Kumamoto

About report of system style pertaining to nursing care benefit costs calculation, submission documents

The last update date:
          We changed a part of the style (March, 2020 (Raiwa 2)).

About report of system style pertaining to nursing care benefit costs calculation, submission documents

※As you handle "notification forms such as the systems pertaining to nursing care benefit costs calculation" (report of system) according to next 1-5 in the office performing care insurance service of list shown below in the Kumamoto prefecture (the Kumamoto city is excluded), please note.


  Please confirm Q&AWe open with the other window about reward for nursing care revision in 2018.                                                                     

When 1 submission is necessary

 When there are addition and changes such as the new addition, as for the report of system, principle, report are necessary for (we include division change). In addition, report of "there is no addition" is necessary when we do not correspond to calculation requirements of the addition. For more details, please see each service column of 01-17 as follows.
 
 

2 return day

(1) When calculated single order of magnitude increases
    Report is necessary according to the list shown below beforehand.  

 

 Type of service

 Start time of calculation

(1)Visit care, visit bathing care, temporary nursing at home, visit rehabilitation, home medical treatment management instruction, tsushokaimamori, tsusho rehabilitation, the welfare tool loan  It is submitted every month before 15th → From the next month
   We submit after 16th → From yoku々tsuki
(from day when, only for the emergency temporary nursing at home addition of temporary nursing at home, we accepted report)
 (2)Short-term entrance life care, short-term entrance medical treatment care, specific facility resident life care, care for the elder welfare facilities, care for the elder healthcare facility, care medical treatment model medical facilities, the House of care medical care  From the next month of month when report was accepted (when day when we accepted report is the first day of month from the month)
 
 (2) In addition, (withdrawal of the addition, subtraction by the staff lack)
   Please submit immediately when you became clear.
  

3 submissions, number of copies, method

   Please submit copy to the next submission after "the report of system living-in-inside" and mention in envelope.

 

 Classification of service

Submission

Address 

 Phone number

 Home service

 Care preventive service

 Kumamoto Senior Citizens Support Division home care group

 〒862-8570

 6-18-1, Suizenji, Chuo-ku, Kumamoto-shi 

 096-333-2219

 Facility type service

(we include medical treatment for a short term for a short term life)

 Kumamoto Senior Citizens Support Division facility care group

 Same as above

 096-333-2217

 

※Office located in Kumamoto-shi, please submit community-based service office and home care support office to each appointor (the location municipalities) to Kumamoto-shi advanced age care employee services.

 (ask style and submission method in each submission.)

 

※Please keep one copy of reserve in the office. 
  

4 notice matters

(1) When you report about plural services, please report every service even if office number is the same. But, only for combination of care preventive services to give integrally with home service, please perform in one notification form.

(2) You list names such as the systems to change in "transfer item" of "notification form about the systems pertaining to nursing care benefit costs calculation" (attached sheet 2) column when contents of report are changes, and please list in front of change and contents after change in "special remarks" column.

 

  (mention example) when change the specific office addition from "there is no" to "addition (2)"

             Transfer item: The specific office addition
             Special remarks: (before change) there is no the specific office addition  →  (after the change) specific office addition addition (2)
 

(3) "The systems pertaining to nursing care benefit costs calculation, please add ○ seal to the applicable systems to the situation table" about item except change point.

 

Styles every each 5 services

※As it varies according to types of service, please see each next service.

12(the care prevention) specific facility resident life care

 

01 Visit care

※When we calculate physical care within 20 minutes about "periodical patrol, situation about occasional correspondence service" and we perform frequent visit (thing not to empty almost two hours or more intervals into from visit care that we offered last time), submission of report of system is necessary. 
 

 [documents which are necessary at the time of report of system submission] 
 1. Self-check list pertaining to "notification form about the systems pertaining to nursing care benefit costs calculation" [visit care] (word: 53 kilobytes) We open with the other window

 2. (attached sheet 2) notification form (Excel: 54 kilobytes) about the systems pertaining to nursing care benefit costs calculation We open with the other window

 3. (attached sheet 1) the systems pertaining to nursing care benefit costs calculation the situation table (visit care) (Excel: 67 kilobytes) We open with the other window

   
 [documents needing submission depending on the calculation situation of the addition]
 4. In the case of attached documents next pertaining to the addition, submission is necessary. 

 

 Type of the addition

 Item

 Necessary documents

 Periodical patrol, situation about occasional correspondence service

 "Do not receive designation";

    (attached sheet 15) Periodical patrol, notification form (Excel: 40 kilobytes) which affects the situation about correspondence service at any time We open with the other window

 The specific office addition

 "There is no";

1  (attached sheet 10) notification form (Excel: 55 kilobytes) pertaining to the specific office addition We open with the other window

2  (reference style 5) specific office addition system requirements confirmation (word: 52 kilobytes) We open with the other window

 (reference style 3) correspondence requirements confirmation lists (Excel: 60.5 kilobytes) such as authorized office addition human resources requirements, severe person requiring nursing care We open with the other window

4  (attached sheet 7) the system of duty of employee and duty form table (Excel: 47.5 kilobytes) We open with the other window

 The small office addition in intermediate and mountainous area

(the situation about scale)

 "Pertinence"

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

 "There is no";

※About report procedureWe open with the other window

 Discount

 "There is"

  (attached sheet 5) About setting of discount pertaining to discount of nursing care benefit costs by designated home service companies (Excel: 51 kilobytes)

 

 >To Top

 

02 (the care prevention) visit bathing care

 3. (attached sheet 1) the systems pertaining to nursing care benefit costs calculation the situation table ((care preventive) visit bathing care) (Excel: 46 kilobytes) We open with the other window
 
 [documents needing submission depending on the calculation situation of the addition]
 4. In the case of attached documents next pertaining to the addition, submission is necessary.

 

 Type of the addition

 Item

 Necessary documents

 The small office addition (the situation about scale) in intermediate and mountainous area

 "Pertinence"

 The service offer system reinforcement addition

None

igai

1  (attached sheet 12) notification form (Excel: 47.5 kilobytes) about the service offer system reinforcement addition We open with the other window

 (attached sheet 7) the system of duty of employee and duty form table (Excel: 47.5 kilobytes) We open with the other window

 (reference style 3) calculation requirements' confirmation list (the service offer system reinforcement addition) (Excel: 37.5 kilobytes) We open with the other window 

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

None

igai

 ※About report procedureWe open with the other window
 Discount

 "There is"

  (attached sheet 5) About setting of discount pertaining to discount of nursing care benefit costs by designated home service companies (Excel: 51 kilobytes)

 >To Top

  
 [documents which are necessary at the time of report of system submission] (we consider and, in the case of designated office, are necessary)
 1. Self-check list pertaining to "notification form about the systems pertaining to reward for nursing care calculation" ((care prevention) temporary nursing at home) (Excel: 38.5 kilobytes) We open with the other window

 2. (attached sheet 2) notification form (Excel: 54 kilobytes) about the systems pertaining to nursing care benefit costs calculation We open with the other window

 3. [attached sheet 1,1-2] The systems pertaining to nursing care benefit costs calculation the situation table ((care prevention) temporary nursing at home) (Excel: 100.5 kilobytes) We open with the other window


 [documents needing submission depending on the calculation situation of the addition]
 4. In the case of attached documents next pertaining to the addition, submission is necessary. 

 

 Type of the addition

 Item

 Necessary documents

 The small office addition in intermediate and mountainous area

 (the situation about scale)

"Pertinence"

 The emergency (the care prevention) temporary nursing at home addition

 Special regime

 The terminal care addition system

 Either

"There is"; or

Available"

 The nursing system reinforcement addition

 "Addition (1)"

 

 "Addition (2)"

※You make temporary nursing at home, care prevention temporary nursing at home each, and attach the above (reference style).

 The service offer system reinforcement addition

None

igai

 1   [attached sheet 12-2] notification form ((care prevention) temporary nursing at home) about the service offer system reinforcement addition (Excel: 33 kilobytes) We open with the other window

 2  [reference style] service offer system reinforcement addition requirements calculation table ((care prevention) temporary nursing at home) (Excel: 44 kilobytes) We open with the other window

 
 

 >To Top

  

04 (the care prevention) visit rehabilitation

 ※About "the rehabilitation management addition" and each addition in conjunction with that, put together for (notice of March 27, 2006 nichirorohatsu 0327001 Ministry of Health, Labour and Welfare hale and hearty station old man health section manager) about "the presentation of basic way of thinking of the rehabilitation management and paperwork procedure example about the addition and style example", and please calculate We open with the other windowafter checking (notice of first in October 28, 2019 nichirorohatsu 1028 Ministry of Health, Labour and Welfare hale and hearty station old man health section manager) (PDF: 510.5 kilobytes) about the presentation of basic way of thinking about the rehabilitation management addition and paperwork procedures such as rehabilitation plans and style example.
 
[documents which are necessary at the time of report of system submission] (we consider and, in the case of designated office, are necessary)
 1. Self-check list pertaining to "notification form about the systems pertaining to reward for nursing care calculation" ((care preventive) visit rehabilitation) (Excel: 60 kilobytes) We open with the other window

 3. [attached sheet 1,1-2] The systems which affect nursing care benefit costs the situation table ((care preventive) visit rehabilitation) (Excel: 205.5 kilobytes) We open with the other window

 

 [documents needing submission depending on the calculation situation of the addition]
 4. In the case of attached documents next pertaining to the addition, submission is necessary. 

 

 Type of the addition

 Item

 Necessary documents

 The small office addition in intermediate and mountainous area

 (the situation about scale)

   "Pertinence"
 The social participation support addition    "There is"
 The service offer system reinforcement addition    "There is"   1  [attached sheet 12-3] notification form ((care preventive) visit rehabilitation) about the service offer system reinforcement addition (Excel: 44 kilobytes) We open with the other window

 Documents (style option) which can confirm that we meet 2 requirements

 

 >To Top

 

05 (the care prevention) home medical treatment management instruction

[documents which are necessary at the time of report of system submission] (we consider and, in the case of designated office, are necessary)

 2. (attached sheet 2) notification form (Excel: 54 kilobytes) about the systems pertaining to nursing care benefit costs calculation We open with the other window

 3. [attached sheet 1,1-2] The systems the situation table ((care preventive) home medical treatment management instruction) (Excel: 319.5 kilobytes) We open with the other window 

 
 [documents needing submission depending on the calculation situation of the addition]
 5.Attached documents pertaining to the addition    In the case of next, submission is necessary.

 

 

06 tsushokaimamori

※About "the individual function training addition",PDF please calculate attached sheet after checking (notice of March 27, 2015 nichiroshinhatsudai 0327 No. 2 Ministry of Health, Labour and Welfare hale and hearty station promotion section manager) With new window(PDF: 521.8 kilobytes) about "the presentation of tsushokaimamori and paperwork procedure example about the individual function training addition in short-term entrance life care and style example".
 
 [documents which are necessary at the time of report of system submission]

 3. (attached sheet 1) the systems pertaining to nursing care benefit costs calculation the situation table (tsushokaimamori) (Excel: 67.5 kilobytes) We open with the other window

 4. (reference style 1-2) the system of duty of employee and duty form table (tsushokaimamoriyo) (Excel: 46.5 kilobytes) We open with the other window

 

  [documents needing submission depending on the calculation situation of the addition] 

  5.  In the case of attached documents next pertaining to the addition, submission is necessary.

 

 Type of the addition

 Item

 Necessary documents

 Office scale

 All scales

 The middle severeness person care system addition

"There is"

 1Excel (reference style 3) calculation requirement's confirmation list (the middle severeness person care system addition) With new window(Excel: 29 kilobytes)

 Staff of 2Excel (reference style 6) full-time employment requirements confirmation list (for the middle severeness person care system addition, the dementia addition) With new window(Excel: 31.5 kilobytes)

 The addition such as ADL maintenance        "There is" 
 The dementia addition

"There is"

 1Excel (reference style 4) calculation requirement's confirmation list (the dementia addition) With new window(Excel: 29.5 kilobytes)

 Copy of identification of completion of 2 training completion people

 Staff of 3Excel (reference style 6) full-time employment requirements confirmation list (for the middle severeness person care system addition, the dementia addition) With new window(Excel: 31.5 kilobytes)

 The service offer system reinforcement addition

 "There is no";

 1  (attached sheet 12-5) notification form (Excel: 46.5 kilobytes) about the service offer system reinforcement addition We open with the other window

 2  (reference style 5) calculation requirements' confirmation list (the service offer system reinforcement addition) (Excel: 31.5 kilobytes) We open with the other window

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

"There is no";

 ※About report procedureWe open with the other window
 Discount

"There is"

 >To Top

 

07 (the care prevention) authority of place rehabilitation

 ※About "the rehabilitation management addition" and each addition in conjunction with that, put together for (notice of March 27, 2006 nichirorohatsu 0327001 Ministry of Health, Labour and Welfare hale and hearty station old man health section manager) about "the presentation of basic way of thinking of the rehabilitation management and paperwork procedure example about the addition and style example", and please calculate We open with the other windowafter checking (notice of first in October 28, 2019 nichirorohatsu 1028 Ministry of Health, Labour and Welfare hale and hearty station old man health section manager) (PDF: 510.5 kilobytes) about the presentation of basic way of thinking about the rehabilitation management addition and paperwork procedures such as rehabilitation plans and style example.
 

 [documents which are necessary at the time of report of system submission]

 3. (attached sheet 1) the systems pertaining to nursing care benefit costs calculation the situation table [(care prevention) authority of place rehabilitation] (Excel: 48 kilobytes) We open with the other window

 4. (reference style 1-3) the system of duty of employee and duty form table (for tsusho rehearsal) (Excel: 33.5 kilobytes) We open with the other window

 

 [documents which are necessary depending on the calculation situation of the addition]

 5.  In the case of attached documents next pertaining to the addition, submission is necessary.

 

 Type of the addition

 Item

 Necessary documents

 Office scale

 All scales

 The middle severeness person care system addition

 "There is" 

 The social participation support addition

 "There is"

 Excel (attached sheet 18) Report With new window(Excel: 35 kilobytes) pertaining to the social participation support addition in tsusho rehabilitation office 

 Excel (reference style 6) calculation requirements' confirmation list (the social participation support addition) With new window(Excel: 31 kilobytes)

The service offer system reinforcement addition

 "There is no";

 1  (attached sheet 12-5) notification form (Excel: 46.5 kilobytes) about the service offer system reinforcement addition We open with the other window

 2Excel (reference style 4) calculation requirements' confirmation list (the service offer system reinforcement addition) With new window(Excel: 31.5 kilobytes)

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

"There is no";

※About report procedureWe open with the other window
 

(note) of newcomer consider, and, about report of system of designated company, please see "about designation that there is no only as for tsusho rehabilitation". 

>To Top

 

08 (the care prevention) short-term entrance life care

※About "the individual function training addition",PDF please calculate attached sheet after checking (notice of March 27, 2015 nichiroshinhatsudai 0327 No. 2 Ministry of Health, Labour and Welfare hale and hearty station promotion section manager) With new window(PDF: 521.8 kilobytes) about "the presentation of tsushokaimamori and paperwork procedure example about the individual function training addition in short-term entrance life care and style example"
 

 3. (attached sheet 1,1-2) the systems pertaining to nursing care benefit costs calculation the situation table ((care prevention) short-term entrance life care) (Excel: 222.5 kilobytes) We open with the other window

 4. (reference style) the system of duty of employee and duty form table (Excel: 53 kilobytes) We open with the other window


 [documents needing submission depending on the calculation situation of the addition]
 5.In the case of attached documents next pertaining to the addition, submission is necessary. 

 

Types of the addition 

  Item

 Necessary documents

 The nursing system addition             "There is no";
 The staff of night duty placement addition

 "There is no";

(1)... (4): We can confirm that we meet requirements (making additional rationing)

(3)(4): Care worker, authorized specific act duties worker list (style 1-2) (Excel: 37.5 kilobytes) We open with the other window

 Introduction of care robot

 "There is"

  (style 22) Notification form (Excel: 51 kilobytes) pertaining to the staff of night duty placement addition by introduction of care robot We open with the other window
 The care addition specialized in dementia

 "Addition (1)"

Or

"Addition (2)"

"Addition (1):" Copy of identification of completion of "the dementia care practice leader training"

"Addition (2):" Copy of identification of completion of "the dementia care leader training"

 The service offer system reinforcement addition 

 "There is no";

1  (attached sheet 12-6) notification form (Excel: 60.5 kilobytes) about the service offer system reinforcement addition and the everyday life continuation support addition We open with the other window

2  (reference style) calculation requirements' confirmation list (the service offer system reinforcement addition) [short-term entrance life care] (Excel: 55 kilobytes) We open with the other window

 (reference style) the placement situation (Excel: 47 kilobytes) of the staff We open with the other window

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

 "There is no";

 ※About report procedureWe open with the other window
 Discount

 "There is"

  (attached sheet 5) About setting of discount pertaining to discount of nursing care benefit costs by designated home service companies (Excel: 51 kilobytes) We open with the other window

 >To Top

 

09 (the care prevention) short-term entrance medical treatment care [care for the elder healthcare facility]

 [documents which are necessary at the time of report of system submission]
(1) In the case of (the care prevention) of care for the elder healthcare facility short-term entrance medical treatment care 
 3. (attached sheet 1) the systems pertaining to nursing care benefit costs calculation the situation table (short-term entrance medical treatment care in care for the elder healthcare facility) (Excel: 234 kilobytes) We open with the other window

(2) In the case of (the care prevention) of care medical treatment model care for the elder healthcare facility short-term entrance medical treatment care 
※About "notification form (attached sheet 2) about the systems pertaining to nursing care benefit costs calculation", submission with the same paper is possible to agree with the body hale and hearty deno calculation system about the addition if the body is hale and hearty. Please submit the situation table (attached sheet 1) to self-check list pertaining to "notification form about the systems pertaining to reward for nursing care calculation" and the system pertaining to nursing care benefit costs calculation by all means.
 In addition, we can omit required document about the addition to repeat if the body is hale and hearty only when the body is hale and hearty and submits.

>To Top

10 (the care prevention) short-term entrance medical treatment care [hospital, medical office]

 [documents which are necessary at the time of report of system submission]

 3. (attached sheet 1, 1-2) the systems which depend on nursing care benefit costs calculation the situation table (short-term entrance medical treatment care in hospital, medical office) (Excel: 66 kilobytes) We open with the other window

 4.Excel (attached sheet 7) the system of duty of employee and duty form table With new window(Excel: 32 kilobytes)

 5. (attached sheet 13-3) report (Excel: 59 kilobytes) pertaining to basic facility service costs of care medical treatment model medical facilities (medical treatment functional enhancement type) We open with the other window


 [documents needing submission depending on the calculation situation of the addition]

 6. In the case of attached documents next pertaining to the addition, submission is necessary.

 

 Type of the addition

 Item

 Necessary documents

 Medical treatment environmental standard

 "Subtraction type"

 Excel  (attached sheet 6) Ground plan With new window(Excel: 27 kilobytes)
 The service offer system reinforcement addition

 None

igai

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

 None

igai

 ※About report procedureWe open with the other window

 ※When you report calculation of the addition mentioned above, you attach necessary documents, and, in addition to 1-5 mentioned above, please submit.

※You attach the following necessary documents, and, about calculation of the following specific medical treatment costs, please submit in addition to 1-5 mentioned above We open with the other windowafter checking notice matter (PDF: 150.6 kilobytes) about specific medical treatment costs.

 

<specific medical treatment costs>

 

Type of the addition

 Necessary documents

 Seriously ill skin ulcer management instruction  Excel Style 5 With new window(Excel: 17.5 kilobytes)
 Drug management instruction
  •  Excel Style 6 With new window(Excel: 25 kilobytes),Excel style 7 With new window(Excel: 29 kilobytes), plan and ground plan
 Physiotherapy (I)  Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Occupational therapy  Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Language hearing therapy  Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Group communication therapy  Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Psychiatry occupational therapy

 Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 9 With new window(Excel: 23.5 kilobytes), plan and ground plan

 

 >To Top

 

11 (the care prevention) short-term entrance medical treatment care [the House of care medical care]

 [documents which are necessary at the time of report of system submission]
 1. Self-check list (the care prevention) short-term entrance medical treatment care [the House of care medical care] pertaining to "notification form about the systems pertaining to nursing care benefit costs calculation" (Excel: 55 kilobytes) We open with the other window

 2. (attached sheet 2) notification form (Excel: 54 kilobytes) about the systems pertaining to nursing care benefit costs calculation We open with the other window


 

 Type of the addition

 Item

 Necessary documents

 Medical treatment environmental standard

(corridor, doctor's office)

 "Subtraction type"

 Excel  (attached sheet 6) Ground plan With new window(Excel: 27 kilobytes)

 Severeness dementia disease medical treatment

 The system addition

 None

igai

  (attached sheet 24) Report (Excel: 20.6 kilobytes) pertaining to the severe dementia disease medical treatment system addition in the House of care medical care We open with the other window

 Service offer system reinforcement

 The addition

 None

igai

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

 None

igai

 ※About report procedureWe open with the other window
 
※When you report calculation of the addition mentioned above, you attach necessary documents, and, in addition to 1-6 mentioned above, please submit.
   In addition, we can omit the House of body care medical care and required document about the addition to repeat only when we submit at the House of body care medical care.

※You attach the following necessary documents, and, about calculation of the following special medical treatment costs, please submit in addition to 1-6 mentioned above We open with the other windowafter checking notice matter (PDF: 155.8 kilobytes) about special medical treatment costs.

 

<special medical treatment costs>
 

 Type of the addition

 Necessary documents

 Seriously ill skin ulcer management instruction
  •  Excel Style 5 With new window(Excel: 17.5 kilobytes)
 Drug management instruction Excel Style 6 With new window(Excel: 25 kilobytes),Excel style 7 With new window(Excel: 29 kilobytes), plan and ground plan
 Physiotherapy (I) Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Occupational therapy Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Language hearing therapy Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Group communication therapy Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Psychiatry occupational therapy

 Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 9 With new window(Excel: 23.5 kilobytes), plan and ground plan

 

12 (the care prevention) specific facility resident life care

 [documents which are necessary at the time of report of system submission]

 3. (attached sheet 1) the systems pertaining to nursing care benefit costs calculation the situation table ((prevention) specific facility) (Excel: 54 kilobytes) We open with the other window

 4. (attached sheet 7) the system of duty of employee and duty form table (Excel: 41.5 kilobytes) We open with the other window


 [documents needing submission depending on the calculation situation such as the addition]

 5. In the case of attached documents next pertaining to the addition, submission is necessary. 

 

 Types such as the addition

 Item

 Necessary documents

 The entering continuation support addition

 "There is"

  (attached sheet 20) Notification form (Excel: 81 kilobytes) about the entering continuation support addition We open with the other window
 The night nursing system

Available"

 Excel (attached sheet 9) Notification form With new window(Excel: 29 kilobytes) pertaining to the night nursing system
 The care addition specialized in dementia

"Addition (1)"

Or

"Addition (2)" 

Addition (1): Copy of identification of completion of "the dementia care practice leader training"

Addition (2): Copy of identification of completion of "the dementia care leader training"

※When we meet to September 30, 2015, copy of attendance application is possible when there is attendance applicant

 The service offer system reinforcement addition

 None

igai

  (attached sheet 12-14) notification form (Excel: 44.5 kilobytes) about the service offer system reinforcement addition We open with the other window

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

 "There is no";

 ※About report procedureWe open with the other window
 Specific facility resident life care (the short-term use type)

 Calculation

 (attached sheet) Notification form (Excel: 45.5 kilobytes) pertaining to specific facility resident life care (the short-term use type) We open with the other window

 Discount

 "There is"

  (attached sheet 5) About setting of discount pertaining to discount of nursing care benefit costs by designated home service companies (Excel: 51 kilobytes) We open with the other window
 
 

13 (the care prevention) the welfare tool loan

 [documents which are necessary at the time of report of system submission]

 3. (attached sheet 1, 1-2) the systems pertaining to nursing care benefit costs calculation the situation table ((care preventive) welfare tool loan) (Excel: 136.5 kilobytes) We open with the other window

  [documents needing submission depending on the calculation situation of the addition]
 4. In the case of attached documents next pertaining to the addition, submission is necessary.

 

 Type of the addition

 Item

 Necessary documents

 The small office addition (the situation about scale) in intermediate and mountainous area "Pertinence"  (reference style) user calculation list mean in last year (Excel: 43 kilobytes) We open with the other window
 

>To Top

14 Care for the elder welfare facilities

※Of "(September 7, 2005 nichirorohatsudai 0907002) about the presentation of paperwork procedure example about the nourishment management addition and the oral shift addition and style example"
 

 [documents which are necessary at the time of report of system submission]

 3. (attached sheet 1) the systems pertaining to nursing care benefit costs calculation the situation table (care for the elder welfare facilities) (Excel: 149.5 kilobytes) We open with the other window

 4. (reference style) the system of duty of employee and duty form table (Excel: 53 kilobytes) We open with the other window

 
 [documents needing submission depending on the calculation situation of the addition]

 5.In the case of attached documents next pertaining to the addition, submission is necessary.

 

 Type of the addition

 Item

 Necessary documents

 The everyday life continuation support addition

"There is"

 (style 12-6) notification form (Excel: 60.5 kilobytes) about the service offer system reinforcement addition and the everyday life continuation support addition We open with the other window

2  (reference style) everyday life continuation support addition calculation requirements management table (Excel: 53 kilobytes) We open with the other window

※As the latest ratio for 3 months meets predetermined ratio when we calculate the everyday life continuation support addition, or it is necessary to record every month, please record with "everyday life continuation support addition calculation requirements management table" (reference style) or documents which followed this. 

3  (reference style) the placement situation (Excel: 47 kilobytes) of the staff We open with the other window

 The nursing system addition

"Addition (1)"

"Addition (2)"

 The staff of night duty placement addition "There is no";

(1)... (4): We can confirm that we meet requirements (making additional rationing)

(3)(4): Care worker, authorized specific act duties worker list (style 1-2) (Excel: 37.5 kilobytes) We open with the other window

 Introduction of care robot

 "There is"

  (style 22) Notification form (Excel: 51 kilobytes) pertaining to the staff of night duty placement addition by introduction of care robot We open with the other window

 The nourishment management addition

"There is"

 (style 11) notification form (Excel: 44 kilobytes) about the nourishment management We open with the other window

Copy of identification of qualification of 2 administrative dietitians

※When you are calculated, please confirm "(September 7, 2005 nichirorohatsudai 0907002) about the presentation of paperwork procedure example about the nourishment management addition and the oral shift addition and style example". Style example (PDF: 302.4 kilobytes) We open with the other window

 The addition correspondence in placement doctor emergency

"There is"

  (style 21) Notification form (Excel: 51 kilobytes) pertaining to the addition correspondence in placement doctor emergency We open with the other window
 Nurse; the care system

"Addition (1)"

"Addition (2)"

 The care addition specialized in dementia

 "Addition (1)"

Or

"Addition (2)"

"Addition (1):" Copy of identification of completion of "the dementia care practice leader training"

"Addition (2):" Copy of identification of completion of "the dementia care leader training"

 The bedsore management addition

"There is"

  (style 23) Notification form (Excel: 49 kilobytes) about the bedsore management We open with the other window
 The service offer system reinforcement addition

"There is no";

 (style 12-6) notification form (Excel: 60.5 kilobytes) about the service offer system reinforcement addition and the everyday life continuation support addition We open with the other window
2  (reference style) calculation requirements' confirmation list (the service offer system reinforcement addition) (Excel: 55 kilobytes) We open with the other window

3  (reference style) the placement situation (Excel: 47 kilobytes) of the staff We open with the other window

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

 "There is no";

 ※About report procedureWe open with the other window
 Discount

 "There is"

 >To Top

 

15 Care for the elder healthcare facility

※Of "(September 7, 2005 nichirorohatsudai 0907002) about the presentation of paperwork procedure example about the nourishment management addition and the oral shift addition and style example"
 
[documents which are necessary at the time of report of system submission]
(1) In the case of care for the elder healthcare facility

 

(2) In the case of care medical treatment model care for the elder healthcare facility
 1. Self-check list pertaining to "notification form about the systems pertaining to nursing care benefit costs calculation" [care medical treatment model care for the elder healthcare facility] (word: 52.5 kilobytes) We open with the other window

 2. (attached sheet 2) notification form (Excel: 54 kilobytes) about the systems pertaining to nursing care benefit costs calculation We open with the other window

 3. (attached sheet 1) the systems pertaining to nursing care benefit costs calculation the situation table (care medical treatment model care for the elder healthcare facility) (Excel: 229.5 kilobytes) We open with the other window

 4. (attached sheet 13-2) report (Excel: 87 kilobytes) pertaining to the basic facility service costs of care for the elder healthcare facility (medical treatment type) and medical treatment system maintenance special addition ((2)) We open with the other window

 5. (reference style 2) the system of duty of employee and duty form table (Excel: 33.5 kilobytes) We open with the other window

 

 [documents needing submission depending on the calculation situation of the addition]
 6. In the case of attached documents next pertaining to the addition, submission is necessary.  

 

 Type of calculation, the addition

 Item

 Necessary documents

 At-home return, home care support function addition

 "Addition I" or

 "Addition II"

 Medical treatment system maintenance special addition (2)

 "There is"

 The nourishment management addition

 "There is"

 (style 11) notification form (Excel: 44 kilobytes) about the nourishment management We open with the other window

Copy of identification of qualification of 2 administrative dietitians

※When you are calculated, please confirm "(September 7, 2005 nichirorohatsudai 0907002) about the presentation of paperwork procedure example about the nourishment management addition and the oral shift addition and style example". Style example (PDF: 302.4 kilobytes) We open with the other window

 The care addition specialized in dementia

 "Addition I" or

 "Addition II"

"Addition (1):" Copy of identification of completion of "the dementia care practice leader training"

"Addition (2):" Copy of identification of completion of "the dementia care leader training"

 The bedsore management addition

 "There is"

 The service offer system reinforcement addition

 None

igai

  (attached sheet 12-7) notification form (Excel: 84 kilobytes) about the service offer system reinforcement addition We open with the other window

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

 "There is no";

 ※About report procedureWe open with the other window

 Special medical expenses addition item, the rehabilitation offer system

(2) In the case of care medical treatment model care for the elder healthcare facility  Copying of notification form which we reported for calculation of medical service fees
 

>To Top

16 Care medical treatment model medical facilities

※Of "(September 7, 2005 nichirorohatsudai 0907002) about the presentation of paperwork procedure example about the nourishment management addition and the oral shift addition and style example"
 

[documents which are necessary at the time of report of system submission]
 1. Self-check list pertaining to "notification form about the systems pertaining to nursing care benefit costs calculation" [care medical treatment model medical facilities] (Excel: 97.5 kilobytes) We open with the other window

 2. (attached sheet 2) notification form (Excel: 54 kilobytes) about the systems pertaining to nursing care benefit costs calculation We open with the other window

 3. (attached sheet 1) list of system situation pertaining to nursing care benefit costs calculation (care medical treatment model medical facilities) (Excel: 112 kilobytes) We open with the other window

 4.Excel (attached sheet 7) the system of duty of employee and duty form table With new window(Excel: 32 kilobytes)

 5. (attached sheet 13-3) report (Excel: 59 kilobytes) pertaining to basic facility service costs of care medical treatment model medical facilities (medical treatment functional enhancement type) We open with the other window

 6.  (attached sheet 13-4) report (Excel: 18 kilobytes) pertaining to basic facility service costs of care medical treatment model medical facilities (other than medical treatment functional enhancement type) We open with the other window

 

 [documents needing submission depending on the calculation situation of the addition]

 7. In the case of attached documents next pertaining to the addition, submission is necessary.

 

 Type of the addition

 Item

 Necessary documents

 Medical treatment environmental standard

 "Subtraction type"

 Excel (attached sheet 6) Ground plan With new window(Excel: 27 kilobytes)

 The nourishment management addition

"There is"

 (style 11) notification form (Excel: 44 kilobytes) about the nourishment management We open with the other window

Copy of identification of qualification of 2 administrative dietitians

※When you are calculated, please confirm "(September 7, 2005 nichirorohatsudai 0907002) about the presentation of paperwork procedure example about the nourishment management addition and the oral shift addition and style example". Style example (PDF: 302.4 kilobytes) We open with the other window

 The care addition specialized in dementia

  "Addition I" or

 "Addition II"

 "Addition (1):" Copy of identification of completion of "the dementia care practice leader training"

 "Addition (2):" Copy of identification of completion of "the dementia care leader training"

 The service offer system reinforcement addition

 None

igai

 Excel (reference style) calculation requirements' confirmation list (the service offer system reinforcement addition) With new window(Excel: 39 kilobytes)

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

 "There is no";

 ※About report procedureWe open with the other window

 ※When you report calculation of the addition mentioned above, you attach necessary documents, and, in addition to 1-4 mentioned above, please submit.

※You attach the following necessary documents, and please submit in addition to 1-4 mentioned above We open with the other windowafter checking notice matter (PDF: 150.6 kilobytes) about specific medical treatment costs about calculation of the following specific medical treatment costs.

 

<specific medical treatment costs> 

 

 Type of the addition

 Necessary documents

 Seriously ill skin ulcer management instruction
  •  Excel Style 5 With new window(Excel: 17.5 kilobytes)
 Drug management instruction  Excel Style 6 With new window(Excel: 25 kilobytes),Excel style 7 With new window(Excel: 29 kilobytes), plan and ground plan
 Physiotherapy (I)  Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Occupational therapy  Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Language hearing therapy  Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Group communication therapy  Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Psychiatry occupational therapy

 Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 9 With new window(Excel: 23.5 kilobytes), plan and ground plan

The House of 17 care medical care

[documents which are necessary at the time of report of system submission]

 3. (attached sheet 1) list of system situation pertaining to nursing care benefit costs calculation (the House of care medical care) (Excel: 115.5 kilobytes) We open with the other window

 4. (attached sheet 7) the system of duty of employee and duty form table (Excel: 15.4 kilobytes) We open with the other window

 5. (attached sheet 13-5) report (Excel: 19.3 kilobytes) pertaining to basic facility service costs of the House of care medical care ((1) type) We open with the other window
 6. (attached sheet 13-6) report (Excel: 16.9 kilobytes) pertaining to basic facility service costs of the House of care medical care ((2) type) We open with the other window

 
 [documents needing submission depending on the calculation situation of the addition]
 5.Attached documents pertaining to the addition     In the case of next, submission is necessary.

 

 Type of the addition

 Item

 Necessary documents

 Medical treatment environment subtraction

(corridor, doctor's office)

 "Subtraction type"

 The nourishment management addition

  

"There is"

1   (style 11) notification form (Excel: 16 kilobytes) about the nourishment management We open with the other window

Copy of identification of qualification of 2 administrative dietitians

※When you are calculated, please confirm "(September 7, 2005 nichirorohatsudai 0907002) about the presentation of paperwork procedure example about the nourishment management addition and the oral shift addition and style example"

 The service offer system reinforcement addition  None

  igai

 The severeness dementia disease medical treatment system addition  None

  igai

 The staff of care treatment improvement addition

 The specific treatment improvement addition such as the care staff

None

igai 

※When you report calculation of the addition mentioned above, you attach necessary documents, and, in addition to 1-6 mentioned above, please submit.

※You attach the following necessary documents, and, about calculation of the following special medical treatment costs, please submit in addition to 1-6 mentioned above after checking (PDF: 171.9 kilobytes)We open with the other window such as notice matters about special medical treatment costs.
 

<special medical treatment costs>

  Type of the addition  Necessary documents
 Seriously ill skin ulcer management instruction Excel Style 5 With new window(Excel: 17.5 kilobytes)
 Drug management instruction Excel Style 6 With new window(Excel: 25 kilobytes),Excel style 7 With new window(Excel: 29 kilobytes), plan and ground plan
 Physiotherapy (I) Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Occupational therapy Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Language hearing therapy Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Group communication therapy Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 8 With new window(Excel: 30.5 kilobytes), plan and ground plan
 Eating function therapy  Style 7 (Excel: 57 kilobytes) We open with the other window
 Psychiatry occupational therapy Excel Style 7 With new window(Excel: 29 kilobytes),Excel style 9 With new window(Excel: 23.5 kilobytes), plan and ground plan
 Dementia entrance psychotherapy  Style 7 (Excel: 57 kilobytes) We open with the other window

 

 >To Top

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Inquiry

Senior Citizens Support Division facility care group, home care group
Telephone: 096-333-2217, 096-333-2219
Fax: 096-384-5052
(ID: 10346)

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