Evidence-based healthcare information management protocols

• US 10,402,927 B2
• Filed: 01/09/2012
• Issued: 09/03/2019
• Est. Priority Date: 12/30/2011
• Status: Active Grant

• Current Assignee: The Invention Science Fund II, L.L.C. (Intellectual Ventures LLC)
• Original Assignee: Elwha LLC (Intellectual Ventures LLC)
• Inventors: Hyde, Roderick A., Jung, Edward K. Y., Kare, Jordin T., Leuthardt, Eric C., Levien, Royce A., Lord, Richard T., Lord, Robert W., Malamud, Mark A., Rinaldo, Jr., John D., Rivet, Dennis J., Tegreene, Clarence T., Wood, Jr., Lowell L.
• Primary Examiner(s): Pauls, John A
• Application Number:
  US13/374,748
• Publication Number:
  US 20130173297A1
• Time in Patent Office: 2,794 Days
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 50/18 Legal services
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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

Abstract

Structures and protocols are presented for signaling a decision (processing or transmitting a medical record or other resource, e.g.) conditionally, at least partly based on one or more performance indicia (excess hospital readmissions, e.g.) or therapeutic determinants (prior success, e.g.) or privacy considerations (patient consent, e.g.).

Claims

1. A healthcare information management system comprising:

circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space;

circuitry configured for associating a patient with at least one patient identifier, the patient associated with the personal mobile device identified by the at least one device identifier;

circuitry configured for causing a recordation of at least one indication of presence of the patient associated with the at least one patient identifier in the at least one healthcare administration space in at least one patient file indicating at least the patient having a particular condition, wherein the causing a recordation is an automatic response to the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space;

circuitry configured for identifying at least one protocol associated with the patient and associated with the particular condition based at least partly on the at least one patient file associated with the patient, the at least one protocol associated with at least one medical equipment located within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space, the at least one medical equipment implementing a failsafe that prevents the at least one medical equipment from operating until enabled; and

circuitry configured for enabling the at least one medical equipment associated with the identified at least one protocol to function including at least overriding the failsafe as an automatic response to the identification of the at least one protocol and the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with at least one healthcare administration space.

2. The healthcare information management system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for detecting the personal mobile device assigned to the patient and a second device assigned to a caregiver within a detection range of the at least one wireless transceiver associated with the at least one healthcare administration space.

3. The healthcare information management system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for detecting the personal mobile device assigned to the patient and a second device assigned to a caregiver within a detection range of a stationary device known to be present in at least one healthcare administration space associated with at least one healthcare provider.

4. The healthcare information management system of claim 1, wherein the circuitry configured for causing a recordation of at least one indication of presence of the patient associated with the at least one patient identifier in the at least one healthcare administration space comprises:

circuitry configured for updating a patient registry as an automatic response to the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space.

5. The healthcare information management system of claim 1, further comprising:

circuitry configured for determining whether presence of the patient in the at least one healthcare administration space constitutes an institutional readmission of the patient;

circuitry configured for determining whether the institutional readmission indicates patient non-compliance with a health regimen; and

circuitry configured for signaling a decision whether to transfer a resource to the patient based on the determination whether the patient is compliant with the health regimen.

6. The healthcare information management system of claim 1, further comprising:

circuitry configured for determining whether presence of the patient in the at least one healthcare administration space constitutes an institutional readmission of the patient; and

circuitry configured for transmitting a notification to a caregiver, via an interface in a vicinity of the patient, the notification based at least partly on an indication of an institutional readmission of the patient.

7. The healthcare information management system of claim 1, further comprising:

circuitry configured for transmitting a notification to a caregiver responsive to an interface in a vicinity of the caregiver detecting a particular event relating to the caregiver.

8. The healthcare information management system of claim 1, wherein the circuitry configured for enabling the at least one medical equipment associated with the identified at least one protocol to function comprises:

circuitry configured for preventing the at least one medical equipment from operating until an order for the identified at least one protocol is received and until an indication is received that the personal mobile device associated with the patient is detected within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space.

9. The healthcare information management system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for detecting, via at least one radio frequency identification device (RFID), the at least one personal mobile device assigned to the patient having the particular condition within a detection range of at least one detection device.

10. The healthcare information management system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for detecting a global positioning system (GPS)-based location of the personal mobile device assigned to the patient having the particular condition.

11. The healthcare information management system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for detecting a presence of at least one wearable device assigned to the patient having the particular condition within a detection range of at least one detection device.

12. The healthcare information management system of claim 1, further comprising:

circuitry configured for storing an indication of the at least one device identifier in at least one patient file in at least one database responsive to at least one patient intake input, and wherein the circuitry for associating a patient with at least one patient identifier, the patient associated with the personal mobile device identified by the at least one device identifier includes at least;

circuitry configured for querying the at least one database to retrieve the at least one patient file as an automatic response to the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space.

13. The healthcare information management system of claim 12, wherein the circuitry configured for storing an indication of the at least one device identifier in at least one patient file in at least one database responsive to at least one patient intake input comprises:

circuitry configured for storing a mapping of an identifier associated with the personal mobile device to an identifier associated with the patient in at least one database responsive to the at least one patient intake input.

14. The healthcare information management system of claim 1, wherein the circuitry configured for causing a recordation of at least one indication of presence of the patient associated with the at least one patient identifier in the at least one healthcare administration space in at least one patient file indicating at least the patient having a particular condition comprises:

circuitry configured for causing a recordation of a timestamp indicative of the personal mobile device in the at least one patient file.

15. The healthcare information management system of claim 1, further comprising:

circuitry configured for determining whether an institutional readmission is indicative of patient noncompliance to a prior protocol; and

circuitry configured for obtaining an indication of whether treating the particular condition with at least one new protocol has precedent, wherein the circuitry for enabling the at least one medical equipment associated with the identified at least one protocol to function includes at least;

circuitry configured for enabling at least one machine associated with the at least one new protocol.

16. The healthcare information management system of claim 1, further comprising:

circuitry configured for associating at least one particular condition with at least one prior institutional admission; and

circuitry configured for determining whether presence of the patient in the at least one healthcare administration space constitutes an institutional readmission of the patient based at least partly on the associating the at least one particular condition with at least one prior institutional admission.

17. The healthcare information management system of claim 1, further comprising:

circuitry configured for providing at least one notification including one or more prior protocols associated with the particular condition to at least one healthcare provider associated with the at least one wireless transceiver.

18. The healthcare information management system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for detecting at least one wireless-enabled mobile telephone within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space.

19. The healthcare information management system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for detecting the personal mobile device within an effective range of at least one wireless transceiver associated with at least one healthcare provider.

20. The healthcare information management system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for detecting the personal mobile device has established a wireless communication link with at least one wireless transceiver associated with at least one healthcare provider.

21. The healthcare information management system of claim 1, further comprising:

circuitry configured for determining, via the at least one patient file, whether the patient has previously been institutionally admitted for the particular condition a threshold number of times, wherein the circuitry for enabling the at least one medical equipment associated with the identified at least one protocol to function includes at least;

circuitry configured for causing at least one machine to dispense at least one reward only if the determination whether the patient has previously been institutionally admitted for the particular condition the threshold number of times indicates that the patient has previously been admitted a number of times less than the threshold number of times.

22. The system of claim 1, further comprising:

circuitry configured for determining whether presence of the patient in the at least one healthcare administration space constitutes an institutional readmission of the patient;

circuitry configured for determining whether the institutional readmission of the patient is indicative of patient non-compliance to a healthcare regimen; and

circuitry configured for providing, to at least one paying party, at least one indication of patient non-compliance to the healthcare regimen based at least partly on the determination whether the institutional readmission of the patient is indicative of patient non-compliance to the healthcare regimen.

23. The system of claim 1, wherein the circuitry configured for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space comprises:

circuitry configured for recognizing that the personal mobile device has previously been operably coupled with at least one wireless transceiver on at least one network associated with at least one healthcare provider via one or more files stored on a computer-readable medium of the personal mobile device.

24. The system of claim 1, wherein the circuitry configured for identifying at least one protocol associated with the patient and associated with the particular condition based at least partly on the at least one patient file associated with the patient comprises:

circuitry configured for associating the particular condition with at least one protocol, wherein the circuitry for enabling the at least one medical equipment associated with the identified at least one protocol to function includes at least;

circuitry configured for causing at least one machine to dispense at least one prescription associated with the at least one protocol including at least overriding the failsafe as an automatic response to the identification of the at least one protocol and the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with at least one healthcare administration space.

25. The system of claim 1, wherein the circuitry configured for enabling the at least one medical equipment associated with the identified at least one protocol to function includes at least:

circuitry configured for accessing at least one machine located in the patient'"'"'s home via at least one network associated with at least one healthcare provider; and

circuitry configured for causing the at least one machine to dispense at least one prescription associated with the at least one protocol including at least overriding the failsafe, wherein the causing the at least one machine to dispense the at least one prescription is an automatic response to (a) the recordation of the at least one indication of presence of the patient in the at least one healthcare administration space, (b) the identifying the at least one protocol, and (c) the accessing the at least one machine located in the patient'"'"'s home via the at least one network associated with the at least one healthcare provider.

26. A healthcare information management system comprising:

means for detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space;

means for associating a patient with at least one patient identifier, the patient associated with the personal mobile device identified by the at least one device identifier;

means for causing a recordation of at least one indication of presence of the patient associated with the at least one patient identifier in the at least one healthcare administration space in at least one patient file indicating at least the patient having a particular condition, wherein the causing a recordation is an automatic response to the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space;

means for identifying at least one protocol associated with the patient and associated with the particular condition based at least partly on the at least one patient file associated with the patient, the at least one protocol associated with at least one medical equipment located within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space, the at least one medical equipment implementing a failsafe that prevents the at least one medical equipment from operating until enabled; and

means for enabling the at least one medical equipment associated with the identified at least one protocol to function including at least overriding the failsafe as an automatic response to the identification of the at least one protocol and the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with at least one healthcare administration space.

27. A healthcare information management method comprising:

detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space;

associating a patient with at least one patient identifier, the patient associated with the personal mobile device identified by the at least one device identifier;

causing a recordation of at least one indication of presence of the patient associated with the at least one patient identifier in the at least one healthcare administration space in at least one patient file indicating at least the patient having a particular condition, wherein the causing a recordation is an automatic response to the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space;

identifying at least one protocol associated with the patient and associated with the particular condition based at least partly on the at least one patient file associated with the patient, the at least one protocol associated with at least one medical equipment located within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space, the at least one medical equipment implementing a failsafe that prevents the at least one medical equipment from operating until enabled; and

enabling the at least one medical equipment associated with the identified at least one protocol to function including at least overriding the failsafe as an automatic response to the identification of the at least one protocol and the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with at least one healthcare administration space.

28. One or more physical media configured to bear a device-detectable implementation of a method including at least

detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space;

querying a local registry stored on a non-transitory computer readable medium to associate particular patient identifier with the personal mobile device;

causing a recordation of at least one indication of presence of the patient associated with the at least one patient identifier in the at least one healthcare administration space in at least one patient file indicating at least the patient having a particular condition, wherein the causing a recordation is an automatic response to the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space;

identifying at least one protocol associated with the patient and associated with the particular condition based at least partly on the at least one patient file associated with the patient, the at least one protocol associated with at least one medical equipment located within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space, the at least one medical equipment implementing a failsafe that prevents the at least one medical equipment from operating until enabled; and

causing at least one machine to dispense at least one item associated with the identified at least one protocol to the particular patient based at least partly on the circuitry for causing the recordation of the patient presence in the at least one healthcare administration space and based at least partly on the circuitry for identifying the at least one protocol scheduled for the patient.

29. One or more physical media configured to bear a device-detectable implementation of a method including at least

detecting a personal mobile device identified by at least one device identifier within an effective range of at least one wireless transceiver associated with at least one healthcare administration space;

associating a patient with at least one patient identifier, the patient associated with the personal mobile device identified by the at least one device identifier;

causing a recordation of at least one indication of presence of the patient associated with the at least one patient identifier in the at least one healthcare administration space in at least one patient file indicating at least the patient having a particular condition, wherein the causing a recordation is an automatic response to the detection of the personal mobile device within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space;

identifying at least one protocol associated with the patient and associated with the particular condition based at least partly on the at least one patient file associated with the patient, the at least one protocol associated with at least one medical equipment located within the effective range of the at least one wireless transceiver associated with the at least one healthcare administration space, the at least one medical equipment implementing a failsafe that prevents the at least one medical equipment from operating until enabled; and

causing at least one machine to dispense at least one prescription associated with the identified at least one protocol to the particular patient based at least partly on the circuitry for causing the recordation of the patient presence in the at least one healthcare administration space and based at least partly on the circuitry for identifying the at least one protocol scheduled for the patient.