effectively learn the practices of home-care nurses. The MHLW is currently in the
process of deciding on the content of the next curriculum revision. The next
curriculum should include opportunities for hospital nurses to learn the values that
form the basis of home-care nursing practices, effective interprofessional collaboration, and evaluation with reference to the curricula of districts in the UK.
Significant willingness and commitment to improve patients’ experience of care
from hospital to home were observed in both hospital- and community-based nurses.
It is disappointing that, given the evidence available to support good practice,
discharge planning continues to remain a challenge. Both community and hospital
nurses were willing to improve the discharge planning process for patients and their
family members and caregivers, but it was evident that existing systems and cultures
contained barriers to effective discharge, and this should be addressed. It is important
that we increase communication opportunities and education to enhance understanding of the diverse values of various occupations using IDEAL.
9 The Future Health Information Exchange System
We focus on the transfer process for better health information exchange in communities. We define the information gathering and analysis processes for the recovery/
long-term care hospitals as “support for discharge social work” and standardize them
as the databank as a solution for your care and health (DASCH) project (Ariga,
2017). The exchange system proposed under the DASCH project involves an
agreement among hospitals and clinics for the type of data disclosed by referring
hospitals such as that in the physician’s referral letter. Any personally identifiable
information is masked and disclosed in accordance with the Personal Information
Protection Law(s). The candidate hospital follows the “introduction and selection”
system that verifies patient information, determines the acceptability of the patients,
and indicates the intention to accept patients. This system can be developed and
changed by users without depending on vendors, such as an electronic medical
record, at a reasonable price (Murata, 2019). By examining information demanded
by nursing care facilities/providers, the system proposed by the DASCH project can
be applied in coordination between medical institutions and nursing care facilities/
providers.
The health information exchange system was developed as a centralized information exchange system mainly by the vendor of the electronic chart system, which
is a complex system intended to please all users. The manufacturing industry has
dramatically improved on cost, quality, and delivery by changing their processes
from “push” to “pull” production in response to customer orders. The information
not requiring urgency should be shared by a pull-type rather than the push-type to
protect the receiver of information from information flooding. With the system under
the DASCH project, by promoting process improvement from “introduction and
acceptance system” to “introduction and selection method,” the health information
exchange system can share necessary information by a realistic operation method
Current Status and Issues with Japan’s Community-Based Integrated Care System:. . .
171
process of deciding on the content of the next curriculum revision. The next
curriculum should include opportunities for hospital nurses to learn the values that
form the basis of home-care nursing practices, effective interprofessional collaboration, and evaluation with reference to the curricula of districts in the UK.
Significant willingness and commitment to improve patients’ experience of care
from hospital to home were observed in both hospital- and community-based nurses.
It is disappointing that, given the evidence available to support good practice,
discharge planning continues to remain a challenge. Both community and hospital
nurses were willing to improve the discharge planning process for patients and their
family members and caregivers, but it was evident that existing systems and cultures
contained barriers to effective discharge, and this should be addressed. It is important
that we increase communication opportunities and education to enhance understanding of the diverse values of various occupations using IDEAL.
9 The Future Health Information Exchange System
We focus on the transfer process for better health information exchange in communities. We define the information gathering and analysis processes for the recovery/
long-term care hospitals as “support for discharge social work” and standardize them
as the databank as a solution for your care and health (DASCH) project (Ariga,
2017). The exchange system proposed under the DASCH project involves an
agreement among hospitals and clinics for the type of data disclosed by referring
hospitals such as that in the physician’s referral letter. Any personally identifiable
information is masked and disclosed in accordance with the Personal Information
Protection Law(s). The candidate hospital follows the “introduction and selection”
system that verifies patient information, determines the acceptability of the patients,
and indicates the intention to accept patients. This system can be developed and
changed by users without depending on vendors, such as an electronic medical
record, at a reasonable price (Murata, 2019). By examining information demanded
by nursing care facilities/providers, the system proposed by the DASCH project can
be applied in coordination between medical institutions and nursing care facilities/
providers.
The health information exchange system was developed as a centralized information exchange system mainly by the vendor of the electronic chart system, which
is a complex system intended to please all users. The manufacturing industry has
dramatically improved on cost, quality, and delivery by changing their processes
from “push” to “pull” production in response to customer orders. The information
not requiring urgency should be shared by a pull-type rather than the push-type to
protect the receiver of information from information flooding. With the system under
the DASCH project, by promoting process improvement from “introduction and
acceptance system” to “introduction and selection method,” the health information
exchange system can share necessary information by a realistic operation method
Current Status and Issues with Japan’s Community-Based Integrated Care System:. . .
171