Adherence measurement for carepath protocol compliance

• US 10,152,575 B2
• Filed: 10/26/2017
• Issued: 12/11/2018
• Est. Priority Date: 10/26/2016
• Status: Active Grant

• Current Assignee: SymphonyAI Sensa LLC (Fortive Corp.)
• Original Assignee: Ayasdi, Inc. (Fortive Corp.)
• Inventors: Sexton, Harlan, Powers, Tzu-Wei, Zhang, Cindy Xin, Singh, Diljit, Trave, Andrea, Sonthalia, Rishabh
• Primary Examiner(s): Sereboff, Neal
• Application Number:
  US15/795,202
• Publication Number:
  US 20180113994A1
• Time in Patent Office: 411 Days
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

An example method comprises receiving a protocol associated with a particular medical condition, selecting a subset of the events of the protocol to be adherence objects of an adherence path, determine a time frame predicate for each adherence object, determine an object predicate for each adherence object, retrieving patient information from medical records of patients of the medical entity, determining for each adherence object if each particular adherence object was performed as a part of that patient'"'"'s treatment related to the medical condition including determining if the time frame predicate and object predicate are satisfied, and generating patient adherence object score for each adherence object of the adherence path, generating a medical entity adherence score based on the patient adherence object scores, the medical entity adherence score indicating that medical entity'"'"'s compliance with the adherence path, and generating a report indicating the medical entity adherence score.

Claims

1. A method comprising:

receiving a protocol associated with a particular medical condition, the protocol comprising a set of events to occur in treatment of the medical condition;

selecting a subset of the events of the protocol to be adherence objects of an adherence path;

determining a time frame predicate for each adherence object of the adherence path, the time frame predicate indicating a time frame during which an event related to the adherence object is to be performed;

determining an object predicate for each adherence object of the adherence path, the object predicate indicating one or more codes of an electronic health record system associated with an event related to the adherence object, the electronic health record system storing medical information related to a medical entity, wherein a protocol specific adherence object is an adherence object of the adherence path of the protocol that was performed for treatment related to the protocol during the time frame indicated in the time frame predicate;

receiving a medical condition identifier indicating a medical condition, a treatment time frame identifier indicating a time frame during which treatment is to be performed, and a medical entity identifier identifying the medical entity;

retrieving patient information from medical records of patients of the medical entity, the patients having received treatment related to the medical condition during the treatment time frame, the patient information indicating events related to treatment, the events being at least a sub-subset of the subset of the events of the protocol;

for each patient, using that patient'"'"'s patient information;

for each protocol specific adherence object that includes at least one code from the patient'"'"'s patient information in the object predicate, generating a patient adherence object score, the patient adherence object score indicating whether the adherence object was performed;

generating a medical entity adherence score for the medical entity based on the patient adherence object scores, the medical entity adherence score indicating that medical entity'"'"'s compliance with the adherence path; and

generating a report indicating the medical entity adherence score.

2. The method of claim 1, wherein the medical entity is a medical professional, group of medical professionals, facility, or system.

3. The method of claim 1, further comprising generating, for each patient, a patient adherence path score based on a number of adherence objects that were performed relative to that particular patient in comparison to all adherence objects of the adherence path, wherein the medical entity adherence score for the medical entity is based on an average of the patient adherence path scores.

4. The method of claim 1, wherein the medical entity is a group of medical professionals and the method further comprises, for each medical professional of the group, generating, for each patient of that particular medical professional of the group, a patient adherence path score based on a number of adherence objects that were performed relative to that particular patient in comparison to all adherence objects of the adherence path, wherein the medical entity adherence score for the medical entity is based on an average of the patient adherence path scores.

5. The method of claim 1, wherein the medical entity is a group of medical professionals and the medical entity adherence score for the medical entity is based on the patient adherence object scores of patients of any of the group of medical professionals.

6. The method of claim 1, wherein the object predicate of a particular adherence object indicates two or more codes that are equivalents, wherein the object predicate of the particular adherence object may be satisfied by events corresponding to any of the two or more codes.

7. The method of claim 1, wherein the object predicate of a particular adherence object indicates two or more codes that must be completed to satisfy the object predicate, wherein the object predicate of the particular adherence object may be satisfied by all events corresponding to each of the two or more codes.

8. The method of claim 1, further comprising generating an interactive carepath interface enabling a user to view and add adherence objects to the adherence path or change the object predicate or time frame predicate to at least one adherence object of the adherence path.

9. The method of claim 1, further comprising, based on the patient adherence object scores, identifying a particular adherence object, and comparing outcomes of patients with treatments that did not comply with the particular adherence object with outcomes of patients with treatments that did comply with the particular adherence object.

10. The method of claim 9, further comprising removing the particular adherence object from the adherence path based on the comparison.

11. A non-transitory computer readable medium comprising executable instructions that are executable by a processor to perform a method, the method comprising:

receiving a protocol associated with a particular medical condition, the protocol comprising a set of events to occur in treatment of the medical condition;

selecting a subset of the events of the protocol to be adherence objects of an adherence path;

determining a time frame predicate for each adherence object of the adherence path, the time frame predicate indicating a time frame during which an event related to the adherence object is to be performed;

determining an object predicate for each adherence object of the adherence path, the object predicate indicating one or more codes of an electronic health record system associated with an event related to the adherence object, the electronic health record system storing medical information related to a medical entity, wherein a protocol specific adherence object is an adherence object of the adherence path of the protocol that was performed for treatment related to the protocol during the time frame indicated in the time frame predicate;

receiving a medical condition identifier indicating a medical condition, a treatment time frame identifier indicating a time frame during which treatment is to be performed, and a medical entity identifier identifying the medical entity;

retrieving patient information from medical records of patients of the medical entity, the patients having received treatment related to the medical condition during the treatment time frame, the patient information indicating events related to treatment, the events being at least a sub-subset of the subset of the events of the protocol;

for each patient, using that patient'"'"'s patient information

for each protocol specific adherence object that includes at least one code from the patient'"'"'s patient information in the object predicate, generating a patient adherence object score, the patient adherence object score indicating whether the adherence object was performed;

generating a medical entity adherence score for the medical entity based on the patient adherence object scores, the medical entity adherence score indicating that medical entity'"'"'s compliance with the adherence path; and

generating a report indicating the medical entity adherence score.

12. The computer readable medium of claim 11, wherein the medical entity is a medical professional, group of medical professionals, facility, or system.

13. The computer readable medium of claim 11, the method further comprising generating, for each patient, a patient adherence path score based on a number of adherence objects that were performed relative to that particular patient in comparison to all adherence objects of the adherence path, wherein the medical entity adherence score for the medical entity is based on an average of the patient adherence path scores.

14. The computer readable medium of claim 11, wherein the medical entity is a group of medical professionals and the method further comprises, for each medical professional of the group, generating, for each patient of that particular medical professional of the group, a patient adherence path score based on a number of adherence objects that were performed relative to that particular patient in comparison to all adherence objects of the adherence path, wherein the medical entity adherence score for the medical entity is based on an average of the patient adherence path scores.

15. The computer readable medium of claim 11, wherein the medical entity is a group of medical professionals and the medical entity adherence score for the medical entity is based on the patient adherence object scores of patients of any of the group of medical professionals.

16. The computer readable medium of claim 11, wherein the object predicate of a particular adherence object indicates two or more codes that are equivalents, wherein the object predicate of the particular adherence object may be satisfied by events corresponding to any of the two or more codes.

17. The computer readable medium of claim 11, wherein the object predicate of a particular adherence object indicates two or more codes that must be completed to satisfy the object predicate, wherein the object predicate of the particular adherence object may be satisfied by all events corresponding to each of the two or more codes.

18. The computer readable medium of claim 11, the method further comprising generating an interactive carepath interface enabling a user to view and add adherence objects to the adherence path or change the object predicate or time frame predicate to at least one adherence object of the adherence path.

19. The computer readable medium of claim 11, the method further comprising, based on the patient adherence object scores, identifying a particular adherence object, and comparing outcomes of patients with treatments that did not comply with the particular adherence object with outcomes of patients with treatments that did comply with the particular adherence object.

20. The computer readable medium of claim 19, further comprising removing the particular adherence object from the adherence path based on the comparison.

21. A system comprising:

one or more processors; and

memory comprising instructions to configure the one or more processors to;

receive a protocol associated with a particular medical condition, the protocol comprising a set of events to occur in treatment of the medical condition;

select a subset of the events of the protocol to be adherence objects of an adherence path;

determine a time frame predicate for each adherence object of the adherence path, the time frame predicate indicating a time frame during which an event related to the adherence object is to be performed;

determine an object predicate for each adherence object of the adherence path, the object predicate indicating one or more codes of an electronic health record system associated with an event related to the adherence object, the electronic health record system storing medical information related to a medical entity, wherein a protocol specific adherence object is an adherence object of the adherence path of the protocol that was performed for treatment related to the protocol during the time frame indicated in the time frame predicate;

receive a medical condition identifier indicating a medical condition, a treatment time frame identifier indicating a time frame during which treatment is to be performed, and a medical entity identifier identifying the medical entity;

retrieve patient information from medical records of patients of the medical entity, the patients having received treatment related to the medical condition during the treatment time frame, the patient information indicating events related to treatment, the events being at least a sub-subset of the subset of the events of the protocol;

for each patient, use that patient'"'"'s patient information;

for each protocol specific adherence object that includes at least one code from the patient'"'"'s patient information in the object predicate, generate a patient adherence object score, the patient adherence object score indicating whether the adherence object was performed;

generate a medical entity adherence score for the medical entity based on the patient adherence object scores, the medical entity adherence score indicating that medical entity'"'"'s compliance with the adherence path; and

generate a report indicating the medical entity adherence score.