Kesen Regional FutureCity

Project Overview and Wide-Area Tie-Ups

Tomoyuki YamamuraMedical Care and Nursing Care Coordinator

Forum for East Japan Smart City Project

Self Introduction

Project objective：Devise and present FutureCity Initiative proposals for disaster-stricken areas (characterized by harmony between people and nature) to municipalities/related institutions, and implement

Representative Director: Hideaki Miyata , Professor Emeritus, Tokyo University

Affiliations

Career Summary

Originally from Osaka Graduated from Tokyo University Faculty of Law (2002)Experience in management consulting, corporate revival, etc.

Relocated to the Kesen region as of May 2012 as Kesen Region FutureCity Medical and Nursing Care Coordinator

Currently resides in Rikuzentakata CityPresident and CEO of NEXt CHANGE

2Forum for East Japan Smart City Project

Kesen Region Designation as a FutureCity (December 2011)

Hideaki Miyata Project Manager Kimiaki Toda

Mayor, Ofunato City

Futoshi TobaMayor

Rikuzentakata City

Kinichi Tada Mayor, Sumita-cho

Concept: Achieving multifaceted tie-ups between the two cities/one town

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Sumita-cho

Rikuzentaka City Ofunato City

Forestry Biogas

resources

Forestry Biogas

resources

“Compact city” concept

Housing plus medical care

Housing plus commerce

Housing plus education/public

facilities

“Compact city” concept

Housing plus medical care

Housing plus commerce

Housing plus education/public

facilities

Mega-solar

project

Mega-solar

project

Lithium ion

battery plant

Lithium ion

battery plant

Mega-solar

project

Mega-solar

project

Restoration of

agriculturePlant-

growing facility

Restoration of

agriculturePlant-

growing facility

Renovation of marine products

processing industryEnergy management

Renovation of marine products

processing industryEnergy management

Toward Kesennuma

A Broad-Based Project featuring the Participation of Leading Japanese Companies

Project Coordinator Smart City Project Participating Companies

Ａ Solar power generation

Miyata Tohoku Electric Power Co., Hitachi, Ltd., CTC, Meidensha, ORIX Corporation, NEC, Yokogawa Electric Corporation, Social System Design

Ｂ The concept of the “compact city” and new transportation

systems

Yano HOMAC CORPORATION, Index Consulting, Japan Automobile Research Institute, ORIX Corporation, NTT Docomo, CTC, Yokogawa Electric Corporation, Hitachi, Ltd., Rematec

Ｃ Advancement of agriculture and

fisheries industries

NorimatsuTanaka

Hitachi, Ltd., SCSK, Mayekawa Mfg. Co., Ltd. Yokogawa Electric Corporation, Kewpie Corporation, Social System Design, Rematec

Ｄ Development of wooden structure housing models

Yamoto Index Consulting, forestry unions (*), local construction companies (*）, Rematec

Ｅ Medical care and nursing care

Yamamura Local medical corporations and social welfare corporations (*), Yokogawa Electric Corporation, Yokogawa Medical Solutions, NTT Docomo, CTC, NEC, Oki Electric Industry Co., Social System Design

5Forum for East Japan Smart City Project

Size of municipality/extent of damage differs greatly between the three areas

Sumita-choPopulation: 6,093Percentage of senior citizens: 38.6%Damages： -

Rikuzentakata CityPopulation：19,707Percentage of senior citizens：34.9%Damaged facilities：Approximately 65%Dead/missing persons: 1,735

Ofunato CityPopulation: 38,942Percentage of senior citizens：31.3%Damaged facilities：Approximately 25%Dead/missing persons：420

Source: Iwate Prefecture, Rikuzentakata City, and Ofunato City statistics , population figures as of October 1, 2012

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Project Manager

Coordinator Coordinator Coordinator Coordinator Coordinator

Solar power generation

The concept of the “compact city” and new transportation systems

Advancement of agriculture and

fisheries industries

Development of wooden structure housing models

Create advanced medical care and

nursing care models

Two cities/one town coordinator staff Companies Universities Experts

＜Office＞Forum for East Japan Smart City Project

Rikuzentakata City Department of Planning Policy Planning Division

Ofunato City Department of FutureCity Promotion

Sumita Town Town Planning Promotion Division

Mayors of the Two Cities/One Town Oversee Project

Chairman (Mayor, Ofunato City)

Vice-chairman (Mayor, Rikuzentaka City)

Vice-chairman (Mayor, Sumita-cho )

Kesen Regional FutureCity Implementation Joint Project

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Project Participation by Municipalities: Taking Suggestions from Individual Participants

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Ofunato City

Electric power generation

The concept of the “compact city” and new transportation systems

Advancement of agriculture and fisheries industries

Development of wooden structure housing models

Medical care/nursing care

Rikizentakata City Sumita-cho

Project participation as of FY2012

The Two Cities/One Town share information even on projects that the others don’t participate in

Provide efficient and high-quality medical care, nursing care, and social welfare services

Boost the regional brand as a “health care town” of Iwate Prefecture (a place where the elderly live comfortably)

A Tie-up Model Incorporating Medical Care, Nursing Care, and Social Welfare to Cope with Super-Aging

Advantages of the current project

This project begins with a survey of currentconditions experienced by the elderly peopleof the area. It will be implemented based onthe survey as follows, respecting to thegreatest possible extent the opinions andmotivation of local medical personnel.• Devise a medical care model featuring tie-

ups between visiting medical care, nursingcare, rehabilitation services, and treatmentclinics, in support of life at home for theelderly.

• Establishing medical care and socialwelfare information networks usingadvanced ICT technology (promotingremote treatment/ “cloud” files/ automationof hospital services, etc.）.

• Survey and assess advanced medical andsocial welfare initiatives in Japan andoverseas, and study feasibility in theregion

FY2011 Project Overview

Local care

Health care facilities for the elderly

Small-scale , multifunctional home

nursing care service offices

Home assistance

services

General regional support centers

Home nursing care support offices

Psychiatric are

Medical services

Clinic with beds

General medical

practitioners

General hospitals

Housing Special nutrition services

Group home

Visiting servicesVisiting

nursing care service offices

Home

Multiple-service visiting service

centers１１

(2) Establishing information systems (cloud computing, communications technology)

(1) Tie-up model design and structuring/considering de-regulation

(3) Tie-ups with the town (community,employment, transportation, etc.)

DentistryPharmacies

Project proposal for the medical field

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Deepening discussions through regional conferences on tie-ups such as medical care, etc.

Why did we succeed on inter-regional tie-ups on medical and nursing care?

11（社）東日本未来都市研究会

南三陸エリアの医療体制

12NEXtCHANGE

Ofunato Prefectural Hospital (Population: 39,000)No. of beds: General, 370; psychiatric, 105; tuberculosis, 10; infectious disease, 4Diagnosis and treatment departments: Internal medicine, gastrointestinal medicine, neuroendocrinology, pulmonology, cardiovasculamedicine, psychiatry, pediatrics, surgery, orthopedics, cranial nerve surgery, dermatology, urology, gynecology, ophthalmology; ear, nose, and throat; radiology, anesthetics, pathology, rehabilitation Revenues/deficits: Costs covered by municipality¥1.24 billion, deficit: ¥320 millionTakata Prefectural Hospital (temporary hospital)

(Population: 20,000)Diagnosis and treatment departments ：Internal medicine, pulmonology, pediatrics, surgery, ophthalmology; ear, nose, and throat; orthopedics, dermatology; no hospitalization or surgery facilitiesRevenues/deficits： Costs covered by municipality: ¥.270 million; deficit: ¥80 million

Sumita Prefectural Medical Center(Population: 6,000)

Diagnosis and treatment departments: Internal medicine and surgery

No hospitalization or surgery facilities

至大槌

Concept of secondary medical care/prefectural hospital deficits and disaster-induced damages

12（社）東日本未来都市研究会

Municipality cost burden plus deficit for the Two Cities/One Town: ¥1.91 billion

Including Kessennuma and Kamaishi, total: ¥ 2.9 billion

A Sense of Crisis Regarding the Aging Society

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Population Forecasts for the Two Cities/One Town

0‐19 20‐64 65‐74 75‐13

Forum for East Japan Smart City Project

Strong leadership of the Kesen Medical Association Director

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Summary・ We need not follow other projects or preconceived notions

→ We achieved greater flexibility by accepting suggestions from individual participants

・ Physicians who can committee to regional medical care are key persons

・ Medical care is a driving force behind town planning→ We need to design housing, transportation, etc.

incorporating the perspective of medical and nursing care

・ Future topics→ Medical care alone does not solve all local issues:

we need to address the issues of the declining birth rate, training personnel, industrial development, etc.

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Forum for East Japan Smart City Project