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Tokyo’s Kita City in trial to streamline use of AI in nursing care insurance processing

Tokyo’s Kita City in trial to streamline use of AI in nursing care insurance processing

As
part of the efforts to enhance social security benefits, especially against the
backdrop of aging population in Japan, Tokyo’s Kita City is partnering Fujitsu
to conduct a trial to evaluate
application of artificial intelligence (AI) to the municipality’s mission
critical systems in nursing care insurance processing.

According to the press release by Fujitsu, the field trial is
to evaluate how AI can be used to streamline tasks associated with guidance and
supervision of nursing care benefit claims from service providers, which Kita
City employees can customarily process by hand.

In
March 2015, the Tokyo Metropolitan Government announced the Improvement Plan
for Long-Term Care Benefits (3rd Phase) to make nursing care benefits fairer, by appropriately
identifying the beneficiaries of nursing care services, ascertaining the
services beneficiaries truly need through appropriate care management, and
promoting the delivery of appropriate services by providers in accordance with
the rules.

Under the Improvement Plan,
employees of Kita City will assess and analyse the appropriateness of
certification applications from nursing care service providers and nursing care
benefit claims. Based on its analysis, the Kita City is also responsible for
supervising and providing guidance associated with payments for nursing care
benefit claims to the nursing care service providers.

Although there are increase in both
the number of people certified as requiring care and in the number of care
facilities in Japan to cope with the aging population, there is also growing
volume of information and work related to guidance and the analysis of nursing care
benefit payment details.

As
the analysis of nursing care benefit claims must be conducted in great detail,
with reference to laws such as the Long-Term Care Insurance Act, it requires a
high level of skill and a great deal of time. The use of AI could potentially
reduce the burden on employees and improve the efficiency of the analysis
process.

Utilising
Fujitsu Human Centric AI Zinrai, the field trial in Kita City aims to improve the efficiency of nursing care
benefit payment operations and further enhance the services nursing care
service providers offer to residents. The trial has been launched in January
and will run until March 2018.

In this field trial, machine
learning technology is deployed by systems engineers to create a model to analyse
the appropriateness of claim details. Machine learning will be applied to
analyse data, such as past nursing care benefit claims from service providers
in Kita City's nursing care insurance system.

Kita City aims to use the insights
gained from this field trial not only to increase the efficiency of processing
nursing care benefit payments that employees previously had to spend time
handling, but also to further rationalize nursing care benefit claims.

Credit: Fujitsu

The technology Fujitsu Human
Centric AI Zinrai is developed
by Fujitsu Hokuriku Systems, combining both customer business expertise and
software development technology.

In this project, Fujitsu
trains machine learning algorithms on data, including appropriate nursing care
benefit claim data and claim data that required guidance and supervision, from
past claims by nursing care service providers stored in Kita City's nursing care
insurance system. Then, a model is built to automatically analysis nursing care
claim data.

The
newly built model will be used to analyse the appropriateness of nursing care
benefit claim data, and evaluate the results of those analyses against past
guidance and supervision records

Going forward, Fujitsu aims to offer the trained
model Zinrai as a service to local governments across Japan.

PARTNER

Qlik’s vision is a data-literate world, where everyone can use data and analytics to improve decision-making and solve their most challenging problems. A private company, Qlik offers real-time data integration and analytics solutions, powered by Qlik Cloud, to close the gaps between data, insights and action. By transforming data into Active Intelligence, businesses can drive better decisions, improve revenue and profitability, and optimize customer relationships. Qlik serves more than 38,000 active customers in over 100 countries.

PARTNER

CTC Global Singapore, a premier end-to-end IT solutions provider, is a fully owned subsidiary of ITOCHU Techno-Solutions Corporation (CTC) and ITOCHU Corporation.

Since 1972, CTC has established itself as one of the country’s top IT solutions providers. With 50 years of experience, headed by an experienced management team and staffed by over 200 qualified IT professionals, we support organizations with integrated IT solutions expertise in Autonomous IT, Cyber Security, Digital Transformation, Enterprise Cloud Infrastructure, Workplace Modernization and Professional Services.

Well-known for our strengths in system integration and consultation, CTC Global proves to be the preferred IT outsourcing destination for organizations all over Singapore today.

PARTNER

Planview has one mission: to build the future of connected work. Our solutions enable organizations to connect the business from ideas to impact, empowering companies to accelerate the achievement of what matters most. Planview’s full spectrum of Portfolio Management and Work Management solutions creates an organizational focus on the strategic outcomes that matter and empowers teams to deliver their best work, no matter how they work. The comprehensive Planview platform and enterprise success model enables customers to deliver innovative, competitive products, services, and customer experiences. Headquartered in Austin, Texas, with locations around the world, Planview has more than 1,300 employees supporting 4,500 customers and 2.6 million users worldwide. For more information, visit www.planview.com.

SUPPORTING ORGANISATION

SIRIM is a premier industrial research and technology organisation in Malaysia, wholly-owned by the Minister​ of Finance Incorporated. With over forty years of experience and expertise, SIRIM is mandated as the machinery for research and technology development, and the national champion of quality. SIRIM has always played a major role in the development of the country’s private sector. By tapping into our expertise and knowledge base, we focus on developing new technologies and improvements in the manufacturing, technology and services sectors. We nurture Small Medium Enterprises (SME) growth with solutions for technology penetration and upgrading, making it an ideal technology partner for SMEs.

PARTNER

HashiCorp provides infrastructure automation software for multi-cloud environments, enabling enterprises to unlock a common cloud operating model to provision, secure, connect, and run any application on any infrastructure. HashiCorp tools allow organizations to deliver applications faster by helping enterprises transition from manual processes and ITIL practices to self-service automation and DevOps practices. 

PARTNER

IBM is a leading global hybrid cloud and AI, and business services provider. We help clients in more than 175 countries capitalize on insights from their data, streamline business processes, reduce costs and gain the competitive edge in their industries. Nearly 3,000 government and corporate entities in critical infrastructure areas such as financial services, telecommunications and healthcare rely on IBM’s hybrid cloud platform and Red Hat OpenShift to affect their digital transformations quickly, efficiently and securely. IBM’s breakthrough innovations in AI, quantum computing, industry-specific cloud solutions and business services deliver open and flexible options to our clients. All of this is backed by IBM’s legendary commitment to trust, transparency, responsibility, inclusivity and service.

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