Method, Program, and Information Processing Apparatus

Abstract

Improve the technology for supporting ward management in medical institutions. 【Solution means】A method executed by an information processing device 20 that communicates with a terminal device 10, including: a step of acquiring first information of a patient; a step of updating second information of the patient daily based on the first information; and a step of causing the terminal device 10 to display a screen 40 by sending a display instruction for the screen 40 including the second information of the patient to the terminal device 10 in response to a request from the terminal device 10. The first information includes information indicating a first ward in which the patient is hospitalized. The second information includes information regarding a first hospitalization category corresponding to the first ward and information regarding one or more second hospitalization categories respectively corresponding to one or more second wards that are candidates for the patient's transfer destination.

Description

Technical Field

[0001] The present disclosure relates to a method, a program, and an information processing apparatus.

Background Art

[0002] Conventionally, technologies for supporting hospital bed management in medical institutions such as hospitals have been known. For example, Patent Document 1 discloses displaying a simulation screen including a list of patients scheduled for admission and a bed map showing the status of all beds on an electronic terminal, performing provisional input of patient admission / transfer / bed transfer / discharge on the bed map, and performing a simulation up to a date a certain period ahead.

Prior Art Documents

Patent Documents

[0003]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0004] In hospital bed management operations, it is necessary to consider various factors such as not only the availability of beds in each ward but also, for example, the medical treatment reimbursement points for each type of hospitalization. In this regard, in the above-described conventional technology, in order to perform a simulation, a user such as a medical staff needs to input provisional schedules for patient admission and transfer. However, for a user who is not familiar with hospital bed management operations, for example, in order to obtain an appropriate simulation result, the user has to input provisional schedules many times while changing the conditions, which is cumbersome. Therefore, there has been room for improvement in technologies for supporting hospital bed management in medical institutions.

[0005] An object of the present disclosure made in view of such circumstances is to improve technologies for supporting hospital bed management in medical institutions.

Means for Solving the Problems

[0006] The method according to an embodiment of the present disclosure is a method executed by an information processing apparatus that communicates with a terminal device, comprising the steps of: obtaining first information of a patient; updating second information of the patient daily based on the first information; causing the terminal device to display a screen including the second information of the patient by transmitting a display instruction for the screen to the terminal device in response to a request from the terminal device; and the first information includes information indicating a first ward in which the patient is hospitalized, and the second information includes information regarding a first hospitalization category corresponding to the first ward and information regarding one or more second hospitalization categories respectively corresponding to one or more second wards that are candidates for the transfer destination of the patient.

[0007] A program according to an embodiment of the present disclosure is a program that causes an information processing apparatus that communicates with a terminal device to execute operations including: obtaining first information of a patient; updating second information of the patient daily based on the first information; causing the terminal device to display a screen including the second information of the patient by transmitting a display instruction for the screen to the terminal device in response to a request from the terminal device; and the first information includes information indicating a first ward in which the patient is hospitalized, and the second information includes information regarding a first hospitalization category corresponding to the first ward and information regarding one or more second hospitalization categories respectively corresponding to one or more second wards that are candidates for the transfer destination of the patient.

[0008] An information processing method according to an embodiment of the present disclosure is an information processing apparatus including a communication unit that communicates with a terminal device and a control unit, wherein the control unit obtains first information of a patient, Based on the first information, update the second information of the patient daily. In response to a request from the terminal device, by sending a display instruction for a screen including the second information of the patient to the terminal device, cause the screen to be displayed on the terminal device. The first information includes information indicating the first ward where the patient is hospitalized. The second information includes information regarding a first hospitalization classification corresponding to the first ward and information regarding one or more second hospitalization classifications respectively corresponding to one or more second wards that are candidates for the transfer destination of the patient.

Advantages of the Invention

[0009] According to an embodiment of the present disclosure, the technology for assisting in ward management in a medical institution is improved.

Brief Description of the Drawings

[0010]

Figure 1

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Modes for Carrying Out the Invention

[0011] Hereinafter, embodiments of the present disclosure will be described.

[0012] (Overview of the Embodiment) Referring to FIG. 1, the outline of the system 1 according to an embodiment of the present disclosure will be described. The system 1 includes one or more terminal devices 10 and an information processing device 20. Each terminal device 10 and the information processing device 20 can communicate with each other via a network 30 such as the Internet, for example. The system 1 may constitute at least a part of an electronic medical record system and a medical affairs system used in a medical institution. Alternatively, the system 1 may be able to cooperate by communicating with an electronic medical record system and a medical affairs system via the network 30.

[0013] The terminal device 10 is a computer such as a PC (Personal Computer), a mobile phone, a smartphone, a tablet terminal, or a handy terminal, for example. In the present embodiment, the terminal device 10 is used by medical staff working in a medical institution. The terminal device 10 may exchange information with the information processing device 20 via, for example, a browser or a dedicated application.

[0014] The information processing device 20 includes one or a plurality of computers capable of communicating with each other. The information processing device 20 may be, for example, a cloud-type or on-premises-type server. In the present embodiment, the information processing device 20 provides information for assisting in ward management operations as described later in response to a request from the terminal device 10.

[0015] In this embodiment, the medical institution is, for example, a hospital having a plurality of wards such as a ward subject to the DPC system, a regional comprehensive care ward, and a convalescent rehabilitation ward. However, the medical institution is not limited to these examples, and may be any medical institution capable of admitting inpatients. In this embodiment, it will be described that one inpatient category is associated with each ward in advance, but a plurality of inpatient categories may be associated with one ward in advance. The inpatient category means, for example, the category described in "Medical Fee Schedule, Separate Schedule 1, Medical Fee Schedule for Medical Treatment, Chapter 1, Part 2, Inpatient Fees, etc. (Ministry of Health, Labour and Welfare Notification No. 57 of 2024)", and the medical fee points are determined for each inpatient category. For example, 1,688 points are determined for the inpatient category of "General Acute Inpatient Fee 1". Also, for example, 2,229 points are determined for the inpatient category of "Convalescent Rehabilitation Ward Inpatient Fee 1". However, the inpatient category is not limited to these examples, and may be any category for which medical fee points are determined.

[0016] First, the outline of this embodiment will be described, and the details will be described later. The information processing device 20 according to this embodiment acquires the first information of the patient. Based on the first information, the information processing device 20 updates the second information of the patient daily. In response to a request from the terminal device 10, the information processing device 20 transmits an instruction to display a screen including the second information of the patient to the terminal device 10, thereby causing the terminal device 10 to display the screen. Here, the first information includes information indicating the first ward in which the patient is hospitalized. The second information includes information indicating the first inpatient category corresponding to the first ward and information indicating one or more second inpatient categories corresponding to one or more second wards that are candidates for the patient's transfer destination.

[0017] According to this embodiment, second information including information regarding the first hospitalization category corresponding to the first ward where the patient is hospitalized and information regarding the second hospitalization category corresponding to the second ward which is a candidate for transfer is displayed on the screen of the terminal device 10. By visually recognizing the screen of the terminal device 10, the user can compare the information regarding the first hospitalization category and the second hospitalization category. For this reason, for example, when the medical fee points of the second hospitalization category are higher than those of the first hospitalization category, the user may consider transferring the patient from the first ward to the second ward. Therefore, according to this embodiment, for example, even a user who is not familiar with the hospital bed management work can determine the necessity of transferring the patient based on the comparison of the information regarding the first hospitalization category and the second hospitalization category, and the technology for supporting the hospital bed management in the medical institution is improved.

[0018] (Configuration of Information Processing Apparatus) With reference to FIG. 2, each component included in the information processing apparatus 20 will be described. The information processing apparatus 20 includes a communication unit 21, a storage unit 22, and a control unit 23.

[0019] The communication unit 21 includes one or more communication interfaces connected to the network 30. The communication interface corresponds to, for example, a mobile communication standard such as 4G (4th Generation) or 5G (5th Generation), a wired LAN (Local Area Network) standard, or a wireless LAN standard, but is not limited thereto and may correspond to any communication standard.

[0020] The storage unit 22 includes one or more memories. The memory is, for example, a semiconductor memory, a magnetic memory, or an optical memory, etc., but is not limited thereto. Each memory included in the storage unit 22 may function as, for example, a main storage device, an auxiliary storage device, or a cache memory. The storage unit 22 stores any information used for the operation of the information processing apparatus 20. For example, the storage unit 22 may store a system program, an application program, embedded software, a database, etc.

[0021] The control unit 23 includes one or more processors, one or more programmable circuits, one or more dedicated circuits, or a combination thereof. The processor is, for example, a general-purpose processor such as a CPU (Central Processing Unit) or a GPU (Graphics Processing Unit), or a dedicated processor specialized for specific processing, but is not limited thereto. The programmable circuit is, for example, an FPGA (Field-Programmable Gate Array), but is not limited thereto. The dedicated circuit is, for example, an ASIC (Application Specific Integrated Circuit), but is not limited thereto. The control unit 23 controls the operation of the entire information processing apparatus 20.

[0022] (Operation of the information processing apparatus) With reference to FIGS. 3 and 4, the first operation and the second operation of the information processing apparatus 20 will be described. The first operation and the second operation may be executed in parallel, respectively.

[0023] The first operation shown in FIG. 3 is, generally speaking, an operation of acquiring first information of a patient and updating second information. The first operation is performed for each patient accepted by the medical institution.

[0024] Step S100: The control unit 23 of the information processing apparatus 20 determines whether the first information of the patient has been input. If it is determined that the first information has been input (Step S100 - Yes), the process proceeds to Step S101. On the other hand, if it is determined that the first information has not been input (Step S100 - No), the process proceeds to Step S102.

[0025] "First Information" is any information used to update the Second Information of a patient, which will be described later. Typically, the First Information is information about a patient to be registered in System 1, and requires an input operation by a medical staff member for registration or modification in System 1. Specifically, the First Information includes, but is not limited to, information such as the patient's ID, name, age, gender, date of birth, presence or absence of related family members, degree of care, previous visit date, last insurance confirmation date, admission date, previous admission date, ward, room, department, and attending physician. For example, information indicating a diagnostic group classification based on the disease name, disease condition, treatment content, or a combination thereof, and information indicating the medical acts performed on the patient on the same day or the previous day and the criteria selected according to the patient's condition may also be included in the First Information.

[0026] Any method can be adopted to obtain the First Information. For example, when a user inputs the First Information of a patient into the terminal device 10, the terminal device 10 may transmit the First Information to the information processing device 20. The First Information may also be transmitted to the information processing device 20 via an electronic medical record system or a medical affairs system used in a medical institution. When the control unit 23 of the information processing device 20 receives the First Information of the patient, it may determine that the First Information has been input. Alternatively, the control unit 23 may receive the First Information from an electronic medical record system and / or a medical affairs system used in a medical institution.

[0027] Step S101: When it is determined in step S100 that the First Information has been input (step S100 - Yes), the control unit 23 acquires the First Information.

[0028] Specifically, the control unit 23 acquires the First Information by receiving it from the terminal device 10, the electronic medical record system, or the medical affairs system, and stores it in the storage unit 22.

[0029] Step S102: The control unit 23 determines whether or not 24 hours (one day) have elapsed. If it is determined that one day has elapsed (Step S102 - Yes), the process proceeds to Step S103. On the other hand, if it is determined that one day has not elapsed (Step S102 - No), the process returns to Step S100.

[0030] Specifically, when the predetermined time arrives, the control unit 23 determines that one day has elapsed. The predetermined time is, for example, 0:00, but is not limited thereto, and may be arbitrarily determined by the medical institution.

[0031] Step S103: If it is determined in Step S102 that one day has elapsed (Step S102 - Yes), the control unit 23 updates the second information of the patient. Thereafter, the process returns to Step S100.

[0032] The "second information" is any information updated based on the above-described first information. Note that "update" is not limited to automatically overwriting old information with new information, and may include automatically storing new information while leaving the old information, or automatically calculating, determining, or specifying information. Specifically, the second information may include, for example, but is not limited to, the following information. · Information regarding the first hospitalization category corresponding to the first ward where the patient is hospitalized · Information regarding one or more second wards that are candidates for transfer from the first ward, and one or more second hospitalization categories corresponding to each of the one or more second wards · The daily nursing requirement calculated based on the medical actions performed on the patient and the criteria selected according to the patient's condition · History information indicating whether or not the nursing requirement is equal to or greater than the reference value for each day in the past predetermined period · DPC information indicating the medical treatment payment points, the deadline, the remaining days until the deadline, or a combination thereof corresponding to each of a plurality of hospitalization stages according to the patient's diagnostic group classification · Information indicating the number of days elapsed since the patient was admitted to the first ward, and whether or not the number of days elapsed is equal to or less than a threshold value (for example, 7 days)

[0033] The second operation shown in FIG. 4 is, generally speaking, an operation of causing the terminal device 10 to display a screen including the second information of the patient in response to a request from the terminal device 10. In the present embodiment, as will be described later, the screen includes both the first information and the second information of the patient.

[0034] Step S200: The control unit 23 of the information processing device 20 determines whether or not a request has been received from the terminal device 10. If it is determined that a request has been received (step S200 - Yes), the process proceeds to step S201. On the other hand, if it is determined that no request has been received (step S200 - No), the process repeats step S200 and waits for a request from the terminal device 10.

[0035] For example, when the user uses the terminal device 10 to input the ID of the patient whose information the user wants to view, the terminal device 10 transmits a request to acquire the information of the patient to the information processing device 20. Then, the control unit 23 of the information processing device 20 receives the request.

[0036] Step S201: If it is determined in step S200 that a request has been received (step S200 - Yes), the control unit 23 causes the terminal device 10 to display the screen by transmitting an instruction to display the screen including the second information of the patient to the terminal device 10.

[0037] Here, with reference to FIGS. 5 to 7, a specific example of the screen 40 displayed on the terminal device 10 will be described.

[0038] The screen 40 illustrated in FIG. 5 has a patient information display area 41, a hospitalization information display area 42, and a hospitalization history display area 43.

[0039] The patient information display area 41 mainly displays the first information of the patient. In the example shown in FIG. 5, the patient information display area 41 displays the patient's name, age, gender, date of birth, presence or absence of related family members, degree of care, date of the previous visit, and date of the last insurance confirmation. These pieces of information are included in the first information described above.

[0040] In addition, a label 411 may be displayed in the patient information display area 41. The label 411 displays the medical treatment status, admission date, previous admission date, ward, department, and attending physician. Among these pieces of information, the information other than the medical treatment status is included in the above-described first information. The medical treatment status includes, for example, information indicating the ward in which the patient is hospitalized or information indicating that the patient is receiving medical treatment in the outpatient department, but is not limited thereto. For example, the medical treatment status may further include, among the above-described second information, "information indicating the number of days elapsed since the patient was admitted to the first ward and whether or not the number of elapsed days is equal to or less than a threshold value (for example, 7 days)". Here, the control unit 23 of the information processing apparatus 20 may display the label 411 in different forms (color, shape, size, etc.) for each medical treatment status.

[0041] In the admission information display area 42, mainly the second information of the patient is displayed. In the example shown in FIG. 5, in the admission information display area 42, among the above-described second information, "information regarding the first admission category corresponding to the first ward in which the patient is hospitalized" (corresponding to "the current admission category of the patient" in the figure), and "information regarding one or more second admission categories each corresponding to one or more second wards that are candidates for the transfer destination from the first ward" (corresponding to "the admission category of the transfer destination candidate" in the figure) are displayed. Note that the "information regarding the admission category" may include the name of the admission category, the number of medical treatment reimbursement points, the number of elapsed days, the remaining number of days until the upper limit of the admission days, or a combination thereof. In one example, when the first admission category is any category corresponding to the basic acute general admission fee (for example, "acute general admission fee 1", etc.), the control unit 23 of the information processing apparatus 20 may specify, as the second admission category, any category corresponding to the basic regional general admission fee (for example, "regional general admission fee 1", etc.) and / or any category corresponding to the recovery rehabilitation ward admission fee (for example, "recovery rehabilitation ward admission fee 1", etc.). However, the determination of the second ward (and the second admission category) is not limited to this example, and any method can be adopted.

[0042] In addition, DPC information 421 and history information 422 of the degree of nursing care required may be displayed in the admission information display area 42.

[0043] The DPC information 421 is displayed when the DPC system is applicable (specifically, when the patient's diagnostic group classification is subject to the DPC system and the first ward where the patient is hospitalized is a ward subject to the DPC system). The DPC information 421 corresponds to the "DPC information indicating the medical treatment payment points, the deadline, the remaining days until the deadline, or a combination thereof corresponding to each of a plurality of hospitalization stages according to the patient's diagnostic group classification" among the above-described second information. In the example shown in FIG. 6, the DPC information 421 is displayed in a table format where each row indicates a hospitalization stage ("hospitalization period I", "hospitalization period II", and "hospitalization period III") and each column indicates the medical treatment payment points, the deadline, and the remaining days until the deadline. Here, the control unit 23 of the information processing apparatus 20 may perform highlighting by comparing the row indicating the hospitalization stage to which the patient currently belongs among the plurality of hospitalization stages with other rows. Further, the control unit 23 may further display information indicating that the DPC system is applicable and the medical treatment payment points at a position on the screen 40 different from the DPC information 421 displayed in the table format. However, the display mode of the DPC information 421 is not limited to this example and can be arbitrarily determined.

[0044] The history information 422 of the nursing care necessity shown in FIG. 5 corresponds to the "history information showing whether or not the nursing care necessity is equal to or higher than a reference value for each day in a past predetermined period" among the above-described second information. In the example shown in FIG. 7, the history information 422 of the nursing care necessity is displayed in a table format in which the first to third rows indicate items ("Item A", "Item B", and "Item C"), the fourth row indicates whether or not the nursing care necessity is equal to or higher than the reference value ("Target" in the figure) or not ("Excluded from Target" in the figure), and each column indicates the nursing care necessity for each day in the most recent five days. Here, the control unit 23 of the information processing apparatus 20 may perform highlighting by comparing each column in which the nursing care necessity is less than the reference value (each column in which the fourth row in the figure is "Excluded from Target") with other columns. However, the display mode of the history information 422 of the nursing care necessity is not limited to this example and can be arbitrarily determined. Further, regarding the above-described three items A to C, for example, the scores of items A and C are determined according to the "medical acts performed on the patient" shown in the first information, and the score of item B is determined according to the "criteria selected according to the patient's condition" shown in the first information, but the calculation method of the scores of each item is not limited to this example.

[0045] In the hospitalization history display area 43 shown in FIG. 5, the past hospitalization history of the patient is displayed in a list. In the example shown in FIG. 5, the hospitalization history display area 43 displays the ward name where the patient was hospitalized in the past, the hospitalization classification name, the hospitalization period, the number of hospitalization days, the DPC hospitalization history (for example, the end date of each hospitalization stage, etc.), and the main disease name. However, the information displayed in the hospitalization history display area 43 and its display mode are not limited to this example and can be arbitrarily determined.

[0046] As described above, the information processing apparatus 20 according to the present embodiment acquires first information of a patient. The information processing apparatus 20 updates second information of the patient daily based on the first information. The information processing apparatus 20 causes the terminal device 10 to display the screen by transmitting a display instruction of the screen including the second information of the patient to the terminal device 10 in response to a request from the terminal device 10. Here, the first information includes information indicating the first ward in which the patient is hospitalized. The second information includes information indicating the first hospitalization category corresponding to the first ward and information indicating one or more second hospitalization categories respectively corresponding to one or more second wards that are candidates for the transfer destination of the patient.

[0047] According to such a configuration, the user can compare the information regarding the first hospitalization category and the second hospitalization category by visually recognizing the screen of the terminal device 10. For this reason, for example, when the medical fee points of the second hospitalization category are higher than those of the first hospitalization category, the user may consider transferring the patient from the first ward to the second ward. Therefore, according to the present embodiment, even a user who is not familiar with the hospital bed management work, for example, can determine the necessity of transferring the patient based on the comparison of the information regarding the first hospitalization category and the second hospitalization category, and the technology for supporting the hospital bed management in a medical institution is improved.

[0048] Although the present disclosure has been described based on the drawings and examples, it should be noted that those skilled in the art may make various modifications and alterations based on the present disclosure. Therefore, it should be noted that these modifications and alterations are included in the scope of the present disclosure. For example, the functions included in each component or each step, etc. can be rearranged so as not to be logically inconsistent, and a plurality of components or steps, etc. can be combined into one or divided.

[0049] For example, in the above-described embodiment, an embodiment in which the configuration and operation of the information processing apparatus 20 are distributed to a plurality of computers capable of communicating with each other is also possible.

[0050] Also, for example, an embodiment in which a general-purpose computer functions as the information processing apparatus 20 according to the above-described embodiment is also possible. Specifically, a program describing the processing content for realizing each function of the information processing apparatus 20 according to the above-described embodiment is stored in the memory of a general-purpose computer, and the program is read out and executed by a processor. Therefore, the present disclosure can also be realized as a program executable by a processor or a non-temporary computer-readable medium storing the program.

Explanation of Signs

[0051] 1 System 10 Terminal Device 20 Information Processing Apparatus 21 Communication Unit 22 Storage Unit 23 Control Unit 30 Network 40 Screen 41 Patient Information Display Area 411 Label 42 Admission Information Display Area 421 DPC Information 422 History Information of Nursing Requirement 43 Admission History Display Area

Claims

1. A method executed by an information processing device that communicates with a terminal device, comprising: obtaining first information of a patient; updating second information of the patient daily based on the first information; displaying, on the terminal device, a screen including the second information of the patient by sending a display instruction for the screen to the terminal device in response to a request from the terminal device; wherein the first information includes information indicating a first ward in which the patient is hospitalized; the second information includes information regarding a first hospitalization classification corresponding to the first ward and information regarding one or more second hospitalization classifications respectively corresponding to one or more second wards that are candidates for the patient's transfer ward.

2. The method according to claim 1, wherein the information regarding the hospitalization classification includes information indicating the name of the hospitalization classification, the number of medical treatment reimbursement points, the number of elapsed days, the remaining days until the upper limit of the hospitalization days, or a combination thereof.

3. The method according to claim 1, wherein the first information includes information indicating a criterion selected according to a medical act performed on the patient on the day of obtaining the first information or the previous day and the state of the patient; the second information includes history information indicating, for each day in a past predetermined period, the degree of nursing care required calculated based on a criterion selected according to a medical act performed on the patient and the state of the patient, and whether or not the degree of nursing care required is equal to or greater than a reference value.

4. The method according to claim 1, wherein the first information includes information indicating a diagnostic group classification based on the patient's disease name, disease state, treatment content, or a combination thereof; when the diagnostic group classification is subject to the DPC system and the first ward is a target ward of the DPC system, the second information includes DPC information indicating the medical treatment reimbursement points, the deadline, the remaining days until the deadline, or a combination thereof corresponding to each of a plurality of hospitalization stages according to the patient's diagnostic group classification.

5. The method according to claim 1, wherein the first information includes information indicating the date on which the patient was admitted to the first ward; the second information includes information indicating whether or not the number of elapsed days since the patient was admitted to the first ward is equal to or less than a threshold value.

6. In an information processing device that communicates with a terminal device, obtaining first information of a patient; updating second information of the patient daily based on the first information; In response to a request from the terminal device, by sending an instruction to display a screen including the second information of the patient to the terminal device, causing the screen to be displayed on the terminal device; A program for executing an operation including: The first information includes information indicating the first ward in which the patient is hospitalized; The second information includes information regarding a first hospitalization classification corresponding to the first ward and information regarding one or more second hospitalization classifications respectively corresponding to one or more second wards that are candidates for the transfer destination of the patient. A program.

7. An information processing apparatus comprising a communication unit that communicates with a terminal device and a control unit, The control unit: Acquires first information of a patient; Based on the first information, updates the second information of the patient daily; In response to a request from the terminal device, by sending an instruction to display a screen including the second information of the patient to the terminal device, causing the screen to be displayed on the terminal device; The first information includes information indicating the first ward in which the patient is hospitalized; The second information includes information regarding a first hospitalization classification corresponding to the first ward and information regarding one or more second hospitalization classifications respectively corresponding to one or more second wards that are candidates for the transfer destination of the patient. An information processing apparatus.

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