Information processing method, information processing device, and program
Patent Information
- Application Number
- JP2023198442
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Priority Date
- 2022-11-24
- Filing Date
- 2023-11-22
- Publication Date
- 2025-02-06
- Estimated Expiration
- 2043-11-22
AI Technical Summary
【0010】 本開示によれば、介護施設における予約管理作業の効率性を向上することができる。
Smart Images

Figure 0007627513000001 
Figure 0007627513000002 
Figure 0007627513000003
Abstract
Description
[Technical field]
[0001] The present invention relates to an information processing method, an information processing device, and a program. [Background technology]
[0002] In recent years, the number of people using nursing care facilities has been increasing with the progress of the aging society. The residents who are the care recipients and their families select a nursing care facility, sign a contract with the nursing care facility, and decide on a usage schedule, for example, by consulting with a medical institution or a care manager. A reservation for admission to the nursing care facility is made in advance according to the usage schedule, and the residents enter the nursing care facility on the reserved day.
[0003] The care facility staff had to take care of the residents while also transporting them to and from the facility, making sales calls to medical institutions and care managers, and handling various administrative tasks, placing a heavy burden on them. A technology has been proposed to improve the efficiency of work in such care facilities (see, for example, Patent Document 1). [Prior art documents] [Patent documents]
[0004] [Patent Document 1] JP 2007-140793 A Summary of the Invention [Problem to be solved by the invention]
[0005] Nursing care facilities are mainly classified into nursing care facilities for the elderly and nursing care welfare facilities for the elderly (special nursing homes for the elderly). Both are residential facilities that provide care, but nursing care facilities in particular provide nursing care and nursing care to elderly people with a care level (level 1 or higher) with the aim of returning them to their homes, and the period of stay is limited. Nursing care welfare facilities allow elderly people with a care level of 3 or higher to stay without any restrictions on the period of stay. Another way to use nursing care facilities is as a short stay. With short stays, many residents stay in nursing care facilities for short periods of time, such as one night and two days or two nights and three days per visit, multiple times a month.
[0006] Nursing facilities need to manage a large number of reservations for residents with various admission statuses as described above, and there is room for improvement in the efficiency of management work.
[0007] An object of the present disclosure is to provide an information processing method etc. that can improve the efficiency of reservation management work in nursing care facilities. [Means for solving the problem]
[0008] An information processing method according to one embodiment of the present disclosure provides for a nursing facility capable of accepting multiple types of residents including a first resident according to a first admission embodiment and a second resident according to a second admission embodiment, and equipped with multiple beds including a bed for the first resident and a bed for the second resident, the information processing method generates a reservation table that is equipped with multiple bed information display areas corresponding to each bed in the nursing facility and that can accept reservations for the beds for the admission of the first resident and the second resident, outputs the generated reservation table, obtains information related to the reservations accepted for the bed for the first resident and the bed for the second resident using the output reservation table, and outputs a reservation status in each bed information display area in the reservation table according to the obtained information related to the reservations, and the reservation table is capable of accepting reservations for the admission of the second resident for vacant slots in the reservation of the bed for the first resident.
[0009] A program according to one embodiment of the present disclosure causes a computer to execute a process for a nursing care facility capable of accepting multiple types of residents including a first resident according to a first admission embodiment and a second resident according to a second admission embodiment, the program comprising multiple beds including a bed for the first resident and a bed for the second resident, the program comprising multiple bed information display areas corresponding to each bed in the nursing care facility, acquiring a reservation table in which reservations can be accepted for the beds for the admission of the first resident and the second resident, outputting information regarding reservations accepted for the beds for the first resident and the bed for the second resident using the acquired reservation table, displaying a reservation status in each bed information display area in the reservation table according to the output information regarding the reservations, and the program causing a computer to execute a process for a nursing care facility capable of accepting reservations for the admission of the second resident for vacant slots in the reservation of the bed for the first resident. Effect of the Invention
[0010] According to the present disclosure, it is possible to improve the efficiency of reservation management work in nursing care facilities. [Brief description of the drawings]
[0011] [Figure 1] FIG. 1 is a schematic diagram of an information processing system. [Diagram 2] FIG. 1 is a block diagram showing a configuration of an information processing device. [Diagram 3] FIG. 2 is a block diagram showing a configuration of a care facility terminal. [Figure 4] FIG. 13 is a diagram showing an example of information stored in a care facility DB. [Diagram 5] FIG. 13 is a diagram showing an example of information stored in a resident DB. [Figure 6] FIG. 13 is a diagram showing an example of information stored in an entrance / exit DB. [Figure 7] FIG. 4 is a diagram showing an example of information stored in a home DB. [Figure 8] FIG. 4 is a diagram showing an example of information stored in a medical institution DB; [Figure 9] FIG. 13 is a diagram showing an example of information stored in an admission / discharge destination DB. [Figure 10] FIG. 13 is a diagram illustrating an example of information stored in a management DB. [Figure 11] FIG. 13 is a schematic diagram showing a first example of a reservation table screen including a reservation table. [Figure 12] FIG. 13 is a diagram for explaining a method for accepting reservations for a bed. [Figure 13] FIG. 13 is a diagram for explaining a method for accepting reservations for a bed. [Figure 14] FIG. 13 is a schematic diagram showing a second example of a reservation table screen including a reservation table. [Figure 15] FIG. 13 is a schematic diagram showing a third example of a reservation table screen including a reservation table. [Figure 16] 13 is a flowchart showing an example of a processing procedure relating to reception of a bed type. [Figure 17] 13 is a flowchart showing an example of a processing procedure for accepting a reservation of a bed. [Figure 18] FIG. 11 is a schematic diagram showing an example of an admission / leave schedule in the second embodiment. [Figure 19] 13 is a flowchart illustrating an example of a processing procedure executed by the information processing system according to the second embodiment. [Figure 20] 13 is a flowchart illustrating an example of a processing procedure executed by an information processing apparatus according to a third embodiment. [Figure 21] FIG. 13 is a schematic diagram showing an example of notification of availability. [Figure 22] FIG. 2 is a schematic diagram illustrating an example of a dashboard. [Figure 23] FIG. 13 is a schematic diagram showing an example of a list of medical institutions. [Figure 24] FIG. 2 is a schematic diagram showing an example of a residence list. [Diagram 25] FIG. 13 is a schematic diagram showing an example of a list of people returning home; [Figure 26] FIG. 13 is a schematic diagram showing an example of a list of all residents. [Figure 27] 13 is a flowchart illustrating an example of a list information output process. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0012] The present disclosure will be specifically described with reference to the drawings showing the embodiments thereof.
[0013] (First embodiment) 1 is a schematic diagram of an information processing system 100. The information processing system 100 in this embodiment includes an information processing device 1 and a care facility terminal 2. The information processing device 1 and the care facility terminal 2 are capable of transmitting and receiving information via a network N such as the Internet. The information processing device 1 and the care facility terminal 2 are communicatively connected to a home care support office terminal 3 and a medical institution terminal 4, respectively, via the network N.
[0014] The information processing device 1 is, for example, a server computer, a personal computer, a quantum computer, etc., and is capable of various information processing and information transmission and reception. The information processing device 1 is managed, for example, by a reservation management service provider. The information processing device 1 collects information on admission reservations of residents at a nursing facility that uses the reservation management service, and transmits various information including a reservation list for managing reservation status to a nursing facility terminal 2 based on the collected information.
[0015] The nursing facility terminal 2 is an information processing terminal device having a communication function, such as a personal computer, a smartphone, a tablet terminal, etc. The nursing facility terminal 2 is managed by a user, such as a counselor who manages reservations at the nursing facility or an administrator who manages the entire nursing facility. The user can check various information transmitted from the information processing device 1 using the nursing facility terminal 2. The number of nursing facility terminals 2 may be one or three or more.
[0016] The information processing system 100 may include a plurality of care facility terminals 2 associated with a plurality of care facilities, and may be configured to provide a reservation management service to a plurality of care facilities.
[0017] Each of the home care support office terminal 3 and the medical institution terminal 4 is an information processing terminal with a communication function, such as a personal computer, a smartphone, a tablet terminal, etc. The home care support office terminal 3 is managed, for example, by a care manager (care manager) of the home care support office. The medical institution terminal 4 is managed, for example, by a person in charge of the medical institution. The number of each of the home care support office terminals 3 and the medical institution terminals 4 may be two or more.
[0018] The nursing care facility for which the reservation management service is provided is equipped with multiple beds and provides nursing care services based on the nursing care insurance system. The nursing care facility in this embodiment is a facility that combines a nursing care health facility and a special nursing home for the elderly. The nursing care facility can provide facility services and short-term admission (in-home) services, and can accept residents related to multiple types of admission modes. Residents include residents of nursing care health facilities for the elderly (hereinafter also referred to as "elderly health facilities") who are receiving facility services, and short-stay residents who are receiving short-term admission services. Residents may further include residents of special nursing homes for the elderly.
[0019] Elderly residents are elderly people who require care and who enter a nursing facility with the aim of returning home, and usually stay there for a relatively long period of time, such as about three to six months. Elderly residents enter a nursing facility, for example, after being discharged from a medical institution or from their own home. After undergoing rehabilitation for a certain period of time and recovering to the target physical condition, they leave the nursing facility and return to their own home (residence). Nursing facilities are required to provide appropriate care, rehabilitation, etc., so that newly admitted elderly residents can leave within the certain period of time.
[0020] Short-stay residents often stay at nursing care facilities for relatively short periods, such as one night and two days or two nights and three days, multiple times a month. In consultation with the short-stay residents or their relatives and the care manager, a care plan is created that includes the days and number of times the residents will use the nursing care facility, and reservations for admission to the nursing care facility are made according to the created care plan.
[0021] When there are vacant beds in the nursing facility, the counselor of the nursing facility informs the care manager and the medical institution staff of the availability and conducts sales activities to accept reservations during the vacant bed period. By accurately grasping the bed reservation status and optimizing bed control, it is possible to increase the bed occupancy rate in the nursing facility and accept more residents who wish to enter. In this way, while bed reservation management is important in the operation of a nursing facility, it is not easy to accurately grasp the reservation status of each bed and the entry and exit schedule of each resident and manage the reservations in a nursing facility that has a large number of beds and accepts residents with various admission statuses.
[0022] Conventionally, many of the tasks related to the operation of a nursing facility, such as managing admission reservations, sales activities, and grasping the utilization rate and return-to-home index, were performed manually, placing a large burden on users such as counselors or managers of the nursing facility. In this information processing system 100, an information processing device 1 collects information related to admission reservations, and provides various information for grasping the operating status of the nursing facility to a nursing facility terminal 2 based on the collected reservation information. By checking the various information provided via the nursing facility terminal 2, a user can easily and conveniently grasp the operating status of the nursing facility, the optimal sales policy, etc.
[0023] 2 is a block diagram showing the configuration of the information processing device 1. The information processing device 1 includes a control unit 11, a storage unit 12, and a communication unit 13. The information processing device 1 may be configured to perform distributed processing using a plurality of computers, may be realized by a plurality of virtual machines provided in one server, or may be realized by using a cloud server.
[0024] The control unit 11 includes a processor using one or more CPUs (Central Processing Units), GPUs (Graphics Processing Units), etc. The control unit 11 uses built-in memories such as ROMs (Read Only Memory) or RAMs (Random Access Memory), clocks, counters, etc. to control each component and execute processes.
[0025] The storage unit 12 includes a non-volatile memory such as a hard disk, a flash memory, or an SSD (Solid State Drive). The storage unit 12 may be an external storage device connected to the information processing device 1. The storage unit 12 stores various programs and data referenced by the control unit 11.
[0026] The storage unit 12 of this embodiment stores a program 1P for causing a computer to execute processing related to reservations at nursing care facilities, and a nursing care facility DB (Data Base) 111, a resident DB 112, an admission / discharge DB 113, a home DB 114, a medical institution DB 115, a source / discharge destination DB 116, and a management DB 117 as data necessary for executing this program 1P. Each database stores information related to bed reservations related to the admission of a resident. The databases will be described in detail later.
[0027] A program (program product) including the program 1P may be provided by a non-transitory recording medium 1A on which the program is readably recorded. The storage unit 12 stores the program read from the recording medium 1A by a reading device (not shown). The recording medium 1A is, for example, a magnetic disk, an optical disk, a semiconductor memory, or the like. The program may also be downloaded from an external server connected to a communication network and stored in the storage unit 12. The program 1P may be a single computer program or may be composed of multiple computer programs, and may be executed on a single computer or multiple computers interconnected by a communication network.
[0028] The communication unit 13 includes a communication module for communicating with an external device via the network N. The control unit 11 transmits and receives data to and from the care facility terminal 2, the home care support office terminal 3, and the medical institution terminal 4 via the communication unit 13.
[0029] The configuration of the information processing device 1 is not limited to the example in FIG. 2, and may include, for example, a display unit that displays various information, an operation unit that accepts user operations, and the like.
[0030] 3 is a block diagram showing the configuration of the care facility terminal 2. The care facility terminal 2 includes a control unit 21, a storage unit 22, a communication unit 23, a display unit 24, and an operation unit 25. The control unit 21 includes a processor using one or more CPUs, GPUs, etc. The control unit 21 uses built-in memories such as ROM or RAM to control each component and execute processing.
[0031] The storage unit 22 includes a non-volatile memory such as a flash memory. The storage unit 22 stores programs and data referenced by the control unit 21. The storage unit 22 stores a program 2P for causing a computer to execute processing related to accepting reservations for a nursing facility. The storage unit 22 also stores device information for identifying the nursing facility terminal 2. The device information is information unique to the nursing facility terminal 2 and is information for identifying the nursing facility.
[0032] A program (program product) including the program 2P may be provided by a non-transitory recording medium 2A on which the program is readably recorded. The storage unit 22 stores the program read from the recording medium 2A by a reading device (not shown). The recording medium 2A is, for example, a magnetic disk, an optical disk, a semiconductor memory, or the like. The program may also be downloaded from an external server connected to a communication network and stored in the storage unit 22. The program 2P may be a single computer program or may be composed of multiple computer programs, and may be executed on a single computer or may be executed on multiple computers interconnected by a communication network. The program 2P may function by the control unit 21 executing a script program downloaded from the information processing device 1 on a browser program.
[0033] The communication unit is a communication device for realizing communication via the network N. The control unit transmits and receives information to and from the information processing device 1 via the communication unit .
[0034] The display unit 24 includes a display device such as a liquid crystal display or an organic EL (Electro Luminescence) display, etc. The display unit 24 displays various information including a reservation table according to instructions from the control unit 21.
[0035] The operation unit 25 is an interface that accepts operations by the user. The operation unit 25 includes, for example, a keyboard, a touch panel device with a built-in display, a speaker, a microphone, etc. The operation unit 25 accepts operation input from the user and sends a control signal to the control unit 21 according to the operation content.
[0036] As described above, the home care support business terminal 3 and the medical institution terminal 4 are each a computer, and since their hardware configuration is the same as that of the care facility terminal 2, detailed illustrations and explanations will be omitted, but they are equipped with a control unit, a memory unit, a communication unit, a display unit, an operation unit, etc.
[0037] 4 is a diagram showing an example of the contents of information stored in the nursing facility DB 111. The nursing facility DB 111 is a database that stores information related to nursing facilities, and includes a nursing facility information table 1111 and a bed information table 1112.
[0038] The care facility information table 1111 stores, for example, a record linking information such as a care facility ID, a group name, a care facility name, and care facility terminal information for each of a plurality of care facilities.
[0039] The nursing care facility ID is identification information for identifying the nursing care facility. The nursing care facility ID may include an establishment number assigned by a designating authority such as a local government. The group name is the name of the group to which the nursing care facility belongs, for example, when the nursing care facility belongs to a group such as a corporation that oversees multiple nursing care facilities. The nursing care facility terminal information includes identification information (e.g., device ID, IP address, etc.) of the nursing care facility terminal 2 associated with the nursing care facility. The nursing care facility information table 1111 may further include account information, etc. related to an account used by a user when using services in the information processing system 100.
[0040] The bed information table 1112 stores records that link information such as a nursing facility ID, room type, bed type, and time with, for example, a bed ID as a key. The bed ID is identification information for identifying a bed in a nursing facility, such as a bed number. Note that each bed is not limited to being managed on a bed-by-bed basis, but may be managed on a room-by-room basis having multiple beds. In this case, the bed information may be, for example, a room number for identifying the room in which the bed is installed. In the case of a room with multiple beds, such as a multi-bed room, convenient identification information (for example, a room number and a sub-number) may be assigned to identify each bed in the room.
[0041] The nursing facility ID is the nursing facility ID of the nursing facility that has the bed of the bed ID. The room type includes information about the room in which the bed of the bed ID is installed. The room type includes, for example, a room type including a dementia type or a general type and a single room or a multi-bed room, and information about the gender of the person who can use the room. The bed type includes information about the type of use of the bed of the bed ID. The bed type includes, for example, a geriatric health care bed meaning a bed for geriatric health care residents and a short bed meaning a bed for short-stay residents. For multiple beds in a nursing facility, the number of beds used for geriatric health care residents and short-stay residents can be changed at any time. A user who manages reservations can set the breakdown of beds appropriately according to the reservation situation for each specified period.
[0042] Details will be described later, but for beds for short-stay residents (hereinafter simply referred to as short-stay beds), basically only reservations from short-stay residents are accepted. For beds for elderly care residents (hereinafter simply referred to as elderly care beds), reservations are mainly accepted from elderly care residents, and if there are vacancies, reservations from short-stay residents can also be accepted. Note that a configuration in which reservations from elderly care residents are accepted for short-stay beds may also be used.
[0043] The time period is the time (period) to which the bed type applies. The time period corresponds to the target period of the bed information. In the example shown in FIG. 4, the bed type is set for each month. The bed information is generated and stored, for example, for each bed ID and time period.
[0044] The information in the nursing care facility DB 111 is collected, for example, by a user performing a registration operation on the nursing care facility terminal 2 on a registration screen provided by the information processing device 1 when the user uses a service in the information processing system 100 for the first time. The information in the nursing care facility DB 111 is updated from time to time. The gender of the room type may be registered by the user, or may be collected by the information processing device 1 or the like by determining based on the gender of the resident.
[0045] 5 is a diagram showing an example of the content of information stored in resident DB 112. Resident DB 112 is a database that stores resident information on residents who make reservations at nursing care facilities. Resident DB 112 may be generated for each nursing care facility. In this specification, unless otherwise specified, "resident" is synonymous with a user who uses a nursing care facility, and refers to residents in a broad sense, including not only those who enter a nursing care facility, but also those who leave a nursing care facility.
[0046] The resident DB112 stores records that link information such as the resident's name, gender, admission status, geriatric and health care management information, and short stay management information, using, for example, the resident ID as a key. The resident ID is identification information for identifying the resident. The resident's name is the resident's name. The gender is the resident's gender. The admission status is the admission status of the resident, and includes the geriatric and health care column and the short stay column. For example, if there is an admission history (usage history) as an elderly health care resident, a circle is recorded in the elderly health care column, and if there is no admission history as an elderly health care resident, a cross is recorded in the elderly health care column. Similarly, for the short stay column, information indicating whether or not there is an admission history as a short stay resident is recorded.
[0047] Geriatric health care management information is information for managing admission to a geriatric health care facility, and includes, for example, the level of care required by the resident and the date on which that level of care was confirmed. Short-stay management information is information for managing admission to a short-stay facility, and includes, for example, the name of the home care support business and the name of the person in charge. The name of the home care support business is the name of the home care support business to which the person in charge belongs. The name of the person in charge is the name of the care manager in charge of the resident.
[0048] The information in the resident DB 112 is collected by accepting input from a user via the nursing facility terminal 2, for example, when a resident uses a nursing facility in each admission mode for the first time. The information in the nursing facility DB 111 is updated as needed. Each time the level of care required of a resident is changed, the user can update the geriatric health management information.
[0049] FIG. 6 is a diagram showing an example of information stored in the admission / exit DB 113. The admission / exit DB 113 is a database that stores admission / exit information related to admission / exit reservations. The admission / exit DB 113 may be generated for each nursing facility. The admission / exit DB 113 stores records that link information such as a resident ID, admission mode, bed ID, admission date, admission time, admission origin, admission details, exit date, exit time, destination after exit, exit details, and number of vacant bed days, using an ID that identifies the admission / exit information as a key. The admission / exit information may further include information such as the number of meals and whether or not there is a pick-up service. The admission / exit information is stored, for example, for each bed ID in chronological order of the admission date. Note that if the time of exit is not clear at the time of admission to the elderly care facility, the information related to admission to the elderly care facility may not include information regarding the exit reservation, such as the exit date.
[0050] The resident ID is the resident ID of the resident involved in the admission or discharge. The admission status is the admission status of the resident involved in the admission or discharge, and includes, for example, elderly care facility or short-term care facility. The bed ID is the bed ID of the bed involved in the admission or discharge.
[0051] The admission date is the admission date related to the admission / discharge reservation, and corresponds to the date the bed will start being used. The admission time is the scheduled admission time on the admission date, and includes, for example, the check-in time accepted at the time of reservation. The admission origin is information indicating where the resident related to the admission / discharge has come from, and includes, for example, home, the name of the medical institution where the resident stayed before admission, the name of the care facility, etc. The admission details are additional information related to the admission, and includes, for example, "admission", which means that it is a normal admission, and "transfer (admission)", which means that it is an admission due to a transfer (start of bed use), etc.
[0052] The discharge date is the discharge date related to the admission / discharge reservation, and corresponds to the end date of bed use. The admission time is the scheduled discharge time on the discharge date, and includes, for example, the check-out time accepted at the time of reservation. The destination after discharge is information indicating the destination of the resident related to admission / discharge after discharge, and includes, for example, home, the name of the medical institution, the name of the care facility, etc. The discharge details are additional information related to the discharge, and includes, for example, "discharge", which means a normal discharge, "passed away", which means a discharge due to death, and "transfer (out)", which means a discharge due to a transfer (end of bed use), etc.
[0053] The number of vacant bed days is the number of days that a bed related to an admission / discharge reservation is vacant. A vacant bed day means a day when there is no admission reservation for a bed and the bed is available. The number of vacant bed days can be calculated based on the discharge date and admission date in adjacent chronologically preceding and succeeding admission / discharge information that includes the same bed number. The number of vacant bed days counted by the above method is stored in the vacant bed information column of the subsequent admission / discharge information in chronological order in the admission / discharge DB113.
[0054] In the example shown in Figure 6, the admission / discharge information for ID25 is bed ID 201 and discharge date September 15th. The admission / discharge information for ID23 is bed ID 201 and admission date September 18th. Since there is no admission / discharge information for bed ID 201 with an admission date after September 15th and before September 18th, the usage information for ID25 and ID23 are adjacent in chronological order. In this case, the number of vacant bed days column of the admission / discharge information for ID23 stores the number of vacant bed days 2, which is the number of days from the day after the discharge date of ID25 to the day before the admission date of ID23.
[0055] The admission / discharge DB 113 may further include the number of overlapping admission days for a bed. An overlapping admission day means a day on which two reservations for different residents exist for the same bed. The number of overlapping admission days can be obtained by calculating the number of days on which there are two admission / discharge information items for the same bed, where the discharge date and admission date overlap.
[0056] Information in the admission / exit DB 113 is collected by accepting registration of admission / exit reservations through the nursing facility terminal 2. In response to the acceptance of a reservation, the user registers information related to the reservation using the nursing facility terminal 2. Each time the information processing device 1 receives information related to a new reservation transmitted from the nursing facility terminal 2, it adds or changes the received information and information derived based on the received information to the admission / exit DB 113. The information in the admission / exit DB 113 is updated as needed.
[0057] 7 is a diagram showing an example of information stored in the home DB 114. The home DB 114 is a database that stores information about home care support offices. The home DB 114 may be generated for each care facility. The home DB 114 stores records that link information such as the home care support office name, location, telephone number, FAX number, distance from the care facility to the home care support office, and home care support office terminal information, using the home care support office ID as a key. The home DB 114 may further include information such as the office number of the home care support office, the number of care managers, the total number of users, the number of users certified as requiring care, and whether or not care services are provided by affiliated corporations of the home care support office.
[0058] A part of the information stored in the home DB 114 can be collected from public information on home care support offices provided by, for example, the national or local government. The information processing device 1 acquires a list of home care support offices provided by an external server of the local government, etc., and acquires the home care support office name, location, telephone number, fax number, etc. by extracting various attribute information from the acquired list of home care support offices. In this case, the information processing device 1 may extract home care support offices limited to within a preset location range.
[0059] The information processing device 1 stores the acquired information, the location of each home care support business office and the location of the care facility or the distance calculated based on map information, etc., and the terminal information of the home care support business office terminal 3 if known, in the home DB 114 in association with each other. The information in the home DB 114 may be updated at any time. The information processing device 1 may acquire information about the home care support business office by accepting an input from the user via the care facility terminal 2.
[0060] FIG. 8 is a diagram showing an example of the contents of information stored in the medical institution DB 115. The medical institution DB 115 is a database that stores information about medical institutions. The medical institution DB 115 may be generated for each nursing facility. The medical institution DB 115 stores records that link information such as the name of the medical institution, location, telephone number, FAX number, distance from the nursing facility to the medical institution, and medical institution terminal information, using, for example, a medical institution ID as a key. The home DB 114 may further include information such as the number of beds (number of hospital beds) at the medical institution, the number of patients discharged per year, the number of discharged patients admitted to elderly care facilities, and whether nursing care services are provided by affiliated corporations of the medical institution.
[0061] The information processing device 1 may generate the medical institution DB 115 based on information collected from public information on medical institutions provided by, for example, a national or local government, in the same manner as the home DB 114.
[0062] FIG. 9 is a diagram showing an example of information stored in the admission origin / discharge destination DB 116. The admission origin / discharge destination DB 116 is a database that stores information on the admission destination of the resident and the destination after discharge. The admission origin / discharge destination DB 116 may be generated for each nursing care facility. The admission origin / discharge destination DB 116 stores records that link information such as the name, type, home care support business ID or medical institution ID, location, telephone number, and FAX number of the candidate destination with the admission origin / discharge destination ID as a key for each of a plurality of admission origins and discharge destination candidates. The type is a type when the admission origin and the discharge destination are classified into a plurality of categories according to a predetermined criterion, and includes, for example, home, facility (home), facility (non-home), medical institution, etc. The facility (home) means a facility that is treated as home (facility for home care services). The facility (non-home) means a facility that is treated as non-home. The medical institution includes, for example, a hospital, a clinic with beds, etc. The admission origin / discharge destination DB 116, the home DB 114, and the medical institution DB 115 may be linked by the common items of home care support office ID and medical institution ID.
[0063] The information processing device 1 may collect part of the information to be stored in the admission origin / discharge destination DB 116 from public information of medical institutions, home care support offices, etc. provided by a national or local government, for example, in the same way as the home DB 114. The information processing device 1 may obtain information on the admission origin / discharge destination by accepting an input by a user via the care facility terminal 2.
[0064] 10 is a diagram showing an example of information stored in the management DB 117. The management DB 117 is a database that stores information for managing the reservation status in a nursing care facility. The management DB 117 includes an admission table 1171 related to the reservation status of admission and a discharge table 1172 related to the reservation status of discharge. The management DB 117 may be generated for each nursing care facility.
[0065] The admission table 1171 stores records linking information such as bed ID, admission date, resident ID, resident name, admission origin, type, admission details, admission / discharge within one week, resident status, pre- and post-admission visiting guidance, and timing for multiple admission reservations.
[0066] The bed ID, admission date, resident ID, admission origin, and admission details are the same as those in the admission / discharge DB 113. The resident name is the same as in the resident DB 112, and is the resident name corresponding to the resident ID. The type is the same as in the admission origin / discharge destination DB 116, and is the type corresponding to the admission origin. Admission / discharge within one week includes information indicating whether or not the resident has admitted or discharged within one week. Admission / discharge within one week means that the resident is admitted to the nursing facility again within one week after being discharged from the nursing facility in response to hospitalization at a medical institution. The resident status is information regarding the resident's usage status of the nursing facility. For example, if the resident has a history of admission to a nursing facility within a specified period in the past (for example, the last six months) and has a reservation for admission at the target time, "re-admission" is stored in the resident status column.
[0067] The pre- and post-admission visit guidance includes information indicating the status of pre- and post-admission visit guidance for elderly care residents. Pre- and post-admission visit guidance and pre- and post-discharge visit guidance described below are visit guidance stipulated by the national or local government. The pre- and post-admission visit guidance column stores "Done", which means that a visit guidance has been conducted, or "Not yet", which means that a visit guidance has not been conducted. The time period is the time period (period) to which the admission date belongs when the period is divided into predetermined intervals. In the example of Figure 10, the time period is divided into one-month units.
[0068] The discharge table 1172 stores records linking information such as the bed ID, discharge date, resident ID of the resident involved in the discharge, name of the resident involved in the discharge (name of the resident involved in the discharge), destination after discharge, type, discharge details, admission / discharge within one week, number of days admitted, re-admission date, pre- and post-discharge visiting guidance, level of care required, return to home, and timing for multiple discharge reservations.
[0069] The bed ID, the discharge date, the resident ID, the destination after discharge, and the discharge details are the same as those in the admission / discharge DB 113. The bed ID indicates the ID of the bed in which the discharged person was enrolled at the time of discharge, and does not mean that the discharged person has not moved from the corresponding bed (room) from admission to discharge. The discharged person's name and the level of care required are the same as those in the resident DB 112, and are the name and level of care required of the discharged person corresponding to the resident ID. The type is the same as those in the admission source / discharge destination DB 116, and is the type corresponding to the destination after discharge. The admission / discharge within one week and the period are the same as those in the admission table 1171. The number of days of admission is the number of days of admission for the bed for which a discharge reservation has been made. The re-admission date is the date of re-admission if there is re-admission after discharge. The pre- and post-discharge visit guidance includes information indicating the implementation status of pre- and post-discharge visit guidance for elderly and healthy living residents. The home return includes information indicating whether the discharged resident corresponding to the resident ID is a discharged resident who is eligible for home return. For example, the home return column stores "eligible" indicating that the discharged resident is eligible for home return, or "not eligible" indicating that the discharged resident is not eligible for home return.
[0070] The information processing device 1 generates the management DB 117 based on the information stored in each database. The admission / discharge information, whose admission date or discharge date belongs to the target period, is extracted from the admission / discharge DB 113, and the bed ID, admission date, resident name, resident ID, admission origin, admission details, discharge date, destination after discharge, and discharge details are derived by referring to the resident DB 112 and the admission origin / discharge destination DB 116. Based on the history of the admission / discharge information in the admission / discharge DB 113, the presence / absence of admission / discharge within one week, resident status, number of days of admission, and re-admission date are derived. The presence / absence of admission / discharge within one week can be specified based on whether or not an admission reservation with the specific medical institution as the admission origin was made within one week after a discharge reservation with the specific medical institution as the destination after discharge. Whether or not the patient corresponds to return to home can be determined based on the type of destination after discharge, the presence / absence of admission / discharge within one week, the number of days of admission, the re-admission date, the degree of care required, and the like. The method for determining whether to return home will be described in detail later.
[0071] The contents stored in each database shown in Fig. 4 to Fig. 10 are examples and are not limited to the above. The information processing device 1 generates a reservation table based on each database described above and presents the reservation status and vacant slots of each bed in the nursing facility.
[0072] 11 is a schematic diagram showing a first example of a reservation schedule screen 50 including a reservation schedule. The information processing device 1 causes the display unit 24 to display the reservation schedule screen 50 via the care facility terminal 2.
[0073] The reservation table screen 50 includes a reservation table section 501 that displays a reservation table. The reservation table 502 displayed in the reservation table section 501 displays the reservation status of each bed during a specified display period. The reservation table 502 arranges the dates of the display period horizontally (column items) and the identification information of each bed (bed number in the example shown in FIG. 11) vertically (row items), and has a plurality of bed rows 503 corresponding to the plurality of beds. The bed rows 503 correspond to a bed information display area. The plurality of bed rows 503 are grouped according to bed type, and are arranged in order of bed number for each bed type. A bed type display section 504 indicating the bed type is provided above each bed row group. The display order of the beds may be configured to be rearranged arbitrarily by the user.
[0074] In the example of FIG. 11, the reservation table 502 displays a list of reservation status including one day before and after the display target period, with the one month period of September 2022 as the display target period. A group of bed rows corresponding to short stay beds is displayed on the upper side of the reservation table, and a group of bed rows corresponding to geriatric care beds is displayed on the lower side. In FIG. 11, for ease of explanation, only two bed rows 503 for short stay beds are displayed, but the reservation table 502 may have a number of bed rows according to the number of short stay beds.
[0075] The reservation schedule screen 50 is configured so that the initial display period for the reservation schedule is, for example, the current month including the day on which the output request for the reservation schedule screen 50 is received, and any display period (display month) can be specified by selecting a display period change button provided at the top of the reservation schedule field 501.
[0076] When the information processing device 1 receives a request to output a reservation table screen 50 through the nursing facility terminal 2, it generates a reservation table 502 having date columns corresponding to the display target month in the horizontal direction and bed rows 503 corresponding to each bed number in the vertical direction. When generating the bed rows 503, the information processing device 1 classifies each bed by bed type based on the bed information table 1112, and arranges the multiple bed rows 503 included in each classified bed type in descending or ascending order of bed numbers. The information processing device 1 may receive a designation of the display order of the beds from the user, and arrange the bed rows 503 according to the received display order.
[0077] The information processing device 1 can accept settings and changes to the bed type for each bed through the reservation table 502. For example, when the information processing device 1 accepts a tap operation on a setting button 505 provided on a bed type display unit 504 indicating that the bed is a short stay bed, the information processing device 1 displays an input field (not shown) for accepting input of the number of beds to be used as short stay beds and bed numbers. The information processing device 1 accepts input of the number of beds and bed numbers through the displayed input field. Beds other than those designated as short stay beds become geriatric care beds. The information processing device 1 updates the bed information table 1112 of the nursing facility DB 111 according to the accepted number of beds and bed numbers.
[0078] The information processing device 1 displays information indicating the reservation status on the generated reservation table 502. In the example shown in Fig. 11, the reservation status is displayed in the reservation table 502 for each admission reservation for each bed, together with the name of the resident, by a line representation (a strip-shaped object in the example of Fig. 11) 506 extending in the date direction between the admission date and the discharge date.
[0079] Based on the information stored in the admission / discharge DB 113, the information processing device 1 extracts admission / discharge information corresponding to the nursing facility ID of the nursing facility to be output on the reservation schedule screen 50, where at least one of the admission date and discharge date falls within the display target period.
[0080] The information processing device 1 generates an object 506 having a length corresponding to the period of stay based on the extracted admission / discharge information, and displays the generated object 506 in a date column corresponding to the period of stay in a bed row 503 corresponding to the bed ID in the admission / discharge information. The information processing device 1 also reads out the name of the resident associated with the resident ID in the admission / discharge information from the resident DB 112, and displays the read out resident name superimposed on the object 506. The information processing device 1 may further display the admission time, discharge time, admission origin, destination after discharge, admission details, discharge details, and the like, which are included in the admission / discharge information, near the object 506.
[0081] Each bed row 503 may be configured with multiple rows, for example, so that sufficient display area is provided vertically, allowing multiple objects 506 relating to each reservation to be displayed without overlapping, even when there are multiple reservations with overlapping or consecutive admission periods.
[0082] The object 506 may be set to a display color according to the admission status of the resident, for example. For example, the information processing device 1 may set different colors for the object 506 for a short-stay resident and a geriatric health facility resident. The object 506 may further be set to a different color for each resident. In this case, the information processing device 1 generates the object 506 using a common color for multiple reservations for a specific resident with different admission periods.
[0083] The information processing device 1 may also display periods when no beds are reserved, i.e., available reservation slots, in a recognizable manner in the reservation table 502. The information processing device 1 changes the display mode of each date column in the bed row 503 depending on whether or not the bed is reserved, for example by changing the background color of the date column depending on whether or not the bed is reserved. Display processing related to available slots may be performed only for the bed row 503 for elderly care beds. In the example of FIG. 11, in the elderly care bed row, available slot periods without reservations are displayed with a white background, and available slot periods are displayed with a gray background. This makes it easy to grasp available reservation slots at a glance.
[0084] The reservation table 502 is preferably configured to be able to switch between displaying and hiding bed rows 503 related to bed numbers that do not have any available reservation slots during the display target period, particularly for geriatric care beds. The bed rows may be configured to be able to switch between displaying and hiding via a switching button 507 provided in a bed type display section 504 that indicates that the bed is a geriatric care bed, for example.
[0085] The information processing device 1 generates a reservation table 502 in which, as an initial display mode, bed rows 503 related to bed numbers that do not have any available reservation slots during the display target period are hidden and only bed rows 503 related to bed numbers that have available reservation slots are displayed. In the example shown in FIG. 11, beds related to bed numbers between bed number 201 and bed number 305 are fully booked for admission during September and have no available reservation slots. When an instruction to switch to displaying all beds is received through the switching button 507, the information processing device 1 switches between displaying and hiding the bed rows 503, and displays all bed rows 503 related to all geriatric care beds in the reservation table 502. With the above configuration, in a nursing facility with many beds, it is possible to efficiently check only the reservation status of beds that can be reserved, and to check the reservation status of a desired bed number at any time as necessary.
[0086] The display mode of the reservation status is not limited to using the object 506, and may be any mode that allows the reservation status to be visually confirmed. For example, the information processing device 1 may display the reservation status by performing image processing such as coloring or framing on the date column corresponding to the admission period in each bed row 503.
[0087] The reservation table 502 has a reservation status display function as well as a reservation acceptance function. A user can reserve a new bed using the reservation table 502 described above. Figures 12 and 13 are diagrams explaining a method for accepting reservations for a bed. The reservation acceptance method through the reservation table 502 will be explained using Figures 12 and 13.
[0088] The nursing facility terminal 2 accepts a predetermined registration start operation on the reservation table screen 50. The registration start operation is, for example, a click operation to select the date column of any bed row 503 on the reservation table 502. When the information processing device 1 accepts the registration start operation through the nursing facility terminal 2, it transmits a registration screen 52 for accepting registration of admission information and discharge information to the nursing facility terminal 2. The nursing facility terminal 2 displays the registration screen 52 received from the information processing device 1, for example, as a pop-up on the reservation table 502. The nursing facility terminal 2 accepts registration of the admission information and discharge information using the registration screen 52.
[0089] The registration screen 52 includes an admission information registration screen 521 (see FIG. 12) that accepts the registration of admission information, and a departure information registration screen 522 (see FIG. 13) that accepts the registration of departure information. As an example, the registration screen 52 allows the entry of admission by editing the information of an empty bed, and the departure and transfer information by editing the admission information, but is not limited thereto. In addition, for example, the admission information registration screen 521 and the departure information registration screen 522 may be switched by switching a tab provided on the upper side of the registration screen 52. Note that the configuration of the registration screen 52 is not limited to the example shown in FIG. 12 and FIG. 13, and for example, the admission information registration screen 521 and the departure information registration screen 522 may be configured as separate screens. In this case, when accepting a registration start operation, a selection of the type of information to be accepted for registration may be accepted, and a registration screen according to the accepted type of information may be output.
[0090] As shown in FIG. 12, the admission information registration screen 521 is configured to accept registration of information such as the resident's name, the bed number for admission, the date of admission, the time of admission, the resident's admission status, the reason for admission, and the source of admission.
[0091] The admission information can be registered by accepting a selection from a plurality of options set in advance, for example, by operating a selection button (radio button in the example of FIG. 12) and a pull-down menu. As the bed number, a selection is accepted from the bed numbers of each bed provided in the nursing facility. The information processing device 1 may generate a pull-down menu indicating the bed number of the bed subject to admission, for example, based on information stored in the bed information table 1112. The pull-down menu may be searchable.
[0092] The resident is selected from among residents whose resident information has been registered in advance. The information processing device 1 may generate a pull-down menu showing registered residents, for example, based on information stored in the resident DB 112. At this time, a pull-down menu including only residents corresponding to the selected admission status may be generated. The pull-down menu may be searchable.
[0093] The options for the admission type include, for example, short stay and elderly care facility. The options for the reason for admission include, for example, admission. The reason for admission corresponds to the details of admission. The admission information registration screen 521 may be configured to be capable of accepting registration of a transfer to another room in the same nursing facility, separate from admission. In this case, the reason for admission may further include a transfer.
[0094] The options for the admission origin include, for example, home, medical institution, and other care facility. A pull-down menu is further provided for the medical institution and other care facility, and the name of the medical institution and the care facility can be registered. The information processing device 1 may generate a pull-down menu showing candidates of medical institutions and candidates of care facilities based on the information stored in the admission origin / discharge destination DB 116. The pull-down menu may be searchable. Note that the admission origin and the destination after discharge described below may be configured to be registered only when the admission type is a geriatric health facility.
[0095] In generating the registration screen 52, the information processing device 1 may initially display, based on the bed row 503 selected in advance when the registration start operation is accepted, the bed number of the selected bed row 503 as the admission bed number on the registration screen 52. Similarly, based on the date column selected when the registration start operation is accepted, the information processing device 1 may initially display, based on the date column selected when the registration start operation is accepted, the date of the selected date column as the admission date on the registration screen 52.
[0096] The admission information registration screen 521 may be capable of accepting overlapping admissions, that is, accepting registration of admission of a different resident on the same day that a discharge occurs from a specific bed.
[0097] The user registers the admission information by selecting a pull-down menu, activating a selection button, etc. according to the reservation content to be registered. The nursing facility terminal 2 accepts the registration of the admission information by the user operating the operation unit 25, and transmits the accepted admission information to the information processing device 1.
[0098] The information processing device 1 stores the admission information received from the nursing facility terminal 2 in the admission / discharge DB 113. In detail, the information processing device 1 stores in each column of the admission / discharge DB 113 a resident ID corresponding to the resident name included in the admission information, admission status, bed ID corresponding to the bed number, admission date, admission time, admission origin, and admission details.
[0099] In response to receiving a tab switching operation provided at the top of the registration screen 52, the care facility terminal 2 displays a discharge information registration screen 522 as shown in FIG. 13, and similarly receives registration of discharge information through the discharge information registration screen 522.
[0100] The discharge information registration screen 522 is configured to be capable of accepting registration of information such as the name of the resident leaving (name of the resident leaving), the bed number to be discharged, the discharge date, the discharge time, the reason for discharge, and the destination after discharge. Options for the reason for discharge include, for example, discharge, death, and the like. The reason for discharge corresponds to the details of discharge. Details of other items in the discharge information are the same as those in the admission information. Note that the discharge information registration screen 522 may be configured to be capable of accepting registration of a transfer to another room within the same nursing facility, separate from discharge. In this case, the options for the reason for discharge may further include a transfer.
[0101] When the admission information has been registered prior to the acceptance of the discharge information, the information processing device 1 may, for example, automatically display the discharge bed number or the resident name on the discharge information registration screen 522 in response to the selection of one of them on the discharge information registration screen 522. The information processing device 1 can identify the resident name corresponding to the selected discharge bed number or the discharge bed number corresponding to the resident, based on the admission information stored in the admission / discharge DB 113.
[0102] The nursing facility terminal 2 accepts the registration of discharge information by the user operating the operation unit 25, and transmits the accepted discharge information to the information processing device 1. The information processing device 1 stores the discharge information received from the nursing facility terminal 2 in the admission / exit DB 113. In detail, the information processing device 1 identifies the admission information linked to the discharge information based on the bed ID and resident name, etc., included in the discharge information, and stores the discharge date, discharge time, destination after discharge, and discharge details included in the discharge information in association with the identified admission information in each column of the admission / exit DB 113. The information processing device 1 also updates the number of vacant bed days of the bed based on the acquired admission information and discharge information.
[0103] The information processing device 1 updates the reservation table 502 according to the acquired admission / discharge information. The information processing device 1 generates an object 506 of a length according to the admission period based on the admission date and discharge date in the newly acquired admission / discharge information, and adds the generated object 506 to a bed row 503 corresponding to a predetermined bed ID. The information processing device 1 also displays predetermined information such as the admission origin in the admission / discharge information near the added object 506. In response to an update of the reservation status, the information processing device 1 changes the background color of the date column corresponding to the admission period for which a reservation has been accepted to a background color corresponding to the presence of a reservation. Through the above-mentioned process, the acceptance of the reservation and the acquisition of information related to the reservation are executed, and the reservation status is displayed in the reservation table 502.
[0104] The admission information and the discharge information may be registered at different times. If the discharge date is not yet determined, the admission information alone may be registered, and then the discharge information may be registered when the discharge date is determined. For convenience of reservation management, for an admission reservation with an undetermined discharge date, a tentative discharge date may be determined, for example, assuming that the admission period is a predetermined period, and the determined tentative discharge date may be temporarily stored in the admission / discharge DB 113.
[0105] When registering the admission information or discharge information, if the bed row 503 related to the bed number to be registered is in a hidden state in the reservation table 502, the information processing device 1 may display the bed row 503 related to the bed number to be registered in the reservation table 502 before accepting the registration of the admission information or discharge information. The information processing device 1 accepts an instruction to add the bed row 503 and a designation of the bed number to be added, for example, by using an add button 508 provided in the bed type display unit 504 indicating that the bed is a geriatric care bed. The designation of the bed number may be accepted through a pull-down (not shown) that shows a list of hidden bed numbers in response to a tap operation of the add button 508, for example. The information processing device 1 switches the display state of the bed row 503 related to the designated bed number from hidden to displayed. The user can perform a reservation registration operation using the bed row 503 related to the newly added and displayed bed number.
[0106] 12 and 13 are merely examples and are not limiting. For example, the information processing device 1 may acquire various information by accepting input directly on the reservation table 502, without going through the registration screen 52. For example, the information processing device 1 may accept a designation of the length of stay by accepting a selection in the date column in any of the bed rows.
[0107] In this embodiment, the reservation table 502 is configured to be able to accept reservations for geriatric care beds from short-stay residents in addition to geriatric care residents. Geriatric care beds are primarily used by geriatric care residents, but if there are vacant slots for geriatric care bed reservations, reservations for short-stay residents can be accepted for those vacant slots. By using vacant geriatric care bed slots as reservable slots for short-stay residents, beds can be operated efficiently throughout the nursing facility as a whole.
[0108] As an example, as shown in Fig. 11, the reservation status of the geriatric care bed with bed number 201 is assumed to be that the admission reservations of Mr. Tanaka before September 15 and Mr. Kimura after September 21 have already been registered. The slots for bed number 201 from September 16 to September 20 are displayed with a white background as vacant slots.
[0109] The user registers a reservation for short stay admission for Mr. Suzuki, with the admission period being from September 18 to September 20. The information processing device 1 and the nursing facility terminal 2 perform the above-mentioned reservation process and accept the new reservation.
[0110] Fig. 14 is a schematic diagram showing a second example of the appointment schedule screen 50 including an appointment schedule. Fig. 14 shows the appointment schedule screen 50 updated in accordance with admission reservations from September 18th to September 20th. As shown in Fig. 14, in the bed row of bed number 201, a new object 506 is displayed in the date columns from September 18th to September 20th, and the background color of the date columns from September 18th to September 20th is changed to gray.
[0111] The reservation table screen 50 may further include, as shown in Figures 11 to 14, a management information column 510 that displays information to support management work related to admission reservations, and an indicator column 511 that displays various indicator values related to the bed reservation status.
[0112] The management information column 510 displays information for supporting management work related to admission reservations during the display target period of the reservation table 502 displayed in the reservation table column 501 (September 2022 in the example of Figs. 11 to 14). In this embodiment, a vacant slot list is displayed as information for supporting notification transmission of availability status and management work described later. The vacant slot list is a list of beds with vacant slots for a predetermined period or more, and includes information on vacant bed reservations. The vacant slot list may be, for example, a list of beds with vacant slots on the current day and two weeks after the current day. In the example of Figs. 11 to 14, the vacant slot list displays the number of beds with vacant slots by room type, and includes display items such as dementia type / general type of rooms in which beds with vacant slots are provided, individual room / multiple bed room (including the gender of the resident), and the number of beds with vacant slots. The vacant slot list may further include a bed-specific list showing details of beds related to vacant slots. The bed-specific list displays the bed number of beds with vacant slots, the discharge date before and after the vacant slot, the admission date, and the number of vacant bed days. The bed listing may be omitted.
[0113] The information processing device 1 identifies the admission / exit information in which the number of vacant bed days is equal to or greater than a preset threshold on the calculation target date, based on the information stored in the admission / exit DB 113. The information processing device 1 calculates the number of vacant beds by room type, based on the bed information corresponding to the bed ID in the identified admission / exit information, and displays the calculated number of vacant beds by room type in the vacant frame list. The information processing device 1 also displays the bed number corresponding to the bed ID in the identified admission / exit information and the number of vacant bed days in the bed-specific list. The information processing device 1 also displays the admission date in the identified admission / exit information and the departure date in the admission / exit information immediately preceding the identified admission / exit information in chronological order in the bed-specific list. As shown in FIG. 11, before the registration of a new reservation, the bed with the bed number 201 has a number of vacant bed days equal to or greater than a predetermined number of days, and is therefore counted in the number of vacant beds in the private room two weeks later in the vacant frame list in the management information column 510, and is displayed in the bed-specific list. After the new reservation is accepted, the number of vacant bed days becomes less than the predetermined number of days, the number of vacant private rooms in two weeks' time in the vacant slot list is decreased by 1, and bed number 201 is deleted from the bed-specific list, as shown in Fig. 14. The vacant slot list may display vacant short-stay beds in addition to geriatric care beds.
[0114] The indicator column 511 displays various indicator values for the display period of the reservation table 502 displayed in the reservation table column 501. The indicators included in the indicator column 511 are not limited to indicators related to reservation management of beds in a nursing facility, but may include, for example, a bed occupancy rate indicating the occupancy status of beds in a nursing facility, a bed turnover rate regarding admission to a geriatric health facility, a return-to-home rate, and a rate of patients with a care level of 4 or 5.
[0115] The bed occupancy rate is the total number of occupancy days of a bed relative to the number of occupancy days of a bed in a specified period. The occupancy rate is higher the fewer the number of vacant bed days and the more days of overlap. In this embodiment, in addition to the bed occupancy rate of the entire nursing facility, the bed occupancy rate for each bed type is calculated. That is, the bed occupancy rate of geriatric care beds, which is the total number of occupancy days of all geriatric care beds relative to the number of occupancy days of geriatric care beds in a specified period, and the bed occupancy rate of short stay beds, which is the total number of occupancy days of all short stay beds relative to the number of occupancy days of short stay beds in a specified period, are calculated.
[0116] The information processing device 1 calculates the bed occupancy rate for the calculation period based on the information stored in the admission / discharge DB 113 and the bed information table 1112 of the nursing facility DB 111, and displays the calculation result in the indicator field 511.
[0117] The bed turnover rate, home return rate, and the percentage of those requiring care levels 4 or 5 are indicators for determining the amount of nursing care remuneration, and are calculated using a formula set by the government. Nursing care remuneration is paid to service providers who operate nursing care facilities, and the amount is determined based on various indicators set by the government, including the above-mentioned bed turnover rate, home return rate, and the percentage of those requiring care levels 4 or 5. The indicators for determining the amount of nursing care remuneration mentioned above are related to elderly care facilities, and information on admission to elderly care facilities is used to calculate the index values.
[0118] The bed turnover rate is a value that represents the proportion of people admitted and discharged during the past three months, and is expressed by the following formulas (1) and (2). Bed turnover rate = 30.4 ÷ average length of stay ··· (1) Average length of stay = number of deferred admissions in the last three months ÷ {(total number of new admissions in the last three months + total number of new discharges in the last three months) ÷ 2} (2) In calculating the bed turnover rate, discharge from a medical institution following admission within one week is not considered as discharge; in other words, the period from discharge to admission to a medical institution within one week is considered as the period of admission to the nursing facility.
[0119] The information processing device 1 calculates the number of delayed admissions, the delayed number of new admissions, and the delayed number of new discharges for geriatric health care facilities for each month from June 2022 to August 2022, and obtains the bed turnover rate by calculating the average value for the three months.
[0120] The number of extended admissions is obtained from the total number of days of stay in elderly care beds. The total number of days of stay is the total number of days on which reservations were made for elderly care beds. The extended number of new admissions is obtained by subtracting the number of elderly care admissions that do not qualify as new admissions (those who have entered or left within the past week) from the number of elderly care admissions in each month. Note that admissions due to transfers (those whose admission details are "transfer (enter)") do not qualify as new admissions. The extended number of new discharges is obtained by subtracting the number of elderly care discharges that do not qualify as new discharges (discharges that have entered or left within the past week) from the number of elderly care discharges in each month. New discharges in the target month include those who normally discharged, as well as those who discharged due to death or hospitalization for one week or more. Discharges due to transfers (discharges whose discharge details are "transfer (exit)") do not qualify as new discharges. The information processing device 1 counts the number of delayed admissions, the number of delayed new admissions, and the number of delayed new departures for each specific period based on the information stored in the admission and exit DB 113 and the management DB 117. The information processing device 1 displays the calculation results in the indicator column 511.
[0121] The home return rate is the percentage of discharged residents who received care at home during the six months prior to the month in which the calculation date falls, and is expressed by the following formula (3). Return-to-home rate = total number of people discharged to their homes in the previous 6 months ÷ (total number of people discharged in the previous 6 months – total number of deaths in the previous 6 months) × 100 (3) Here, when calculating the home return rate, the total number of discharged residents is the total number of discharged residents in the target month whose stay at the nursing facility exceeded one month. Discharges due to hospitalization at a medical institution for less than one week are not considered discharged residents. Home includes not only one's own home, but also other places that are considered home, such as a relative's home or a facility that is treated as a home (such as a paid nursing home or a senior housing facility with services). Furthermore, discharged residents with a care level of 4 or higher who re-enter the facility within 14 days of discharge are not considered to have discharged to their home. Discharged residents with a care level of 3 or lower who re-enter the facility within 30 days of discharge are not considered to have discharged to their home.
[0122] The information processing device 1 calculates the total number of discharged persons to their homes, the total number of discharged persons, and the total number of deaths for each month from February 2022 to August 2022, and calculates the average value for the six months. The total number of discharged persons to their homes is the number of discharged persons from the elderly health care facility in each month whose discharge details are "discharged" and whose destination type after discharge is "home" or "facility (home)". The total number of discharged persons is obtained by subtracting the number of discharged persons from the elderly health care facility in each month who do not fall under the category of discharged persons (for example, discharged persons who have entered and discharged within one week, discharged persons whose degree of care required is a predetermined value or more and whose re-admission date is recorded within a predetermined number of days after discharge) from the number of discharged persons from the elderly health care facility in each month. The total number of deaths is the number of discharged persons from the elderly health care facility in each month whose discharge details are "passed away". The information processing device 1 counts the total number of people leaving the home, the total number of people leaving the home, and the total number of people who died for each specific period based on the information stored in the management DB 117. In this case, the information processing device 1 calculates only information on people leaving the home whose stay period exceeds one month based on the number of days of stay. The information processing device 1 displays the calculation results in the indicator column 511.
[0123] The percentage of those requiring care levels 4 or 5 is a value that represents the ratio of the total number of days that residents in the previous three months were required to those requiring care levels 4 or 5 compared to the total number of days that residents in the most recent three months were required.
[0124] The information processing device 1 derives the total number of days of residents corresponding to a care level of 4 or 5 and the total number of days of residents for each month from June 2022 to August 2022, regarding admission to a geriatric health care facility, based on the information stored in the admission / discharge DB 113 and the management DB 117. The total number of days of residents corresponding to a care level of 4 or 5 for each month may be calculated using the following calculation method. First, a value obtained by multiplying the number of residents in the geriatric health care facility at the beginning of the month by the ratio of residents corresponding to a care level of 4 or 5 at the beginning of the month and further multiplying the value obtained by multiplying the value obtained by multiplying the number of days of admission of residents corresponding to a care level of 4 or 5 who entered the facility in the middle of the month and the number of days of admission of residents who changed to a care level of 4 or 5 in the middle of the month to the acquired value and subtracting the number of days of admission of residents corresponding to a care level of 4 or 5 who left the facility in the middle of the month can be used as the total number of days of residents corresponding to a care level of 4 or 5.
[0125] The information processing device 1 calculates the ratio of the total number of days of residents who are classified as requiring care levels 4 or 5 to the total number of days of residents, and obtains the ratio of residents requiring care levels 4 or 5 by calculating the average value for the three-month period.
[0126] The various indices described above may be displayed in association with the reservation table 502. FIG. 15 is a schematic diagram showing a third example of a reservation table screen 50 including a reservation table. In the example shown in FIG. 15, the reservation table 502 includes an index display unit 509. The index display unit 509 displays the number of vacant beds, the number of admissions, and the bed occupancy rate for each day for geriatric care beds and short stay beds, and for all beds. The information processing device 1 calculates the bed occupancy rate for each day according to the calculation method described above, and displays the calculation result on the index display unit 509. The index display unit 509 is configured to be foldable / unfoldable in the reservation table 502, and may be switched between displayed and hidden in response to a user operation.
[0127] The definitions and calculation methods of the various indices described above are merely examples and are not limited to the above examples. The information processing device 1 may calculate various indices defined in accordance with the nursing care fee revision by an appropriate calculation method using information on reservations stored in each database.
[0128] 16 is a flowchart showing an example of a processing procedure for accepting a bed type. The processing in each of the following flowcharts may be executed by the control unit 11 according to a program 1P stored in the storage unit 12 of the information processing device 1, may be realized by a dedicated hardware circuit (e.g., FPGA or ASIC) provided in the control unit 11, or may be realized by a combination of these. In addition, the processing in each of the following flowcharts may be executed by the control unit 21 according to a program 2P stored in the storage unit 22 of the care facility terminal 2, may be realized by a dedicated hardware circuit provided in the control unit 21, or may be realized by a combination of these.
[0129] The control unit 21 of the nursing facility terminal 2 accepts a setting of a bed type for a specific bed in the nursing facility by the user operating the operation unit 25 after logging in using the user's account information, for example (step S11). The control unit 21 may accept the setting of the bed type through the reservation table 502. The control unit 21 transmits the accepted setting of the bed type to the information processing device 1 (step S12).
[0130] The control unit 11 of the information processing device 1 receives the setting of the bed type (step S13). The control unit 11 stores the received setting of the bed type in the bed information table 1112 (step S14). Specifically, in the bed information table 1112, the control unit 11 stores the received bed type in association with the bed ID of the received specific bed and the nursing facility ID of the nursing facility corresponding to the logged-in account information. The control unit 11 ends the process.
[0131] FIG. 17 is a flowchart illustrating an example of a processing procedure related to acceptance of a bed reservation.
[0132] The control unit 21 of the care facility terminal 2 accepts a display request for the reservation table 502 by the user operating the operation unit 25 after logging in using the user's account information (step S21). The control unit 21 transmits the display request to the information processing device 1 (step S22).
[0133] The control unit 11 of the information processing device 1 receives the display request (step S23). The control unit 11 generates a reservation table screen 50 including a reservation table 502 (step S24). The reservation table 502 has a plurality of bed rows 503 having a date column corresponding to the display target period. The control unit 11 refers to the admission / discharge DB 113 and identifies admission / discharge information for the display target period corresponding to the nursing facility ID of the nursing facility corresponding to the logged-in account information. The control unit 11 displays information indicating the reservation status of each bed on the reservation table 502 based on the identified admission / discharge information. In addition to the reservation table 502, the control unit 11 may further generate various index values and an available slot list, etc., and display them on the reservation table screen 50.
[0134] The control unit 11 transmits the generated reservation table screen 50 to the care facility terminal 2 of the care facility corresponding to the logged-in account information (step S25).
[0135] The control unit 21 of the care facility terminal 2 receives the reservation schedule screen 50 (step S26), and displays the received reservation schedule screen 50 on the display unit 24 (step S27).
[0136] The control unit 21 accepts the registration of admission information or exit information by the user operating the operation unit 25 (step S28). The control unit 21 may accept both admission information and exit information. The control unit 21 transmits the accepted admission information or exit information to the information processing device 1 (step S29).
[0137] The control unit 11 of the information processing device 1 receives the admission information or the exit information (step S30). The control unit 11 stores the received admission information or the exit information in the admission / exit DB 113 (step S31). The control unit 11 also derives predetermined information based on the received admission information or the exit information, and stores the derived information in the management DB 117 in association with a part of the received admission information or the exit information.
[0138] The control unit 11 generates update information for updating the reservation schedule screen 50 based on the received admission information or discharge information (step S32). The update information includes information for displaying the latest reservation status in the reservation schedule 502. The update information may include update information related to various indicators and an available slot list in addition to update information related to the reservation schedule 502. The control unit 11 transmits the generated update information to the care facility terminal 2 (step S33).
[0139] The control unit 21 of the care facility terminal 2 receives the update information (step S34) and updates the reservation table screen 50 based on the received update information (step S35). The control unit 21 determines whether or not to end the acceptance of reservations (step S36). For example, if it is determined that the acceptance of reservations is not to be ended because a predetermined registration request operation has been accepted (step S36: NO), the control unit 21 returns the process to step S28 and accepts new admission information or discharge information. If it is determined that the acceptance of reservations is to be ended because a predetermined registration request operation has not been accepted (step S36: YES), the control unit 21 ends the process.
[0140] According to this embodiment, information related to admission reservations is centrally managed by the information processing device 1, and various information for grasping the operating status of the nursing facility derived based on the collected reservation information can be transmitted from the information processing device 1 to the nursing facility terminal 2. By checking the various information provided via the nursing facility terminal 2, the user can easily and conveniently grasp the operating status of the nursing facility, reducing the workload of accepting and managing reservations and improving work efficiency.
[0141] A user can register a reservation for admission and discharge by simply performing a simple operation using the reservation table 502. The reservation status of multiple beds is displayed in a manner that allows the user to check it at a glance through the reservation table 502, so the user can visually grasp the reservation status easily and accurately.
[0142] The reservation table 502 is configured to be able to accept reservations for short-stay residents for geriatric care beds, in addition to reservations for regular short-stay beds for short-stay residents and reservations for geriatric care beds for geriatric care beds. In a nursing care facility that has multiple beds and accepts residents with multiple types of admission status, it is possible to accurately grasp the reservations of each resident while improving the bed occupancy rate of the nursing care facility as a whole.
[0143] By presenting various index values and a list of available slots in addition to the reservation status, the user's reservation management work and sales activities can be more effectively supported. Optimizing the indexes used to determine bed occupancy rates and nursing care fees is important in the operation of nursing care facilities, but calculating various indexes requires complicated calculations. According to the above configuration, various indexes can be provided in real time by centrally managing information related to reservations using the information processing device 1. Users can optimize bed control by taking into account both the occupancy status of each bed and the index values used to determine nursing care fees.
[0144] Second embodiment In the second embodiment, a configuration for providing an entrance / exit schedule will be described. In the following embodiments, differences from the first embodiment will be mainly described, and configurations common to the first embodiment will be assigned the same reference numerals and detailed descriptions thereof will be omitted.
[0145] 18 is a schematic diagram showing an example of an admission / leave schedule 53 in the second embodiment. The information processing device 1 in the second embodiment generates an admission / leave schedule for managing people entering and leaving a care facility, and provides it to the care facility terminal 2.
[0146] 18, the admission / discharge schedule 53 includes an admission schedule 531 showing a list of admissions in a predetermined period, and a discharge schedule 532 showing a list of discharges in a predetermined period. The admission / discharge schedule 53 may be generated, for example, on a monthly basis or on a daily basis.
[0147] Display items of the admission schedule 531 include, for example, the admission date, admission time, resident's name, bed number, admission origin, and whether or not short-stay admission is available. Whether or not short-stay admission is available indicates whether or not short-stay admission was used immediately before admission. The admission schedule 531 also has a number of input fields 533 for receiving input of the implementation status of pre- and post-admission visiting guidance. Display items of the discharge schedule 532 include, for example, the discharge date, resident's name, bed number, destination after discharge, and whether or not the resident is eligible to return home. The discharge schedule 532 also has a number of input fields 534 for receiving input of the implementation status of pre- and post-discharge visiting guidance.
[0148] The information processing device 1 refers to the admission table 1171 of the management DB 117, identifies an admission reservation whose admission date belongs to the generation period of the admission schedule 531, and extracts information of each display item related to the identified admission reservation. The information processing device 1 generates the admission schedule 531 by arranging the extracted information in descending order of the admission date and providing an input field 533 corresponding to each admission reservation. The information processing device 1 also refers to the admission and discharge DB 113 and identifies the admission time and whether or not short stay admission is used for each resident. Similarly, the information processing device 1 refers to the discharge table 1172 of the management DB 117, and extracts information of each display item related to a discharge reservation whose discharge date belongs to the generation period of the discharge schedule 532. The information processing device 1 generates the discharge schedule 532 by arranging the extracted information in descending order of the discharge date and providing an input field 534 corresponding to each discharge reservation.
[0149] The admission / discharge schedule 53 may include admission / discharge schedules for short stays. The admission / discharge schedule 53 may further include a list of patients admitted within one week, a list of patients discharged within one week, and a list of patients who have passed away.
[0150] The admission / discharge schedule 53 has a function of accepting input of the implementation status of the visiting guidance before and after admission and the visiting guidance before and after discharge. The nursing facility terminal 2 displays the admission / discharge schedule 53 transmitted from the information processing device 1 on the display unit 24, and uses the admission / discharge schedule 53 to accept input of the implementation status of the visiting guidance before and after admission and the visiting guidance before and after discharge from the user.
[0151] The user inputs information indicating that the pre- and post-admission visiting guidance has been implemented in an input field 533 corresponding to the resident who has already been implemented before and after admission among the residents displayed on the admission schedule 531. In the example of FIG. 18, the input field 533 is composed of a check box, and if the pre- and post-admission visiting guidance has been implemented, a check is input in the check box. In addition, the user inputs information indicating that the pre- and post-admission visiting guidance has been implemented in an input field 534 corresponding to the discharged resident who has already been implemented before and after discharge visiting guidance among the discharged resident displayed on the discharge schedule 532. The nursing facility terminal 2 transmits the implementation status of the received pre- and post-admission visiting guidance and pre- and post-discharge visiting guidance to the information processing device 1. The information processing device 1 stores the implementation status of the received pre- and post-admission visiting guidance and pre- and post-discharge visiting guidance in the management DB 117.
[0152] The information processing device 1 may calculate the ratio of pre- and post-admission visit guidance and pre- and post-discharge visit guidance based on the implementation status of the acquired pre- and post-admission visit guidance and pre- and post-discharge visit guidance. The ratio of pre- and post-admission visit guidance and pre- and post-discharge visit guidance are a type of index used to determine the amount of nursing care remuneration, similar to the bed turnover rate described above. The ratio of pre- and post-admission visit guidance is obtained by calculating the ratio of the total number of people who received pre- and post-admission visit guidance among the total number of new admissions in the previous three months to the total number of new admissions in the previous three months. The ratio of pre- and post-discharge visit guidance is obtained by calculating the ratio of the total number of people who received pre- and post-discharge visit guidance among the discharged people in the previous three months to the total number of new discharges to their homes in the previous three months. The information processing device 1 may display the obtained pre- and post-admission visit guidance ratio and pre- and post-discharge visit guidance ratio in association with the admission schedule 531 or the reservation schedule 502.
[0153] The admission / discharge schedule 53 may be either the admission schedule 531 or the discharge schedule 532. The admission schedule 531 is not limited to displaying new admissions and discharges, and may display, for example, a list of admissions for each bed for each day. The information processing device 1 generates the admission / discharge schedule 53 for each day, which displays the bed number, the admission name, the admission date, the discharge date, the discharge destination, etc. of the admissions for all beds in the nursing facility in association with each other, based on the information stored in the admission / discharge DB 113. The admission / discharge schedule 53 may further display the name of the admissions for the next reservation for each bed, the planned admission date, the admission origin, etc. This allows all the admissions for the day to be confirmed at a glance.
[0154] FIG. 19 is a flowchart illustrating an example of a processing procedure executed by the information processing system 100 according to the second embodiment.
[0155] The control unit 21 of the care facility terminal 2 accepts a request to output the admission / discharge schedule 53 by the user operating the operation unit 25 after logging in using the user's account information, for example, and transmits the accepted request for the admission / discharge schedule 53 to the information processing device 1 (step S41). The control unit 21 may accept a request for an admission / discharge schedule screen including the admission / discharge schedule 53, for example, by specifying a tab labeled "Admission / Discharge Schedule" provided at the top of the reservation table screen 50 shown in FIG.
[0156] The control unit 11 of the information processing device 1 receives a request for the admission / discharge schedule 53 (step S42). The control unit 11 generates the admission / discharge schedule 53 based on the information stored in the management DB 117 (step S43). The control unit 11 refers to the management DB 117, derives the reservation status of admission and discharge for a predetermined period for the nursing facility ID of the nursing facility corresponding to the logged-in account information, and generates the admission / discharge schedule 53 based on the derived reservation status. The control unit 11 transmits the generated admission / discharge schedule 53 to the nursing facility terminal 2 (step S44).
[0157] The control unit 21 of the care facility terminal 2 receives the admission / discharge schedule 53 (step S45), and displays the received admission / discharge schedule 53 on the display unit 24 (step S46).
[0158] The control unit 21 accepts an input of the implementation status of the pre- and post-admission visiting guidance and the pre- and post-discharge visiting guidance by the user operating the operation unit 25 (step S47). The control unit 21 transmits information indicating the implementation status of the accepted pre- and post-admission visiting guidance and the pre- and post-discharge visiting guidance to the information processing device 1 (step S48).
[0159] The control unit 11 of the information processing device 1 receives information indicating the implementation status of the pre- and post-admission visiting guidance and the pre- and post-leave visiting guidance (step S49). The control unit 11 stores the received implementation status of the pre- and post-admission visiting guidance and the pre- and post-leave visiting guidance in the management DB 117 (step S50), and ends a series of processes.
[0160] In the above-mentioned processing, the control unit 11 is not limited to generating the admission / discharge schedule 53 in response to receiving a request for the admission / discharge schedule 53, but may automatically generate the admission / discharge schedule 53 at a predetermined timing (for example, on the first day of each month) and transmit it to the nursing facility terminal 2.
[0161] According to this embodiment, the admission / discharge schedule 53, which shows a list of admissions and discharges for a specified period, allows the user to clearly grasp the overall number of admissions and discharges. In addition, the user can easily input the implementation status of the admission / discharge visit guidance and the discharge visit guidance using the admission / discharge schedule 53. Based on the implementation status of the input admission / discharge visit guidance and the discharge visit guidance, the admission / discharge visit guidance ratio and the discharge visit guidance ratio can be efficiently calculated.
[0162] Third embodiment In the third embodiment, a configuration for generating a notification of reservation availability will be described. 20 is a flowchart showing an example of a processing procedure executed by the information processing device 1 of the third embodiment. The control unit 11 of the information processing device 1 starts the following processing, for example, at a predetermined timing (for example, the first day of each month) or at a timing when a predetermined condition is satisfied (for example, when the number of vacant bed days is equal to or greater than a predetermined value, when the bed occupancy rate is less than a predetermined value, etc.). The control unit 11 may start the following processing in response to receiving a notification generation request from a user.
[0163] The control unit 11 of the information processing device 1 acquires the availability of reservations at the nursing facility based on the information stored in the admission / exit DB 113 (step S61). For example, the control unit 11 acquires the availability of reservations by identifying nursing care beds for which a value other than 0 is stored in the number of vacant bed days column on the target date for generating the notification or a specific date after the target date for generating the notification based on the information stored in the admission / exit DB 113. The control unit 11 generates notification information for notifying the availability of reservations based on the acquired availability of reservations (step S62). The notification information is, for example, a text-format document indicating the availability of reservations.
[0164] The control unit 11 transmits the generated notification information to the medical institution terminal 4 by, for example, an email function, an Internet FAX function, an SNS (social networking service) function, or the like (step S63). The notification information may include, for example, voice information, and may be output by an automatic voice guidance function, or the like. The control unit 11 may transmit the notification to each medical institution terminal 4 related to the medical institution installed in the vicinity of the nursing facility according to a destination list stored in advance. The destination list may be created based on information stored in the medical institution DB 115. The control unit 11 may transmit the notification to only medical institutions whose distance from the nursing facility is equal to or less than a predetermined value. The control unit 11 may determine the priority of the medical institutions that are candidates for the destination based on, for example, at least one of the distance in the medical institution DB 115, the number of beds at the medical institution, the number of discharged patients per year, the number of residents in the elderly care facility, and the presence or absence of nursing care service provision. The control unit 11 may specify the destination by selecting a predetermined number of medical institutions in order of priority from among the multiple medical institutions stored in the medical institution DB 115. The control unit 11 may transmit a notification to each medical institution terminal 4 related to the medical institution stored in the admission / discharge destination DB 116 .
[0165] In the above process, the information processing device 1 may obtain the availability of short-stay beds in addition to geriatric care beds. The information processing device 1 is not limited to transmitting notification information to the medical institution terminal 4, and may transmit notification information to the home care support business terminal 3. Based on the received notification information, the information processing device 1 may select, for example, both or either one of the availability of geriatric care beds and short-stay beds, and transmit a notification to a desired medical institution or home care support business. The information processing device 1 may transmit notification information to the nursing facility terminal 2. The person in charge of the nursing facility can transmit a notification to a desired medical institution or home care support business based on the notification information received by the nursing facility terminal 2.
[0166] FIG. 21 is a schematic diagram showing an example of a notification of availability. In the notification of availability based on the notification information, the number of geriatric care beds with available slots is displayed for each room type and gender of the room. Available slots may be displayed taking into consideration whether the bed is for dementia type or general type. In the example shown in FIG. 21, the availability on the target date for generating the notification and a predetermined number of days after the target date for generating the notification are displayed. The availability in the notification may be changeable by accepting a user operation.
[0167] According to this embodiment, the information processing device 1 can automatically collect information on available spaces at nursing care facilities and notify relevant parties. This reduces the number of steps required for sales activities to accept admission reservations, such as checking available spaces, creating notifications, and making phone calls, and reduces the workload of users.
[0168] (Fourth embodiment) In the fourth embodiment, various list information is provided based on admission / discharge information collected through a reservation table. Examples of the list information include a dashboard 54 showing various statistical indicators, a medical institution list 55 showing medical institutions that are business destinations, a home list 56 showing home care support offices that are business destinations, a home returnee list 57 showing people who have returned home, and a total resident list 58 showing residents for all beds. The various list information is displayed on the display unit 24 of the nursing facility terminal 2 as a screen including the list information, for example.
[0169] FIG. 22 is a schematic diagram showing an example of the dashboard 54. The dashboard 54 is in a table format with, for example, the horizontal axis representing the period and the vertical axis representing various indicators, and shows a list of various indicators calculated for each unit period. The unit of calculation of the indicators can be, for example, one month. In the example of FIG. 22, the indicators to be displayed are divided into multiple categories such as overall operating status, admission to elderly care facilities, admission and discharge from elderly care facilities, admission to short-stay facilities, short-stay users, and continued use of short-stay facilities.
[0170] Indicators of the overall occupancy status include the bed occupancy rate and the number of vacant beds used. The bed occupancy rate may include the overall occupancy rate for all beds in the nursing facility and the bed type occupancy rate for each bed type. The number of vacant beds used is the number of short-stay residents using vacant geriatric beds (number of days of stay).
[0171] The indicators of admission to a geriatric health facility include indicators related to admission to a geriatric health facility or beds for geriatric health facilities, such as the number of vacant beds at the end of the period, the average number of vacant days between admissions, the number of overlapping admissions and discharges, the bed turnover rate, and the rate of return to home. The number of vacant beds at the end of the period is the total number of vacant beds on the last day of a unit period (the last day of the month in FIG. 22). The average number of vacant days between admissions is the average number of vacant days from the discharge of a discharged person to the admission of the next resident in a geriatric health facility bed that has been admitted or discharged during the period. The number of overlapping admissions and discharges is the total number of days for which two different reservations exist for the same bed on the same day. The bed turnover rate and the rate of return to home are the same as those described in the first embodiment. In addition, the "index of return to home and home medical support, etc." may be calculated as a score based on the bed turnover rate, etc., and displayed.
[0172] The indicators of admission and discharge of elderly care facilities include the number of admissions, discharges, admissions and discharges within one week, and deaths of residents who use elderly care facilities. The number of admissions may be calculated not only as the total number of admissions per unit period, but also as the number of admissions by admission type. Admission types include, for example, "from non-home" which is admission from medical institutions and facilities that are not treated as home, "from home" which is admission from home and facilities that are treated as home, and "re-admission from home" which is admission from home and facilities that are treated as home, especially for the second or subsequent admission. The number of discharges may be calculated not only as the total number of discharges per unit period, but also as the number of discharges by discharge type. Discharge types include, for example, "home returners" who meet the requirements for home return, and "non-home returners" who do not meet the requirements for home return. The number of admissions and discharges within one week is the total number of residents who, in response to hospitalization at a medical institution, re-admitted to the nursing care facility within one week after being discharged from the nursing care facility.
[0173] The indicators for short-stay admission, short-stay users, and continued short-stay use are all indicators relating to short-stay admissions.
[0174] Indicators for short-stay admission include the number of days of use (number of days admitted) by short-stay residents. The number of days of use includes the total number of days of use per unit period, as well as the number of days of use by bed type, i.e., the number of days of use by short-stay residents in short-stay beds and the number of days of use by short-stay residents in vacant geriatric care beds.
[0175] The indicator for short-stay users includes the number of users regarding short-stay admissions. The number of users includes the total number of users per unit time period, as well as the number of users by type of use of the residents. Resident types include, for example, "new users" who have made a short-stay reservation for the first time at the target nursing care facility, "regular users" who use the target facility regularly (for example, a specified number of short-stay reservations have been made within a specified period of time in the past), and "irregular users" who use the target facility irregularly (not falling into either the category of new users or regular users).
[0176] The indicator of continued short-stay use includes information that indicates the conversion status of the type of use of residents. Conversions of type of use are classified, for example, as new to regular, new to admission, new to suspended, regular to regular, regular to admission, and regular to suspended. "New to regular" means that a new user in the current month (target period) has made a reservation for short-stay use in the following month (next target period). "New to admission" means that a new user in the current month has made a reservation for use at a geriatric care facility in the current month or the following month. "New to suspended" means that a new user in the current month has not made a reservation for use in the following month. The same applies to conversions from regular.
[0177] The dashboard 54 is automatically generated by the control unit 11 by calculating various indices based on information in various databases in the storage unit 12 of the information processing device 1. For example, the admission / discharge DB 113 is referenced to read all admission / discharge information for each unit period, and the number of vacant bed days and the total number of overlapping admission days for the read admission / discharge information are calculated to obtain the bed occupancy rate.
[0178] The number of admissions within a month is obtained by counting the total number of elderly health facility residents whose discharge was recorded during the target unit period, the number of elderly health facility residents by admission type identified from the destination after discharge, and the number of re-admissions further taking into account the admission origin, for each unit period, with reference to the admission / discharge DB113 and / or the management DB117. The number of discharges within a month is obtained by calculating the total number of discharges whose discharge was recorded during the target unit period with reference to the admission / discharge DB113 and / or the management DB117. Furthermore, the number of discharges by discharge type is obtained based on whether or not each discharger within a month has returned to home. The number of each user and the number of continuous users are obtained by counting the number of days of admission, taking into account the type of use identified by analyzing the reservation history of each discharger, with reference to the admission / discharge DB113. The calculation method of the bed turnover rate and the return-to-home rate is as described in the first embodiment.
[0179] The dashboard 54 may be configured to display alert information, for example, when the numerical value is less than a threshold value or equal to or greater than a threshold value. The control unit 11 stores in advance each index that is the target of an alert output in association with a threshold value. When the control unit 11 determines that the calculated numerical value is less than a threshold value or equal to or greater than a threshold value, the control unit 11 applies processing such as coloring, bordering, or blinking to the numerical value in the dashboard 54 to display the alert information in a recognizable manner. The content of the index in the dashboard 54 is an example and is not limited thereto. The calculation method can be appropriately set, and may be arbitrarily changed, such as using a relative number to a reference value instead of an absolute number, or showing the index qualitatively. The configuration may be such that the user can specify a unit period that is the calculation basis for the index.
[0180] 23 is a schematic diagram showing an example of the medical institution list 55. The medical institution list 55 is a list of medical institutions that are business targets identified according to the reservation status of residents in a care facility, that is, that have the potential to accept new reservations.
[0181] The medical institution list 55 is in table form, for example, and includes items such as the name of the medical institution, location, distance, whether or not affiliated corporations provide nursing care services for the elderly, number of discharged patients, number of admissions to nursing care facilities for the elderly, number of admissions to target nursing care facilities, and contact information. The distance is the distance from the medical institution to the target nursing care facility. The number of admissions to nursing care facilities is the total number of admissions to nursing care facilities among those discharged from the medical institution during the most recent specified period. The number of admissions to target nursing care facilities is the number of admissions to nursing care facilities for which the medical institution list 55 is generated out of the total number of admissions.
[0182] The medical institution list 55 is automatically generated by the information processing device 1 based on, for example, public information of medical institutions provided by the national or local government, map information, and information stored in the admission / discharge DB 113. The number of admissions to the target nursing facility can be calculated by counting the number of residents whose name of each medical institution matches the admission source in the admission / discharge information. The number of admissions to the target nursing facility may be calculated for each unit period (for example, one month).
[0183] The information processing device 1 has a function of sorting a plurality of medical institutions in the list in order of potential business destinations based on a predetermined item of the medical institution list 55. The sorting items are, for example, distance, whether or not nursing care services are provided, the number of admissions to nursing care facilities for the elderly, the number of admissions to target nursing care facilities, and the like. Priority between the sorting items may be set for the sorting items. The information processing device 1 sorts the medical institutions in ascending or descending order, or according to the presence or absence of the sorting items, and generates a medical institution list 55 in which the sorted medical institutions can be viewed in a list. For example, the closer the distance, the less nursing care services are provided, the more admissions to nursing care facilities for the elderly, and the fewer admissions to the target nursing care facilities, the higher the ranking. The sorting items may have an upper limit or lower limit set as an extraction target. The information processing device 1 may sort the medical institutions according to the sorting items and priority order set by default, or may sort the medical institutions according to the sorting items specified by the user. The medical institution list 55 may have a filter function, and may be able to select whether to display or hide some information. The medical institution list 55 may be filterable, for example, according to distance, whether or not nursing care services are provided, the number of people admitted to nursing care facilities, etc., and the medical institutions to be displayed may be narrowed down to those less than 20 km away.
[0184] 24 is a schematic diagram showing an example of the home list 56. The home list 56 is a list of business targets, that is, home care support offices that have the potential to accept new reservations, identified according to the reservation status of residents in a care facility and the number of people referred for short stays.
[0185] The home list 56 is, for example, in a table format, and includes items such as the name, location, distance, whether or not short-stay services are provided by affiliated corporations, the number of care plans, the number of care managers, contact information, and the number of short-stay referrals to the target nursing care facility. The number of care plans is the number of care plans created by the home nursing care support business. The number of short-stay referrals is the number of short-stay admissions referred to the target nursing care facility by the home nursing care support business in the most recent specified period. The number of short-stay referrals may include the number of referrals per unit period (e.g., per month) and the total number of people in the most recent specified period (e.g., 12 months). The contents of the other items are the same as those of the medical institution list 55, except that medical institutions are replaced by home nursing care support businesses.
[0186] The home list 56 is automatically generated by the information processing device 1 based on, for example, public information on home care support offices provided by the national or local government, map information, the admission / dismissal DB 113, and information stored in the resident DB 112. The information processing device 1 has a function of sorting multiple home care support offices in the list in order of potential business destinations based on predetermined items in the home list 56. The sort items are, for example, distance, whether or not short stay services are provided, the number of care plans, the number of care managers, the number of referrals, etc. The home list 56 may be equipped with a filter function. The home list 56 is configured to be selectable to display / hide depending on, for example, distance, whether or not short stay services are provided, the number of care managers, the number of referrals, etc.
[0187] The medical institution list 55 and the home list 56 make it easy to grasp at a glance which facilities should be given priority in presenting available slot information, leading to efficient sales activities. The information processing device 1 may transmit a notification of the availability described in the third embodiment to a medical institution or home care support office that is ranked high in the medical institution list 55 or home list 56. The medical institution list 55 and the home list 56 may be configured to display alert information when a numerical value relating to a predetermined item set in advance is less than a threshold value or is equal to or greater than a threshold value.
[0188] FIG. 25 is a schematic diagram showing an example of the home returnee list 57. The home returnee list 57 is a list of those who have left the nursing facility and are eligible to return to their homes. The home returnee list 57 is, for example, in a table format, and includes items such as a date of leaving, a name of the person who left, a destination after leaving, and information indicating whether a re-admission reservation has been registered. The information processing device 1 extracts those who are eligible to return to their homes from among those whose leaving information has been recorded in a recent predetermined period based on information stored in the entry / leave DB 113 and the management DB 117, and generates a home returnee list 57 that displays the date of leaving, name of the person who left, and a destination after leaving of the extracted people in a list. The information processing device 1 also determines whether a re-admission reservation has been registered based on the reservation status after the date of leaving, and displays information according to the determination result in the re-admission reservation column.
[0189] The items in the list of returnees from home 57 may include information indicating whether or not there is a possibility of re-admission. The determination of whether or not there is a possibility of re-admission may be performed by the user, or may be executed by the information processing device 1 according to a preset determination rule. The list of returnees from home 57 may be configured to accept an input of whether or not there is a possibility of re-admission by a user's operation via the list of returnees from home 57 displayed on the display unit 24. The list of returnees from home 57 may include a memo field in which any information can be input.
[0190] The list of people returning to home 57 may be configured to be sortable based on a predetermined item. Examples of sorting items include the date of discharge, destination after discharge, whether or not a re-admission reservation has been registered, and whether or not there is a possibility of re-admission. The information processing device 1, for example, accepts a specification of a sorting item from a user through the nursing facility terminal 2, and sorts the discharged people according to the specified sorting item. The list of people returning to home 57 may be used as a list for follow-up work to accept new admission reservations. The list of people returning to home 57 may have a filter function. The list of people returning to home 57 is configured to be selectable to display / hide depending on, for example, the date of discharge, whether or not there is a re-admission reservation registered, and whether or not there is a possibility of re-admission.
[0191] The information processing device 1 may generate a list of discharged residents to medical institutions by extracting discharged residents whose destination after discharge is a medical institution instead of those who have returned home. The list of discharged residents to medical institutions displays, in a list, the discharge date, name of the discharged residents, destination after discharge, information indicating whether or not only a re-admission reservation has been registered, and information indicating whether or not there is a possibility of re-admission, etc., for discharged residents of a nursing facility whose destination after discharge is a medical institution. The list of discharged residents to medical institutions can be used as a list for follow-up work to accept new admission reservations.
[0192] FIG. 26 is a schematic diagram showing an example of the all resident list 58. The all resident list 58 is a list showing the residents for all beds in a nursing facility. The all resident list 58 is generated for each predetermined period. FIG. 26 shows an example of the all resident list 58 for each day. The all resident list 58 is in a table format, for example, and includes items such as the bed number, the name of the resident for the bed with that bed number, the admission date, the discharge date, the destination after discharge, the name of the next resident scheduled to be admitted, the admission date, and the place of admission. Items in the all resident list 58 may include the resident's gender and the type of admission (for example, admission to a geriatric health facility or short-stay admission).
[0193] The all resident list 58 is automatically generated by the information processing device 1 based on information stored in the admission / discharge DB 113 and the like. The information processing device 1 extracts the names, etc. of all residents on the target date for generating the all resident list 58 and displays them in association with the bed numbers. For beds for which there are no admission reservations on the target date, information indicating that the bed is blank or vacant may be displayed. When discharge information relating to a resident is stored, the information processing device 1 displays the discharge date and the destination after discharge, and when admission information relating to the next planned admission to the target bed is stored, the information processing device 1 displays the name, admission date, and admission origin of the planned resident.
[0194] The all resident list 58 is not limited to a table format, and may be, for example, a map format. In the case of the all resident list 58 in map format, the name of the resident in each bed may be displayed on a facility map that depicts the layout of the beds in the nursing facility.
[0195] The screen including the various list information described above may include a print button 59 (see FIG. 26), and when the selection of the print button 59 is accepted, the screen including the list information may be sent to a specified printer.
[0196] 27 is a flowchart showing an example of a list information output process. When the control unit 21 of the care facility terminal 2 accepts a request to display specific list information via the operation unit 25 after accepting a login using account information, for example, the control unit 21 starts the following process.
[0197] The control unit 21 of the care facility terminal 2 transmits a request for list information to the information processing device 1 (step S71).
[0198] The control unit 11 of the information processing device 1 receives a request for list information (step S72). The control unit 11 generates list information corresponding to the account information based on information stored in, for example, the admission / exit DB 113 and the management DB 117 (step S73). For example, when the dashboard 54 is requested, the control unit 11 refers to various databases and calculates various indices related to the nursing facility.
[0199] The control unit 11 generates a screen including the list information (step S74), and transmits the generated screen including the list information to the care facility terminal 2 (step S75).
[0200] The control unit 21 of the care facility terminal 2 receives the screen including the list information (step S76). The control unit 21 displays the screen including the received list information on the display unit 24 (step S77), and ends the series of processes. Note that the information processing device 1 is not limited to generating list information in response to a request from the care facility terminal 2, and may generate and output list information at regular intervals, for example.
[0201] According to this embodiment, various lists showing the status of the nursing care facility can be efficiently generated based on the admission / discharge information collected through the reservation list, improving the utilization of the system. The various lists allow the operating status of the nursing care facility to be easily understood at a glance, reducing the workload of the person in charge and improving work efficiency.
[0202] The dashboard, which presents various indicators in numerical form, allows for an accurate understanding of the current reservation situation and allows for specific consideration of future measures and targets.
[0203] The embodiments disclosed herein are illustrative in all respects and should not be considered as limiting. The technical features described in each embodiment can be combined with each other, and the scope of the present invention is intended to include all modifications within the scope of the claims and the scope equivalent to the claims. The sequences shown in each embodiment are not limited, and the order of each process may be changed and multiple processes may be executed in parallel, as long as there is no contradiction. The subject of each process is not limited, and the process of each device may be executed by another device, as long as there is no contradiction.
[0204] The matters described in each embodiment can be combined with each other. In addition, the independent claims and dependent claims described in the claims can be combined with each other in any and all combinations regardless of the citation format. Furthermore, the claims use a format in which a claim cites two or more other claims (multiple claim format), but this is not limited to this. A multiple claim (multi-multi claim) that cites at least one multiple claim may also be used. [Explanation of symbols]
[0205] 100 Information Processing Systems 1. Information processing device 2. Nursing care facility terminal 3. Home care support business terminal 4 Medical institution terminals 11,21 Control section 12,22 Storage section 13,23 Communications Department 24 Display section 25 Control section 111 Nursing care facility database 112 Resident DB 113 Entrance / exit DB 114 Home DB 115 Medical institution database 116 Entry and exit DB 117 Management DB 1P,2P Program 1A, 2A Recording medium
Claims
1. For a nursing care facility capable of accepting a plurality of types of residents including a first resident according to a first admission mode and a second resident according to a second admission mode, and having a plurality of beds including a bed for the first resident and a bed for the second resident, a reservation table is generated that has a plurality of bed information display areas corresponding to each bed in the nursing care facility and that can accept reservations for beds related to the admission of the first resident and the second resident; Outputting the generated reservation table; Using the output reservation table, information regarding the accepted reservations for the first resident bed and the second resident bed is obtained; outputting a reservation status to each bed information display area in the reservation table according to the acquired reservation information; The reservation table is capable of accepting reservations for admission of the second resident for a vacant slot of a reservation for a bed for the first resident. An information processing method in which processing is performed by a computer.
2. The first resident is a resident of a nursing home for the elderly to receive facility services, and the second resident is a short-stay resident to receive short-term residential services. The information processing method according to claim 1 .
3. A bed information display area corresponding to a bed for the first resident that does not have a vacant slot during a predetermined period in the reservation table is hidden.
3. The information processing method according to claim 1.
4. The information regarding the reservation includes at least one of bed identification information of the bed to be reserved, the name of the resident, the resident status, the admission date, the place of admission, the discharge date, the destination after discharge, the level of care required, the status of pre- and post-admission visit guidance, and the status of pre- and post-discharge visit guidance.
3. The information processing method according to claim 1.
5. At least one of the name, admission date, admission origin, discharge date, and discharge destination of the resident is displayed in association with the reservation table.
3. The information processing method according to claim 1.
6. storing information relating to the plurality of reservations obtained; Deriving a bed occupancy rate for each bed type in the nursing facility based on information related to the plurality of reservations stored.
3. The information processing method according to claim 1.
7. storing information relating to the plurality of reservations obtained; A table showing the number of people entering or leaving the facility for each predetermined period is generated based on the information on the plurality of reservations stored.
3. The information processing method according to claim 1.
8. Using the generated table, the implementation status of pre- and post-admission visit guidance for the inmates or the implementation status of pre- and post-discharge visit guidance for the discharged residents is obtained. The information processing method according to claim 7.
9. storing information relating to the plurality of reservations obtained; Generate a table showing the occupants for each bed by day based on the stored information about the plurality of reservations.
3. The information processing method according to claim 1.
10. storing information relating to the plurality of reservations obtained; Identifying a bed that has availability for a predetermined period or more based on information related to the plurality of reservations stored; Display information regarding availability of the identified bed in association with the reservation table 3. The information processing method according to claim 1.
11. Obtaining bed availability at the nursing facility based on information about the reservation; generating notification information for notifying the user of the available beds in the nursing facility; The generated notification information is transmitted to a medical institution or a home care support facility.
3. The information processing method according to claim 1.
12. storing information relating to the plurality of reservations obtained; Derive information regarding an index for determining an amount of nursing care remuneration based on information regarding the plurality of reservations stored.
3. The information processing method according to claim 1.
13. The information on the index for determining the amount of the nursing care fee includes at least one of the following: bed turnover rate, home return rate, rate of nursing care level 4 or 5, rate of pre- and post-admission home visit guidance, and rate of pre- and post-discharge home visit guidance. The information processing method according to claim 12.
14. storing information relating to the reservations relating to a plurality of reservations; Based on the stored information about the reservations, at least one of the following is calculated: bed occupancy rate, bed turnover rate, return-to-home rate, total number of residents, number of residents by admission origin, total number of residents leaving the facility, number of residents by destination after leaving the facility, and number of users whose reservation status at the nursing facility has been changed from new short-stay users or regular users to admission to a nursing home for the elderly.
3. The information processing method according to claim 1.
15. storing information relating to the reservations relating to a plurality of reservations; Based on the stored information about the reservations, calculate at least one of the bed occupancy rate, bed turnover rate, return-to-home rate, total number of residents, number of residents by admission origin, total number of discharged residents, number of discharged residents by destination after discharge, and the number of users whose reservation status at the nursing facility has been changed from new short-stay users or regular users to admission to a nursing home for the elderly, for each specified period of time at the nursing facility; Generate a list of the calculated values for each predetermined period.
3. The information processing method according to claim 1.
16. storing information about a plurality of reservations, including admission dates and admission origins of the residents associated with the reservations; Identifying a medical institution that is a target of business from among a plurality of medical institutions based on the stored admission date and admission source of each resident and medical institution information related to the medical institution 3. The information processing method according to claim 1.
17. storing information about a plurality of reservations, including the names of residents, their departure dates, and their destinations after departure; Generate a list of residents who have been discharged home based on the stored appointment information.
3. The information processing method according to claim 1.
18. storing information about a plurality of reservations, including the names of residents, their departure dates, and their destinations after departure; Generate a list of residents whose destination after discharge is a medical institution based on the stored reservation information.
3. The information processing method according to claim 1.
19. Generate a list of residents based on information about the reservations for a specific day, the list showing bed identification information for all beds in the nursing facility and residents on the specific day in association with each other.
3. The information processing method according to claim 1.
20. For a nursing care facility capable of accepting a plurality of types of residents including a first resident according to a first admission mode and a second resident according to a second admission mode, and having a plurality of beds including a bed for the first resident and a bed for the second resident, a reservation table is generated that has a plurality of bed information display areas corresponding to each bed in the nursing care facility and that can accept reservations for beds related to the admission of the first resident and the second resident; Outputting the generated reservation table; Using the output reservation table, information regarding the accepted reservations for the first resident bed and the second resident bed is obtained; The reservation status is output to each bed information display area in the reservation table according to the acquired reservation information. A control unit for executing a process, The reservation table is capable of accepting reservations for admission of the second resident for a vacant slot of a reservation for a bed for the first resident. Information processing device.
21. For a nursing care facility capable of accepting a plurality of types of residents including a first resident according to a first admission mode and a second resident according to a second admission mode, and having a plurality of beds including a bed for the first resident and a bed for the second resident, a reservation table is generated that has a plurality of bed information display areas corresponding to each bed in the nursing care facility and that can accept reservations for beds related to the admission of the first resident and the second resident; Outputting the generated reservation table; Using the output reservation table, information regarding the accepted reservations for the first resident bed and the second resident bed is obtained; outputting a reservation status to each bed information display area in the reservation table according to the acquired reservation information; The reservation table is capable of accepting reservations for admission of the second resident for a vacant slot of a reservation for a bed for the first resident. A program that causes a computer to execute a process.
Citation Information
Patent Citations
System for linking business related to care
JP2002163367A
Device for making pickup plan and program therefor
JP2007140793A
Care facility information management system
JP2017157210A
Reservation management system, reservation management method, and program
JP2019082772A
Hotel reservation system, hotel reservation method, hotel reservation program, and computer-readable recording medium
JP2020038515A