This document examines the utilization of ICT tools in special needs education by comparing two hospital classes in Osaka and Fukui, Japan. The author interviewed teachers from both schools to understand their current situations and identify any problems. Results showed differences in student populations, environments, and abilities to conduct joint classes. Key issues identified were a lack of coordination between teachers and difficulties teaching students with wide age differences. The study aims to propose measures to address these problems and improve special needs education through better utilization of ICT tools.