Evidence-based healthcare information management protocols

• US 10,559,380 B2
• Filed: 12/05/2012
• Issued: 02/11/2020
• 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): Kanaan, Maroun P
• Application Number:
  US13/705,402
• Publication Number:
  US 20130173303A1
• Time in Patent Office: 2,624 Days
• Field of Search: 705 2, 705 3, 705 4, 600300, 235380, 340 574, 379 38, 4554563
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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 40/67 for remote operation

Abstract

Structures and protocols are presented for signaling a status or decision (processing or transmitting a medical record or other resource, e.g.) conditionally. Such signaling may be partly based on one or more symptoms, regimen attributes, performance indicia (compliance indications, e.g.), privacy considerations (patient consent, e.g.), contextual considerations (being in or admitted by a care facility, e.g.), sensor data, or other such determinants. In some contexts this may trigger an incentive being manifested (as a dispensation of an item, e.g.), an intercommunication (telephone call, e.g.) beginning, a device being configured (enabled or customized, e.g.), data distillations being presented or tracked, or other such results.

Claims

1. A healthcare information management system comprising:

one or more integrated circuit devices including at least;

circuitry configured for obtaining an order allocating one or more medical devices to be used in association with a patient;

circuitry configured for detecting that at least one medical device is within a predetermined vicinity of the patient;

circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient, the at least one medical record including at least one of a scan or an annotation;

circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities;

circuitry configured for enabling the at least one medical device conditionally based at least in part on the order allocating the one or more medical devices, the detection that the least one medical device is within the predetermined vicinity of the patient, and whether the one or more protocols associated with usage of the at least one medical device for treating the patient for the at least one condition is conventional; and

circuitry configured for facilitating delivery of at least one of a drug or treatment to the patient via the at least one medical device in accordance with the one or more protocols.

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

circuitry configured for administering the one or more protocols associated with usage of the at least one medical device for treating the patient for the at least one condition.

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

circuitry configured for acquiring data from at least one of one or more networked devices or at least one physical memory.

4. The healthcare information management system of claim 1 wherein the circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient includes:

circuitry configured for causing an electronic record associated with a protocol for a predetermined condition to be annotated with a scan of a document; and

circuitry configured for retrieving the electronic record associated with the protocol for the predetermined condition to be annotated with the scan of the document based at least partly on an indication of the patient undergoing the protocol and an indication of an institutional readmission associated with the predetermined condition.

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

circuitry configured for detecting that at least one mobile communications device associated with the patient is wirelessly coupled with at least one stationary network device in a vicinity of a first medical device; and

circuitry configured for inducing the first medical device to retrieve a medical record at least partly based on the indication that the at least one mobile communications device is wirelessly coupled with at least one stationary network device in the vicinity of the first medical device and a previous association between the patient and at least one second medical device.

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

circuitry configured for detecting a communication delay associated with a medical condition; and

circuitry configured for initiating a communication to at least one mobile communications device associated with the patient as an automatic response to an expiration of the communication delay.

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

at least one of;

circuitry configured for causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication;

or

circuitry configured for contacting an individual by a fallback mode of communication as an automatic response to receiving no reply from the individual by a prior mode of communication.

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

circuitry configured for updating a locally-resident subscriber registry in response to the patient entering a service zone.

9. The healthcare information management system of claim 1 wherein the circuitry configured for enabling the at least one medical device conditionally based at least in part on the order allocating the one or more medical devices, the detection that the least one medical device is within the predetermined vicinity of the patient, and whether the one or more protocols associated with usage of the at least one medical device for treating the patient for the at least one condition is conventional comprises:

circuitry configured for detecting that a specific pathology associated with the patient has been treated at a first hospital and that the specific pathology associated with the patient has been treated at a second hospital, and

circuitry configured for providing at least one notification to at least one provider that the specific pathology associated with the patient has previously been treated at a second hospital.

10. The healthcare information management system of claim 1 wherein the circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient comprises:

at least one of;

circuitry configured for retrieving a medical treatment record of the patient selectively in response to an indication of a payment reduction that identifies the patient;

or

circuitry configured for retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to the determining whether the one or more protocols associated with the usage of the at least one medical device for treating the patient for the at least one condition is conventional.

11. The healthcare information management system of claim 1 wherein the circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient comprises:

circuitry configured for obtaining an indication whether a record of treating a medical condition associated with the patient with a protocol contains evidence that treating the medical condition with the protocol has precedent.

12. The healthcare information management system of claim 1 wherein the circuitry configured for enabling the at least one medical device conditionally based at least in part on the order allocating the one or more medical devices, the detection that the least one medical device is within the predetermined vicinity of the patient, and whether the one or more protocols associated with usage of the at least one medical device for treating the patient for the at least one condition is conventional comprises:

circuitry configured for determining whether a protocol is indicative of non-compliance with a health regimen based at least partly on whether the protocol has previously been administered to the patient, and

circuitry configured for initiating a telephone call between the patient and another entity as an automatic response to an indication that the patient is not being compliant with the health regimen.

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

circuitry configured for signaling a decision to transfer a resource to the patient responsive to an indication that the patient is not compliant with a health regimen.

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

circuitry configured for obtaining an indication whether the patient is compliant with a health regimen.

15. The healthcare information management system of claim 1 wherein the circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient comprises:

circuitry configured for triggering a search of a records archive by providing a selective search criterion.

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

circuitry configured for transmitting a real-time notification to another entity as an automatic response to an interface on or near the patient detecting a predetermined event relating to the patient.

17. The healthcare information management system of claim 1 wherein the circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient includes:

circuitry configured for causing an electronic record associated with a protocol for a predetermined condition to be annotated with a scan of a document; and

circuitry configured for retrieving the electronic record associated with the protocol for the predetermined condition to be annotated with the scan of the document based at least partly on an indication of the patient undergoing the protocol and an indication of an institutional readmission associated with a hospital error inducing complication.

18. The healthcare information management system of claim 1 wherein the circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient includes:

circuitry configured for obtaining an association between a care administration space and a first medical device;

circuitry configured for obtaining via a mobile device a patient consent conditionally authorizing release of a first medical record; and

circuitry configured for receiving the first medical record based at least partly on the mobile device entering the care administration space and based at least partly on the patient consent authorizing the release of the first medical record.

19. The healthcare information management system of claim 1 wherein the circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities includes:

circuitry configured for obtaining an association between a predetermined condition and a first protocol;

circuitry configured for comparing a threshold to a prominence indication of treating the predetermined condition with the first protocol; and

circuitry configured for determining whether to caution a caregiver at least partly based on the association between the predetermined condition and the first protocol and at least partly based on the comparison of the threshold to the prominence indication.

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

circuitry configured for inducing a medication dispensing device to perform at least one medication dispensing operation at least partly based on the retrieved at least one medical record.

21. The healthcare information management system of claim 1 wherein the circuitry configured for facilitating delivery of at least one of a drug or treatment to the patient via the at least one medical device in accordance with the one or more protocols includes:

circuitry configured for controlling an electromechanical element of a medical device associated with the patient responsive to obtaining an indication that an order associates the patient with the medical device and an indication that the medical device is in the vicinity of the patient.

22. The healthcare information management system of claim 1 wherein the circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient includes:

circuitry configured for detecting that at least one mobile communications device is wirelessly connected to at least one network router associated with at least one health provider.

23. The healthcare information management system of claim 1 wherein the circuitry configured for facilitating delivery of at least one of a drug or treatment to the patient via the at least one medical device in accordance with the one or more protocols comprises:

circuitry configured for providing at least one notification regarding at least one treatment protocol associated with the patient to at least one third party.

24. The healthcare information management system of claim 1 wherein the circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities comprises:

circuitry configured for identifying at least one protocol for application to the patient based at least partly on the retrieving the at least one medical record.

25. The healthcare information management system of claim 1 wherein the circuitry configured for enabling the at least one medical device conditionally based at least in part on the order allocating the one or more medical devices, the detection that the least one medical device is within the predetermined vicinity of the patient, and whether the one or more protocols associated with usage of the at least one medical device for treating the patient for the at least one condition is conventional comprises:

circuitry configured for determining, based at least partly on the retrieved at least one medical record, whether the patient has been prescribed a predetermined health regimen.

26. The healthcare information management system of claim 1 wherein the circuitry configured for facilitating delivery of at least one of a drug or treatment to the patient via the at least one medical device in accordance with the one or more protocols comprises:

circuitry configured for determining at least one user associated with the patient based at least partly on the circuitry configured for retrieving the at least one medical record;

circuitry configured for retrieving at least some contact information for the at least one user; and

circuitry configured for providing at least one notification to the at least one user based at least partly on the circuitry configured for retrieving the at least some contact information for the at least one user.

27. The healthcare information management system of claim 1 wherein the circuitry configured for detecting that at least one medical device is within a predetermined vicinity of the patient comprises:

at least one of;

circuitry configured for detecting that at least one personal smartphone associated with the patient has entered a service zone associated with at least one health provider;

or

circuitry configured for detecting that at least one of a smartphone or a tablet computer has logged onto at least one secure network associated with at least one health provider.

28. The healthcare information management system of claim 1 wherein the circuitry configured for retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient includes:

circuitry configured for detecting that at least one patient has logged in to at least one application associated with at least one health provider, the at least one application operable on at least one mobile communications device.

29. The healthcare information management system of claim 1 wherein the circuitry configured for facilitating delivery of at least one of a drug or treatment to the patient via the at least one medical device in accordance with the one or more protocols comprises:

circuitry configured for transmitting at least one message to at least one patient-accessible account associated with the patient.

30. The healthcare information management system of claim 1 wherein the circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities includes:

circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of number of instances of usage in treating the at least one condition by one or more entities.

31. The healthcare information management system of claim 1 wherein the circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities includes:

circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of obtaining at least one explicit indication whether a record of treating a medical condition in a particular person with a particular protocol contains extrinsic evidence that treating the medical condition with the particular protocol has precedent.

32. The healthcare information management system of claim 1 wherein the circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities includes:

circuitry configured for determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional including at least recognizing the one or more protocols as conventional based at least in part on acceptance of evidentiary content documenting applicable precedent.

33. A healthcare information management system comprising:

one or more processing devices including instructions that, when executed, cause the system to;

obtain an order allocating one or more medical devices to be used in association with a patient;

detect whether at least one medical device is within a predetermined vicinity of the patient;

retrieve at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient, the at least one medical record including at least one of a scan or an annotation;

determine, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities; and

facilitating delivery of at least one of a drug or treatment to the patient via the at least one medical device in accordance with the one or more protocols.

34. A healthcare information management method comprising:

obtaining an order allocating one or more medical devices to be used in association with a patient;

determining, from at least one medical record including at least one of a scan or an annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities;

detecting that the at least one medical device is within a predetermined vicinity of the patient;

retrieving the at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient;

enabling the at least one medical device conditionally based at least in part on the order allocating the one or more medical devices, the detection that the least one medical device is within the predetermined vicinity of the patient, and whether the one or more protocols associated with usage of the at least one medical device for treating the patient for the at least one condition is conventional; and

facilitating delivery of at least one of a drug or treatment to the patient via the at least one medical device in accordance with the one or more protocols.

35. The healthcare information management method of claim 34 further comprising:

detecting a communication delay associated with a medical condition; and

initiating a communication as an automatic response to an expiration of the communication delay.

36. The healthcare information management method of claim 34 wherein the retrieving the at least one medical record via at least one network at least partly based on the order allocating the one or more medical device and the detection that the at least one medical device is within the predetermined vicinity of the patient comprises:

obtaining an indication whether a record of treating a medical condition associated with the patient with a protocol contains evidence that treating the medical condition with the protocol is effective.

37. The healthcare information management method of claim 34 wherein the enabling the at least one medical device conditionally based at least in part on the order allocating the one or more medical devices, the detection that the least one medical device is within the predetermined vicinity of the patient, and whether the one or more protocols associated with usage of the at least one medical device for treating the patient for the at least one condition is conventional comprises:

detecting at least one indication that the patient has been non-compliant with a health regimen, and

initiating a telephone call between the patient and at least one healthcare provider as an automatic response to the detected indication that the patient has been non-compliant with the health regimen.

38. An article of manufacture for healthcare information management comprising:

one or more non-transitory physical media configured to bear a device-detectable implementation of a method including at least

obtaining an order allocating one or more medical devices to be used in association with a patient;

detecting that at least one medical device is within a predetermined vicinity of the patient;

retrieving at least one medical record via at least one network at least partly based on the order allocating the one or more medical devices and the detection that the at least one medical device is within the predetermined vicinity of the patient, the at least one medical record including at least one of a scan or an annotation;

determining, from the at least one medical record including the at least one of the scan or the annotation, whether one or more protocols associated with usage of the at least one medical device for treating the patient for at least one condition is conventional based at least in part on at least one prominence indication signifying at least one indication of effectiveness in treating the at least one condition by one or more entities;

enabling the at least one medical device conditionally based at least in part on the order allocating the one or more medical devices, the detection that the least one medical device is within the predetermined vicinity of the patient, and whether the one or more protocols associated with usage of the at least one medical device for treating the patient for the at least one condition is conventional; and

facilitating delivery of at least one of a drug or treatment to the patient via the at least one medical device in accordance with the one or more protocols.