Care plan administration

• US 10,095,841 B2
• Filed: 10/07/2014
• Issued: 10/09/2018
• Est. Priority Date: 10/07/2014
• Status: Active Grant

• Current Assignee: Boston Scientific Cardiac Diagnostics Incorporated (Boston Scientific Corporation)
• Original Assignee: Preventice Technologies, Inc. (Boston Scientific Corporation)
• Inventors: Dettinger, Richard D., Smith, Richard M., Burrichter, Scott J.
• Primary Examiner(s): Tiedeman, Jason S
• Application Number:
  US14/508,472
• Publication Number:
  US 20160098538A1
• Time in Patent Office: 1,463 Days
• Field of Search: 705 2, 705 3, 600509
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/33 specially adapted for cooperation with other devices
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

Techniques for administering a care plan. Embodiments receive the care plan specifying observation metrics to monitor biometric data collected from a patient. At least one monitoring device available is identified and embodiments receive biometric data collected using the at least one monitoring device, where the biometric data is initially classified as a first type of event by the at least one monitoring device. Additionally, embodiments analyze the received biometric data to reclassify the first event as an occurrence of a second type of even, and, upon determining that the occurrence of the second type of event satisfies at least one threshold condition specified in the care plan, initiate at least one treatment plan specified in the care plan and corresponding to the satisfied at least one threshold value.

Claims

1. A method for administering a care plan, comprising:

receiving, at a care plan management system, the care plan specifying a plurality of observation metrics to monitor biometric data collected from a patient;

measuring the biometric data by at least one monitoring device, wherein the biometric data comprises electrocardiogram (ECG) data;

receiving, at the care plan management system, the biometric data measured by the at least one monitoring device, wherein the at least one monitoring device has limited computational resources relative to the care plan management system, wherein the biometric data comprises a plurality of detected cardiac events, wherein a first event of the plurality of detected cardiac events is initially classified as a first type of cardiac event by the at least one monitoring device, and wherein the initial classification is based on the at least one monitoring device determining that at least a portion of the biometric data matches a first preconfigured data pattern corresponding to the first type of event;

maintaining an event queue at the care plan management system storing a plurality of previously detected events in a determined order, each previously detected event having a previously determined priority, further comprising;

determining, at the care plan management system, a relative priority of the first event based on the initial classification of the first event by the at least one monitoring device, wherein the relative priority is one of at least three priority levels; and

inserting the first event into the event queue at a position determined based on the relative priority of the first event and the order in which the first event was received, wherein the first event is placed into the event queue at a position in front of an event in the queue with a relatively lower priority level and according to the order it was received;

processing the plurality of detected cardiac events, at the care plan management system, in the event queue in the queued order, wherein the queued order is based on the respective position of each event within the event queue;

upon processing the first event, analyzing, at the care plan management system, the received biometric data corresponding to the first event to reclassify the first event as a sub-classification of the first type of cardiac event based on determining that at least a portion of the biometric data matches a second preconfigured data pattern corresponding to the sub-classification of the first type of cardiac event, wherein the reclassification at the care plan management system is more computationally intensive than the initial classification at the at least one monitoring device; and

upon determining that the sub-classification of the first type of cardiac event satisfies at least one threshold value specified in the care plan, initiating at least one treatment plan specified in the care plan and corresponding to the satisfied at least one threshold value.

2. The method of claim 1, wherein the biometric data is received from a mobile device configured to communicate with the at least one monitoring device, and wherein the mobile device facilitates communication between the at least one monitoring device and the care plan management system.

3. The method of claim 2, wherein initiating the at least one treatment plan further comprises:

outputting a graphical user interface using a display device of the mobile device requesting symptom information from the patient;

receiving a selection of one or more symptoms via the graphical user interface; and

determining one or more actions specified by the at least one treatment plan to perform, based on the received selection of one or more symptoms and the collected biometric data,

wherein initiating the at least one treatment plan is performed further responsive to determining that at least one symptom condition specified in the care plan is satisfied by the received selection of one or more symptoms.

4. The method of claim 3, wherein the determined one or more actions comprises at least one of requesting the patient perform one or more tasks, transmitting educational content to the mobile device for review by the patient, and generating an alert message describing a current state of the patient.

5. The method of claim 3, wherein the one or more actions is further determined based on historical patient information for the patient, wherein the historical patient information specifies previous medical conditions the patient has been diagnosed with and medical treatments the patient has undergone, and further comprising:

determining that the at least one treatment plan specifies a first action to be performed when the at least one threshold value is satisfied by the collected biometric data; and

upon determining that the historical patient information specifies that the patient has previously tried the first action responsive to the one or more symptoms and that the first action did not alleviate the one or more symptoms, selecting a second action to perform instead of the first action.

6. The method of claim 1, wherein the first event within the biometric data is initially classified as a general type of cardiac event by the at least one monitoring device based on the at least one monitoring device determining that the ECG data matches the first preconfigured data pattern.

7. The method of claim 1, wherein the care plan further specifies a plurality of phases, wherein only one of the plurality of phases is active at a time, wherein each of the plurality of phases comprises:

a respective two or more of the plurality of observation metrics;

a respective two or more of a plurality of assigned tasks for the patient to perform; and

conditional logic that, when satisfied while the phase is active, indicates that another one of the plurality of phases should become active.

8. The method of claim 7, further comprising:

providing an interface through which the patient can view the plurality of assigned tasks for the patient to perform;

determining whether the patient has performed the plurality of assigned tasks according to timing information specified in the care plan; and

upon determining that the patient has not performed one of the plurality of assigned tasks within a window of time specified by the timing information, generating a reminder for the patient to perform the unperformed one assigned task.

9. The method of claim 7, wherein the care plan further specifies a plurality of observation threshold values each corresponding to a respective one of the plurality of observation metrics, and a respective treatment plan for each of the plurality of observation threshold values specifying one or more actions to take responsive to detecting monitored biometric data that satisfies the respective observation threshold value.

10. The method of claim 1, wherein events within the event queue are analyzed for reclassification in an order based on the respective position of each event within the event queue.

11. A non-transitory computer-readable medium containing computer program code that, when executed, performs an operation for administering a care plan, the operation comprising:

receiving, at a care plan management system, the care plan specifying a plurality of observation metrics to monitor biometric data collected from a patient;

measuring the biometric data by at least one monitoring device, wherein the biometric data comprises electrocardiogram (ECG) data;

receiving, at the care plan management system, the biometric data measured by the at least one monitoring device, wherein the at least one monitoring device has limited computational resources relative to the care plan management system, wherein the biometric data comprises a plurality of detected cardiac events, wherein a first event of the plurality of detected cardiac events is initially classified as a first type of cardiac event by the at least one monitoring device, and wherein the initial classification is based on the at least one monitoring device determining that at least a portion of the biometric data matches a first preconfigured data pattern corresponding to the first type of event;

maintaining an event queue at the care plan management system storing a plurality of previously detected events in a determined order, each previously detected event having a previously determined priority, further comprising;

determining, at the care plan management system, a relative priority of the first event based on the initial classification of the first event by the at least one monitoring device, wherein the relative priority is one of at least three priority levels; and

inserting the first event into the event queue at a position determined based on the relative priority of the first event and the order in which the first event was received, wherein the first event is placed into the event queue at a position in front of an event in the queue with a relatively lower priority level and according to the order it was received;

processing the plurality of detected cardiac events, at the care plan management system, in the event queue in the queued order, wherein the queued order is based on the respective position of each event within the event queue;

upon processing the first event, analyzing, at the care plan management system, the received biometric data corresponding to the first event to reclassify the first event as a sub-classification of the first type of cardiac event based on determining that at least a portion of the biometric data matches a second preconfigured data pattern corresponding to the sub-classification of the first type of cardiac event, wherein the reclassification at the care plan management system is more computationally intensive than the initial classification at the at least one monitoring device; and

upon determining that the sub-classification of the first type of cardiac event satisfies at least one threshold value specified in the care plan, initiating at least one treatment plan specified in the care plan and corresponding to the satisfied at least one threshold value.

12. The non-transitory computer-readable medium of claim 11, wherein the biometric data is received from a mobile device configured to communicate with the at least one monitoring device, and wherein the mobile device facilitates communication between the at least one monitoring device and the care plan management system.

13. The non-transitory computer-readable medium of claim 12, wherein initiating the at least one treatment plan further comprises:

outputting a graphical user interface using a display device of the mobile device requesting symptom information from the patient;

receiving a selection of one or more symptoms via the graphical user interface; and

determining one or more actions specified by the at least one treatment plan to perform, based on the received selection of one or more symptoms and the collected biometric data,

wherein initiating the at least one treatment plan is performed further responsive to determining that at least one symptom condition specified in the care plan is satisfied by the received selection of one or more symptoms.

14. The non-transitory computer-readable medium of claim 13, wherein the determined one or more actions comprises at least one of requesting the patient perform one or more tasks, transmitting educational content to the mobile device for review by the patient, and generating an alert message describing a current state of the patient.

15. The non-transitory computer-readable medium of claim 14, wherein the one or more actions is further determined based on historical patient information for the patient, wherein the historical patient information specifies previous medical conditions the patient has been diagnosed with and medical treatments the patient has undergone, and the operation further comprising:

determining that the at least one treatment plan specifies a first action to be performed when the at least one threshold value is satisfied by the collected biometric data; and

upon determining that the historical patient information specifies that the patient has previously tried the first action responsive to the one or more symptoms and that the first action did not alleviate the one or more symptoms, selecting a second action to perform instead of the first action.

16. The non-transitory computer-readable medium of claim 11, wherein the first event within the biometric data is initially classified as a general type of cardiac event by the at least one monitoring device based on the at least one monitoring device determining that the ECG data matches the first preconfigured data pattern, wherein analyzing the received biometric data to reclassify the first event as an occurrence of a second type of event further comprises:

analyzing the ECG data to classify the first event as a sub-classification of the cardiac event.

17. A system for administering a care plan that describes an overall treatment regimen for a patient, comprising:

at least one monitoring device to collect and measure biometric data for the patient, wherein the biometric data comprises electrocardiogram (ECG) data;

a care plan management system; and

a mobile device that facilitates communication between the at least one monitoring device and the care plan management system,

wherein the care plan management system is configured to;

receive, at the care plan management system, the care plan specifying a plurality of observation metrics to monitor biometric data collected from the patient;

receive, at the care plan management system, the biometric data measured by the at least one monitoring device, wherein the at least one monitoring device has limited computational resources relative to the care plan management system, wherein the biometric data comprises a plurality of detected cardiac events, wherein a first event of the plurality of detected cardiac events is initially classified as a first type of cardiac event by the at least one monitoring device, and wherein the initial classification is based on the at least one monitoring device determining that at least a portion of the biometric data matches a first preconfigured data pattern corresponding to the first type of event;

maintain an event queue at the care plan management system storing a plurality of previously detected events in a determined order, each previously detected event having a previously determined priority, further comprising;

determining, at the care plan management system, a relative priority of the first event based on the initial classification of the first event by the at least one monitoring device, wherein the relative priority is one of at least three priority levels; and

inserting the first event into the event queue at a position determined based on the relative priority of the first event and the order in which the first event was received, wherein the first event is placed into the event queue at a position in front of an event in the queue with a relatively lower priority level and according to the order it was received;

process the plurality of detected cardiac events at the care plan management system, in the event queue in the queued order, wherein the queued order is based on the respective position of each event within the event queue;

upon processing the first event, analyze, at the care plan management system, the received biometric data corresponding to the first event to reclassify the first event as a sub-classification of the first type of cardiac event based on determining that at least a portion of the biometric data matches a second preconfigured data pattern corresponding to the sub-classification of the first type of cardiac event, wherein the reclassification at the care plan management system is more computationally intensive than the initial classification at the at least one monitoring device; and

upon determining that the sub-classification of the first type of cardiac event satisfies at least one threshold value specified in the care plan, initiate at least one treatment plan specified in the care plan and corresponding to the satisfied at least one threshold value.