System and a method for tracking patients undergoing treatment and/or therapy for renal disease

• US 20040111293A1
• Filed: 12/09/2002
• Published: 06/10/2004
• Est. Priority Date: 12/09/2002
• Status: Abandoned Application

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: Thomas, William, Hayward, Mark, Anderson, Jennifer, Antkowiak, Steven, Grohe, Ed, Wiggins, Curtis, McCulloch, Kevin, Schuh, Tom, Firanek, Catherine, DeLaCruz, Rich, Mujais, Salim, McNally, Larry
• Application Number:
  US10/315,435
• Publication Number:
  US 20040111293A1
• 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 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• 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
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A system and a method for tracking patients having renal disease, particularly Chronic Kidney Disease (CKD), are provided. The system and method track patients through a common system with multiple healthcare professionals, such as doctors, nurses and the like, having access to the system and updating the system based on information regarding the care, treatment, diagnosis, therapy, or the like provided to the patients. The system and method interface with remote machines and supply chains by a modem, via the internet or by wireless devices. The system and method provide a continuum of care for renal patients, i.e., CKD, peritoneal dialysis (PD), home hemodialyis (HHD), in-center hemodialysis and transplant within a single database associated with the system.

Claims

1. A method for a user to integrally track a history of a patient undergoing therapy for a disease wherein the disease has a plurality of stages and a plurality of therapies to treat the disease throughout the plurality of stages, the method comprising the steps of:

inputting information into a system regarding the patient; and

inputting information into the system regarding each of the plurality of therapies during each of the plurality of stages for the patient wherein the information is displayed on a plurality of display screens associated with the system.

2. The method of claim 1 further comprising the step of:

establishing a care team for the patient wherein the care team is associated with the patient throughout each of the plurality of stages.

3. The method of claim 1 wherein the disease is renal disease.

4. The method of claim 1 wherein the plurality of stages and the plurality of therapies correspond to at least one of chronic kidney disease, peritoneal dialysis, hemodialysis and transplant.

5. The method of claim 1 further comprising the step of:

remotely receiving the information regarding the patient.

6. The method of claim 1 further comprising the step of:

manipulating data on the plurality of display screens.

7. The method of claim 1 further comprising the step of:

automatically importing data from one of the plurality screens to another one of the plurality of display screens without manual entry to the other one of the plurality of display screens.

8. The method of claim 1 further comprising the step of:

defining a care pathway for the patient based on the information in the system.

9. The method of claim 1 further comprising the step of:

identifying medications for the required patient.

10. The method of claim 1 further comprising the step of:

identifying a history of medications of the patient.

11. The method of claim 1 further comprising the step of:

linking the system to a supply chain.

12. The method of claim 1 further comprising the step of:

linking the system to a prescription fulfillment center.

13. The method of claim 1 further comprising the step of:

linking the system to a laboratory wherein information from the laboratory is automatically imported to any one of the plurality of screens where the information is required.

14. The method of claim 1 further comprising the step of:

defining information regarding the plurality of stages and the plurality of therapies.

15. The method of claim 1 further comprising the step of:

inputting information regarding a center at which the patient receives therapy regarding the disease.

16. The method of claim 1 further comprising the step of:

identifying patient compliance with the plurality of therapies.

17. The method of claim 1 further comprising the step of:

automatically generating a report regarding the patient with the plurality of therapies.

18. The method of claim 1 further comprising the step of:

transferring the patient from a first medical professional to a second medical professional within the system where the history of the patient remains with the system for access by the second medical professional.

19. The method of claim 1 further comprising the step of:

receiving information into the system via wireless data transfer.

20. The method of claim 1 wherein the information includes clinical history of an event related to one of the plurality of stages of the disease.

21. The method of claim 1 further comprising the step of:

providing educational tracking to the patient through the system.

22. The method of claim 1 further comprising the step of:

standardizing a prescription with a template using a medication dictionary associated with the system.

23. The method of claim 1 further comprising the step of:

providing sorting capabilities with the information on the plurality of display screens.

24. The method of claim 1 further comprising the step of:

providing filtering capabilities with the information on the plurality of display screens.

25. The method of claim 1 further comprising the step of:

providing searching capabilities for the information associated with the plurality of display screens in the system.

26. The method of claim 1 further comprising the step of:

providing manipulating capabilities to move information on the display screen.

27. The method of claim 1 further comprising the step of:

providing reporting capabilities to hide information on the display screens.

28. The method of claim 1 further comprising the step of:

transferring information to the system via the internet.

29. The method of claim 28 further comprising the step of:

encrypting the information prior to transferring the information via the internet.

30. The method of claim 1 further comprising the step of:

transferring information to the system via a modem connection.

31. The method of claim 1 further comprising the step of:

remotely monitoring the patient in real-time.

32. The method of claim 1 further comprising the step of:

creating a prescription for the patient based on the therapy.

33. The method of claim 1 further comprising the step of:

selecting a therapy mode, a fill mode and an ordering physician for the patient to effect ordering of a prescription.

34. The method of claim 1 further comprising the step of:

importing information regarding a previous prescription before entry of a subsequent prescription.

35. The method of claim 1 further comprising the step of:

remotely receiving prescription information for the patient.

36. The method of claim 1 further comprising the step of:

remotely authorizing a prescription for the patient.

37. The method of claim 1 further comprising the step of:

digitally executing authorization for a prescription to the patient.

38. The method of claim 1 further comprising the step of:

remotely transferring a digitally authorized signature to a supply chain to effect a prescription for the patient.

39. The method of claim 1 further comprising the step of:

receiving an order for a prescription via the internet wherein the prescription is authorized by a digital signature.

40. The method of claim 1 further comprising the step of:

retrieving information via the internet regarding the patient and/or the medical professional at the supply chain.

41. The method of claim 1 further comprising the step of:

enrolling the patient at a supply chain to provide an interface between the patient and the supply chain regarding a prescription.

42. The method of claim 1 further comprising the step of:

defining care pathways for the patient wherein the care pathways relate to the stage of the disease.

43. The method of claim 42 wherein the care pathways are presented on a screen related to each of the care pathways wherein information from other screens is automatically imported to the screens appropriate to each of the care pathways.

44. The method of claim 1 wherein information in the care pathways includes lab values, medications and education as related to a specific care pathway.

45. The method of claim 1 further comprising the step of:

automatically generating a list of items requiring completion after entry of information into the system.

46. The method of claim 1 further comprising the step of:

automatically generating a list of items requiring completion during entry of information into the system.

47. The method of claim 1 further comprising the step of:

identifying a list of items particular to the patient requiring the user to advise the patient.

48. The method of claim 1 further comprising the step of:

identifying a list of items particular to the patient requiring the user to educate the patient based on the stage of the disease.

49. The method of claim 1 further comprising the step of:

generating an encounter summary of the patient based on the information entered for a specific date.

50. The method of claim 1 further comprising the step of:

generating an encounter summary of the patient based on information obtained at a patient visit.

51. The method of claim 1 further comprising the step of:

generating an encounter summary that is input into the system and automatically into the system in any of the other screens that require information related to information in the encounter summary.

52. The method of claim 1 further comprising the step of:

generating a renal disease pathway that includes information imported from the system which relates to renal disease.

53. The method of claim 52 further comprising the step of:

providing a hyperlink associated with the renal disease pathway.

54. The method of claim 52 further comprising the step of:

remotely receiving information to the renal disease pathway.

55. The method of claim 1 further comprising the step of:

generating a diabetes mellitus pathway that includes information imported from the system which relates to diagnosis and/or treatment of diabetes mellitus.

56. The method of claim 55 further comprising the step of:

entering information into the diabetes mellitus pathway relating to at least one of glucose monitoring, exercise, diet and foot care.

57. The method of claim 1 further comprising the step of:

generating a mineral metabolism pathway that includes information imported from the system which relates to diagnosis and/or treatment of bone disease.

58. The method of claim 57 further comprising the step of:

remotely receiving lab data including at least one of calcium level, phosphorus level and parathyroid level.

59. The method of claim 1 further comprising the step of:

tracking education of the patient in the system wherein information is imported from system to an education screen as the education relates to any of the plurality of stages of the diseases and/or the plurality of therapies.

60. The method of claim 59 wherein the education includes information related to at least one of time spent, type of session, location, participants and material distribution.

61. The method of claim 59 wherein the education provides tracking of at least one of pre-learning assessment and post-learning assessment.

62. The method of claim 1 further comprising the step of:

tailoring education based on an educational assessment input into the system.

63. The method of claim 62 wherein the educational assessment requires input of at least one of grade level of the patient, disease state, interests of the patient and physical deficiencies of the patient.

64. The method of claim 62 wherein the educational assessment requires input of at least one of hobbies, interests, social and religious information about the patient.

65. The method of claim 1 further comprising the step of:

evaluating eligibility of the patient for one of the plurality of therapies.

66. The method of claim 1 further comprising the step of:

providing a display screen to assist the user regarding modality eligibility of the patient.

67. The method of claim 65 wherein the plurality of therapies include peritoneal dialysis, hemodialysis and transplantation.

68. The method of claim 1 further comprising the step of:

evaluating modality eligibility of the patient from at least one of a medical perspective and a psychosocial perspective.

69. The method of claim 1 further comprising the step of:

monitoring the patient to identify whether the patient is eligible for one of the plurality of therapies.

70. The method of claim 1 further comprising the step of:

identifying a discrepancy between the therapy for which the patient is eligible and the therapy which the patient is undergoing.

71. The method of claim 1 further comprising the step of:

automatically identifying a bias after identifying a discrepancy in the therapy of the patient.

72. The method of claim 1 further comprising the step of:

identifying access of the patient to the therapy.

73. The method of claim 1 further comprising the step of:

identifying access of the patient based on at least one of the referral date to the surgeon, when the access is placed, and when a follow-up appointment is made.

74. The method of claim 1 further comprising the step of:

tracking dialysis initiation in the system.

75. The method of claim 74 wherein the dialysis initiation is based on at least one of the type of access.

76. The method of claim 74 wherein the dialysis initiation is tracked based on whether the access is inpatient or outpatient.

77. The method of claim 1 further comprising the step of:

identifying laboratory field pathways from laboratory results imported into screens related to care pathways assignments.

78. The method of claim 77 wherein the laboratory results are remotely imported into the appropriate laboratory field pathways for patient.

79. The method of claim 1 further comprising the step of:

generating a preventative pathway for the patient identifying at least one of vaccinations and clinical screenings of the patient.

80. The method of claim 1 further comprising the step of:

generating a nutrition pathway for the patient relating to nutritional requirements for the patient as the requirements relate to one of the plurality of therapies.

81. The method of claim 1 further comprising the step of:

generating a lipid disorder pathway for the patient wherein the lipid disorder pathway includes information related to cholesterol levels of the patient.

82. The method of claim 1 further comprising the step of:

generating a hypertension pathway for the patient wherein the hypertension pathway includes information related to hypertension characteristics of the patient.

83. The method of claim 1 further comprising the step of:

generating an anemia pathway with information imported from the system related to diagnosis and/or treatment of anemia.

84. The method of claim 83 further comprising the step of:

importing information from a laboratory wherein the information includes at least one of hematology, iron studies and medication used to treat anemia.

85. The method of claim 1 wherein the system receives input regarding a plurality of patients.

86. The method of claim 1 wherein the system receives input regarding a plurality of healthcare providers.

87. The method of claim 1 wherein the system receives input regarding a plurality of healthcare centers.

88. The method of claim 1 further comprising the step of:

transferring the information from the system to an authorized user.

89. The method of claim 1 further comprising the step of:

providing access to the information from the system by an authorized user.

90. The method of claim 1 further comprising the step of:

providing remote access to the information from the system.

91. The method of claim 1 further comprising the step of:

remotely identifying device connectivity for components of the system.

92. The method of claim 1 further comprising the step of:

providing remote diagnosis to a machine connected to the system.

93. The method of claim 1 further comprising the step of:

standardizing codes between the types of therapies.

94. The method of claim 1 further comprising the step of:

transferring the patient from the system based on at least one of the type of therapy and the stage of the disease.

95. The method of claim 1 further comprising the step of:

categorizing the laboratory results to identify routine laboratory tests and comparison of laboratory results.

96. An integrated system for providing information related to a patient having renal disease wherein the information is accessible by a user and further wherein the information is used to evaluate the patient, the system comprising:

input means for receiving the information about the patient and a clinical history of events related to the renal disease of the patient wherein the information is accessible by the user to evaluate the patient; and

disease modality means for identifying types of therapy available to the patient for treating the disease.

97. The integrated system of claim 96 wherein the input means receives information about the user.

98. The integrated system of claim 96 wherein the input means receives information about a center that treats the patient.

99. The integrated system of claim 96 wherein information regarding a plurality of patients is input.

100. The integrated system of claim 96 wherein the information regarding the patient is received from a remote location.

101. The integrated system of claim 96 further comprising:

an output device for displaying a screen with the information.

102. The integrated system of claim 96 wherein the information is received via the internet.

103. The integrated system of claim 96 wherein the information is encrypted.

104. The integrated system of claim 96 wherein the information is transmitted via a wireless device.

105. The integrated system of claim 96 wherein the information is transmitted from a machine located remotely from the input means.

106. The integrated system of claim 101 wherein the information on the screen is manipulated to a desired format by the user.

107. The integrated system of claim 101 further comprising:

multiple screens for display on the output device.

108. The integrated system of claim 107 wherein information from the multiple screens is automatically imported.

109. The integrated system of claim 96 further comprising:

an interface receiving the information from the input means to link the information to a supply chain.

110. The integrated system of claim 109 wherein the supply chain is a prescription fulfillment center.

111. The integrated system of claim 109 further comprising:

a laboratory for transmitting results from a remote location via the interface.

112. The integrated system of claim 96 wherein the types of therapy include at least one of hemodialysis, peritoneal dialysis and transplantation.

113. The integrated system of claim 96 further comprising:

an output means having a screen defining a care pathway wherein the care pathway relates to evaluation of the disease.

114. The integrated system of claim 96 further comprising:

output means having screens unique to each one of a plurality of care pathways wherein the care pathways relate to conditions to evaluate the disease.

115. The integrated system of claim 114 wherein the plurality of care pathways include at least one of renal disease, educational assessment, transplant workup, hypertension, CKD education and dialysis initiation.

116. The integrated system of claim 114 wherein the plurality of care pathways include at least one of lipid disorders, diabetes mellitus, modality, planning, nutrition and mineral metabolism.

117. The integrated system of claim 96 further comprising:

output means having screens to summarize a plurality of events at a clinical encounter.

118. The integrated system of claim 117 wherein the events include at least one of renal disease history, medications and allergies.

119. The integrated system of claim 96 further comprising:

a medication dictionary associated with the input means to automatically create a medication.

120. The integrated system of claim 96 further comprising:

list generating means to identify incomplete items requiring attention by the user.

121. A renal disease tracking system for patients undergoing treatment for renal disease and for users administering treatment to the patients, the system comprising:

information display means including information relating to the patients and to the users wherein the information is displayed on a plurality of screens; and

means for inputting additional information related to the types of treatment for the patients wherein the patients are tracked through stages of care for the renal disease.

122. The renal disease tracking system of claim 121 further comprising:

a clinical encounter screen associated with the information display means wherein the clinical encounter screen receives information input by the user about the patient.

123. The renal disease tracking system of claim 121 further comprising:

care pathway screens associated with the information display screen wherein the care pathway screens include information about the patients pertaining to chronic kidney disease.

124. The renal disease tracking system of claim 121 wherein one of the care pathway screens tracks information related to renal disease.

125. The renal disease tracking system of claim 121 wherein one of the care pathway screens tracks information related to hypertension.

126. The renal disease tracking system of claim 121 wherein one of the care pathway screens tracks information related to anemia.

127. The renal disease tracking system of claim 121 wherein one of the care pathway screens provides information related to chronic kidney disease education.

128. The renal disease tracking system of claim 121 wherein one of the care pathway screens provides information related to educated assessments.

129. The renal disease tracking system of claim 121 wherein one of the care pathway screens provides information related to dialysis initiation.

130. The renal disease tracking system of claim 121 wherein one of the care pathway screens provides information related to transplants.

131. The renal disease tracking system of claim 121 wherein one of the care pathway screens tracks information related to lipid disorders.

132. The renal disease tracking system of claim 121 wherein one of the care pathway screens tracks information related to diabetes mellitus.

133. The renal disease tracking system of claim 121 wherein one of the care pathway screens tracks information related to nutrition.

134. The renal disease tracking system of claim 121 wherein one of the care pathway screens tracks information related to mineral metabolism.

135. The renal disease tracking system of claim 121 wherein one of the care pathway screens provides information related to modality planning.

136. The renal disease tracking system of claim 121 wherein one of the care pathway screens provides information related to hospitalization.

137. The renal disease tracking system of claim 121 further comprising:

an interface for receiving and transmitting information and importing information into the plurality of screens.

138. The renal disease tracking system of claim 137 further comprising:

a supply chain connected to the interface.

139. The renal disease tracking system of claim 137 further comprising:

a prescription fulfillment means in communication with the interface to electronically receive a prescription order remote from the system.

140. The renal disease tracking system of claim 137 further comprising:

laboratory results input through the interface into the system.

141. The renal disease tracking system of claim 137 further comprising:

a machine remote from the system that transmits information via the interface to the system.

142. The renal disease tracking system of claim 141 wherein the machine is a home hemodialysis machine.

143. The renal disease tracking system of claim 137 wherein information is transferred to the system via the interface over the internet.

144. The renal disease tracking system of claim 137 wherein information is wirelessly transmitted to the system via the interface.

145. The renal disease tracking system of claim 121 wherein the plurality of screens include a screen to effect patient transfer.

146. The renal disease tracking system of claim 121 wherein the plurality of screens include a screen to effect physician transfer.

147. The renal disease tracking system of claim 121 wherein the plurality of screens include a screen to define a care team for the patient.

148. The renal disease tracking system of claim 121 wherein information from the plurality of screens is automatically imported between the screens without requiring separate entry.

149. The renal disease tracking system of claim 121 wherein the plurality of screens include a screen that initiates an automatically generated to-do list.

150. The renal disease tracking system of claim 121 wherein the plurality of screens includes an entry screen identifying access to components of the system.

151. The renal disease tracking system of claim 121 further comprising:

diagnosis codes for import to the screens for each of the stages of care for the renal disease.

152. The renal disease tracking system of claim 121 further comprising:

multiple centers providing care to the patients wherein the multiple centers are provided access to the information display means and the means for inputting.

153. The renal disease tracking system of claim 121 wherein the users have customized viewing and access rights to the system.