Hibari no Mori Visiting Nursing Station is working to improve its business structure, including promoting digital transformation, in order to simultaneously provide "visiting nurse services" and "life support services" as part of a comprehensive community care system, thereby improving operational efficiency across the company and respecting the work style of each and every employee.

[Work structure (example)]

・DX promotion: introduction of electronic medical records (visits with business iPads and automatic processing through linkage with in-house business software), loan of business iPhones, use of in-house intranet and cloud services (accounts given to all staff), network connection with external parties such as clinics, paperless, cashless, etc.

・Development of company-wide work manuals and tools: visiting nursing and rehabilitation work, clerical work, management headquarters work, etc.

・Enhancement of education and training system: in-house training (OJT), in-house and external OffJT (conferences, seminars, etc.), introduction of e-learning, etc.

・Concentration of all corporate work in the management headquarters

・Outsourcing of indirect work such as finance (accounting) and human resources (labor)

・Utilization of various support from government, local governments, associations, industry groups, etc.

On the other hand, in the visiting nursing business, the daily workload of the visiting staff (nurses and rehabilitation) and clerical staff at the facility is large, and the work of the management headquarters is also diverse.

We are working to improve operational efficiency in various ways, but at present it is not easy to secure the personnel and time necessary to operate and promote our "life support services," and in order to strengthen our efforts in the future, we will need to hire and assign a dedicated person within the Management Headquarters.

In addition, in aiming to provide higher quality home nursing through specialized foot care, it will be difficult to provide opportunities within the company to acquire the necessary skills, so we will need to create an environment in which staff can systematically take external training while also considering efficiency as a company.

[Home nursing duties (examples)]

・Before the visit (preparation): Checking the details of the visiting nursing instructions and care plan, checking the information in the electronic medical record, organizing and checking the visiting bag and items, legal alcohol check, infection control measures, checking appearance, clothing, visiting route, parking location, etc., measures according to weather conditions such as extreme heat, typhoons, heavy rain, snowfall, etc.

・Home nursing and rehabilitation services: Vital signs measurement, interview, nursing and rehabilitation care according to the visiting nursing plan, assessment, checking the placement of welfare equipment and furniture, notifying the next visit schedule, caring for family members (caregivers), delivering birthday cards, responding to absences, refusals to visit, sudden changes, etc. (contacting the business, family doctor, care manager, etc.), etc.

・Emergency response: Responding to emergency contacts and requests from 24-hour visiting nursing service contract parties (on-call parties)

・After the visit: Within the business (Director, etc.) ・Reporting and confirming with external parties (attending physicians, care managers, families, etc.), inputting (recording) electronic medical records, network processing (recording) for external parties

・Medical record check: New request reception form, request for home nursing care service provision (common record by care manager), visiting nursing instructions, visiting nursing plan, coordination record, care plan, provision slip, insurance card information (insurance card, share of burden certificate, etc.), visiting nursing service contract, important information explanation, etc.

・Angel care/grief care: Visiting nursing care when a person passes away at home, visiting family (caregivers) after the death (mental care/support)

・Visiting schedule/shift adjustment: Creating/adjusting schedule for regular visits, handling cancellations/schedule changes due to other party circumstances, and responding to visiting staff's vacation/absence, etc.

・Internal conferences, etc.: Overall/business/job-specific conferences, in-house training, etc.

・Communication with external parties: new consultations/requests, confirmation/adjustment of visiting schedules, requesting/proceduring instructions for attending physicians, multi-disciplinary collaboration, complaint/incident response, etc.

・Attending conferences with external parties: discharge conferences, service staff meetings, seminars/study sessions, meetings with other companies in the same industry, etc.

・New contract procedures: explanation of visiting nursing rehabilitation services, preparation/explanation of visiting nursing service contracts/important matters explanations, etc., contract signing, handing over of account transfer requests, etc.

・Document creation: preparation/handing over of visiting nursing plans/reports/service provision tables, invoices/receipts, etc.

・Billing operations: preparation/issuance of invoices/receipts, medical insurance (health insurance/medical care for the elderly), nursing care insurance, public subsidies (welfare, self-reliance) Supportive medical care system, etc.

・Elementary school visits: Visits to schools for children who require medical care entrusted by local governments, signing contracts, and handling paperwork such as billing and confirmation.

・Accepting trainees: Conducting short-term training (classroom lessons, accompanying visitors, etc.), responding to requests from nursing associations, nursing schools, and local medical institutions, signing contracts, and handling paperwork such as billing and confirmation.

・Government and association related: Attending meetings and briefings, submitting various notices, legal investigations, regular inspections, and cooperating with investigations and questionnaires.

・Accounting and personnel related: Attendance management, vacation applications, expense settlement, exchange of goods, vehicle inspections, etc.