TWI363310B - - Google Patents
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- TWI363310B TWI363310B TW97102115A TW97102115A TWI363310B TW I363310 B TWI363310 B TW I363310B TW 97102115 A TW97102115 A TW 97102115A TW 97102115 A TW97102115 A TW 97102115A TW I363310 B TWI363310 B TW I363310B
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九、發明說明： 【發明所屬之技術領域】 本發明係關於一種資訊管理方法，尤其是關於一種藉 由與網路通訊系統連結之居家護理資訊管理系統.以處理 居豕5蒦理過程產生資料的居家護理資訊管理方法。 【先前技術】 國民平均壽命逐年延長，且隨著老化人口及罹患慢性病人 數之增加，加上國内醫療機構因應全民健保給付制度的改 變而縮短可住院天數，皆促使in居家照護之需求日益增 加，居家照護係為不需住院但仍需接受醫療與護理的病人 所设，使民眾能在家中接受照護服務，以達到提供方便性 及可接受性之服務目的。 請參閱第一圖’該圖係習知居家護理個案處理作業程 序之餘目’居家翻铺處理作餘序餘序包含收案 處理程序與管理、健保局費用申請及延長照護申請之資料 處理、居家訪視服務費用處理、居家護理期間品管 及醫師訪視預約等流程，各流程之細部程序及其引發之 題係如下所述： 1.收案處理財與健絲賴舰喊院外居家 護理，單，收到醫囑單後按照個案所在地段分配给護理 師’護納必須於接到—醫多單後與家屬聯絡確定居家護理 務相關事宜’接受服務的織需要安騎視時間，再不 炙時由負責追蹤處理結果的護理師（負責人J)詢問接單護 =師個案處理狀況並紀錄之，科受服務的储寫上不收 /、的原因’並將醫屬單集中放賴定位置的文件夹中。此 處理過程中係使用手寫方式記錄居家護理醫嘱單内容，並 於年f時由負責追蹤處理結果的護理師（負責人-1)以及其 他人貝（負責人_2)將手寫的資料以人工計算整理後，輸入 電腦再製成EXed分析報表’以統整出年度醫囑單處理概 況。此處理程序除植轉單耗費時間外護理師欲掌握 個案是否接受服務或護理單位管理者欲監測護理師個案 處理進度’得在許多㈣醫解巾搜尋資料*符工作^ ^之需求:且很料有義_已接受服務騎未處理個 案之醫囑單的情況。 護期間個案資料處理：個案接受居家護理服務 ί理理師進行紀錄與控管之健資料，包含⑴ 需顧護期_⑽錄況、給倾護内容與病情 變化紀錄於個荦昭鳟愔,^ 兮此〜, 4巾，並依健現峨時更新 〜貝枓’ (2«_需再摘錄前述個案基本資料中重要資 ^，’=製成體積小且攜帶方便之居家照護個案管理卡 安由隹购訪視時可隨身攜帶以瞭解個案現況；（3)當個 =病=轉變而不需繼續接受居家照護時，例如病況轉 =2可=行照顧、個案搬離照護範圍、個案入住醫療 護理師便需進行該些個案之結案並填寫結 =’⑷由於居家照護個案對於流行性感冒之抵抗力通 drr單位蚊期於每年度要求醫院提供需施打 “疫田個案之名單’此時護理師便須一一找出個案資料 以询問個案是否願意施打疫苗，並將願意 =單列表，提交有關單位:_理個= 二，°月」用時’護_必絲提出書面資料以備健保局審 /，另一方面，居家護理期間個案每西7個月必須向健保局 申請延^護審核，其所需文件包含健保局居家護理申請 書、居家護理醫囑單及每四細健評估單1述個案 皆係以手寫方式填人資訊，護理師平常訪視個案 業務繁忙’ X需不時填寫各種表單文件，且該些資料中許 多填寫項目重複性高(例如該些倾㈣填寫健姓名、連 絡方式、病歷或護理項目等），相同資訊反覆填寫頗耗費時 間，此外’上述延長照護中請資料除可手寫亦可由護理師 或交由^理者(負責人-3)以Excel軟體製作文件，並由管 理者（負責人」)每個月將需要填寫中請書的個案列印交給 .負責居家護理服務事宜之護理師當做提醒，待寫办成 所需申請資料後，再統-交給負責護理師，將=資=做 成文件’ _絲_個案之案件量與日料，因此作業 申請書的書寫遺漏情形亦日漸增多，且於此流程中因工作 父接及魏師或#理者（貞責人—3)對軟體運㈣不熟悉， 常導致大量㈣書軸ψ請或是超過_請時限，故需花費 時間處理遺漏部份及更正錯誤，致使浪費人力及處理時 間0 3.居家訪視服務費用處理：護理師在訪視接受服務個案 後，須依據個案病況及其所需醫療照護内容，評估出個案 應付居家護理費用，並製作個案㈣報表，其係以ε⑽ 1363310 輸入制式檔案，交由書記（負責人—4)每個月依照個案費用 發生情形輸人電腦並由電職生報表。此流財，.書記(負 貴人_4)對護理工作並非通盤瞭解，亦不熟知電腦訊息，且 無護理人員再対認其輸入電腦之内容是否正雄，故於年 底統整查看報表時，若報表中有誤，便需花費時間更改修 正·’另外，書記（負貴人一4)的工作並沒有職務代理人若 其休假或是不在辦公室’便無法及賴提供所需報表數 據，而若自行搜尋檔案也需要耗費許多時閭。 4.居家護理㈣品管監測：㈣管理期間發生如導管重 f、感染控制、安全、新塵瘡、導管移除、重複入院或營 養監測等品管_時，需先紀錄發生健的姓名製作列 個案管理護理師使用制式單張手寫個案發生品管問 =表再Γ管理負責人(負責人-5)輸入電腦，經電 服做出報表。由於管理負責人( =對於所有的品管作業並不完全瞭解，只能』 資料，此外，也必須用人力去追蹤是否有遺漏 i工作測早張’而護理師工作時常因遺漏而必須補 早\，無法自我監控工作的完整性。 預約.依據個案病情，由負責居家護理服務事 :r L風币聯絡協調醫師至個案家中訪視。訪視工作係由 科醫師負責，該科醫師常需輪流外勤工作，再加 5内工作繁忙，遂護理師只能單向透過電話與醫師 僅月匕依照醫師的時間安排訪視，無法提早預約其 ί b. ’導轉购與醫_絡溝通訪視之意 願降低， 醫師訪視權力的損失，也影響護理師與 護理人員在醫療體系中料姆，所 面的問題都需要仰賴他人處理，且居家護理 ==:分:由不同護— 致個案資料遺失上人為疏忽衫確實的交班所導 往往在統整的時=福文書作業書寫，同時分散的資料 要數據資料時卩呈現，當主管或是政府機關需 出完整數攄H 集㈣及輸人#料，才能提 使用心卜’護理人践㈣輸人貞責人對電腦的 果，熟悉’#料會因為不同的人可能有不同的結 間，又必t評鐘過程中，準備書面資料已經花費报多時 損及工作㈣Μ上—年度哺料，摊造成人力精神耗 ^4理個案處理作業程賴產生之種種問 報表，:讓每流程中所有文書資料及 該此_^ 时喊肢枝讀取或更改 ηΐϋ 將可提升居轉財程序之處理效率， .同時減輕挪段醫護人員之額外 【發明内容】 主，解決習知居家護理管理作業流程因各護理師與負 二人之貝料處理方式相異或負責人員並不瞭解資料内 奋所弓起之貝料遺漏或作業延君制題，並改善各護理師 1363310 ,- .，. 或負責人員因對資料登錄系統不熟悉所致登錄資料不完 整、登錄資料有誤或資料路式無法統一之缺點，同時為克 . 服居家護理各流程產生之資料過於分散所造成需耗時耗 力統整資料以因應審核’以及護理師與訪視醫師缺乏較佳 - 聯繫管道之弊端，本發明將提供一種居家護理資訊管理方 法，藉由該方法所提供之各類資料管理系統，讓使用者可 利用互動式網頁架構進行居家護理過程產生資料之輸 入、查詢、修改、存取或輸出等處理，以提供所需之文書 ® 資料、工作提醒列表、統計報表及資料管理等，並具備工 作時限與工作尚待處理之提醒功能，以便於居家護理流程 中使所有護理師與管理者都能隨時掌握工作進度。 為達上述目的，本發明提供一種居家護理資訊管理方 法，其係藉由一與網際網路(internet)系統或醫院内網路 (intranet)系統之網路通訊系統連結的居家護理資訊管理系 統，以供管理居家護理過程產生之資料，其中居家護理資 • 訊管理系統係至少包含醫'囑單管理祕、個直資料管理系 統、個案費用資料管理系統、今管監測資料管理系統與醫 =訪視教程管理系統’且該些系統間係可相互連結，而該 管理方法係包括下述步驟：（1)居家護理資訊管理系統提供 二登錄介面，以接收使用者的身分資料；(2)居家護理資訊 官理系統驗證使用者的身分資料；0)居家護理資訊管理系 統提供一選單介面，該選單介面用以選擇執行醫囑單管理 $統、個案基本資料管理系統、業務費用資料管理系統、 品管監測資料管理系統或醫師訪視排程管理系統任一 10 由步驟(3)選擇之管理系統執行輸人、查詢、修改、 理麵㈣資料處理；以及_絲護理資訊管 ==驟刪之管理系統所處理資料之輸出例 家步驟(5)所處理資料之輸出係包含監測居 得Μ計=標示尚有未處理程序或整合年度列表而 由醫囑單管理祕係可得個案之㈣單縣或每年 二^月份醫囑單概況報表，使護理師或相關單位管理者可 案之醫囑單處理進度，並能隨時注意是否有收 :、〇處理個案、工作延遲或是遺漏處理情形，以逵 醒之作用。由個案資料管理系統係可得個案照護情 戌二、雜輯f用與延長照護申請狀關表、個案流 感疫ί施打列表、結案個案列表、行政管理報表、管理中 每if各月份分析報表、結案個案每年度各月份分析 份主管機關報表或每年度個案流感疫苗 申〜 供控管工作進度，並可供輸出個案照護費用 資二二延長照護申敎件以及轉域疫苗施打名冊等 ^1由個案費用資料管理系統係可得護理師訪視個案列 ΐ列1级料訪視日列表、護理師及醫師每日訪視概 每曰訪視概況報表或居家護理醫材使用 理轉務1麟估出健#用。由品管監測資料管 入歹^係可得導管重置列表、感染控制列表、個案居家安 王列表、新祕列表、導管移除列表、重複入院列表、營 1363310 f · $監測列表或居家護理品管監測報表，以供護理師或相關 二理者監控居家護理品管_處理狀況。由f師訪視排程 ' &理系統係可得醫_視日_約列表或醫師訪視時程 表八中預約列表先由居家護理師於每個月一定期限内預 ^安排下则個案可接受訪視之铜，再由f師於該月一 定期限内確認可訪視時間，且期限過後便無法變吏訪視時 間，以得到訪視時間確定之醫師訪視時程表。 • 上述各管理系統所形成之列表係可利用文字註記或 區塊等‘不方式讓使用者注意尚有未處理或待完成 宜’以提供監測居家護理卫作進度或提_使用者尚有 未處理程序之功能，所形成報表係以列表為基礎整合而得 之年度/月份統計資料，以供錢者分析年度絲護理處理 概况’並可用於年度居家護理評鑑、年度居家護理督導 察或不定時業務呈報。 藉由本發明居家護理資訊管理方法，使用者可透過任 •=連f有網際網路之電腦，便可以健編號或姓名於該些 f理系統中，隨時隨地查詢個案居家護理期間所產生之資 料與處理進度，即便護理師不在醫院内，相關單位管理者 或個案家屬欲療解個案護理情況時，皆能即時提供所需資 $ ’以增舰務滿意度.；同時該些系統之使用界面即為電 月:使用者皆熟悉之戦||(如微軟)網頁畫面，且輸入頁面 2構與手寫紙本相近，故操作及資料輸人簡易，讓使用者 容易上手；此外’該些管理系統所形成各種列表中相同之 填寫項目例如個案姓名、病歷號或地址等資訊僅需輪入一 1363310 . 、 ，不需重複輪人，並增加輸人資訊彼此之間利用 度’以節省資料處理時間，同時輸人資料可因應 要求，應用現有資料製作各類報表而列印㈣請書(如:長 照護申請料)或直細電子财式魏(如錢疫苗師打 名冊等）’無須再費心費力收集資料整理之。IX. INSTRUCTIONS: [Technical Field] The present invention relates to an information management method, and more particularly to a home care information management system linked to a network communication system for processing data generated by the home care process Home care information management method. [Prior Art] The average life expectancy of the country has been increasing year by year, and with the increase in the number of aging population and chronic patients, and the reduction in hospitalization days due to changes in the national health insurance payment system, the demand for in-home care is increasing. The home care system is designed for patients who do not need to be hospitalized but still need medical care and care, so that the public can receive care services at home to serve the purpose of providing convenience and acceptability. Please refer to the first picture 'This picture is the remainder of the home care case handling operation procedure'. The home ordering process is used to process the processing procedures and management, the health insurance bureau fee application and the extended care application. The process of home visit service fee processing, quality control during home care, and doctor visit appointments, etc. The detailed procedures of each process and the questions it raises are as follows: 1. Receiving the case and the Jiansi Lai ship shouting outside the home care , single, after receiving the medical order, according to the location of the case to the caregiver's support must be received after the receipt of the doctor-multiple singles to contact the family to determine the home care related matters 'receiving the service needs to ride the time, no longer At the time, the caregiver (responsible person J) who is responsible for tracking the results of the processing will inquire about the status of the case and the record of the case, and the reason for the case of the service will not be accepted. The location of the folder. In this process, the handwritten method is used to record the contents of the home care medical order, and the handwritten materials are manually processed by the nurse (responsible person-1) and other people (responsible person _2) who are responsible for tracking the processing results at the time of year f. After the calculation is completed, input the computer and then make the EXed analysis report to complete the annual medical order processing overview. In addition to the time taken for the transfer of the order, the caregiver wants to know whether the case is accepting the service or the care unit manager wants to monitor the progress of the caregiver's case. 'There are many (4) medical treatments to search for information*. It is reasonable to have a service order that has been accepted for service in an unprocessed case. Case data processing during the period of protection: Cases accepting home care services. The information on the records and control of the health practitioners includes (1) the period of care required _(10), the content of the care and the changes in the condition of the illness. ^ 兮 〜 , 4 4 4 4 4 4 4 4 4 4 4 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( You can take it with you when you buy a visit to see the current situation of the case; (3) When a disease = change = need not continue to receive home care, such as the condition of the situation = 2 can be taken care of, the case of moving out of care, the case The medical caregiver will need to complete the settlement of these cases and fill in the knot = '(4) due to the home care case for the resistance of influenza through the drr unit mosquitoes, the annual requirement for the hospital to provide the "list of cases" At this point, the caregiver will have to find out the case information to ask if the case is willing to vaccinate, and will be willing to = single list, submit to the relevant unit: _ ration = two, ° month" when the use of 'protection _ must Written information for the health insurance bureau review / On the other hand, in the home care period, the application must be submitted to the Health Insurance Bureau for an extension of the review. The required documents include the Health Care Bureau Home Care Application, Home Care Medical Certificate and Every Four Health Assessment Forms. All of them fill in the information by handwriting, and the nurses usually visit the case business busyly. X needs to fill in various form documents from time to time, and many of the items in the materials are highly repetitive (for example, the words (4) fill in the name and contact method. , medical records or nursing projects, etc.), it takes time to fill in the same information. In addition, the above-mentioned extended care materials can be written by Excel or by the caregiver (responsible person-3). The manager (responsible person) will print out the case in which the request is completed every month. The nurse who is responsible for the home care service will be reminded to do so after the required application materials are submitted. The nurse, who will make the document ' _ silk _ case case amount and the date of the case, so the omission of the operation application is increasing, and in this process, due to the work of the father and The teacher or #理理((3) is unfamiliar with the software (4), often resulting in a large number of (4) book requests or exceeding the time limit, so it takes time to deal with missing parts and correct errors, resulting in wasted manpower and Processing time 0 3. Home visit service fee processing: After the visitor receives the service case, the nurses should assess the cost of home care payable according to the case and the medical care required, and produce a case (4) report. Enter the standard file as ε(10) 1363310, and submit it to the secretary (person in charge—4) to enter the computer and report to the electrician according to the case cost. The flow of money, the secretary (negative _4) is not for the nursing work. I understand that I am not familiar with computer information, and no caregiver recognizes whether the content of the input computer is positive or not. Therefore, when the report is consolidated at the end of the year, if there is an error in the report, it will take time to change the correction. 'In addition, the secretary (There is no one in the work of the No. 1). If there is no job agent who is on vacation or is out of the office, he will not be able to provide the required report data. When Lu. 4. Home care (4) Quality control monitoring: (4) During the management period, such as tube weight f, infection control, safety, new dust sore, catheter removal, repeated admission or nutrition monitoring, etc. The case management nurse uses the standard single-handwritten case to generate a quality control question = the person in charge of the management of the table (the person in charge -5) enters the computer and reports through the electric service. Because the person in charge of management (= is not fully aware of all the quality control operations, only the information), in addition, must also use manpower to track whether there is a missing work i test early 'and the nurses often have to make up for the omission \, can not self-monitor the integrity of the work. Appointment. According to the individual case, the responsible home care service: r L wind coin contact coordination doctor to the case visit. The visit is based on the doctor, the doctor often needs Taking turns to work in the field, plus 5 busy work, the nursing nurse can only visit the doctor in a one-way manner and the doctor only according to the doctor's time schedule. It is not possible to make an appointment early. ί b. 'Guidance transfer and medical communication As the willingness to reduce, the loss of physician visit power also affects the caregiver and nursing staff in the medical system, the problems are all dependent on others, and home care ==: points: by different care - to the case If the data is lost, the person who is negligent is responsible for the delivery of the work. The instruction is often written in the time of the completion of the work, and the scattered information is presented when the data is presented. When the supervisor or the government machine The need to complete the complete number 摅H set (four) and lose people # material, in order to use the heart of the 'care of people practice (four) lose people responsible for the computer's fruit, familiar '# will be because different people may have different knots In the process of evaluating the clock, the preparation of the written materials has already been reported for a long time to damage the work (4) Μ — 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 年度 人力 人力 人力 人力 人力 人力 人力 人力 人力 人力 人力 人力 人力 人力 人力All the documents and the _^ 肢 肢 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取 读取The operation process is different because the caregiver and the two of the two people are treated differently or the responsible person does not understand the missing materials or the work delays in the data, and improves the caregiver 1363310,-. Or the responsible person is not satisfied with the information registration system, the registration information is incomplete, the login data is incorrect, or the data path cannot be unified. At the same time, the information generated by the process of nursing home care is too scattered. The present invention will provide a home care information management method, and various data management systems provided by the method, in response to the drawbacks of the review and the lack of a better-contact pipeline for the caregiver and the visiting physician, To enable users to use the interactive web page architecture to generate, query, modify, access or output data during the home care process to provide the required instruments® data, job reminders, statistical reports and data management, etc. It has the reminding function of working time limit and work still to be processed, so that all the nurses and managers can keep track of the work progress in the home care process. To achieve the above purpose, the present invention provides a home care information management method, which is A home care information management system linked to a network communication system with an internet system or an intranet system for managing information generated by the home care process, including a home care management system At least the doctor's single management secret, direct data management system, case cost data The management system, the current monitoring data management system and the medical consultation system are connected to each other, and the management methods include the following steps: (1) The home care information management system provides two login interfaces. To receive the user's identity information; (2) the home care information official system to verify the user's identity data; 0) the home care information management system provides a menu interface, the menu interface is used to select the implementation of the medical order management system, Case basic data management system, business expense data management system, quality control monitoring data management system or physician visit scheduling management system 10 The management system selected by step (3) performs input, query, modification, and management (4) data Processing; and _ silk care information tube == sudden deletion of the data processed by the management system. Steps (5) The output of the data processed includes the monitoring of the homework = indicating that there are still unprocessed procedures or integrated annual lists. A case report of the doctor's order management system (4) Single county or annual two-month medical order list, so that the nurse or related unit manager can make a case The doctor's order will process the progress, and can always pay attention to whether there is any payment: , handling the case, delaying the work or missing the situation to awaken. The case data management system is available for case care, second, mixed use and extended care application form, case influenza case list, case list, administrative report, and analysis report for each month. The case is closed each month. The monthly report of the competent authority or the annual case of influenza vaccine application~ the progress of the control work, and the export of case care expenses can be extended to cover the application for the care and the circulation of the vaccine. 1 The case fee data management system is available to the nurses for visiting the list of the first-level material visits, the nurses and physicians' daily visits, the visits to the profile report or the home care medical materials. 1 Lin estimated the health # use. Controlled by the quality control data, the catheter reset list, infection control list, case home list, new secret list, catheter removal list, repeat admission list, battalion 1363310 f · $monitor list or home care Quality control monitoring report for the nurses or related experts to monitor the status of home care products. The schedule of the visitor's program is available from the Department of Health and Education. The list of appointments or the list of visits to the Physician's Visit Schedule 8 is first scheduled by the home nurses within a certain period of each month. The case may be interviewed by the copper, and then the f teacher will confirm the visit time within a certain period of the month, and after the deadline, the visit time cannot be changed to obtain the doctor visit schedule. • The list formed by each of the above management systems can use text annotations or blocks, etc., 'no way to let the user pay attention to the fact that there are still unprocessed or pending completions' to provide monitoring of home care work progress or mention _ users still have The function of the processing program, the report form is the annual/monthly statistical data obtained by the list, and the money provider can analyze the annual silk care treatment profile' and can be used for the annual home care evaluation, the annual home care supervision or not. Timed business reporting. With the home care information management method of the present invention, the user can access the data generated during the home care process by any number or name in the system by using the computer with the Internet. And the progress of the treatment, even if the caregiver is not in the hospital, the relevant unit manager or family members of the case will be able to provide the required amount of money to increase the satisfaction of the case. That is, the electricity month: users are familiar with the || (such as Microsoft) web page screen, and the input page 2 structure is similar to the handwritten paper, so the operation and data input is simple, so that the user can easily get started; The same items in the various forms formed by the system, such as the case name, medical record number or address, only need to be rotated into a 1363310. , without repeating the rounds, and increase the utilization of the input information to save data processing. Time, at the same time, the input information can be printed according to the requirements, using the existing data to produce various reports and printed (4) the request (such as: long care application materials) or straight fine electronic financial class Wei (such as money The vaccinator hits the roster, etc.) ‘No need to bother to collect data.
另-方面，利用該些列表與報表除可讓護理師能瞭 收案管理、訪視安排、中請書書寫與結㈣理等概況'，相 關早位管理者亦能_掌握單位工作動態並監測工作進 度’以評估絲護理項效能及❹㈣或缺失發生頻 率，同時有助益於單位成本控制及醫材轉管理；且藉由 該.些系統之工作提醒與監測功能，可使護理師與相關^理 者都能隨時掌握單位狀況，適時安排工作進度，達到工作 透明化.、工作簡單化、節省工作時間、減少無謂的人力資 源浪費以及工作資料統一化管理之目的。On the other hand, the use of these lists and statements in addition to allowing the nurse to receive the case management, visit arrangements, in-book writing and knots (four) and other profiles ', the relevant early managers can also grasp the unit work dynamics and monitoring Work progress' to assess the effectiveness of silk care items and the frequency of ❹(4) or missing, while also contributing to unit cost control and medical material transfer management; and through the work reminder and monitoring functions of these systems, the nurses can be related The rationale can keep track of the status of the unit, arrange the work schedule in a timely manner, achieve transparency in work, simplify work, save working time, reduce unnecessary waste of human resources and unified management of work materials.
次即可 以下將配合圖式進一步說明本發明的實施方式，下述 所列舉的實施例係用以闡明本發明，並非用以限定本發明 之範圍’任何熟習此技藝者，在不脫離本發明之精神和範 圍内’當可做些許更動與潤飾，因此本發明之保護範圍當 視後附之申請專利範圍所界定者為準。 【實施方式】 婧參閱第二圖，該圖係本發明實施例居家護理資訊管 理方法中各管理系統的作業概況流程圖。本發明實施例居 家護理資訊管理方法係運用一與網際網路(internet)系統或 13 醫院内網路(intranet)系統之網路通訊系統連結的居家謹 ^管理系統，以供使用者(例如居家護理師、. 轉管理者或㈣管理者)_料理絲護理過程產蔓生 之讀’其中居家護理資訊管理系_至少包括醫 個案費用資料管理系統、: 二^貝射理錢與醫師訪視排程管理系統，而該管理 包糾下师：⑴絲護理魏管理純提供-登 =驗„的身分資料;⑶居家護理資訊管理系統提 “、早"面’該選早介利以選擇執行醫囑單管理系 管監基本資料管理系統、*務費用資料管理系統、品 =資料纽系統或料訪視排程管理系齡 選擇之管理系統執行輸入'查詢、修改、編輯 處理錢(5)纟絲護s纽管理系統 或報本（選擇錢所處理資料之輸出例如列表 式讓:’其巾列表係可_文字註記或顏色區塊等標示方 礎整a用组意尚有核理事宜’崎表係為明表為基 資料y而得之統計資料，以供使用者檢視年度/月份/日之 施例居,達居家触工作提醒與監狀目的。本發明實 如下!居豕護理資訊管理方法中各管理㈣的架構係說明 π參’三圖’朗係本發明實施例絲護理資訊管 知，^中^囑單管理系統之作業絲®，由圖中流程可 喝單官理純可接收之輸人資料係包含根據個案為 1363310 Ρτο内（例如來自4购所在醫院之病核門料個案)或院 外(例Μ自*他醫院之⑽或病房、醫療機構或護理機構 之個案）H而分類並由派案管理者依據各護理師管理地 段分配其需貞責健之醫囑單，當醫囑單管理线之網頁 輸入，該些個案之醫B屬單資料例如負責各該個案居家護 羞理師，名、個案之病歷號、地址與聯絡方式等基本 =料以及收單日期與來源等後，可將各筆輸人之個案醫嘱 單_貝料存人^料庫巾，並可依每位護理師個人帳號呈現出 鮮*理頁面，即呈現其個人所分_案之醫嘱 單内今貝料’亦即藉由本發明之醫料管理祕可供每位 護理師檢視自己負責所有個案之醫鮮列表，且列表中係 二列有Γ位個案之姓名、聯絡資料、收單日期與收單來源 、田^貝料’同時醫解管理系統亦可輸人並儲存護理師 t疋時間内與個案聯絡並確定是否接案後之聯絡結 例如願思接受騎職(表巾可以「收案」註記之）、 狀況(表中可以「處理中」註記之)或不接 二、護原因(表中可以「間診」、「死亡」或「再住院」等」 2之）’以使該些健聯絡結果呈現並列於前述個案之醫 2表中’因此’藉由㈣單管理系統網頁中之醫嘱單 ΐ所料可讓護理師隨時掌握自己負貴個案之目前 1、並&隨收妓否有收案卻尚未處理個案，以達自 我督促、監測與提醒之作用。 本U醫解fn纟嫌可依各護理師登人帳號列 出其所屬健㈣鮮財外，亦可呈現财全部護理師 15 =負責健之總醫料列表，細使護理 理師是否有工作延遲或是遺漏處理情形Γ;適=護 料依人^管理系統係可將前述醫囑單列表資 种依·、、、年度（&含目别年度以及前兩年度. 計算統整出每牟度與該年度所有月份之= 2報表，例如：年度/月份醫料來源概況、年度/月份 處理概狀及年度/月份各護理師收案概況，以 =派案纽者評估健分發之適錄例如每位護理師負 貝個案量是否平均等，並可讓護理單位管理者監測護理師 之個案處理進度，以提昇工作效能。 此外，醫嘱單官理系統尚包含有醫屬單資料查詢功 能，當該系統接_護理師或翻單崎理者所輸入需查 詢個案之姓名或病歷號後，系統便會執行查詢功能並呈現 查詢結果，以供即時查得該個案之醫囑單資料，而無須耗 費人力與時間一筆筆過目查詢之。藉由醫囑單管理系統之 查詢功能除可使護理師確實掌握個案現況外，因其係與網 際網路連結，故可透過任一台有連結網際網路的電腦進入 此管理系統，以便於個案家屬來電諮詢居家護理相關業務 時，即使該護理師不在現場，其他護理師或護理單位管理 者亦能即時處理諮詢問題，以提高工作效率及服務滿意 度.。 請參閱第四圖’該圖係本發明實施例居家護理資訊管 ^方法中個案㈣管理純之作業餘圖，由圖中流程可 管理系統係可直接由居家護理資訊管理系統 4個人’亦可㈣醫鮮管理系統、網頁而連 、·至個案貝料管理系統網頁，藉由此設計 理系統並想-並瞭解個案資料時 屬早&理錢網頁回料界面之主晝面，再_單界面進 入個案㈣管理系統之網頁，以節省更換The embodiments of the present invention will be further described in the following, and the following examples are set forth to illustrate the invention and are not intended to limit the scope of the invention. In the spirit and scope of the invention, the scope of protection of the invention is defined by the scope of the appended claims. [Embodiment] Referring to the second figure, the figure is a flow chart showing the operation of each management system in the home care information management method according to the embodiment of the present invention. In the embodiment of the present invention, the home care information management method uses a home management system linked to an internet communication system or a network communication system of an intranet system for users (for example, at home). Nursing teacher, transfer manager or (4) manager) _ cooking silk care process production of vines reading 'where the home care information management department _ at least including the medical case fee data management system,: two ^ Bai shot money and physician visit row Cheng management system, and the management package to correct the division: (1) silk care Wei management pure provide - Deng = test „ identity information; (3) home care information management system to mention “, early " face 'selected early media to choose to implement Medical records management system management basic data management system, * service cost data management system, product = data link system or material visit schedule management system selection management system execution input 'inquiry, modification, editing and processing money (5)纟Silk protection s New management system or newspaper (the output of the data processed by the selected money, for example, the list type: 'The list of the towel can be _ text annotation or color block, etc. 'Kawasaki is the statistical data obtained from the Ming Dynasty as the basis for information y, for users to review the annual/month/day of the residence, and to reach the home to remind the work and the purpose of the supervision. The present invention is as follows! The structure of each management (4) in the information management method indicates that the π reference 'three maps' are the silk care information management knowledge of the embodiment of the present invention, and the work silk® of the single management system is controlled by the flow in the figure. The data that can be received by the recipients is based on the case of 1363310 Ρτο (eg from the case of a diseased nuclear door in a hospital where 4 is purchased) or outside the hospital (for example, from a hospital (10) or a ward, medical institution or nursing institution) And the fact that the medical records of the medical records are managed by the dispatched management staff in accordance with the management of the health care providers, and the medical records of the medical records are included in the medical records of the individual cases. After the basic information of the name, the medical record number, the address and the contact information of the case, and the date and source of the receipt, etc., the case of each input case can be deposited. According to each nurse's personal account The fresh page is presented in the form of a personal report. The medical management secret of the present invention allows each caregiver to examine the list of medical records in charge of all cases. The name, contact information, date of receipt and receipt of the case, and the material management system of the Department of Health can also be entered and stored in the nursing staff to contact the case and determine whether After the case, the contact will be accepted, for example, if you want to accept the riding (the towel can be "received"), the situation (the table can be "handled") or the second reason, the reason can be "," "death" or "re-hospitalization", etc. 2") so that the results of the health contact are presented in the medical form of the preceding case, 'so that' by the (4) single management system web page It can help the nurses to keep abreast of the current situation of their own cases, and whether they have received the case but have not yet handled the case, in order to achieve self-supervision, monitoring and reminding. This U medical solution fn 纟 可 可 各 各 各 各 各 各 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理 护理Delay or omission of treatment Γ; 适=护料依人^Management system can list the above-mentioned medical list list by 、,、,年(&including the year of the year and the previous two years. And 2 statements for all months of the year, such as: annual/month medical source profile, annual/month processing profile, and annual/month overview of each nurse's case, to assess the appropriate distribution of the health distribution For example, the average number of cases of negative care per caregiver can be averaged, and the care unit manager can monitor the progress of the caregiver's case to improve the work efficiency. In addition, the medical order management system also includes the medical information query function. The system will perform the enquiry function and present the results of the enquiry for the purpose of checking the medical order information of the case in real time. Expendable The power and time are inquiries. The query function of the medical order management system can not only enable the caregiver to grasp the current situation of the case, but also connect to the Internet through any link network. The computer enters this management system so that when the case family calls to inquire about the home care related business, even if the caregiver is not on site, other caregivers or care unit managers can immediately deal with the consulting problem to improve work efficiency and service satisfaction. Please refer to the fourth figure'. This figure is a case study of the home care information tube method in the embodiment of the present invention. (4) Management of the pure operation map. The process management system in the figure can be directly used by the home care information management system. (4) The medical management system, the webpage and the webpage of the case management system are used to design the system and think about it - and understand the case data when it is the main face of the early & Single interface to enter the case (4) management system page to save replacement
=。個案資料管理系統於輸人資料後，根據居家護理2 而求於該系統中統整有下列功能： .資料列表，其功能係為了能列出資料庫中單筆個案資 料’並提供查詢、修改、連結及列印功能，其係包含：、=. The case data management system, after inputting the information, has the following functions in accordance with Home Care 2: The data list is designed to list individual case data in the database and to provide inquiries and modifications. , linking and printing functions, including:
⑴個案照情況資料列表—個案資料管理系統可接收並 輸入照護觸個料體狀況、給傾護内容與病情變化等 =案資料，並可依輸入之個案現況隨時更新網頁所载該些 身料’且該歸料亦會呈現於每姉案之絲照護個案管 理卡片中，而無須重複輸人相同資訊，同時該系統可提供 護理師及護理單位管理者查詢單筆或多筆資料，當工作移 父時’可以由該系統執行個案負責護理師之更改。 (2)個案照護費用與延長照護中請狀況列表—個案資料管 理系統於驗證護理師的身分資料後，可呈現該居家護理師 所有個案之照護費用與延長照護申請狀況列表，同時系統 係具備有提醒功能，其係可於申請期限前適時給予警示訊 息，以避免居家護理師因遺忘或是疏忽造成書面資料遺漏 寄送’而導致機構無法申請健保局醫療菔務費用的問題， 17 1363310 同時亦可幫助護理師工作進度安排參考；另一方面，該系 統除可列印申請書以供專門管理者寄送至健保局外，其亦 可於列表中顯示申請書是否已寄送、寄出日期以及健保局 疋否進行審核與審核日期等申請書目前處理狀況，以供護 . 理師查詢申請書記送與審核情形，並讓護理師可隨時掌握 . 申請書尚未審核回函之個案，且若有異常審核案件可以依 據此列表中資料向健保局查詢資料審核情形。 (3) 個案流感疫苗施打列表一個案資料管理系統係可接收 並輸入個案是否願意施打流感疫苗之結果，並經該系統處 理後產出個案流感疫苗施打列表，列表中之欄位係包括護 理師姓名、個案基本資料(姓名、性別或身份證號等）、施 打意願以及施打情形，其中施打意願部份可顯示不願意施 打原因，施打情形部份可顯示願意施打者為何仍未接受注 射原因，藉以提醒護理師尚有未施打疫苗個案；此外，可 於該系統列出以各該護理師負責個案為主的個案流感疫 苗施打名冊，亦可列出整個醫院機構所有個案的流感疫苗 施打名冊，並另存取有該些名冊之電子檔案，以便於利用 電子郵件方式傳送此檔案到政府主管機關負責人信箱。 (4) 結案個案列表—個案資料管理系統係可輸入結案之個 案資料，以呈現出列有病況轉好、家屬可自行照顧、個案 搬離照護範圍、個案拒絕照護、個案入住醫療機構、個案 轉至其他居家護理(轉介)或死亡等結案緣因之結案摘要， 並經諒系統處理後產出結案個案列表，此列表可以查詢個 案使用連結，修改相關資料内容或是將個案重新收案管 18 2 崎算 程進度與處理情況，其‘含者控管居家護理各程序之時 (1)行政官理報表~~個宰眘祖A X® < ^ 年度各月_絲案概兄讀7祕料W統整有每 度護理師資源耗用、母年度護理師管案概況、每年 管理狀況分析結果之行度護理服務項目等個案 及護理師瞭解年戶行政報表’以供護理單位管理者 係包括各護理概況。其中’護理師管案概況 理狀況：資絲崎3 護狀狀及個針請書處 8roups, RUGS) :=用相近的歸類為同-群組，使每個_^^^ 極I用之差異極大化，但每個_的病患資關用之^異 =化，藉以反應柯_絲之龍耗用，達到有效控 細、本及避免資源不當使用；護理服務項目係包括各護理 =予負責個案鼻胃管、導尿管、膀胱造口或氣切造口等 醫療照護項目。 '理中個，年度/月份分析報表-個案資料管理系統可 產出，整有每年度各月份管理巾鋪雜別、年齡族群、 柯氏3：表與巴氏量表等統計資料以及各護购負責個案 所在地段的分佈概況之報表，#以使護理單歸理者及護 理師可從巾瞭解年度管案減，同_可供派案管理者評 估其發派給各護理師之健所在地段是㈣於分散，以作 為發派個案時的考量依據。 I3 ^ 案性別、年齡族群、柯氏、H ^、結案原因、個 =單位管7及二解、===料’以 主管機_為=表統：==== 每年度各月份之報表 機關所㊉ 计、㈣^ 彳括㈣與結案案件數量統 j H個案診斷別分析、護理師 偶案服務衛教項目統計等。 項目統找 感疫苗施打報表—自健資料管理系統係 案服務f用發生的資料庫，藉以列出年度個案 肌？、气田施?報表，並可統計出健獨意接受注射的原 因使羞理單位管理者及護理師可以從此報表中瞭解每年 度個案施打或未施打流感疫苗概況，同時亦可由該系統列 出年度施打疫苗的名冊並存成電子檔案，以於疫苗施打期 間結束後，可再透過電子郵件方式將該名冊之存取檔案傳 送到政府主管機關負責人信箱。 藉由本發明個案資料管理系統，各種列表中相同之填 寫項目例如個案姓名.、病歷號或地址等資訊僅需輸入一次 即可，不需重複輸入，以節省護理師輸入該些資訊的時 間，同時輸入資料可因應相關單位要求列印出申請書(如延 長照護申請書等)或直接以電子檔方式寄送(如流感疫苗師 打名冊等），亦節省許多原先需以手寫書面資料而耗費之準 且Γ於Γ請時限或需護理師注意處理時間之程 +會鱗U文字(例如未處理、未寄it $未施打等；) 勤核理者制料關找==(1) Case photo information list - The case data management system can receive and input the information on the condition of the care subject, the content of the care and the change of the condition, etc., and can update the contents of the webpage at any time according to the status of the entered case. 'And the return will also be presented in the silk care case management card for each case, without having to repeat the same information, and the system can provide the caregiver and care unit manager to query single or multiple data when working When the parent is moved, the case can be used to perform the change of the responsible nurse. (2) Case care fee and extended care request list - The case data management system can present the list of care costs and extended care application status of all home care therapists after verifying the identity information of the caregiver, and the system has Reminder function, which can give warning messages at the appropriate time before the application deadline to avoid the problem that the home caregiver may not be able to apply for the health care bureau's medical expenses due to the omission or negligence of the written information. 17 1363310 It can help the nurses work schedule reference; on the other hand, the system can print the application for the special manager to send to the health insurance bureau, it can also display in the list whether the application has been sent or sent. And whether the Health Insurance Bureau will conduct the current status of the application such as the review and review date for the care. The inspector will inquire about the application and the review of the application, and let the nurses keep it at hand. If there is an abnormal audit case, you can check the information review situation with the Health Insurance Bureau according to the information in this list. (3) Case flu vaccine application list A case data management system can receive and input the results of the case whether the patient is willing to flu, and the system will process the case flu vaccine application list. Including the name of the nurse, the basic information of the case (name, gender or ID number, etc.), the willingness to give and the situation of the beating. The part of the willingness to show may indicate the unwillingness to give the reason. The reason why the beatings have not received the injections is to remind the nurses that there are still no cases of vaccination. In addition, the list of influenza flu shots based on the cases of the caregiver can be listed in the system. Influenza vaccines in all cases of hospital institutions are used to register the electronic files of these rosters, so that they can be transmitted by e-mail to the mailbox of the person in charge of the government. (4) List of Cases - Case Data Management System can enter case data for case closure to show that the condition is better, the family can take care of themselves, the case is removed from the care, the case is refused, the case is admitted to the medical institution, and the case is transferred. A summary of the reasons for the settlement of other home care (referrals) or deaths, and a list of cases that have been closed after the processing of the system. This list can be used to check the case use link, modify the relevant information or re-send the case. 18 2 The progress and handling of the calculation process, the time of the process of including the control of the home care (1) administrative officer's statement ~ ~ a slaughter AX® < ^ annual months _ silk case brother read 7 The secret material W has a total of each nursing staff resource consumption, the annual nursing home management case overview, the annual management status analysis results of the treatment service items and other cases and the nurses understand the annual household administrative report 'for the care unit manager It includes various care profiles. Among them, the status of the 'caregiver's case is as follows: Zisaki 3 protection shape and needle request 8roups, RUGS) := Use similar classification to the same-group, so that each _^^^ pole I use The difference is maximal, but each _ patient's resources are used to reduce the consumption of Ke _ silk dragon, to achieve effective control, and to avoid improper use of resources; care services include nursing care = Responsible for medical care items such as nasogastric tube, catheter, bladder stoma or gastrostomy. 'Lizhong, annual/month analysis report-case data management system can be produced, and there are statistics such as management towel distribution, age group, Kobe 3: table and Pap scale, and various protections every month. Purchase a report on the distribution profile of the location of the responsible case, so that the caregiver and the caregiver can understand the annual management case from the towel, and the dispatching manager can evaluate the health of the caregiver. The lot is (4) scattered, as a basis for consideration in the case of dispatch. I3 ^ Case sex, age group, Koch, H ^, reason for closing, unit = unit tube 7 and two solutions, === material 'to the main machine _ = table system: ==== report for each month of each month The number of organs, (4), (4) and the number of cases closed, the case analysis of the case, the statistics of the nursing staff, the service and education programs. The project is looking for a vaccine report. The self-contained data management system system service uses the database that occurs to list the annual case muscles. Reports on gas fields and statistics on the reasons for the intention to accept injections so that the shame unit managers and caregivers can learn from this report about the annual or non-influenza vaccines, as well as the system. The annual vaccination roster is stored and stored as an electronic file. After the end of the vaccine application period, the access file of the roster can be transmitted to the person in charge of the government authority through e-mail. With the case data management system of the present invention, the same items in the various lists, such as the case name, medical record number or address, can be input only once, and no need to input repeatedly, so as to save the time for the nurse to input the information, The input information can be printed in accordance with the requirements of the relevant unit (such as extending the application for care, etc.) or directly sent by electronic means (such as the flu vaccinator's roster), which also saves many of the original need to write by handwritten materials. Quasi-intentional time limit or need the caregiver pay attention to the processing time + will scale U text (for example, unprocessed, not sent it $ not applied, etc.)
外=，應負責者’以避免再有遺漏處理之問題發生。此 ^該些職資料射經由本發明健#料㈣系統整合 度/月份報表’除可讓護理師瞭解其所負責個案 ;J各年度/月份之整體概況’亦可使護理單位管理 者監控各護理師個案處理狀況與評鏗各護理師工作效 能’同時當主管機關要求提交年度f_，便可直接呈交 該些報表’而無須再耗費人力與時間收集整合資料，大幅 提昇個案資料之處理效能。 凊參閱第五圖，該圖係本發明實施例居家護理資訊管 理方法中個案費用資料管理系統之作業流程圖，收案之個 案經護理師或醫師接受照護服務後會產生料，由圖中程. 序可知，個案費用資料管理系統可接收並輸人每一位護理Outside =, should be responsible for 'to avoid further omissions. This information can be used by the nursing unit manager to monitor each of the data in the “Integration/monthly report of the invention” (in addition to allowing the nurse to understand the case in which it is responsible; The situation of the caregiver's case handling and the evaluation of the effectiveness of the caregiver's work. 'At the same time, when the Administration requests the submission of the annual f_, the report can be submitted directly' without the need for manpower and time to collect the integrated information, which will greatly enhance the processing efficiency of the case data. . Referring to the fifth figure, the figure is a flow chart of the case cost data management system in the home care information management method of the embodiment of the present invention, and the case received by the nurse or the physician receives the care service, and the material is generated. As you can see, the case cost data management system can receive and lose every care.
師於個案訪視結束並確定服務内容後所產生之f用資料 及相關服務内容資料’並進—步統整產出下列所需之列表 與報表： 1.列表.個案費用資料管理系統於驗證登入之護理師身份 後，可呈現該護理師訪視個案列表，以供該護理師預填訪 視前之個案費用服務表單或輸入訪視後確定之服務項目 資料，且該系統可提供護理師查詢該服務個案是否為第一 次訪視，若是系統便會呈現空白資料表格以供輸入相關資 料，進而新增該筆訪視資料，若為舊案則系統便會列出舊 21 1363310 案資料’以供護理師參照此資料而以資料帶入方式修改為 此次訪視結果’再新增該筆訪視資料；此外，該系統產出 列表亦提供連結前述管理網頁例如個案資料管理系統網 頁之功能’故使用者不需進行網頁切換以節省瀏覽時間。 個案資料管理系統可產出之列表係包含：After the completion of the case visit and the determination of the content of the service, the information and related service content data generated by the company's progress and integration of the following required list and report: 1. List. Case cost data management system to verify login After the status of the nurse, the list of visitor cases can be presented for the nurse to pre-fill the pre-view case fee service form or enter the service item data determined after the visit, and the system can provide the nurses with enquiries. Whether the service case is the first visit, if the system will present a blank data form for input of relevant information, and then add the visit information, if it is an old case, the system will list the old 21 1363310 case data. For the purpose of referring to this information, the caregiver will change the information to the result of the visit to add the visit information. In addition, the system output list also provides the function of linking the aforementioned management webpage, such as the case data management system webpage. 'So users do not need to switch web pages to save browsing time. The list that the case data management system can produce includes:
(1)護理師訪視個案列表一此列表係分列有登入個案費用 資料管理系統網頁之護理師所負責所有個案的訪視資料 例如該次訪視係臨時代替其他護理師訪視之臨訪或例行 性訪視等訪視狀況、訪視費用、訪視項目或使用醫材等， 以供護理師查詢掌握個案訪視狀況。(1) List of Visiting Cases for Nursing Homes This list is a list of visits to all the cases handled by the nurses on the login case fee data management system webpage. For example, the interview was temporarily replaced by other nurses. Or visits such as routine visits, visit fees, visits to projects, or use of medical materials, etc., for the caregiver to check the case visit status.
(2)濩理師訪視日列表一此列表係可呈現醫師與護理師最 後一次訪視曰期以及預定訪視個案曰期，以便於醫師與護 理師瞭解管理個案的最後一次訪視日，且列表中對於超過 一段時間（例如二個月）未訪視個案會特別以顏色區塊呈現 之，以提醒醫師與護理師須盡快安排訪視；同時當護理師 於工作上需要彼此幫忙時，能夠报快瀏覽該列表中所示需 要協助幫忙訪視個案，以便於護理師及護理單位管理者可 即時在工作上做適切的安排。 (3)護理師及醫師每日訪視概況列表一其係以每曰之時間 單位，統計每位護理師及醫師之訪視量，以供即時讓護^ 師及護理單位管理者監測工作情形。 的完整性 品管遺漏填寫列表—其係列有工作單張尚未填寫的名 翠，以期使用電腦資訊的功能監測遺漏的工作，促進工作 22 1363310 1 I <(2) List of visitor's visits to the day list This list shows the last visit of the physician and the caregiver and the scheduled visit of the case, so that the physician and the nurse can understand the last visit day of the management case. In the list, for those who have not visited the case for more than a period of time (for example, two months), the case will be specially displayed in a color block to remind the doctor and the nurse to arrange the visit as soon as possible; and when the nurses need to help each other at work, Being able to report quickly to the list shown in the list will help to help with the visit, so that the caregiver and the care unit manager can make appropriate arrangements at work. (3) List of daily visits by nurses and physicians. The number of visits by each nurse and physician is counted in time units for each time, so that the maintenance staff and the care unit managers can monitor the work situation. . The integrity of the quality control is missing the list - the series has a worksheet that has not yet been filled out, in order to use the function of computer information to monitor the missing work and promote the work 22 1363310 1 I <
I 2.報表：其絲於前述列表統整計算料度/⑽甚至日訪 視業務之服務次數、服務項目與護理指導内容等，其係包 括居豕訪視業務報表、醫師及護理師每日訪視概況統計報 - 雜絲_醫材使聽計報表等。其中，絲訪視業務 報表中之統計資料有護理師及醫師年度/月份訪視人次統 计'訪視個案診斷別統計、護理師及醫師訪視費用年度/ 月份統計、訪視服務項目年度/月份統計以及衛教項目年度 魯 /月份統計；醫師及護理師每日訪視概況報表有護理師年度 々份/日訪視人次統計以及醫師年度/月份/日訪視人次統 计，居家護理醫材使用量報表有特殊材質醫材數量統計、 一般導管使用數量統計以及耗材使用數量統計。 請參閱第六圖，該圖係本發明實施例居家護理資訊管 理方法中品管監測資料管理系統之作業流程圖，服務品管 監測系統係依照居家護理評鑑指標為架構，由圖中流程可 知，服務品管監測系統可接收並輸入有個案發生品管問題 • 的狀況例如導管重置、感染控制、安全、新壓瘡、導管移 除重複入Ρτο或營養監測等資料，其中前述品管問題的狀 況即為品管指標且每-個品管指標都有一個管理網頁可 供護理.師進行查詢或資料之新增、修改及刪除等處理，並 經該系統處理產出下述列表： (1)導管重置列表—列表巾係包含有觸姓名與編號、護理 師，往處理問題之臨訪日期、重置導管項目（如鼻胃管或導 ，管等）、重置原因（如個案自行拔除或滲尿等)以及臨訪次 23 (期):個表—列表中係包含有個案編號、發生感染曰 (外)1:居ί安全列表—列表中係包含有個案編號、發生意 文王項目（如跌倒等）、傷勢狀況(如皮下出血或骨 乂及傷勢處置(如返回門診或電話教導處理傷口等) 寻襴位。 瘡列表—列表中係包含有個案編號、發生日期、新 it Μ生4位(如躁部外側或薦冑等）、壓瘡大小以及壓瘡 處置等欄位。 5移除列表—列表中係包含有個案編號、移除曰期、 示項目（如鼻月官或導尿管等）、導管裝置時間 、柯氏分 數以及巴氏分數等欄位。 複w列表—列表中係包含有個案編號、住院狀況 田计劃性麵計靠等)以及飢顿(如泌尿道感染、腸 月道出血或肺炎等）等攔位。 ()呂養皿射彳表—列表中係包含有個案編號與姓名 、抽血 日期、白蛋白(Albumin)檢驗結果以及提醒護理師營養監測 應完成曰期等欄位。 以上述該些列表為基礎並依照每年度/每月發生案件 、洗计而知各品管指標之料分析報表。藉由品管監測資料 管理系統中該些與報表可讓護理師掌握個案居家護 理期間之醫療m及處理品管指標問題之進度，且品管 内容皆由負責個案之護理師自行輸入，不需再由其他不熟 悉狀況者經手，大幅提昇輸入資料之正確性，亦減少之前 手寫單張造成書寫遺漏的狀況，並能瞭解個案發生該此問 題的頻率，而可於衛教時加強指導照顧者於看護個案時應 注意事項，以避免品管問題的發生或問題若發生能預先處 理而將傷害程度減至最低，進而增進居家照護品管效能， 同時藉由該系統產出之列表與報表可讓護理單位管理者 監控護理師管理個案品管問題之效率，適時給予工作進度 提醒與應變處理教示，以提昇居家照護服務品質，並符合 居家護理評鑑要求。 請參閱第七圖，該圖係本發明實施例居家護理資訊管 理方法中醫師訪視排程管理系統之作業流程圖，此醫師訪 視排程管理系統之使用者主要為居家護理師及家庭醫學 科醫師，該系統係可接收並輸人護理師依照需要醫師訪視 個案所安排預約之下個月訪視日期以及經醫師破認之下 個月訪視日期，且純係設有-指定誠，以蚊護理師 與醫師變更訪視日期’此蚊期限魏，系較會鎖定而 無法讓任何使用者做内容更動，僅供管理者列印此管理網 頁作為訪視工作的安排。當純處理輸人之日期資料後可 產出醫師訪視日期涵縣，中橫向f行欄位係為 以週次為劃分單位之下月份時間，例如可將下個月時間割 分為第-輕第五週，職中縱向第—行難則為各護理 師姓名’列表中週次欄位與各護理師姓名攔位交錯處即呈 現輸入之預約訪視日期，再醫_認護购安排之預約訪 視時間自己是否可如期出訪後’該處攔位便會註記上醫師 姓名、預定訪視日期以及預定訪視時間(如上T、下午或全 天此外’系統中之資料係可在有效期限内執行删除或新 增。因此’藉由此醫師訪視排程管理系統之設計，護理師 及醫師便可透過網路溝通，減少需崎以電話聯繫及反覆 確認所致雜’同時麵健可定财#師訪視病情。在 每個月-定期限内登人醫師訪視排程f理系統之網頁，並 輸入需要醫師訪視的時間以產生， 綜上所述’藉由本發明居家護理資訊管理方法中所設 各管理系統’可進行居家護理過程產生資料之查詢、輸 入、修改、編輯、儲存或輪出等處理，而將資料轉換成單 位所需要的文書資料、工作提醒絲以及統計報表等，讓 使用者能即時瞭解居家護理卫作營運的狀況，並兼呈 管理之功能’以增進工作效率且減少工；疏失 f®漏處理之問題，同時輸出之資料係可呈現機構管理需 求及評鑑所需内容，簡化事務流-程並大幅節省人工；寫： ^報^耗費之人力時數’且該些系統之使用係無地緣限 時隨地可登人系統處理資料，具備實用性與便利性 =點，対_更新系财㈣，讓使时掌握最新最 確之工作概況，以提昇居家護理服務品質。 【圖式簡單說明】 ’一圖係f知居家護理個案處理作業程序之流程圖。 第二圖係本發明實施例居家護理資訊管理方法中各管理 1363310 , . ·. 系統之作業概況流程圖。 第三圖係本發明實施例居家護理資訊管理方法中醫囑單 • 管理系統之作業流程圖。 - 第四圖係本發明實施例居家護理資訊管理方法中個案資 * 料管理系統之作業流程圖。 - 第五圖係本發明實施例居家護理資訊管理方法中個案費 用資料管理系統之作業流程圖。 Φ 第六圖係本發明實施例居家護理資訊管理方法中品管監 測資料管理系統之作業流程圖。 第七圖係本發明實施例居家護理資訊管理方法中醫師訪 視排程管理系統之作業流程圖。 【主要元件符號說明】 無 27I 2. Report: It is based on the above list to calculate the total amount of information / (10) even the number of service visits, service items and nursing guidance contents of the day-to-day visit, including the report of the visit to the business, doctors and nurses daily Visiting the overview statistics report - Miscellaneous _ medical materials to make a report. Among them, the statistical information in the silk interview business report includes the annual/month visitor statistics of the nurses and doctors' visit statistics, the visitor's and doctor's visit fees, the annual/monthly statistics, and the visit service project year/ Monthly statistics and annual Lu/month statistics of the health education project; daily visits to the doctors and nurses are provided by the nurses' annual/day visit visit statistics and the doctor's annual/month/day visit visit statistics, home care doctors The material usage report has statistics on the number of special materials, general use of catheters, and statistics on the amount of consumables used. Please refer to the sixth figure, which is an operation flowchart of the quality control data management system in the home care information management method according to the embodiment of the present invention. The service quality management monitoring system is based on the home care evaluation index, and the flow in the figure is known. The service quality monitoring system can receive and input conditions such as catheter reset, infection control, safety, new pressure sores, catheter removal, or nutrition monitoring, etc. The status is the quality control indicators and each of the quality control indicators has a management webpage available for care. The division conducts inquiries or new, modified and deleted data, and the following list is processed by the system: 1) Catheter Reset List—The list includes the name and number of the touch, the caregiver, the date of the visit to the problem, the reset catheter item (eg nasogastric tube or guide, tube, etc.), the reason for the reset (eg case Self-extraction or urinary excretion, etc.) and visits 23 (period): a list - the list contains the case number, the infection occurred (external) 1: the list of safes - the list contains the case No., the occurrence of the King of the King (such as falls, etc.), the status of the injury (such as subcutaneous hemorrhage or osteophyte and injury treatment (such as return to the clinic or telephone to teach the wound, etc.) to find the position. Sore list - the list contains the case number, The date of occurrence, the new it is 4 (such as the lateral side of the ankle or the sputum, etc.), the size of the pressure sore and the pressure sore disposal. 5Remove the list - the list contains the case number, the removal period, the indication Items such as items (such as nasal month or catheter), catheter device time, Koch's score, and Pap score. Complex w list—The list includes the case number, hospitalization status, plan surface, etc. ) and obstruction such as hunger (such as urinary tract infection, intestinal bleeding or pneumonia). () Lu Yang dish shooting list - the list contains the case number and name, blood date, albumin (Albumin) test results and remind the nurses nutrition monitoring should complete the flood season and other fields. Based on the above-mentioned lists and based on the annual/monthly occurrence of cases and washings, the analysis report of each quality control index is known. Through the quality control data management system, the report and the report can enable the nurse to grasp the progress of the medical treatment and quality control indicators during the home care period, and the quality control content is input by the responsible nurse. The use of other unfamiliar situations will greatly improve the correctness of the input data, reduce the number of missing handwriting in the previous handwritten sheets, and understand the frequency of occurrence of the problem in the case. Care should be taken when caring for cases to avoid the occurrence of quality control problems or problems that can be pre-treated to minimize the damage, thereby improving the quality of home care products, and the list and reports produced by the system can be Let the nursing unit manager monitor the efficiency of the nursing staff to manage the quality control problem of the case, and give the work progress reminder and the strain treatment instruction in time to improve the quality of the home care service and meet the requirements of the home care evaluation. Please refer to the seventh figure, which is a flowchart of the operation of the physician visit schedule management system in the home care information management method according to the embodiment of the present invention. The user of the visitor schedule management system is mainly a home nurse and family medicine. Physician, the system can receive and lose the caregiver according to the needs of the doctor visit case to arrange the next month's visit date and the doctor's date of visit under the doctor's visit, and the purely set-designed The mosquito nurse and the physician changed the date of the visit. This mosquito period is relatively locked and cannot be used by any user to make content changes. It is only for the administrator to print this management page as an arrangement for visiting work. When the date of the input is processed purely, the date of the visitor's visit can be output. The middle and horizontal f-rows are the time of the month under the division of the week. For example, the next month can be divided into the first-light. In the fifth week, the first-line job in the middle of the job is difficult for the names of the nurses. The list of the weekly columns in the list and the names of the nurses in the list is the date of the scheduled visit, and the doctors’ If you can make a scheduled visit, you can check the name of the doctor, the date of the scheduled visit, and the scheduled visit time (as in T, PM, or all day above). The data in the system can be valid. The deletion or addition is performed internally. Therefore, by using the doctor's visit to the schedule management system design, the nurses and physicians can communicate through the network, reducing the need for contact and reconfirmation by Nasaki. Dingcai #师 visit depends on the condition. Within a monthly-fixed period, the doctor visits the webpage of the scheduling system and enters the time required for the visitor to generate the doctor. In summary, the home care by the present invention Information management method Each management system set up can process, input, modify, edit, store or rotate the data generated by the home care process, and convert the data into the documents, work reminders and statistical reports required by the unit. Users can instantly understand the status of home care and maintenance operations, and also provide management functions to improve work efficiency and reduce work; the problem of missing faults, while the output of the data can present institutional management needs and assessments Need content, simplify the flow of the transaction - and save a lot of labor; write: ^ report the cost of labor hours ' and the use of these systems is limited to the local system to process data, with practicality and convenience = point対 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ The figure is a flow chart of the operation of each management 1363310, . . . system in the home care information management method of the embodiment of the present invention. Example of home care information management method Chinese medicine practitioner list • Management system operation flow chart - The fourth figure is the operation flow chart of the case material management system in the home care information management method of the embodiment of the present invention - The fifth figure is the present invention The operation flow chart of the case cost data management system in the home care information management method of the embodiment Φ The sixth figure is the operation flow chart of the quality control data management system in the home care information management method of the embodiment of the present invention. Example Home Care Information Management Method Operation Flow Chart of Chinese Medicine Physician Schedule Management System [Main Component Symbol Description] No 27
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| US20250166800A1 (en) * | 2023-11-17 | 2025-05-22 | AgileRN LLC | Homecare System For Facilitating Collaboration |
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