SHISHI Houkan
Our in-house AI agent SHISHI supports administrative, document, and claims work for home-visit nursing stations so nurses can focus on nursing.
Position Paper
A proposal for reforming medical and care records and administration in the era of Japan's vertical AI strategy
This 12-page paper connects frontline realities with an AI implementation path and three policy proposals as healthcare and long-term care become national vertical AI priorities.
We invite journalists to join us in the field where the ideas in this paper are put into practice. See the frontline as it is and help begin a broader discussion about what it can achieve together with AI.
SHISHI Agent Series
SHISHI is an industry-specialized AI agent for medical, long-term care, and welfare fields, handling workflows that involve regulatory judgment, on-site operations, and exception handling. In addition to receipt processing, it supports phone response, records, document creation, and confirmation work tailored to each site.
The SHISHI Series already has a track record with more than 200 companies and is a front-runner as an AI agent for the medical, long-term care, and welfare industries.
Our in-house AI agent SHISHI supports administrative, document, and claims work for home-visit nursing stations so nurses can focus on nursing.
Our in-house AI agent SHISHI supports claims and document work for long-term care providers, improving operational efficiency and sustainability.
Our in-house AI agent SHISHI supports document and billing work for disability welfare providers so teams can focus on support.
Our in-house AI agent SHISHI supports combined medical and long-term-care billing and document work for home-care clinics so doctors can focus on care.
What SHISHI Can Do
Plans and reports, claims, scheduling, and referral calls. Start with the function that fits your operation.
Nursing
Specify the client and month in LINE WORKS or Teams. SHISHI drafts the document from nursing records, directives, and the prior plan, then experts review and adjust it through a human-in-the-loop process to match your writing style.
Accounting
Share directives, insurance cards, and public-funding documents by fax, PDF, or photo. AI and experts review activity variances, deadlines, and add-ons, then support claims data preparation.
Labor
Register leave requests, skills, travel time, and visit conditions, and AI creates a draft schedule. Managers review and adjust it before personal schedules are distributed.
Service terms and pricing are quoted individually.
View scheduling supportReferral Call
AI answers new-referral calls from care managers and hospitals and collects the information needed for acceptance decisions. It records each interaction and makes inquiry trends visible across locations.
For Enterprise
CAIVA × FDE
Kurashi Tech accumulates regulatory, operational, and frontline tacit knowledge in CAIVA. Our FDE team brings that knowledge to each site and implements AI around existing software and workflows, without asking your team to explain the business from scratch.
Regulations, practice, and tacit know-how in CAIVA
Use existing software, data, and tools
FDE delivers AI optimized to local operations
No new SaaS training required
Designed for sensitive healthcare information
We bring knowledge, not a long discovery process. The workflow stays; AI transforms what happens behind it.
Trust & Community

Case & Track Record
Kurashi Tech combines AI and expert operations to support records, documents, and claims work in home-visit nursing.
Company-wide figures as of June 2026. Consultations and supported stations are different measures.

Council & Training
By participating and collaborating with regional home-visit nursing councils, we stay connected to frontline practice across Japan. We also offer practical AI training tailored to home-visit nursing operations.
Home-visit nursing councils we participate in and collaborate with
Community
A community for people in home-visit nursing to share practical knowledge, talk about challenges, and connect with peers.
About Us
News
Join Us
We rebuild the foundation of regulated industries such as care, healthcare, and public administration with AI. We bring AI-ready infrastructure to fields long powered by paper, fax, and local knowledge. Join us in making a quiet but irreversible change.
View careersCompany
Enterprise Consultation
After learning your industry, workflow, and existing system environment,
we design the optimal SHISHI and CAIVA deployment. Our FDE team brings industry knowledge to the site and implements AI without disrupting current operations.