Medical and Nursing Care Facility Collaboration System

Abstract

Provided is a system for sharing information on residents of a nursing facility among medical institutions such as hospitals and the staff of a group of nursing facilities that cooperate with such medical institutions. 【Solution means】A network for information sharing is constructed between a medical institution and a group of nursing facilities. Through the network, information necessary for the patient's recuperation is shared in advance, consultations between the staff of the medical institution and the staff of the nursing facility regarding changes in the condition of the resident are enabled via the network, the psychological burden on the nurses is reduced, and for residents at risk of deterioration, examinations and treatments are promptly carried out to prevent deterioration. A medical and nursing facility cooperation system, comprising: a facility registration means for registering the names of the medical institution and the nursing facility; a staff-in-charge registration means for each facility for registering the staff in charge for each facility; and a message time-series display means for displaying the transmission and reception of messages between the staff in charge of the medical institution and the staff in charge of the nursing facility in chronological order.

Description

Technical Field

[0001] The present invention relates to a system for sharing information of residents in nursing facilities among medical institutions such as hospitals and staff of a group of nursing facilities collaborating with such medical institutions.

Background Art

[0002] Conventionally, in nursing facilities that accommodate the elderly in need of care (care recipients), there were many relatively healthy elderly people, and the number of elderly people in need of medical treatment was limited. However, due to the progress of aging, the number of care recipients in need of medical treatment has increased rapidly. For this reason, it has become increasingly necessary for nursing facilities to enable mild medical procedures and at the same time to detect early elderly people at risk of deterioration and connect them to early treatment at medical institutions. The following are prior art documents related to this application.

Prior Art Documents

Patent Documents

[0003]

Patent Document 1

Patent Document 2

Patent Document 3

Summary of the Invention

Problems to be Solved by the Invention

[0004] Conventionally, when there was a resident in poor condition in a nursing facility, the facility's commissioned doctor or attending doctor was contacted, and a home visit was requested if necessary. However, neither the commissioned doctor nor the attending doctor is full-time, and usually examines outpatients at a clinic or the like. For this reason, for example, if a resident in poor condition is contacted at around 10 am on Monday, it is difficult to immediately interrupt the outpatient clinic for immediate response, and it is normal to visit the resident in the afternoon or evening. During this period, the patient's condition progresses, and in some cases, emergency hospitalization is required. Furthermore, the number of hospitals that can accept emergency hospitalization is limited, and the destination of hospitalization is undecided, sometimes resulting in the "shifting around" of emergency patients.

[0005] In recent years, the number of elderly people requiring care has increased rapidly, and among them, those who need emergency medical treatment such as fractures and pneumonia are increasing, especially among the care recipients in nursing facilities. However, there is no resident doctor in the nursing facility, and in most cases, there is no nurse or there is only a nurse during the daytime. Since the care of the residents is the main focus and there are many nursing care workers who do not necessarily have extensive medical knowledge, they will be confused when the condition of the residents worsens. Especially at night, there are few nursing care workers on duty, so the psychological stress is also great, which is one of the major factors contributing to resignation. For medical institutions that accept emergency patients, it is difficult to make an immediate judgment on whether they can provide treatment because they do not know the patient's usual condition. Even if they accept the patient, they first need to find out information necessary for treatment and hospitalization, such as the disease being treated, the medications being taken, the past medical history, the presence or absence of allergies, the degree of dementia, and the amount of assistance required in daily life. Currently, it takes time until the start of treatment.

[0006] The present invention has been made to solve such conventional problems, and its object is to build a network for information sharing between medical institutions and a group of nursing facilities, share in advance the information necessary for the patient's recuperation within the network, enable consultations between the staff of medical institutions and the staff of nursing facilities via the network regarding changes in the condition of the residents, thereby reducing the psychological burden on nursing care workers, and promptly performing examinations and treatments on residents at risk of deterioration to prevent deterioration.

Means for Solving the Problem

[0007] In the medical and nursing facility cooperation system according to claim 1, as a means for achieving the above object, (1) A facility registration means for registering the names of medical institutions and nursing care facilities; (2) The above Medical institutions and care facilities A facility-specific staff registration method for registering staff in charge of each facility; (3) Equipped with a facility-specific resident registration means for registering residents for each facility; (4) A means for registering attributes of each resident is provided, The system is characterized by being equipped with a chronological message display means for each resident which displays messages sent and received between the staff of the medical institution and the staff of the nursing facility regarding each resident in chronological order for each resident.

[0010] In the medical and care facility cooperation system according to claim 2, in the medical and care facility cooperation system according to claim 1 The medical and nursing care facility collaboration system is characterized by having at least one of a message chronological display means for each resident and an attribute registration means for each resident, and an electronic medical record information sharing means for sharing information between the electronic medical record system within the medical institution.

[0011] In the medical and care facility cooperation system according to claim 3, in the medical and care facility cooperation system according to any one of claims 1 to 2 The message chronological display means or the message chronological display means for each resident is characterized in that it is provided with a new message arrival alarm generating means for generating a new message arrival alarm to the medical institution staff and the nursing facility staff of the facility when a new message is created.

[0012] In the medical and care facility cooperation system according to claim 4, in the medical and care facility cooperation system according to claim 3 The new message arrival alarm generating means is characterized by comprising a response-completed display means for displaying, when the medical institution staff has finished responding to the message, that the message has been responded to. Effect of the Invention

[0013] In the medical and nursing care facility cooperation system according to claim 1, (1) facility registration means for registering the names of medical institutions and nursing care facilities, (2) staff-in-charge registration means for each facility for registering the staff in charge of each facility, and message time-series display means for displaying the transmission and reception of messages between the staff in charge of the medical institution and the staff in charge of the nursing care facility in chronological order are provided. Therefore, an information sharing network is constructed between the medical institution and a group of nursing care facilities, and information necessary for the convalescence of patients can be shared in chronological order.

[0014] As described in claim 1 In the medical and nursing care facility cooperation system of, since it is provided with resident registration means, residents of each facility are registered. Since it is provided with message time-series display means for each resident, the transmission and reception of messages between the staff in charge of the medical institution and the staff in charge of the nursing care facility regarding the resident are displayed in chronological order for each resident.

[0015] As described in claim 1 In the medical and nursing care facility cooperation system of, since it is provided with attribute registration means for each resident, the attributes of the residents are recorded.

[0016] As described in claim 2 In the medical and nursing care facility cooperation system of, since it is provided with electronic medical record information sharing means, information is shared between at least any one of the message time-series display means for each resident and the attribute registration means for each resident and the electronic medical record system in the medical institution.

[0017] As described in claim 3 In the medical and nursing care facility cooperation system of, since it is provided with new message arrival alarm generation means, when a new message is created, a new message arrival alarm is generated for the staff in charge of the medical institution and the staff in charge of the nursing care facility of the facility.

[0018] As described in claim 4 In the medical and nursing care facility cooperation system of, since it is provided with already-handled display means, when the staff in charge of the medical institution has completed handling in the new message arrival alarm generation means, it is displayed that the message has been handled.

Brief Description of the Drawings

[0019]

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Embodiments for Carrying Out the Invention

[0020] FIG. 1 is the overall configuration diagram of the present invention. In order to cooperate medical institutions and nursing care institutions scattered in the region, the medical and nursing care cooperation system is constructed on the cloud. Many companies such as Amazon and Microsoft have data centers consisting of huge server groups and provide cloud services. Any cloud service may be used. Login to the medical and nursing care cooperation system of the present invention may be performed using a pre-registered ID and password, or via SNS (Social networking service, for example, LINE: a registered trademark of LINE Yahoo! Corporation). The accumulated data is separately backed up in the cloud to prepare for data damage due to accidents such as disasters or hacking.

[0021] Inside the medical institution, an electronic medical record server and a group of PC terminals for operating and recording electronic medical records are connected by a LAN (local area network). The LAN is connected to the Internet via a router. The staff in the medical institution may log in to the medical and nursing care cooperation system of the present invention via the in-hospital PC, or may log in from a mobile terminal such as a smartphone. If necessary, the patient information recorded in the electronic medical record may be transmitted to the medical and nursing care cooperation system, or conversely, the record of the patient in the medical and nursing care cooperation system may be recorded in the electronic medical record. In the nursing facility, if there is a network of a PC connected to the Internet in the facility, it may log in via the PC, or the in-charge nursing staff may directly log in from a mobile terminal such as a smartphone. In FIG. 1, a server such as an electronic medical record is constructed in the facility, and a medical and nursing care cooperation system is constructed in the cloud. However, depending on the situation, part or all of them may be constructed in the cloud or in the facility.

[0022] FIG. 2 is an example of the registration content in the facility registration means. Facility # is a reference number in the medical and nursing care cooperation system of the present invention. The attributes are the number of occupants, the type of medical / nursing facility, etc. The registration of the facility needs to be carried out based on an official cooperation agreement between medical institutions and nursing facilities. Also, accidental deletion will cause great obstacles. Therefore, it would be appropriate for the system administrator of the medical and nursing care cooperation system with privileges to perform the facility registration of the medical and nursing care cooperation system of the present invention.

[0023] FIG. 3 is an example of the registration content of the in-charge staff of medical institutions and nursing facilities in the staff registration means. Staff ID # is the reference number of the in-charge staff in the medical and nursing care cooperation system of the present invention. Register the name, affiliated facility # (facility # in FIG. 2), occupation such as a nurse or a caregiver, password, and SNS-ID when logging in with SNS. The staff ID# and the initial password are registered by the system administrator of the medical and nursing care cooperation system in response to requests from the persons in charge of each facility, after confirming with the facility administrator whether the person is a real person or not by using a combination of analog methods such as telephone, fax, and written documents, etc., so as to prevent impersonation. After that, the registered facility staff changes the initial password to the password actually used. In order to prevent leakage, the password actually used should be made invisible to the system administrator with privileges as shown in Figure 3. The above operations may be appropriately relaxed according to the trust relationship.

[0024] If it is troublesome to input the facility staff ID# and password with a smartphone, the QR code of the medical and nursing care cooperation system of the present invention can be read on SNS, a friend request can be sent, and the obtained SNS-ID can be authenticated and registered with the approved and registered facility staff ID# and password in the procedure in the staff registration means. In this way, by simply tapping the SNS friend account, the SNS-ID is matched with the registration content of the staff registration means in the staff registration means of the medical and nursing care cooperation system of the present invention, and the facility staff having the corresponding SNS-ID is identified.

[0025] In SNS, there is a concern about information leakage these days, and it is not recommended to post personal information such as that of residents on SNS. In the present invention, SNS is only used for access to the medical and nursing care cooperation system of the staff of medical facilities and nursing facilities, and is connected to the login of the medical and nursing care cooperation system via an API (Application Programming Interface). Since all inputs and references to the medical and nursing care cooperation system are performed within the medical and nursing care cooperation system separated from SNS, there is no risk of leakage of resident information. In addition, it is possible for medical staff to contact care facility staff individually in a one-to-one manner via the SNS ID. However, the responses for this are not shared with other staff, and since there is a risk of leakage if the content includes personal information, it cannot be said to be preferable.

[0026] Figure 4 is an example of the registration content of the resident registration means. The facility staff of each facility registers the resident information of the facility. Since the affiliated facility of the facility staff is specified by the staff registration means in Figure 3, registration and deletion due to admission and discharge can be performed only for the residents of the said facility. Here, registration is performed for common attributes such as name, date of birth, gender, etc. that do not change for the residents. Regarding the individual attributes of the residents, since they are constantly changing, the facility staff of the said facility separately registers the latest situation as the resident attributes. If there are few residents, it is possible not to perform resident registration and to send messages to all residents collectively, but since it is easy to cause confusion, it is a more desirable form to perform resident registration individually, perform resident registration, register the resident attributes described later, and send and receive messages for each resident.

[0027] Figure 5 is an example of resident attributes. The resident registration # is a sequential number including all facilities assigned each time a new registration is made in the medical and care cooperation system. Considering the point of reuse of information, a sequential number including all facilities is preferable, but in some cases, the facility # + room number, etc. may also be used. As long as the resident can be uniquely identified. Examples of the attributes of the residents include height, weight, list of diseases under treatment, list of drugs being taken, allergies, diet form, etc. In addition, there are the assistance status in daily life, care certification and physical disability certification, cost sharing ratio, family address, contact information such as phone number, etc. When hospitalization is required due to poor physical condition, it is necessary to transfer the attributes of the said resident to the medical institution. Conventionally, the facility staff of the nursing facility and the medical staff of the medical institution have been conducting handover work over several tens of minutes each time. However, if the attributes of the residents are registered in advance, this handover work becomes unnecessary, enabling smooth emergency transportation and allowing the medical institution to make acceptance preparations before arrival. Furthermore, if the resident attributes can be transferred to the electronic medical record system of the medical institution, the transcription work at the time of admission can be omitted (electronic medical record information sharing means). Although it is desirable to input text in a common format among nursing facilities, in a nursing facility that only has a smartphone as a means of correspondence, the resident attributes written on a paper in the common format may be photographed with the smartphone camera and an image may be attached.

[0028] Figure 6 is a screen of the medical and nursing care facility cooperation system as seen by the medical facility staff. A list of the nursing facilities in cooperation, including one's own medical institution, is displayed. The display content at one's own medical institution is also disclosed to the facility staff of all the nursing facilities in cooperation. Therefore, it is useful as a common communication means for the group of nursing facilities in cooperation. When there is a message input from the facility staff, an <unread> mark is attached to the corresponding nursing facility. When the medical facility staff clicks on the facility, a list of residents is displayed, and an <unread> mark is attached to the resident with a new message input. When clicking on the resident, the message input by the facility staff is displayed (new message arrival alarm generation means). The responses of the medical facility staff and the nursing facility staff are displayed in chronological order (message chronological display means for each resident).

[0029] In Figure 6, the display positions of the nursing facilities and residents are fixed, but it may also be useful to display the nursing facilities and residents with <unread> marks at the top. There is also a method of changing the displayed color, font, etc. instead of the <unread> mark. When multiple medical institution staff are on duty, if a response has already been made to a new message, by displaying a <Responded> flag, other staff will no longer need to respond to that message in the future (Responded Display Means). In addition, if the content of the message time-series display means for each resident can be transferred to the article related to the patient ID of the resident in the electronic medical record system of the medical institution, the task of transcribing the progress article at the time of admission can be omitted (Electronic Medical Record Information Sharing Means).

[0030] Figure 7 is a screen of the medical and nursing care facility cooperation system as seen by the nursing care facility staff. A list of the residents of the medical institution and one's own nursing care facility is displayed. Naturally, other nursing care facilities are not displayed. When there is an input of a message from the medical facility staff, a <Unread> mark is attached to the resident for whom the new message has been input. When clicking on the resident, the message input by the medical facility staff is displayed. The responses of the medical facility staff and the nursing care facility staff are displayed in chronological order (Message Time-Series Display Means for Each Resident). In Figure 7, the display position of the resident is fixed, but it may also be useful to display the residents with <Unread> marks at the top. In addition, there is also a method of changing the displayed color, font, etc. instead of the <Unread> mark. Note that, instead of the message time-series display means for each resident, a message time-series display means targeting all the residents within the facility collectively may be possible in a small-scale nursing care facility, but it may not be efficient in facilities of a certain scale or more.

[0031] The above has described the embodiments, but the specific configuration of the present invention is not limited to the above embodiments, and design changes and the like within the scope not departing from the gist of the invention are also included in the present invention. For example, although a single medical institution is exemplified, a plurality of medical institutions may operate in parallel. In some cases, it may also be useful to disclose the attributes of the resident to the emergency team of the fire department.

Claims

1. In a medical and nursing care facility cooperation system, (1) Facility registration means for registering the names of medical institutions and nursing care facilities, (2) Staff-in-charge registration means for each facility for registering the staff in charge of each of the medical institution and the nursing care facility, (3) Resident registration means for each facility for registering residents for each facility, (4) Attribute registration means for each resident for registering the attributes of the resident, A medical and nursing care facility cooperation system characterized by comprising message time-series display means for each resident that displays the transmission and reception of messages between the staff in charge of the medical institution and the staff in charge of the nursing care facility regarding the resident in chronological order for each resident.

2. The medical and nursing care facility cooperation system according to claim 1, characterized by comprising electronic medical record information sharing means for sharing information between at least any one of the message time-series display means for each resident and the attribute registration means for each resident and an electronic medical record system within a medical institution.

3. In the message time-series display means or the message time-series display means for each resident, when a new message is created, new message arrival alarm generation means for generating a new message arrival alarm for the staff in charge of the medical institution and the staff in charge of the nursing care facility of the facility is provided. The medical and nursing care facility cooperation system according to any one of claims 1 to 2.

4. The medical and nursing care facility cooperation system according to claim 3, characterized in that the new message arrival alarm generation means is provided with corresponding display means for displaying that the message has been dealt with when the staff in charge of the medical institution has dealt with the message.

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