1 month demo environment trial

​It is limited to medical institutions that perform vaccination work.

A clinic with a very smart white and red design
What surprised me when I visited was the paucity of posters and paper notices.
iKids Clinic Director Aizu's policy has been spread not only to staff but also to patients

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It is also an area where there are many child-rearing households at the home of TOYOTA. Influenced by the movie I saw at the time, I wanted to streamline all medical care with the ICT cloud from now on. As much as we have made it more efficient, we have made it a policy to interact with patients in a way that only doctors and medical professionals can do.
Currently, in addition to pediatric outpatient immunization, we also handle travel vaccines for adults, and in addition to general medical examinations, we also specialize in consultation and treatment for children's autism and developmental disorders.
In addition to expanding into the field of cosmetic dermatology, which is easy for children and mothers to attend with peace of mind, from 2022, children who tend to stay at home due to the corona wreck can develop a dance class as a place where they can play an active role.

Director Kenji Aizu

Introduced Uttaro from the beginning of the hospital opening in 2014
Reason for choosing Uttaro

As of 2022, we have contracted for three Uttaro plans: a pediatric internal medicine basic plan that includes a checkup appointment, an influenza vaccine exclusive plan, and a new corona vaccine exclusive plan.
Around 2014, when the hospital first opened, there were still few cloud-based medical systems. There was only one cloud electronic medical record company, and most of the consultation reservation systems were installed on the hospital server. Since that time, Uttaro has a great sense of not only being a cloud, but also being able to build a patient's history with a single account like a SNS or shopping site, and being able to use it for reservations at multiple medical institutions in the same way. rice field. At the time, Uttaro didn't put much effort into advertising and public relations, so I had a hard time finding it. We should do more publicity and advertising.

Recommend patients and guardians to make online reservations from Uttaro instead of taking reservations over the phone as much as possible

The past history of the person who made the reservation is converted into data in Uttaro from the image registration of the maternal and child health handbook, and warnings are issued for reservations that do not meet the rules or that require attention. I didn't do that.
The routine work of the clerical staff is to check the contents of the vaccinations for the patients to be administered the next day and the check items for the operations that the staff should perform on paper the day before, in order, and write them down so that there are no omissions.

The number of vaccination appointments increases each year

10,000 vaccinations per year, including regular vaccinations for children, 5,000 influenza vaccinations per season.
Reservations for corona vaccines have been accepted for 10,000 people in two months from the reservation reception.
The good thing about introducing Uttaro is that you can manage vaccination history, set complicated vaccination rules for children, and almost automate reception 24 hours a day, 365 days a year. It is easy to share information and divide work within the hospital, including reservation details.

The annual flu vaccine online reservation is highly effective, and it is not uncommon for reservations to be confirmed for 2,000 people in the first day of reservation, but the reservation can be completed almost unattended.
With an on-premises in-hospital server type system, it seems that the system can become busy even if there are not many simultaneous accesses, but in the last few years Uttaro in particular has improved server performance and database configuration. , is stable even with a significant number of concurrent accesses.

Flow of Uttaro operation on the day of implementation

The implementation history of patients using the Uttaro GENKI notebook is recorded cross-sectionally and chronologically, including the data of the maternal and child health notebook images and the data performed at Uttaro compatible medical institutions, including our hospital and other nearby medical institutions. Saved. Since there is a function to paste the data as text, the reception staff prepares by pasting the information into the electronic medical record when the reserved patient comes to the hospital.
From the fall of 2021, batch entry of the lot number of the vaccine and recording of the vaccination site became possible, so it is no longer necessary to manually enter the lot number in the vaccination column of the electronic medical record. Staff input work has been further reduced. It is now possible to record and display the lot number in the vaccination history of the patient's Uttaro GENKI notebook My Page. It would be convenient for patients to have their own accurate vaccination history stored in the cloud as well as paper maternal and child health handbooks and vaccination certificates.

In Toyota City, there are multiple medical institutions that have introduced Uttaro even in nearby medical institutions, so if you are a user household of the Uttaro GENKI notebook, even if your family wants to go to a different medical institution depending on your age and the vaccine you want to inoculate, you can use the Uttaro GENKI notebook. If you have registration information, you can easily make a reservation and update the implementation history. In addition to preventing erroneous vaccinations in the community and saving the time and effort of data entry, it is also highly beneficial for patient households. Until now, only households raising children may have used Uttaro for year-round vaccination reservations for their children, but with the implementation of the corona vaccine, all family members can use Uttaro accounts to record histories at multiple medical institutions. While sharing, it is likely that more people will make reservations for vaccines at their own expense, including influenza vaccines, at clinics and outpatient clinics at hospitals.

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Utilize the health checkup reservation function

Initially, the health checkup function was a simple function, but recently it has become possible to limit the age of health checkup appointments. It has become easier to set and change the display of desired items such as consultations, regardless of whether appointment items are limited to health checkups. This age limit is very convenient not only for medical examinations subsidized by local governments, but also for self-funded medical examinations and consultation appointments for developmental disorders and autism.
Since the history of medical examinations is now recorded in the patient's Uttaro GENKI notebook, there are more benefits such as parents being able to register their children's growth records.
We have heard that the health checkup function is planned to be further enhanced in response to requests from our hospital, and we are also expecting a version upgrade.

Vaccination history certificate English issuance function

Due to the regional characteristics, many patients go on business trips or study abroad, and it was difficult to create a handwritten certificate of vaccination history. It became possible. Patients can also obtain the certificate quickly after requesting it.

About the usual operation and devices to handle vaccinations and medical examinations for many patients

The cloud-based reservation system 3bees is used for medical appointments, and the cloud-based electronic medical record system is also used.
In fact, none of the systems use the linkage function. Since it runs on Chrome, doctors and other staff log in to the cloud system for the work they are in charge of, separate tabs with one browser, and operate on one terminal as soon as they start work. This operation has been used since the beginning of the business, and the staff are accustomed to the current operation, so I have never felt that each system cannot be used or inconvenient because it is not linked.
In the staff room, which patients do not enter, laptop computers are placed near the related equipment and staff to make it easier to work, shortening the wiring, and multiple large displays are installed on the walls to display various reservation lists and statuses. All the staff can grasp at a glance without having to log in every time with a small terminal.
Communication between hospital staff is streamlined using a business chat tool.

Even if Uttaro has been subscribed to multiple plans since last year, it has become more convenient because it is now possible to switch between plans with one click in a single window.
For pediatrics, which has a very large number of appointments for influenza vaccines that also inoculate adults, I think it is often more efficient to make a separate contract for an influenza vaccine plan in addition to the year-round basic plan.

Inventory control

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The drug wholesaler also contracted with a company that has a system that allows ordering from the cloud based on the policy at the time of opening. Uttaro confirms reservation totals and past performance totals, and orders are placed from the supplier's ordering system. Influenza vaccines are based on last year's implementation results, and reservations will begin from late August to October, so the number of reservations for the first half of the season will be available in early September. For many years, we have established a system that makes it easier for drug wholesalers to secure inventory by presenting the results of past seasons and the reservation status of this season to drug wholesalers at an early stage.
Because of the large number of vaccines, the turnover is fast, and in general, there is little concern about the expiry date of vaccines. The administrative staff was struggling to manage even the corona vaccine.
I've heard that Uttaro is about to release a function that will enable not only lot reading but also expiration date checking with a barcode reader, so I'm looking forward to it.

In order to always think about tomorrow, DX conversion of medical care is indispensable for clinic management
Devise internal and external communication on a regular basis

We are trying to create opportunities for communication with contractors and local government officials with whom we do business on a regular basis. By deepening communication and negotiating, I convey the issues and needs I felt and make it easier for them to respond. No system is perfect from the beginning, so I feel that by communicating the issues, the functions are improved year by year, and by sharing the situation on the ground with local governments, it becomes easier to work on improving the issues.
As for management analysis, 3bees Bee Compass is used to visualize receipt computer information for insurance medical treatment, and it is used as analysis data. By using Uttaro, I feel that it can be used to understand the past changes and status of vaccinations and health checkups, which are the main areas of pediatrics, which are generally difficult to manage and understand.
Since the hospital has been using cloud systems since its opening, it is difficult for our hospital to compare the difference in efficiency with when it is not used, but it seems that we are able to use our time effectively even with fewer staff than other hospitals.