Medication and compliance management system and method

• US 20030221687A1
• Filed: 04/23/2003
• Published: 12/04/2003
• Est. Priority Date: 05/09/2002
• Status: Abandoned Application

• Current Assignee: Medisafe Technologies (USA)
• Original Assignee: Medisafe Technologies (USA)
• Inventors: Kaigler, William
• Application Number:
  US10/422,060
• Publication Number:
  US 20030221687A1
• Time in Patent Office: Days
• US Class Current: 128/200.14
• CPC Class Codes: A61M 15/00 Inhalators drug delivery in endotracheal tubes A61M16/04
• CPC Class Codes: A61M 15/008 Electronic counters
• CPC Class Codes: A61M 15/0083 Timers
• CPC Class Codes: A61M 2016/0024 with an on-off output signal, e.g. from a switch
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3584 using modem, internet or bluetooth
• 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
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A medical therapy compliance management system manages a patient'"'"'s use of a therapy device, such as a nebulizer, in which treatments are to be provided at predetermined intervals. A compliance monitor coupled to the medical therapy device determines when a medical treatment is provided to the patient. A compliance controller receives data indicative of a medical treatment and can generate a reminder to the patient of future scheduled treatments. The compliance controller tracks the treatments provided and adjusts the reminders accordingly. The medical therapy compliance management system tracks certain parameters indicative of clinical or transactional events within the healthcare process. If any one of the measured or calculated parameters is outside a predetermined threshold the system notifies the patient and or caregiver. The system may also utilize interactive voice response technology to gather data from the patient.

Claims

1. A medical therapy compliance management system comprising:

An electrical medical therapy device for providing a plurality of medical treatments to a patient, in which the treatments are originally scheduled to be provided at predetermined intervals;

a compliance monitor coupled the one medical therapy device and configured to determine when a medical treatment is provided by the medical therapy device;

a compliance controller coupled to the compliance monitor and receiving data from the compliance monitor indicative of a medical treatment, the compliance controller configured to generate a reminder to the patient of future scheduled treatments, wherein the compliance controller tracks the treatments provided by the medical therapy device and adjusts the generation of the reminders based upon the treatments provided.

2. The medical therapy compliance management system of claim 1 wherein the electrical medical therapy device is a nebulizer providing respiratory treatment to the patient.

3. The medical therapy compliance management system of claim 2 wherein the compliance monitor includes one of the group comprising a sensor determining the filling of the nebulizer with liquid medication;

a sensor determining the atomization of liquid medication in the nebulizer;

a sensor determining patient breathing through a patient breathing circuit of the nebulizer;

a sensor determining the status of a motor of the nebulizer; and

combinations thereof.

4. The medical therapy compliance management system of claim 2 wherein the compliance controller adjusts the generation of the reminders based upon the treatments provided by at least

omitting a scheduled reminder when a patient takes a prescheduled treatment in advance of a scheduled reminder, and

delaying a scheduled reminder when such a reminder is within a preset time of a tracked treatment.

5. The medical therapy compliance management system of claim 2 wherein the data from the compliance monitor is one measured parameter tracked by the compliance controller, wherein one or more parameters of the medical therapy may be calculated by the data from the compliance monitor, and wherein the compliance controller generates notification to a caregiver when a measured or calculated parameter is outside of a preset threshold.

6. The medical therapy compliance management system of claim 5 wherein the measured parameters include a measurement of the activation of the motor of the nebulizer, wherein the caregiver sets a minimum duration of a given treatment that is to be considered a valid treatment, and the number of valid treatments is recorded by the compliance controller which calculates a % compliant amount and generates reports for the caregiver.

7. The medical therapy compliance management system of claim 5 wherein the measured parameters include data collected from a patient through an interactive voice response system, wherein the interactive voice response system contacts patients based upon medication related parameters set by the caregiver.

8. The medical therapy compliance management system of claim 7 wherein the interactive voice response system will contact the patient at least:

a predetermined period from the last confirmed refill of medication,

a predetermined period from the last interactive voice response approving or disapproving a refill, and

a predetermined period following no response to an interactive voice response refill request,

wherein the predetermined periods are set by the caregiver.

9. The medical therapy compliance management system of claim 2 wherein the compliance monitor includes a sensor determining current draw of the nebulizer.

10. The medical therapy compliance management system of claim 2 wherein the compliance monitor and the compliance controller are integral with the nebulizer.

11. The medical therapy compliance management system of claim 1 wherein the electrical medical therapy device is one of a plurality of distinct respiratory therapy devices and combinations thereof, and wherein the compliance monitor includes a sensor determining current draw of the electrical medical therapy device and wherein the compliance controller can distinguish which specific respiratory therapy device or combination thereof is coupled to the compliance monitor.

12. A medical therapy compliance management system comprising:

a nebulizer for providing a plurality of respiratory medical treatments to a patient scheduled to be provided at predetermined intervals, wherein a caregiver sets a minimum duration of a given treatment that is to be considered a valid medical treatment;

a compliance monitor coupled to the nebulizer and configured to determine when a medical treatment is provided by the nebulizer;

a compliance controller coupled to the compliance monitor and receiving data from the compliance monitor indicative of a medical treatment, the compliance controller tracking compliant medical treatments and configured to generate a notification to a caregiver when a measured or calculated parameter maintained by the compliance controller and associated with the medical treatments is outside of a predetermined threshold.

13. The medical therapy compliance management system of claim 12 wherein the parameter maintained by the compliance controller includes at least one of

a rolling average of % compliance,

a number of consecutive missed treatments,

% consumption of a refill amount of medication, and

patient responses.

14. The medical therapy compliance management system of claim 13 wherein the measured parameters include patient responses, and wherein the patient responses are data collected from a patient through an interactive voice response system, and wherein the notifications include-at least one of

notification of a patient prescription change,

notification of patient condition change,

notification of patient refill refusal,

notification of inability to reach patient.

15. The medical therapy compliance management system of claim 14 wherein the interactive voice response system will contact the patient based upon predetermined medication related parameters including contacting the patient at least:

a predetermined period from the last confirmed refill of medication,

a predetermined period from the last interactive voice response approving or disapproving a refill, and

a predetermined period following no response to an interactive voice response refill request,

wherein the predetermined periods are set by the caregiver.

16. The medical therapy compliance management system of claim 12 wherein the compliance controller is configured to generate a reminder to the patient of scheduled treatments and wherein the compliance controller adjusts the generation of the reminders based upon the compliant treatments recorded.

17. The medical therapy compliance management system of claim 12 wherein the compliance monitor includes a sensor determining current draw of the nebulizer.

18. The medical therapy compliance management system of claim 12 wherein the compliance monitor and the compliance controller is integral with the nebulizer.

19. A method of tracking patient compliance with a respiratory treatment device comprising the steps of:

setting a minimum duration for a respiratory treatment on the respiratory treatment device, wherein respiratory treatments of a duration longer than the minimum are valid treatments and respiratory treatments on the respiratory device of a duration less than the minimum are non-valid treatments;

monitoring duration of activation of the respiratory device, wherein activation periods longer than the minimum duration are recorded as compliant treatments;

calculating % compliance based upon the recorded compliant treatments and a predetermined schedule of treatments; and

generating reports and or notifications for caregivers or patients.

20. The method of tracking patient compliance according to claim 19 wherein the generation of reports and or notifications for caregivers or patients includes generating a reminder to the patient of scheduled treatments, and further includes the step of adjusting the generation of the reminders based upon the treatments provided.

21. The method of tracking patient compliance according to claim 19 wherein the generation of reports and or notifications for caregivers or patients includes generating a notification to a caregiver when a measured parameter associated with the medical treatments is outside of a predetermined threshold.

22. The method of tracking patient compliance according to claim 21 wherein the measured parameters include

a rolling average of % compliance,

a number of consecutive missed treatments,

% consumption of a refill amount of medication, and

patient responses.

23. The method of tracking patient compliance according to claim 22 wherein the patient response are obtained through an interactive voice response system.

24. The method of tracking patient compliance according to claim 19 wherein the monitoring is through a measuring of the current draw of the respiratory treatment device.

25. The method of tracking patient compliance according to of claim 24 further including the step of distinguishing between a number of distinct respiratory devices utilized based upon the monitored current draw.

26. A medical therapy compliance management system comprising:

an electrical medical therapy device for providing a plurality of medical treatments to a patient, in which the treatments are originally scheduled to be provided at predetermined intervals;

a compliance monitor coupled to the medical therapy device and configured to determine when a medical treatment is provided by the medical therapy device;

an interactive voice response system for obtaining data from the patient; and

a compliance controller coupled to the compliance monitor and the interactive voice response system, the compliance controller receiving data from the compliance monitor indicative of a medical treatment and receiving data from the interactive voice response system, the compliance controller configured to generate notifications to the patient and or caregiver based upon the data received.

27. The medical therapy compliance management system of claim 26 wherein the interactive voice response system will contact the patient at least:

a predetermined period from the last confirmed refill of medication,

a predetermined period from the last interactive voice response approving or disapproving a refill, and

a predetermined period following no response to an interactive voice response refill request,

wherein the predetermined periods are set by the caregiver.

28. The medical therapy compliance management system of claim 26 wherein the compliance controller generates a reminder to the patient of scheduled treatments, wherein the compliance controller adjusts the generation of the reminders based upon the treatments provided, and wherein the compliance controller generates a notification to a caregiver when a measured parameter maintained by the compliance controller and associated with the medical treatments is outside of a predetermined threshold.

29. The medical therapy compliance management system of claim 26 wherein the medical therapy device is a nebulizer and wherein the compliance monitor includes a sensor determining current draw of the nebulizer.

30. A nebulizer monitoring device for a nebulizer comprising:

a compliance monitor coupled to the nebulizer and configured to determine when a medical treatment is provided by the nebulizer;

a compliance controller coupled to the compliance monitor and receiving data from the compliance monitor indicative of a medical treatment, the compliance controller tracking compliant medical treatments and configured to generate one of

a notification to a caregiver when a measured parameter maintained by the compliance controller and associated with the medical treatments is outside of a predetermined threshold, and

a reminder to the patient of scheduled treatments while adjusting the generation of the reminders based upon the treatments recorded.

31. The nebulizer monitoring device of claim 30 wherein the monitoring device is integral with the nebulizer.

32. The nebulizer monitoring device of claim 30 wherein the compliance monitor includes a sensor determining current draw of the nebulizer, and wherein the monitoring device is adapted to be coupled to additional respiratory devices wherein the compliance controller distinguishes between the distinct respiratory devices utilized based upon the monitored current draw.

33. A medical therapy management system for managing medical therapy to a patient, the system comprising:

an interactive voice response system for obtaining data from the patient, wherein the interactive voice response system will contact the patient based upon medication related parameters set by the caregiver; and

a compliance controller coupled to the interactive voice response system, the compliance controller receiving data from the interactive voice response system, the compliance controller configured to generate notifications and or reports to the patient and or caregiver based upon the data received.

34. The medical therapy management system of claim 33 wherein the interactive voice response system monitors the patient for prescription changes, patient health condition, and medication refill requirements.

35. The medical therapy management system of claim 33 wherein the interactive voice response system has parameters that prompt contacting of the patient at least a predetermined period from the last confirmed refill of medication, a predetermined period from the last interactive voice response approving or disapproving a refill, and a predetermined period following no response to an interactive voice response refill request, wherein the predetermined periods are set by the caregiver 36. The medical therapy management system of claim 33 wherein the interactive voice response system can generate patient and or caregiver notifications based upon data received from a compliance monitor associated with a medical device.