System for supporting clinical decision-making

• US 20030149597A1
• Filed: 12/06/2002
• Published: 08/07/2003
• Est. Priority Date: 01/10/2002
• Status: Abandoned Application

• Current Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Original Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Inventors: Zaleski, John R.
• Application Number:
  US10/313,532
• Publication Number:
  US 20030149597A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• 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 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

The invention is directed to a system that uses a repository of patient medical records in supporting clinical decision making, and which incorporates receiving, from a first source, data representing an order associated with treatment of a medical condition; interpreting the order to determine search criteria for use in identifying records related to the patient medical condition; searching a database of patient medical records based on the search criteria; identifying, in the patient medical record database, information concerning different treatments previously employed for treating the medical condition based on the search criteria; and providing the different treatment information to the first source.

Claims

1. A method using a repository of patient medical records in supporting clinical decision-making, comprising the steps of:

receiving, from a first source, data representing an order associated with treatment of a medical condition;

interpreting said order to determine search criteria for use in identifying records related to said patient medical condition;

searching a database of patient medical records based on said search criteria;

identifying, in said patient medical record database, information concerning different treatments previously employed for treating said medical condition based on said search criteria; and

providing said different treatment information to said first source.

2. A method according to claim 1, wherein said information concerning different treatments includes resource consumption characteristic information concerning said different treatments and including the step of comparing resource consumption characteristics concerning treatment for a particular patient with corresponding resource consumption characteristics for said different treatments.

3. A method according to claim 1, wherein said resource consumption characteristics include at least one of (a) financial cost of a treatment or course of treatment, (b) quantity of medicine, (c) number of nursing hours, (d) number of physician hours, (e) cost of equipment usage, (f) length of time equipment used, (g) length of time of inpatient stay, (h) duration of home care facility usage (i) cost of medicine.

4. A method according to claim 1, wherein said order associated with treatment of said medical condition comprises a physician initiated order including at least one of (a) an order for a medical test to be made for a patient, (b) an order for a pharmacological prescription for a patient, (c) an order for a service to be performed for a patient, (d) an order for a form of diagnostic imaging to be performed for a patient, (e) an order for surgical treatment for a patient and (f) an order for a form of physiological therapy to be performed on a patient.

5. A method according to claim 1, wherein said patient medical record database contains statistically analyzed and trend indicative accumulated medical parameter information associated with a plurality of medical conditions and collated according to patient type characteristics.

6. A method according to claim 1, further comprising the step of initiating formatting and display of said different treatment information via a reproduction device.

7. A method according to claim 1, further comprising the step of storing data in said database comprising at least one of (a) patient treatment information and (b) a record of an order, together with an associated date, said data being collated by treatment and diagnosis category to accumulate patient medical records for a population of patients.

8. A method according to claim 1, further comprising the steps of:

identifying, in said patient medical record database, a previous order and associated date based on said search criteria;

determining a difference between said identified previous order and said received order associated with treatment of said medical condition; and

providing information indicating said order difference to said first source.

9. A method according to claim 1, further comprising the step of analyzing said different treatment information to determine a difference in at least one of, (a) diagnosis and (b) treatment associated with said order and corresponding previous diagnoses and treatments recorded for similar patients.

10. A system using a repository of patient medical records in supporting clinical decision-making comprising:

an interface processor for receiving, from a first source, data representing an order associated with treatment of a medical condition;

a database of patient medical records; and

a data processor for interpreting said order to determine search criteria for use in identifying records related to said patient medical condition and for initiating search of said database of patient medical records based on said search criteria to identify information concerning different treatments previously employed for treating said medical condition based on said search criteria and providing said different treatment information to said first source.

11. A system using a repository of patient medical records in supporting clinical decision-making, comprising:

an interface processor for receiving, from a first source, data representing an order associated with treatment of a medical condition;

a database of patient medical records; and

a data processor for interpreting said order to determine search criteria for use in identifying records related to said patient medical condition and for initiating search of said database of patient medical records based on said search criteria to identify resource consumption characteristic information concerning treatment previously employed for treating said medical condition based on said search criteria and providing said resource consumption information to said first source.

12. A system according to claim 11, wherein said data processor compares resource consumption characteristics concerning said treatment of said medical condition for a particular patient with corresponding identified resource consumption characteristic information concerning treatment previously employed for treating said medical condition.

13. A system according to claim 11, wherein said identified resource consumption characteristic information concerning treatment previously employed for treating said medical condition comprises statistically analyzed and trend indicative consumption characteristic information.

14. A system according to claim 11, wherein said resource consumption characteristic information includes at least one of (a) financial cost of a treatment or course of treatment, (b) quantity of medicine, (c) number of nursing hours, (d) number of physician hours, (e) cost of equipment usage, (f) length of time equipment used, (g) length of time of inpatient stay, (h) duration of home care facility usage (i) cost of medicine.

15. A method for supporting clinical decision-making comprising the steps of:

receiving patient training data for a plurality of patients;

computing statistics for said patient training data;

creating at least one regression model using said patient statistics;

receiving patient test data for at least one test patient, said patient test data having diagnosis data; and

comparing said test data with said regression models using said diagnosis data.

16. The method of claim 15, further comprising the step of generating a report of said comparison for displaying on a user interface.

18. The apparatus of claim 16, further comprising a data repository for storing one or more items selected from the group consisting of said patient training data, said patient testing data, said statistics, said regression model, and said comparison.

17. An apparatus for supporting clinical decision-making comprising:

an interface processor for receiving patient training data for a plurality of patients and patient testing data for at least one test patient, said patient test data having diagnosis data;

a data processor in communication with said interface processor and programmed for computing statistics for said patient training data;

creating at least one regression model using said patient statistics; and

comparing said test data with said regression models using said diagnosis data.

19. The apparatus of claim 17, wherein said interface processor is programmed to interact with a user interface to enable user control of said data processor.

20. In a healthcare patient administration system, a user interface for use in supporting clinical decision making comprising at least one interactive display image programmed for user determination of data from a first source, said data representing an order associated with treatment of a medical condition;

interpreting said order to determine search criteria for use in identifying records related to said patient medical condition;

searching a database of patient medical records based on said search criteria;

identifying, in said patient medical record database, information concerning different treatments previously employed for treating said medical condition based on said search criteria; and

providing said different treatment information to said first source.