Management systems and methods

• US 20040249676A1
• Filed: 06/04/2004
• Published: 12/09/2004
• Est. Priority Date: 06/05/2003
• Status: Abandoned Application

• Current Assignee: Kingston General Hospital
• Original Assignee: Kingston General Hospital
• Inventors: Bennett, Jonathan L., Lott, John S., Marshall, W. John S.
• Application Number:
  US10/860,737
• Publication Number:
  US 20040249676A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• 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: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A management system is used for management of patients on waiting lists in such fields as elective surgery, diagnostic services, clinic services and endoscopies. The system also administers administrative entities based on aggregate data provided by the system. The system has data entry, list management, audit and reporting functions. It acquires and creates its data. It calculates much data dynamically (in real time). For example, it stores data on when a patient entered onto a waiting list, and a patient'"'"'s urgency score. Based on the urgency score, it calculates a target date for the patient. It dynamically (in real time) calculates the number of days a patient is from the target date, and ranks the patients accordingly. It filters a list of patients awaiting procedures according to various resource criteria. It provides for and manages referrals between systems, and lists, in different fields, and it allows calendar booking.

Claims

1. A management system, comprising:

a) a database for storing patient waiting data, including the date a patient entered onto a list for a procedure, an urgency score for the patient for the procedure, a target number of days to receive the procedure based on the urgency score, and whether or not the patient indicates that the patient is unavailable,

b) means for calculating a target date for the patient for the procedure based on the date the patient entered onto the list for that procedure and the target number of days, and

c) means for calculating, for any given date prior to the procedure taking place, the number of days the given date is from the target date.

2. The system of claim 1, wherein the database is for storing and the means are for calculating for a plurality of patients, and wherein the system ranks the patients according to the number of days each patient is from target for the procedure.

3. The system of claim 1, further comprising data entry means for acquiring at least part of the patient waiting data.

4. The system of claim 3, wherein the data entry means comprises data acquisition forms.

5. The system of claim 1, wherein the means for calculating comprise data processing modules.

6. The system of claim 1, further comprising a list management module that includes the means for calculating, and includes means for displaying the number of days each patient is from its respective target date.

7. The system of claim 2, further comprising a list management module that includes the means for calculating, and includes means for displaying the ranking of each patient.

8. The system of claim 1, further comprising means for displaying aggregate days from target date data for a plurality of patients.

9. The system of claim 8, wherein the plurality of patients are grouped according to at least one of a single procedure, a single doctor, a single site, and an administrative entity.

10. The system of claim 1, further comprising means for generating an audit of waiting list data based on the target date of a patient.

11. The system of claim 1, further comprising means for auditing waiting list data of patients that have waited longer than a defined period.

12. The system of claim 1, further comprising means for calculating a total number of days a patient is unavailable and means for calculating the total number of days a patient has been on the list, and wherein the database stores the total number of days a patient is unavailable for the procedure, and the system further comprises means for adjusting the calculated number of days that the patient has been on the list by the total number of days the patient is unavailable.

13. The system of claim 1, wherein the database further stores a record of pre-procedure requirements required before the procedure can take place, and stores whether or not each pre-procedure requirement has taken place.

14. The system of claim 13, further comprising means for providing notification of outstanding requirements related to the pre-procedure requirements.

15. The system of claim 1, further comprising means for indicating that the patient is ready.

16. The system of claim 1 further comprising means for filtering the list of patients awaiting procedures according to at least one resource criterion.

17. The system of claim 16, wherein the at least one resource criterion is selected from the group consisting of type of anaesthetic required, inpatient or outpatient facilities, and length of time facilities are required.

18. The system of claim 1, further comprising means for indicating that the patient is ready when all preoperative requirements have been met and the patient is not unavailable.

19. The system of claim 1, further comprising means to generate reports on active patient waiting list status.

20. The system of claim 1, further comprising means to generate reports on active patient waiting list status based on at least one resource criterion.

21. The system of claim 1, further comprising an interface to an operating room (OR) booking system, facilitating the flow of data to and from such a system.

22. The system of claim 1, further comprising an interface to a hospital central patient index database, facilitating the flow of data to and from such a database.

42. The management system of claim 1 further comprising:

a plurality of modalities, each modality utilizing the stored patient waiting data for a distinct waiting list, and

a referral process for online referral of a patient to a waiting list of one of the modalities.

43. The management system of claim 42 wherein:

the modalities utilize the stored patient waiting data for waiting lists in a plurality of healthcare fields.

44. The management system of claim 42 wherein:

the referral process permits patients to be referred from one modality to another modality, and the management system enables patient status to be tracked through all modalities.

45. The management system of claim 1 further comprising:

a calendar booking process for online booking of a patient for a procedure based on data from the database, and data of times resources for the procedure are available to be booked.

23. A management system, comprising:

a) a database for storing patient waiting data, including the date a patient entered onto a list for a procedure, an urgency score for the patient for the procedure, a target number of days to receive the procedure based on the urgency score, pre-procedure requirements required before the procedure can take place, and whether or not each pre-procedure requirement has taken place,

b) means for calculating a target date for the patient for the procedure based on the date the patient entered onto the list for that procedure and the target number of days, and

c) means for calculating, for any given date prior to the procedure taking place, the number of days the given date is from the target date.

24. The system of claim 23, further comprising means for indicating that the patient is ready.

25. The system of claim 23 further comprising means for filtering the list of patients awaiting procedures according to at least one resource criterion.

26. A database schema for use in a management system, comprising:

a) a first field for storing the date a patient entered onto a list for a procedure,

b) a second field for storing an urgency score for the patient for the procedure,

c) a third field for storing a target number of days to receive the procedure based on the urgency score, and

d) a fourth field for storing whether or not the patient indicates that the patient is unavailable, wherein data stored in the fields is available prior to the procedure taking place.

27. A database schema for use in a management system, comprising:

a) a first field for storing the date a patient entered onto a list for a procedure,

b) a second field for storing an urgency score for the patient for the procedure,

c) a third field for storing a target number of days to receive the procedure based on the urgency score,

d) a fourth field for storing a pre-procedure requirement required before the procedure can take place, and

e) a fifth field for storing whether or not each pre-procedure requirement has taken place, wherein data stored in the fields is available prior to the procedure taking place.

28. Computer program instructions on computer readable media for use in association with a database containing a first field storing the date a patient entered onto a list for a procedure, a second field storing an urgency score for the patient for the procedure, a third field storing a target number of days to receive the procedure based on the urgency score, and a fourth field for storing whether or not the patient indicates that the patient is unavailable, the computer program instructions on computer readable media comprising:

a) instructions for a computer to calculate a target date for the patient for the procedure based on the date the patient entered onto the list for that procedure and the target number of days, and

b) instructions for a computer to calculate, for any given date prior to the procedure taking place, the number of days the given date is from the target date.

29. Computer program instructions on computer readable media for use in association with a database containing a first field storing the date a patient entered onto a list for a procedure, a second field storing an urgency score for the patient for the procedure, a third field storing a target number of days to receive the procedure based on the urgency score, a fourth field for storing a pre-procedure requirement required before the procedure can take place, and a fifth field for storing whether or not each pre-procedure requirement has taken place, the computer program instructions on computer readable media comprising:

a) instructions for a computer to calculate a target date for the patient for the procedure based on the date the patient entered onto the list for that procedure and the target number of days, and

b) instructions for a computer to calculate, for any given date prior to the procedure taking place, the number of days the given date is from the target date.

30. A user interface screen comprising:

a) a first data element for viewing the date a patient entered onto a list for a procedure,

b) a second data element for viewing an urgency score for the patient for the procedure,

c) a third data element for viewing a target number of days to receive the procedure based on the urgency score, and

d) a fourth data element for viewing whether or not the patient indicates that the patient is unavailable.

31. A user interface screen comprising:

a) a first data element for viewing the date a patient entered onto a list for a procedure,

b) a second data element for viewing an urgency score for the patient for the procedure,

c) a third data element for viewing a target number of days to receive the procedure based on the urgency score,

d) a fourth data element for viewing a pre-procedure requirement required before the procedure can take place, and

e) a fifth data element for viewing whether or not each pre-procedure requirement has taken place.

32. A method of operating a management system, comprising:

a) storing in a database patient waiting data, including the date a patient entered onto a list for a procedure, an urgency score for the patient for the procedure, a target number of days to receive the procedure based on the urgency score, and whether or not the patient indicates that the patient is unavailable,

b) calculating a target date for the patient for the procedure based on the date the patient entered onto the list for that procedure and the target number of days, and

c) calculating, for any given date prior to the procedure taking place, the number of days the given date is from the target date.

33. A method of operating a management system, comprising:

a) storing in a database patient waiting data, including the date a patient entered onto a list for a procedure, an urgency score for the patient for the procedure, a target number of days to receive the procedure based on the urgency score, pre-procedure requirements required before the procedure can take place, and whether or not each pre-procedure requirement has taken place,

b) calculating a target date for the patient for the procedure based on the date the patient entered onto the list for that procedure and the target number of days, and

c) calculating, for any given date prior to the procedure taking place, the number of days the given date is from the target date.

34. A method of managing a patient, comprising:

a) selecting an urgency score for the patient for a procedure;

b) calculating a target date for the patient for the procedure based on the date the patient entered onto a list for that procedure and the target number of days,

c) calculating, for any given date prior to the procedure taking place, the number of days the given date is from the target date, and

d) storing whether or not the patient indicates that the patient is unavailable.

35. The method of claim 34, further comprising filtering the list based on at least one of the criteria in a)-d).

36. The method of claim 35, further comprising tracking pre-procedure requirements that must take place prior to the patient having the procedure.

37. The method of claim 36, further comprising providing notification of outstanding requirements related to the pre-procedure requirements.

38. A method of managing a patient, comprising:

a) selecting an urgency score for the patient for a procedure;

b) calculating a target date for the patient for the procedure based on the date the patient entered onto a list for that procedure and the target number of days,

c) calculating, for any given date prior to the procedure taking place, the number of days the given date is from the target date,

d) storing a pre-procedure requirement required before the procedure can take place, and

e) storing whether or not each pre-procedure requirement has taken place.

39. The method of claim 38, further comprising filtering the list based on at least one of the criteria in a)-e).

40. A management system, comprising:

a) a database for storing patient waiting data, including the date a patient entered onto a list for a procedure, an urgency score for the patient for the procedure, a target number of days to receive the procedure based on the urgency score, and whether or not the patient indicates that the patient is unavailable,

b) a calculator for calculating a target date for the patient for the procedure based on the date the patient entered onto the list for that procedure and the target number of days, and

c) a calculator for calculating, for any given date prior to the procedure taking place, the number of days the given date is from the target date.

41. A management system, comprising:

a) a database for storing patient waiting data, including the date a patient entered onto a list for a procedure, an urgency score for the patient for the procedure, a target number of days to receive the procedure based on the urgency score, pre-procedure requirements required before the procedure can take place, and whether or not each pre-procedure requirement has taken place,

b) a calculator for calculating a target date for the patient for the procedure based on the date the patient entered onto the list for that procedure and the target number of days, and

c) a calculator for calculating, for any given date prior to the procedure taking place, the number of days the given date is from the target date.

46. A management system, comprising:

a) a database for storing patient data, including an urgency score for a patient for a procedure, and whether or not the patient indicates that the patient is unavailable,

b) a plurality of modalities, each modality utilizing the stored patient data for a distinct waiting list of patients, and

c) a referral process for online referral of a patient to a waiting list of one of the modalities.

47. The system of claim 46, wherein the database further stores a record of pre-procedure requirements required before the procedure can take place, and stores whether or not each pre-procedure requirement has taken place.