Longitudinal multi-author care planning and management system with user-tailored care plan hierarchy that propagates based on care responsibility information
First Claim
1. A method of providing patient health information corresponding to care plan elements, including such care plan elements as problems and orders, into a computer system to create an updated structured care plan for a patient, the patient health information being provided from a plurality of different external sources and operable upon by the computer system, the method comprising the steps of:
- providing, within the computer system, an application program for entry of patient health information, the application program providing for linkage between a plurality of care plan elements, a topic catalog, and a structured care plan;
providing, from the computer system and associated with the application program, a collection of topics organized into a plurality of topic nodes within a hierarchical topic catalog, the plurality of topic nodes, at least one having an associated structured sentence template, and a plurality of such structured sentence templates being associated with a care plan template;
instantiating, in the computer system and with the application program, the structured care plan for the patient, including a hierarchy of care plan nodes, at least one of which has a link to at least one topic node of the plurality of topic nodes in the hierarchical topic catalog and at least one of which has an associated structured sentence;
receiving, at the computer system and associated with the application program, data from one of the plurality of different external sources, such data containing one or more problem care plan elements and one or more order care plan elements corresponding to the patient;
matching, by the computer system and the application program, the care plan elements obtained from the external sources with the plurality of topic nodes within the hierarchical topic catalog, and identifying at least one topic node of the plurality of topic nodes for which there is an associated structured sentence template in the hierarchical topic catalog and for which there are no linked care plan nodes within the structured care plan for the patient;
instantiating, by the computer system and the application program, within the care plan for the patient, at least one proposed node linked to the at least one topic node, the at least one proposed node having an associated including a structured sentence created based on the structured sentence template of the at least one topic node; and
updating, using the computer system and the application program, the structured care plan into an updated structured care plan in response to confirmation of the proposed node as a new node in the updated structured care plan.
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Abstract
A method and system for care planning and management that provides a patient-centered single source of truth to foster teamwork and improved quality of care. The system facilitates creation of multi-author structured care plans through derivation of care relationships, care responsibilities and care plan elements to pre-populate care plans, and uses a hierarchical topic catalog and associated structured sentence templates and care plan templates to facilitate the completion of care plans. It aids interdisciplinary input through workflow-enabled routing of draft care plans, and rules-driven co-signing. The system allows each of multiple authors to separately tailor the sort order, hierarchy and information prominence of care plan structured sentences. The system uses care relationship and care responsibility information to optimize the propagation of care plan view tailoring instructions among co-authors. Finally, the system facilitates care plan execution using workflow automation technology to track and coordinate the process of delivering each ordered service.
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Citations
25 Claims
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1. A method of providing patient health information corresponding to care plan elements, including such care plan elements as problems and orders, into a computer system to create an updated structured care plan for a patient, the patient health information being provided from a plurality of different external sources and operable upon by the computer system, the method comprising the steps of:
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providing, within the computer system, an application program for entry of patient health information, the application program providing for linkage between a plurality of care plan elements, a topic catalog, and a structured care plan; providing, from the computer system and associated with the application program, a collection of topics organized into a plurality of topic nodes within a hierarchical topic catalog, the plurality of topic nodes, at least one having an associated structured sentence template, and a plurality of such structured sentence templates being associated with a care plan template; instantiating, in the computer system and with the application program, the structured care plan for the patient, including a hierarchy of care plan nodes, at least one of which has a link to at least one topic node of the plurality of topic nodes in the hierarchical topic catalog and at least one of which has an associated structured sentence; receiving, at the computer system and associated with the application program, data from one of the plurality of different external sources, such data containing one or more problem care plan elements and one or more order care plan elements corresponding to the patient; matching, by the computer system and the application program, the care plan elements obtained from the external sources with the plurality of topic nodes within the hierarchical topic catalog, and identifying at least one topic node of the plurality of topic nodes for which there is an associated structured sentence template in the hierarchical topic catalog and for which there are no linked care plan nodes within the structured care plan for the patient; instantiating, by the computer system and the application program, within the care plan for the patient, at least one proposed node linked to the at least one topic node, the at least one proposed node having an associated including a structured sentence created based on the structured sentence template of the at least one topic node; and updating, using the computer system and the application program, the structured care plan into an updated structured care plan in response to confirmation of the proposed node as a new node in the updated structured care plan. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A method of providing for a plurality of clinician views of a structured care plan for a patient, the structured care plan being operable upon using a computer system, the method comprising the steps of:
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providing, within the computer system, an application program for creation and display of a structured care plan, the structured care plan including a hierarchical plurality of care plan nodes, each care plan node including an associated structured sentence; receiving, at the computer system and associated with the application program, a first set of clinician-specific view tailoring instructions corresponding to a particular structured care plan for a particular patient, each of the clinician-specific view tailoring instructions corresponding to particular nodes or particular node-to-node relationships within the structured care plan and specifying a constrained set of operations on the hierarchical plurality of nodes, wherein the constrained set of operations includes one of changing the order of sibling nodes, changing node-to-node hierarchical relationships, subsuming a node within a parent or child node, demoting a node and changing the display prominence of a node; at least one of the clinician-specific view tailoring instructions specifying an operation performed by the computer system and with the application program to change a node-to-node hierarchical relationship and thereby updating a clinician-specific representation of the structured care plan to associate therewith the first set of clinician-specific view tailoring instructions, the updating including the step of propagating at least one of such clinician-specific view tailoring instructions to other ones of the plurality of clinician views if the one such clinician-specific view tailoring instruction was created by a clinician having a primary care relationship with the patient or if the one such clinician-specific view tailoring instruction was applied to care plan nodes or node-to-node hierarchical relationships that correspond to problems for which the clinician has care responsibility or to descendent nodes of such problem nodes; and wherein during the updating of the clinician-specific representation of the structured care plan, node to node relationships within the hierarchical plurality of nodes are altered. - View Dependent Claims (8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25)
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Specification