registration means, so that occupants of each facility are registered. The system is provided with a means for displaying messages in chronological order for each resident, so that messages exchanged between the staff at the medical institution and the staff at the care facility regarding each resident are displayed in chronological order for each resident.

[0015] The medical and nursing care facility cooperation system according to claim 3 includes an attribute registration means for each resident, and records the attributes of the resident.

[0016] The medical and nursing care facility collaboration system described in claim 4 is equipped with an electronic medical record information sharing means, and therefore information is shared between at least one of the message chronological display means for each resident and the attribute registration means for each resident and the electronic medical record system within the medical institution.

[0017] The medical and nursing care facility collaboration system described in claim 5 is equipped with a new message arrival alarm generating means, so that when a new message is created, a new message arrival alarm is generated for the medical institution staff and the nursing care facility staff of the facility.

[0018] The medical and nursing care facility collaboration system of claim 6 is provided with a response display means, so that when the medical institution staff has finished responding to the message, the new message arrival alarm generating means displays that the message has been responded to. [Brief explanation of the drawings]

[0019] [Figure 1] 1 is an overall configuration diagram of the present invention. [Figure 2] 10 is an example of the contents registered in the facility registration means. [Figure 3] 10 is an example of the registered contents of the staff registration means. [Figure 4] 10 is an example of the contents registered in the resident registration means. [Figure 5] This is an example of resident attributes. [Figure 6] This is a screen shot of the medical and nursing care facility collaboration system as seen by medical facility staff. [Figure 7] This is a screen shot of the medical and nursing care facility collaboration system as seen from the nursing care facility staff. DETAILED DESCRIPTION OF THE INVENTION

[0020] FIG. 1 is a diagram showing the overall configuration of the present invention. In order to link medical and nursing care institutions scattered throughout the region, the medical and nursing care coordination system is built on the cloud. Many companies, including Amazon and Microsoft, have data centers with huge clusters of servers and provide cloud services. Any cloud service may be used. Logging in to the medical and nursing care cooperation system of the present invention may be done using a pre-registered ID and password, or via a social networking service (SNS, for example, LINE, a registered trademark of Yahoo! Inc.). The accumulated data is backed up separately in the cloud to protect against data loss due to disasters, accidents, hacking, etc.

[0021] Within a medical institution, an electronic medical record server that operates and records electronic medical records and a group of PC terminals are connected via a LAN (local area network). The LAN is connected to the Internet via a router. The medical institution staff may log in to the medical care cooperation system of the present invention via a PC in the hospital, or may log in from a mobile terminal such as a smartphone. If necessary, patient information recorded in the electronic medical record may be sent to the medical care coordination system, or conversely, the patient's records in the medical care coordination system may be recorded in the electronic medical record. In nursing care facilities, if there is a network of PCs connected to the Internet within the facility, users can log in via PC, or the nursing staff in charge can log in directly from a mobile device such as a smartphone. In Figure 1, the server for electronic medical records and other systems is located within the facility, and the medical and nursing care collaboration system is located in the cloud. However, depending on the situation, some or all of the system may be located in the cloud or within the facility.

[0022] FIG. 2 shows an example of the contents registered in the facility registration means. The facility # is a reference number within the medical care coordination system of the present invention. Attributes include capacity and type of medical / nursing facility. Registration of facilities must be based on a formal cooperation agreement between medical and nursing care facilities, and careless removal poses significant obstacles. For this reason, it would be appropriate for facility registration in the medical and nursing care cooperation system of the present invention to be performed by a system administrator of the medical and nursing care cooperation system who has privileges.

[0023] FIG. 3 shows an example of the registered details of staff members at medical institutions and care facilities in the staff registration means. The staff ID# is a reference number for the staff member in charge within the medical care coordination system of the present invention. Register your name, facility # (facility # in Figure 2), occupation (e.g. caregiver or nurse), password, and SNS-ID for logging in via SNS. Staff ID# and initial passwords are registered upon request from the person in charge of each facility by the system administrator of the medical and nursing care collaboration system, who will confirm with the facility manager whether the person is a real person, using analog methods such as telephone, fax, or written form, to prevent impersonation. Thereafter, the registered facility staff member changes the initial password to the password that they will actually use. To prevent leakage of the passwords that are actually used, it is advisable to make them invisible even to privileged system administrators, as shown in Figure 3. The above operations may be relaxed as appropriate depending on the level of trust.

[0024] If it is troublesome to enter the facility staff ID# and password on a smartphone, you can read the QR code of the medical care collaboration system of the present invention on an SNS, send a friend request, approve the obtained SNS-ID through the procedure in the staff registration means, and authenticate it with the registered facility staff ID# and password to register it. By doing this, simply by tapping on a friend's SNS account, the SNS-ID will be matched with the registered information in the staff registration means within the staff registration means of the medical and nursing care collaboration system of the present invention, and the facility staff member with the corresponding SNS-ID will be identified.

[0025] There are concerns about information leaks on social media these days, so it is not recommended to post personal information about residents or others on social media. In the present invention, the SNS is used only for accessing the medical and nursing care cooperation system by staff at medical facilities and nursing care facilities, and is connected to the login of the medical and nursing care cooperation system via an API (Application Programming Interface). All input and reference to the medical and nursing care collaboration system is done within the medical and nursing care collaboration system, which is separate from SNS, so there is no risk of resident information being leaked. It is also possible for medical institution staff to contact nursing facility staff one-on-one via SNS ID, but this is not recommended because the responses will not be shared with other staff and there is a risk of personal information being leaked.

[0026] FIG. 4 shows an example of the contents registered in the resident registration means. Resident information for each facility is registered by facility staff. Since the facility to which the facility staff belongs is specified by the staff registration means in FIG. 3, only the residents of the facility can be registered and deleted when they leave. Here, we register common attributes that do not change regarding residents, such as name, date of birth, and gender. Since the individual attributes of residents are constantly changing, the facility staff at the facility will register the latest status as separate resident attributes. If there are only a few residents, it is possible to not register them and send messages to all residents at once, but this can easily lead to confusion, so it is preferable to register residents individually, register the residents' attributes (described below), and send and receive messages for each resident.

[0027] FIG. 5 shows an example of resident attributes. The resident registration number is a serial number that is assigned to all facilities each time a new resident is registered in the medical and nursing care coordination system. Considering the reuse of information, it is preferable to use a serial number that covers all facilities, but in some cases, facility number + room number may be used. It is sufficient as long as the resident can be uniquely identified. Examples of resident attributes include height, weight, a list of illnesses being treated, a list of medications being taken, allergies, and dietary habits. Other information includes the level of assistance required in daily life, nursing care certification or physical disability certification, cost burden ratio, and contact information such as family members' addresses and phone numbers. When a resident needs to be hospitalized due to poor health, the resident's attributes must be transferred to the medical institution. Previously, the nursing home staff and medical staff at the medical institution would spend several tens of minutes each time a handover took place, but if the residents' attributes were registered on a regular basis, this handover process would be unnecessary, allowing for smooth emergency transport and allowing preparations to be made before the resident arrives at the medical institution. Furthermore, if the resident's attributes can be transferred to the medical institution's electronic medical record system, transcription work at the time of admission can be omitted (electronic medical record information sharing means). It is desirable to input text using a format that is common among nursing care facilities, but in nursing care facilities where smartphones are the only means of communication, resident attributes written on a common format paper can be photographed with the smartphone camera and attached as an image.

[0028] Figure 6 shows the screen of the medical and nursing care facility collaboration system as seen by medical facility staff. A list of affiliated nursing care facilities, including your own medical institution, will be displayed. The information displayed at one's own medical institution is also disclosed to facility staff at all affiliated nursing care facilities. For this reason, it is useful as a common means of communication for a group of affiliated nursing care facilities. When a message is entered by facility staff, the nursing facility in question is marked as <unread>. When a medical facility staff member clicks on the facility, a list of residents is displayed, and residents with new messages are marked as <unread>. When the resident is clicked, a message entered by the facility staff is displayed (means for generating an alarm when a new message arrives). The responses of the medical facility staff and the nursing facility staff are displayed in chronological order (means for displaying messages chronologically for each resident).

[0029] In Figure 6, the display positions of nursing care facilities and residents are fixed, but it would also be useful to display nursing care facilities and residents marked with the <unread> mark at the top. There are also ways to change the display color, font, etc. instead of the <Unread> mark. When multiple medical institution staff are working, if a new message has already been responded to, a <responded> flag is displayed so that other staff do not need to respond to the message any further (responded display means). Furthermore, if the contents of the message chronological display means for each resident can be transferred to the article related to the patient ID of that resident in the medical institution's electronic medical record system, the work of transcribing the progress article at the time of admission can be omitted (electronic medical record information sharing means).

[0030] Figure 7 shows the screen of the medical and nursing care facility collaboration system as seen by nursing care facility staff. A list of medical institutions and residents of your nursing home will be displayed. Naturally, other nursing homes are not displayed. When a message is entered by a medical facility staff member, the resident to whom the new message was entered is marked as <Unread>. Clicking on the resident will display a message entered by the medical facility staff. The responses of the medical facility staff and the nursing facility staff are displayed in chronological order (a means for displaying messages in chronological order for each resident). In Figure 7, the display position of the residents is fixed, but it would be useful to display residents marked as <unread> at the top. There are also ways to change the display color, font, etc. instead of the <Unread> mark. In addition, it may be possible for small nursing care facilities to use a means of displaying messages in chronological order for all residents in the facility at once, rather than for each resident individually, but this would not be efficient for facilities of a certain size or larger.

[0031] Although the embodiments have been described above, the specific configuration of the present invention is not limited to the above-described embodiments, and the present invention also includes design changes and the like within the scope of the gist of the invention. For example, although a single medical facility is shown as an example, multiple medical institutions may operate in parallel. In some cases, it may be useful to disclose the attributes of the resident to emergency teams from the fire department.

Claims

1. In the medical and nursing care facility collaboration system, (1) A facility registration means for registering the names of medical institutions and nursing care facilities; (2) A medical and nursing care facility collaboration system characterized by having a facility-specific staff registration means for registering the staff in charge for each facility, and a message chronological display means for displaying the sending and receiving of messages between the staff in charge of the medical institution and the staff in charge of the nursing care facility in chronological order.

2. The medical and nursing care facility collaboration system described in claim 1 is characterized in that it is equipped with a facility-specific resident registration means for registering residents for each facility, and a resident-specific message chronological display means for displaying messages sent and received between the staff of the medical institution and the staff of the nursing care facility regarding residents in chronological order for each resident.

3. 3. The medical and nursing care facility cooperation system according to claim 1, wherein the facility-specific resident registration means includes a facility-specific resident attribute registration means for registering the attributes of the resident.

4. The medical and nursing care facility collaboration system described in claim 3, characterized in that it is equipped with an electronic medical record information sharing means for sharing information between at least one of a message chronological display means for each resident and an attribute registration means for each resident and an electronic medical record system within the medical institution.

5. A medical and nursing care facility collaboration system as described in any one of claims 1 and 2, characterized in that it is equipped with a new message arrival alarm generating means that generates a new message arrival alarm to the medical institution staff and the nursing care facility staff of the facility when a new message is created in the message chronological display means or the message chronological display means for each resident.

6. The medical and nursing care facility collaboration system of claim 5, characterized in that the new message arrival alarm generating means is provided with a response display means that displays that the message has been responded to when the medical institution staff has responded to it.

Images