Assessment support device, its control method, and program

Abstract

To enable information to be efficiently collected during an assessment (monitoring ) job.SOLUTION: An assessment job support device is provided with a topic grouping DB 30 for grouping a plurality of assessment items having a common topic for each topic. Support to be performed to a person in need of nursing care is selected from among a plurality of support content items. It is determined whether a plurality of assessment items having a common topic stored in the topic grouping DB 30 are included in a plurality of assessment items associated with each of the plurality of selected support content items. In the case of determining that the plurality of assessment items having a common topic are included, they are collectively displayed on a display screen of a display device.SELECTED DRAWING: Figure 4

Description

Technical Field

[0001] This invention relates to an assessment service support device, its control method, and a program.

Background Art

[0002] A care manager creates a care plan (a plan for providing care services etc.) and coordinates with municipalities, service providers, facilities, etc., so that a care recipient (a person requiring support) can receive appropriate care services (such as home care, day care) according to the consultation and physical and mental conditions of the care recipient. The work of a care manager is generally incorporated into the following steps (1) to (6).

[0003] (1) Assessment Understanding the situation of the care recipient, collecting information on obstacles and requests in life, analyzing the background and factors of the decline in physical and mental functions, and grasping the life issues (needs) and possibilities to be solved are carried out. (2) Creation of a draft care plan Creation of a draft care plan is carried out, such as setting comprehensive assistance policies, goals (such as achievement time), and setting the types and frequencies of services required to achieve the goals. (3) Service provider meetings etc. Regarding the draft care plan, examination and adjustment are carried out from a professional perspective, including service providers. Also, recognition is shared among multiple occupations, and the care plan is determined after explanation and consent to the care recipient. (4) Provision of care services According to the determined care plan, specific care services such as meal assistance and bathing assistance are provided to the care recipient by the service provider. (5) Benefit management Management of care benefits generated by the use of long-term care insurance services is carried out. (6) Monitoring (re-assessment) It is checked whether the care recipient can lead an independent life and whether short-term goals can be achieved by the provision of care services.

[0004] After completing the monitoring (reassessment) described in (6) above, if the short-term goals have been achieved, new short-term goals will be set, and a new care plan will be created to achieve these new short-term goals. If the short-term goals have not been achieved, an investigation will be conducted to determine whether the short-term goals are appropriate for the current situation, whether there are any problems, etc., and a decision will be made on whether to continue or modify the care plan. The process will then return to the creation of the draft care plan described in (2) above.

[0005] In (1) assessment or (6) monitoring, care managers generally visit the home of the person requiring care, meet with the person and their family, listen to them, and collect information necessary for creating or modifying a care plan. However, it is not easy to collect all the necessary information for creating or modifying a care plan in the short time available during a visit to the person requiring care.

[0006] Patent Document 1 provides a care support system and care support program that enables all organizations or individuals involved in caregiving, such as community comprehensive support centers, care providers, and the families of those receiving care, to share care information and to support appropriate care services based on this shared care information. However, it does not support assessment work (monitoring work) by care managers. [Prior art documents] [Patent Documents]

[0007] [Patent Document 1] Japanese Patent Publication No. 2014-137811 [Overview of the project] [Problems that the invention aims to solve]

[0008] This invention aims to enable efficient collection of information during assessment (monitoring) tasks. [Means for solving the problem]

[0009] The assessment support device according to this invention includes: a basic care database in which multiple support item items that are expected to be necessary for a person requiring care and multiple assessment items required for each of the multiple support item items are stored in relation to each other; a topic grouping database in which multiple assessment items with a common topic are grouped by topic from among the multiple assessment items stored in the basic care database; a support item selection means for selecting the support to be provided to the person requiring care from among the multiple support item items stored in the basic care database; a determination means for determining whether the multiple assessment items associated with each of the multiple support item items selected by the support item selection means include multiple assessment items with a common topic stored in the topic grouping database; and a display means for displaying them together when the determination means determines that multiple assessment items with a common topic are included.

[0010] The multiple support items stored in the basic care database are, in this context, foundational support for helping care recipients continue their lives, and are typically support items that take into account the functions and physiology of the elderly. Each support item is associated with multiple assessment items that should be checked to determine its necessity and appropriateness. For example, support items include "support for understanding disease management," "support for understanding co-existing diseases," "early detection of oral abnormalities and securing opportunities for dental visits," "confirmation of the risk and history of falls and fractures," "understanding the desired lifestyle and living preferences," "support for understanding the weekly daily rhythm and its changes," "confirmation of eating and nutritional status," "support for understanding fluid intake," "support for understanding communication status," "support for understanding the status of activities and participation in the home and community and their environment," and "prediction of risks for oral and swallowing functions." For example, assessment items (items to be evaluated or confirmed) related to "support for understanding disease management," which is one of the support items mentioned above, include: "the degree of understanding of the disease by the patient and their family," "the degree of understanding of the management and guidance of lifestyle-related diseases by the patient and their family," "the degree of understanding of the guidance given by doctors and professionals by the patient and their family," "the degree of understanding of the necessity of taking medication and how to manage medication by the patient and their family," "the content of prescribed medication (presence or absence, type of prescribed medication) and the status of their use (whether they are taking the correct amount and frequency, whether there is any leftover medication, etc.)," ​​"the patient's daily (24-hour) lifestyle and routine," and "daily This includes information such as: "Meal intake status (number of meals, amount of food, whether food is left uneaten, whether snacks are eaten, etc.)", "Daily fluid intake status (amount of fluid intake, timing of fluid intake, activity level related to sweating, amount of fluid deficiency, etc.)", "Understanding the status of a regular pharmacy / pharmacist (whether or not there is one, frequency of contact, contact information, level of involvement, etc.)", "Confirmation of collaboration methods and medication management status (location and method of medication storage, etc.)", and "Whether or not there are instructions / guidance from a doctor regarding the disease and its treatment, and the content of the guidance (basic information about the disease, treatment plan, points to note in daily life, whether or not there are restrictions in daily life, explanation of things to manage in daily life, explanation of guidelines for judgment, etc.)".

[0011] Multiple support items are associated with multiple assessment items, and identical or similar assessment items may be common to multiple support items. In the topic grouping database, multiple assessment items that share a common topic from among the multiple assessment items stored in the basic care database are grouped by topic.

[0012] According to this invention, when multiple assessment items related to a selection of support items (generally around 3 to 5 items) include multiple assessment items with a common topic, they are displayed together (as a single unit, for example, arranged vertically) based on the topic grouping database described above. For example, if multiple assessment items related to a selection of support items include multiple assessment items that confirm the "fluid intake status" of a person requiring care, such multiple assessment items are displayed as a single unit. This allows for efficient collection of information in a short amount of time when conducting interviews with persons requiring care.

[0013] In one embodiment, the topic grouping database includes topic name data representing the content of each topic, and the display means displays topic names based on the topic name data alongside multiple assessment items common to the topics. The content of the topics can be confirmed.

[0014] This invention also provides a method for controlling an assessment support device and a program for operating a computer device as an assessment support device. [Brief explanation of the drawing]

[0015] [Figure 1] This is a block diagram showing the hardware configuration of an assessment (monitoring) support device. [Figure 2] This shows the basic care database. [Figure 3]Shows the database of the elderly requiring care. [Figure 4] Shows the topic grouping database. [Figure 5] It is a flowchart showing the processing of the assessment business support device. [Figure 6] Shows the selection screen of the elderly requiring care and the assumed support contents. [Figure 7] Shows the assessment support screen.

Example

[0016] FIG. 1 is a block diagram showing the hardware configuration of the assessment (monitoring) business support device.

[0017] The assessment business support device is a computer system and includes a central processing unit (CPU) 1 that comprehensively controls its overall operation. Connected to the CPU 1 are a memory 2 that provides a work area, a buffer area, etc., an input device (such as a keyboard) 3, a display device (such as a liquid crystal display) 4, a storage device (such as a hard disk) 5 that stores various programs and data, and a communication device 6 that transmits and receives data through a network (such as the Internet). A program for making the computer system function as an assessment business support device is installed in the storage device 5, and by executing this, the computer system operates as an assessment business support device.

[0018] The storage device 5 stores a plurality of databases (DB) used in the processing of the assessment business support device. Here, a basic care database 10, an elderly care-requiring database 20, and a topic grouping database 30 are stored. Details of these databases 10 to 30 will be described later.

[0019] The assessment support system can also be configured as a server / client type system. In this case, the assessment support system is implemented using a server and a client that are connected to each other via a network (such as the internet). Generally, data is input on the client, various processing based on the input data is performed on the server, and the processing results from the server are sent to the client, where the processing results are displayed.

[0020] Figure 2 shows the details of the basic care database 10.

[0021] The basic care database 10 stores "expected support items" and "main assessment items."

[0022] The "Expected Support Content Items" are a systematic framework of expected support content designed to enable individuals to continue their current lifestyle as much as possible, based on the fundamental principles of long-term care insurance: maintaining dignity and supporting independence. These items are classified into 44 categories. For each of the 44 "Expected Support Content Items," several main assessment (monitoring) items (evaluation items) are associated with it to examine its necessity and implementation.

[0023] For example, item 1, "Support for understanding disease management," is intended to help understand the disease and the patient's physical and mental condition. More specific evaluation items (indicators) for considering the necessity and concretization of this support are listed in "Main Assessment Items." Regarding item 1, "Support for understanding disease management," the main assessment items include: "Understanding of the disease by the patient and family," "Understanding of the management and guidance of lifestyle-related diseases by the patient and family," "Understanding of the guidance provided by doctors and professionals by the patient and family," "Understanding of the necessity of medication and how to manage medication by the patient and family," "Contents of prescribed medication (presence or absence, type of prescribed medication) and how they are taken (whether the correct amount and frequency are being taken, whether there is any leftover medication, etc.)," ​​"The patient's daily (24-hour) lifestyle and routine," and "Status of daily food intake (number of meals, amount of food, whether there is any leftover food)." The following items are pre-stored and associated with each other: "None, whether or not snacks are eaten," "Status of daily fluid intake (amount of fluid intake, timing of fluid intake, amount of activity related to sweating, amount of fluid deficiency, etc.)," ​​"Status of regular pharmacy / regular pharmacist (presence or absence, frequency of contact, contact information, level of involvement, etc.)," ​​"Confirmation of collaboration methods and medication management status (location and method of medication storage, etc.)," ​​and "Presence or absence of instructions / guidance from a doctor regarding the disease and its treatment, and content of the guidance (basic information about the disease, treatment plan, points to note in daily life, presence or absence of restrictions in daily life, explanation of things to manage in daily life, explanation of guidelines for judgment, etc.)." Similarly, multiple main assessment items are pre-stored and associated with each other for other anticipated support items.

[0024] Figure 3 shows a data file 21 for one elderly person (for example, named "Taro Nihon") stored in the elderly person requiring long-term care database 20. The elderly person requiring long-term care database 20 stores multiple data files 21 like the one shown in Figure 3 for each of several elderly people.

[0025] The data file 21 stored in the long-term care elderly database 20 contains the same data items as the basic care database 10 (see Figure 2) described above, and in addition, it includes the "information collection date" as a data item for each of the main assessment items. For each assessment item, interviews are conducted with the long-term care recipient themselves, their family, etc., and when information about that assessment item is obtained, the information collection date is entered (stored) in the data file 21 for confirmation.

[0026] The data file 21 of the database 20 for elderly people requiring long-term care does not necessarily need to store all 44 "expected support content items." It may store only some of the support content items (only a few of the 44 expected support content items) that are necessary for the target elderly person requiring long-term care.

[0027] Figure 4 shows an example of a topic grouping database 30.

[0028] As described above, each of the multiple support item items in the basic care database 10 (data file 21 of the database of elderly people requiring long-term care 20) is associated with multiple main assessment items. Here, the same or similar (shared topic) main assessment items may be common to multiple support item items. In the topic grouping database 30, multiple main assessment items that share a common topic (the subject of the discussion) from among the multiple main assessment items stored in the basic care database 10 (data file 21 of the database of elderly people requiring long-term care 20) are grouped and stored according to topic.

[0029] The topic grouping database 30 stores the "topic (category) name" and "main assessment items."

[0030] The "topic (category) name" comprehensively represents the main assessment items that are the same or similar (share a common topic), and concisely indicates the topic of conversation when eliciting information about the assessment items from the care recipient or their family.

[0031] For example, in Figure 4, "Fluid Intake Status" is listed as one of the topic (category) names, and three main assessment items are associated with this topic: "Prediction of fluid loss in the living environment, etc." (one of the main assessment items for the anticipated support item "20. Support for securing necessary meals and nutrition for frailty prevention") (see Figure 2), "Episodes of failures related to fluid intake" (one of the main assessment items for the anticipated support item "8. Support for understanding fluid intake status") (see Figure 2), and "Daily fluid intake status (amount of fluid intake, timing of fluid intake, activity level related to sweating, amount of fluid deficit, etc.)" (one of the main assessment items for the anticipated support item "1. Support for understanding disease management") (not shown in Figure 2). As will be described later, the main assessment items common to these topics are displayed together on the display screen of the display device that the care manager sees during the assessment. This allows for the efficient collection of multiple pieces of information in a short amount of time, for example, when conducting interviews with people requiring care or their families.

[0032] Figure 5 is a flowchart showing the processing of the assessment support device. Figures 6 and 7 are examples of the display screen of the display device 4 of the assessment support device.

[0033] When the care manager starts the assessment support device (starts the program), the display device 4 displays a selection screen 51 (Figure 6) for "elderly person requiring care" and "expected support content".

[0034] Referring to Figure 6, the selection screen 51 for elderly persons requiring care and expected support content includes a selection field 51A for elderly persons requiring care and a selection field 51B for expected support content. The selection field 51A for elderly persons requiring care can display the names of multiple elderly persons based on multiple data files 21 stored in the elderly persons requiring care database 20. The name of the elderly person requiring care for whom assessment is to be performed is received (the name is entered into the selection field 51A for elderly persons requiring care) (step 41).

[0035] In the anticipated support selection field 51B, 44 anticipated support options are displayed for selection, also based on the long-term care elderly database 20 (the basic care database 10 may also be used). Typically, 3 to 5 of the 44 anticipated support options are selected for the anticipated support options being assessed (the support options are entered into the support selection field 51B) (step 42).

[0036] Based on the data file 21 of the elderly person requiring care whose name has been received, assessment items for which the "information collection date" is not registered (blank) are extracted from among the multiple "main assessment items" associated with the selected support content (step 43).

[0037] It is determined whether the extracted assessment items include multiple assessment items that share a common topic stored in the topic grouping DB30 (step 44).

[0038] If the extracted assessment items do not include multiple assessment items that share a common topic stored in the topic grouping DB30 (Figure 4) (NO in step 44), the extracted assessment items are listed and displayed on the display screen (step 46).

[0039] If the extracted assessment items include multiple assessment items that share a common topic stored in the topic grouping DB30 (YES in step 44), they are grouped together and displayed on the display screen (step 45).

[0040] Figure 7 shows an example of the display screen (assessment support screen 52) when the extracted assessment items include multiple assessment items that share a common topic stored in the topic grouping DB 30.

[0041] If the extracted assessment items include multiple assessment items that share a common topic stored in the topic grouping DB30, a field 52A is provided on the assessment support screen 52 to display them as a group (close to each other). In other words, multiple main assessment items that share a common topic are displayed as a group on the display screen of the display device that the care manager refers to during the assessment. This allows for the efficient collection of multiple pieces of information in a short amount of time, for example, when conducting interviews with care recipients or their families.

[0042] Assessment items other than those that share a common topic and are displayed as a set are listed in, for example, in column 52B below column 52A (step 46).

[0043] When information is collected using the assessment support screen 52, the care manager enters a note indicating that information has been collected for each assessment item. The date of information collection for that assessment item will be stored in the data file 21 of the elderly care recipients in the DB 20. [Explanation of symbols]

[0044] 1. Central Processing Unit 3 Input device 4 Display device 5 Storage device 10 Basic Care Database 20 Database of Elderly People Requiring Long-Term Care 30 Topic Grouping Database

Claims

1. A basic care database in which multiple support items that are expected to be necessary for a person requiring care, and multiple assessment items required for each of the above support items, are stored in relation to each other. From the multiple assessment items stored in the above basic care database, a topic grouping database is created by grouping multiple assessment items that share a common topic. A support content selection method that selects the support to be provided to the person requiring care from among multiple support content items stored in the basic care database mentioned above. A determination means for determining whether multiple assessment items associated with each of the multiple support item items selected by the above support item selection means include multiple assessment items that share a common topic stored in the above topic grouping database, and If the above determination means determines that multiple assessment items with a common topic are included, the system is equipped with a display means to display them together. Assessment work support device.

2. The above topic grouping database includes topic name data that represents the content of each of the above topics. The above display means is The topic names based on the above topic name data are displayed alongside multiple assessment items that share a common topic. The assessment support device according to claim 1.

3. The basic care database stores multiple support items that are anticipated to be necessary for the person requiring care, and multiple assessment items required for each of the above support items, in relation to each other. In the topic grouping database, multiple assessment items that share a common topic from among the multiple assessment items stored in the basic care database mentioned above are grouped and stored according to the topic. The support content selection method allows the user to select the support to be provided to the person requiring care from among multiple support content items stored in the basic care database mentioned above. For each of the selected support items, it is determined whether the multiple assessment items associated with them contain multiple assessment items that share a common topic stored in the topic grouping database. If it is determined that multiple assessment items with a common topic are included, they will be displayed together on the display device. Control method for an assessment support device.

4. A computer device connected to a basic care database in which multiple support items expected to be necessary for a person requiring care, and multiple assessment items required for each of the above support items are stored in relation to each other, and a topic grouping database in which multiple assessment items with common topics from the above basic care database are grouped by topic, A support content selection method that selects the support content to be provided to the person requiring care from among multiple support content items stored in the basic care database mentioned above. A determination means for determining whether, among the multiple assessment items associated with each of the multiple support item items selected by the above support item selection means, there are multiple assessment items that share a common topic stored in the above topic grouping database, and If the above determination means determines that multiple assessment items with common topics are included, a display means will be used to display them together. A program designed to function as such.

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