System and method for conducting drug use evaluation

• US 20030158755A1
• Filed: 03/01/2001
• Published: 08/21/2003
• Est. Priority Date: 03/01/2001
• Status: Abandoned Application

• Current Assignee: Advancepcs Health LP
• Original Assignee: Advancepcs Health LP
• Inventors: Neuman, Sherry L.
• Application Number:
  US09/795,135
• Publication Number:
  US 20030158755A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• 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 40/67 for remote operation

Abstract

A system and method for conducting drug use evaluation for a patient prior to the patient'"'"'s appointment with a prescriber. The drug use evaluation is conducted for the patient based on a list of drugs that the prescriber may prescribe at the upcoming appointment with the patient.

Claims

1. A method comprising:

receiving via an electronic prescription creation device a selection of at least one drug of plurality of drugs that may be selected via the electronic prescription creation device to create a prescription for a patient;

prior to said receiving the selection, conducting a drug use evaluation for the patient to obtain at least one drug use evaluation alert, the drug use evaluation being for each of the plurality of drugs that may be selected via the electronic prescription creation device;

determining if the drug use evaluation alert corresponds to the selected one drug; and

if it is determined that the drug use evaluation alert corresponds to the selected one drug, then presenting a representation corresponding to the drug use evaluation alert on a graphical user interface of the electronic prescription creation device.

2. The method of claim 1, the plurality of drugs that may be selected via the electronic prescription creation device being a subset of a group of all drugs that may be prescribed with the electronic prescription creation device.

3. The method of claim 2, the subset being a number of drugs most frequently prescribed with the electronic prescription creation device.

4. The method of claim 1, the subset of drugs being a number of drugs specified by a prescriber or another entity.

5. The method of claim 4, the drug use evaluation alert being at least one of:

a therapeutic duplication alert;

a drug-drug interaction alert;

an ingredient duplication alert;

a drug-disease contraindication alert;

an early refill alert;

a late refill alert;

a drug-pregnancy precaution alert;

a drug-lactation precaution alert;

a drug-allergy precaution alert;

a drug-food precaution alert;

a drug-alcohol precaution alert;

an incorrect duration alert;

a high dose alert;

a low dose alert;

a tobacco use alert;

an excessive drug quantity alert;

an insufficient quantity alert;

a sub-optimal regimen alert;

a drug-age precaution alert;

a sub-optimal drug/indication alert;

a sub-optimal dosage form alert; and

a drug-gender precaution alert.

6. The method of claim 1, further comprising:

retrieving medical history information of the patient from a database, said conducting the drug use evaluation being based on at least a portion of the retrieved medical history information.

7. The method of claim 6, said conducting the drug use evaluations including:

determining if each of the plurality of drugs is contraindicated for the patient based on at least a portion of the retrieved medical history information.

8. The method of claim 6, the drug use evaluation alert being a drug-pregnancy precaution alert, the drug use evaluation including a drug-pregnancy precaution assessment comprising:

determining from the medical history information if the patient is pregnant;

determining if each of the plurality of drugs is contraindicated with pregnancy; and

if it is determined that the patient is pregnant, then generating the drug-pregnancy precaution alert for each for each drug determined to be contraindicated with pregnancy.

9. The method of claim 6, the drug use evaluation alert being a drug-disease contraindication alert, the drug use evaluation including a drug-disease contraindication assessment comprising:

determining from the medical history information if the patient has a disease;

determining if each of the plurality of drugs is contraindicated with the disease; and

generating the drug-disease contraindication alert for each drug determined to be contraindicated with the disease.

10. The method of claim 6, the drug use evaluation alert being a drug-food precaution alert, the drug use evaluation including a drug-food precaution assessment comprising:

determining from the medical history information if a diet of the patient includes a type of food;

determining if each of the plurality of drugs is contraindicated with the type of food; and

generating the drug-food precaution alert for each drug determined to be contraindicated with the food.

11. The method of claim 6, the drug use evaluation alert being a drug-alcohol precaution alert, the drug use evaluation including a drug-alcohol precaution assessment comprising:

determining from the medical history information if a diet of the patient includes alcohol;

determining if each of the plurality of drugs is contraindicated with alcohol; and

generating the drug-alcohol precaution alert for each drug determined to be contraindicated with alcohol.

12. The method of claim 6 the drug use evaluation alert being a drug-allergy precaution alert, the drug use evaluation including a drug-allergy precaution assessment comprising:

determining from the medical history information if the patient has an allergy;

determining if each of the plurality of drugs is contraindicated with the allergy; and

generating the drug-allergy precaution alert for each drug determined to be contraindicated with the allergy.

13. The method of claim 1, further comprising retrieving at least one patient identifier that includes an age of the patient, the drug use evaluation alert being a drug-age precaution alert, the drug use evaluation including a drug-age precaution assessment comprising:

determining if each of the plurality of drugs is contraindicated with the age of the patient; and

generating the drug-age precaution alert for each drug determined to be contraindicated with the age of the patient.

14. The method of claim 7, further comprising retrieving at least one patient identifier that includes a gender of the patient, the drug use evaluation alert being a drug-gender precaution alert, the drug use evaluation including a drug-gender precaution assessment comprising:

determining if each of the plurality of drugs is contraindicated with the gender of the patient; and

generating the drug-gender precaution alert for each drug determined to be contraindicated with the gender of the patient.

15. The method of claim 1, further comprising:

retrieving prescription history information of the patient from a database, said conducting the drug use evaluation being based on at least a portion of the retrieved prescription history information.

16. The method of claim 15, the drug use evaluation alert being a drug-drug interaction alert, the drug use evaluation including a drug-drug interaction assessment comprising:

determining from the prescription history information at least one drug previously prescribed to the patient;

determining if each of the plurality of drugs interacts with the least one drug previously prescribed to the patient; and

generating the drug-drug interaction alert for each drug determined to interact with the at least one drug previously prescribed to the patient.

17. The method of claim 15, the drug use evaluation alert being an ingredient duplication alert, the drug use evaluation including an ingredient duplication assessment comprising:

determining from the prescription history information at least one drug previously prescribed to the patient;

determining if at least one of the plurality of drugs is the same as the at least one drug previously prescribed to the patient; and

generating the ingredient duplication alert if it is determined that at least one of the plurality of drugs is the same as the at least one drug previously prescribed to the patient.

18. The method of claim 15, the drug use evaluation alert being at least one of an early refill alert and a late refill alert, the drug use evaluation including an ingredient duplication assessment comprising:

determining from the prescription history information an end date of at least one drug previously prescribed to the patient;

determining if at least one of the plurality of drugs is the same as the at least one drug previously prescribed to the patient;

determining if a patient appointment date is before or after the end date of the at least one drug previously prescribed to the patient;

generating the early refill alert if it is determined that the patient appointment date is before the end date of the at least one drug previously prescribed to the patient; and

generating the late refill alert if it is determined that the patient appointment date is after the end date of the at least one drug previously prescribed to the patient.

24. The method of claim 1, the drug use evaluation being conducted at a computer remote from the electronic prescription creation device, further comprising:

communicating the drug use evaluation alert to the electronic prescription creation device over a network.

25. The method of claim 1, the drug use evaluation including at least one of:

a therapeutic duplication assessment;

a drug-drug interaction assessment;

an ingredient duplication assessment;

a drug-disease contraindication assessment;

an early refill assessment;

a late refill assessment;

a drug-pregnancy precaution assessment;

a drug-lactation precaution assessment;

a drug-food precaution assessment;

a drug-alcohol precaution assessment;

a high dose assessment;

a low dose assessment;

a drug-allergy precaution assessment;

a tobacco use assessment;

a drug-age precaution assessment;

a drug-gender precaution assessment;

an incorrect duration assessment; and

an insufficient quantity assessment.

19. The method of claim I, further comprising:

retrieving information of the patient from a database, said conducting the plurality of drug use evaluations being based on at least a portion of the retrieved information.

20. The method of claim 19, the database being a claim processor'"'"'s database.

21. The method of claim 19, the database being a pharmacy benefit management database.

22. The method of claim 19, the retrieved information including medical history information of the patient, the medical history information including at least one of:

a disease of the patient;

a condition of the patient;

an allergy of the patient;

a diet of the patient;

a pregnancy status of the patient; and

a lactation status of the patient.

23. The method of claim 19, the retrieved information including prescription history information of the patient, the prescription history information including at least one of:

a drug identifier of a previously prescribed drug;

a quantity of a previously prescribed drug; and

a days supply of a previously prescribed drug.

26. A method comprising:

retrieving at least one patient identifier of at least one patient that has an upcoming patient appointment with a prescriber on a specific day;

prior to the appointment on the specific day, retrieving patient information from a database, the patient information being at least one of medical history information of the patient and prescription history information of the patient; and

prior to the appointment on the specific day, conducting a drug use evaluation for the patient based on the retrieved patient information.

27. The method of claim 26, further comprising:

determining if the drug use evaluation resulted in a at least one drug use evaluation alert.

28. The method of claim 27, if it is determined that the drug use evaluation resulted in the at least one drug use evaluation alert, then communicating the at least one drug use evaluation alert to an electronic prescription creation device via a network.

29. The method of claim 28, further comprising:

receiving via the electronic prescription creation device a selection of at least one drug of a plurality of drugs that may be selected via the electronic prescription creation device to create a prescription for the patient;

determining if the at least one drug use evaluation alert corresponds to the selected one drug; and

if it is determined that the at least one drug use evaluation alert corresponds to the selected one drug, then presenting a representation corresponding to the drug use evaluation alert on a graphical user interface of the electronic prescription creation device.

30. The method of claim 26, the retrieved patient information being the medical history information of the patient and the prescription history information of the patient.

31. The method of claim 26, said conducting the drug use evaluation for the patient based on the retrieved patient information including conducting drug use evaluation assessments for each drug of a plurality of drugs that may be prescribed to the patient with an electronic prescription creation device at the appointment on the specific day.

32. The method of claim 31, the plurality of drugs being a subset of all drugs that may be selected via the electronic prescription creation device.

33. The method of claim 32, the subset of drugs being a number of drugs most frequently prescribed by the prescriber with the electronic prescription creation device.

34. A method of comprising:

viewing on a graphical user interface of an electronic prescription creation device a plurality of drugs that may be selected for a prescription for a patient;

selecting via the electronic prescription creation device at least one of the plurality of drugs; and

viewing on the graphical user interface a representation corresponding to a drug use evaluation alert, the drug use evaluation alert resulting from a drug use evaluation conducted for the patient prior to said selecting the at least one of the plurality of drugs, the drug use evaluation being for at least one of the plurality of drugs that may be selected via the electronic prescription creation device.

35. The method of claim 34, further comprising:

completing the prescription with the electronic prescription creation device.

36. The method of claim 35, the prescription being a paper prescription printed with a printer in communication with the electronic prescription creation device.

37. The method of claim 35, the prescription being an electronic prescription.

38. The method of claim 34, the electronic prescription creation device being a personal digital assistant.

39. A computer-readable medium having instructions stored thereon, the instructions when executed by an electronic prescription creation device cause the electronic prescription creation device to:

create a prescription for a patient;

present on a graphical user interface of the electronic prescription creation device a plurality of drugs that may be selected for a prescription for a patient;

receive a selection of at least one of the plurality of drugs; and

present on the graphical user interface a representation corresponding to a drug use evaluation alert, the drug use evaluation alert resulting from a drug use evaluation conducted for the patient prior to said selecting the at least one of the plurality of drugs, the drug use evaluation being for at least one of the plurality of drugs that may be selected via the electronic prescription creation device.

40. A computer-readable medium having instructions stored thereon, the instructions when executed by a computer cause the computer to:

retrieve at least one patient identifier of at least one patient that has upcoming patient appointment with a prescriber on a specific day;

prior to the appointment on the specific day, retrieve patient information from a database, the patient information being at least one of medical history information of the patient and prescription history information of the patient; and

prior to the appointment on the specific day, conduct a drug use evaluation for the patient based on the retrieved patient information.

41. The computer-readable medium of claim 40, the instructions when executed by the electronic prescription creation device cause the electronic prescription creation device to:

determine if the conducted drug use evaluation resulted in at least one drug use evaluation alert.

42. A computer data signal embodied in a transmission medium comprising:

computer-readable program code for causing a computer to retrieving at least one patient identifier of at least one patient that has upcoming patient appointment with a prescriber on a specific day;

computer-readable program code for causing the computer to, prior to the appointment on the specific day, retrieve patient information from a database, the patient information being at least one of medical history information of the patient and prescription history information of the patient; and

computer-readable program code for causing the computer to, prior to the appointment on the specific day, conduct a drug use evaluation for the patient based on the retrieved patient information.

43. The computer data signal embodied in the transmission medium of claim 42, further comprising:

computer-readable program code for causing the computer to determine if the conducted drug use evaluation resulted in at least one drug use evaluation alert.

44. The computer data signal embodied in the transmission medium of claim 43, further comprising:

computer-readable program code for causing the computer to communicate the at least one drug use evaluation alert to an electronic prescription creation device separate from the computer.

45. An apparatus comprising:

a computer connectable to an electronic prescription creation device via a network, the computer including;

means for retrieving at least one patient identifier of at least one patient that has an upcoming appointment with a prescriber on a specific day;

means for retrieving, prior to the appointment on the specific day, patient information from a database, the patient information being at least one of medical history information of the patient and prescription history information of the patient; and

means for conducting, prior to the appointment on the specific day, a drug use evaluation for the patient based on the retrieved patient information.

46. A method comprising:

conducting a drug use evaluation for a specific patient, said conducting the drug use evaluation being prior to a prescriber selecting a drug for a prescription for the specific patient with a hand-held electronic prescription creation device at a point-of-patient-care, the drug use evaluation being for at least one of a plurality of drugs that may be prescribed to the patient with the hand-held electronic prescription creation device.

47. A method comprising:

conducting a drug use evaluation for a specific patient prior to the patient arriving for an appointment with a prescriber, the drug use evaluation being for each of a plurality of drugs that may be prescribed to the specific patient with a hand-held electronic prescription creation device, the plurality of drugs being a subset of a group of all drugs that may be viewed on a graphical user interface of the hand-held electronic prescription creation device and selected for a prescription for the patient.