Systems and methods for documentation of encounters and communications regarding same

• US 20050027569A1
• Filed: 07/31/2003
• Published: 02/03/2005
• Est. Priority Date: 07/31/2003
• Status: Abandoned Application

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Gollogly, Sohrab, Smith, John T., Serbousek, Jill
• Application Number:
  US10/631,588
• Publication Number:
  US 20050027569A1
• 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 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 70/60 relating to pathologies
• 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

Systems and methods for documenting an encounter and communicating about same are described. The systems and methods of this invention generally comprise an electronic records system for creating and maintaining information in electronic records; a point-of-encounter system in communication with the electronic records system, wherein the point-of-encounter system allows a scribe to document the encounter into a predetermined electronic record; and a library of event-specific templates usable for documenting the encounter. The systems of this invention allow new dynamically-generated templates to be created and added to the library of event-specific templates as needed. These systems may comprise various other components, such as, a website comprising information about a specific event; an access system that is capable of allowing a user to view, create and store details in their own electronic record in the electronic records system; a communications system for providing information to recipients; a library of documents for communicating information to the recipients; a compliance system for identifying whether or not each electronic record is complete; and/or a purchasing system capable of allowing goods and supplies to be purchased via a website.

Claims

1. A system for documenting an encounter and communicating about same, the system comprising:

an electronic records system for creating and maintaining information in electronic records;

a point-of-encounter system in communication with the electronic records system, wherein the point-of-encounter system is capable of allowing a scribe to document the encounter into a predetermined electronic record; and

a library of event-specific templates usable in the point-of-encounter system and the electronic records system for documenting the encounter.

2. The system of claim 1, wherein each event-specific template contains information relating to a specific event or encounter.

3. The system of claim 1, wherein the system is capable of allowing new dynamically-generated templates to be created and added to the library of event-specific templates as needed.

4. The system of claim 1, further comprising:

a website in communication with the electronic records system, wherein the website comprises information about a specific predetermined event.

5. The system of claim 1, further comprising:

an access system in communication with the electronic records system, wherein the access system is capable of allowing a user to view, create and store details in their own electronic record in the electronic records system.

6. The system of claim 5, wherein the access system is capable of allowing the user to pre-register for their encounter via a predetermined website.

7. The system of claim 1, further comprising:

a communications system in communication with the electronic records system and the point-of-encounter system for providing information to predetermined recipients.

8. The system of claim 7, further comprising:

a library of documents useable with the communications system for communicating information to the predetermined recipients.

9. The system of claim 8, wherein the information is communicated to the predetermined recipients via a communication network.

10. The system of claim 9, wherein the communication network comprises at least one of the following:

telephone, pager, e-mail, voicemail, ground-based mail, and courier.

11. The system of claim 1, wherein the electronic records system comprises a compliance system for identifying whether or not each electronic record is complete.

12. The system of claim 1, further comprising:

a purchasing system in communication with the electronic records system, wherein the purchasing system is capable of allowing predetermined purchasers to purchase predetermined goods and supplies via a predetermined website.

13. An electronic patient healthcare system for documenting a clinical encounter and communicating about same, the system comprising:

an electronic medical records system for creating and maintaining patient information in electronic medical records;

a point-of-care system in communication with the electronic medical records system, wherein the point-of-care system is capable of allowing a scribe to document a clinical encounter into a patient'"'"'s electronic medical record; and

a library of practice-specific templates usable in the point-of-care system and the electronic medical records system for documenting the clinical encounter.

14. The system of claim 13, wherein each practice-specific template contains information relating to a specific event, encounter or diagnosis.

15. The system of claim 13, wherein the system is capable of allowing new dynamically-generated templates to be created and added to the library of practice-specific templates as needed.

16. The system of claim 13, further comprising:

a website in communication with the electronic medical records system, wherein the website comprises information about a specific predetermined medical event.

17. The system of claim 13, further comprising:

a patient access system in communication with the electronic medical records system, wherein the patient access system is capable of allowing the patient to view, create and store details of their own electronic medical record in the electronic medical records system.

18. The system of claim 17, wherein the patient access system is capable of allowing the patient to pre-register for their clinical encounter via a predetermined website.

19. The system of claim 13, further comprising:

a communications system in communication with the electronic medical records system and the point-of-care system for providing information to predetermined recipients.

20. The system of claim 19, further comprising:

a library of documents useable with the communications system for communicating information to the predetermined recipients.

21. The system of claim 20, wherein the information is communicated to the predetermined recipients via a communication network.

22. The system of claim 21, wherein the communication network comprises at least one of the following:

telephone, pager, e-mail, voicemail, ground-based mail, and courier.

23. The system of claim 20, wherein the library of documents comprises at least one of the following documents:

a letter of referral, an insurance claim form, a summary of follow-up actions to be taken, post-operative care recommendations, treatment modules and instructions, and suggestions for medical goods and supplies.

24. The system of claim 13, wherein the scribe comprises at least one of:

a doctor, a medical assistant, a nurse, a secretary, a personal assistant, a professional assistant, and a patient.

25. The system of claim 13, wherein the electronic medical records system comprises a compliance system for identifying whether or not each electronic medical record is complete.

26. The system of claim 13, further comprising:

a purchasing system in communication with the electronic medical records system, wherein the purchasing system is capable of allowing predetermined purchasers to purchase durable medical goods and supplies via a predetermined website.

27. An electronic patient healthcare method for documenting a clinical encounter and communicating about same, the method comprising:

utilizing a scribe to create an electronic medical record for a patient;

utilizing a scribe to document a clinical encounter into a patient'"'"'s electronic medical record; and

utilizing a library of practice-specific templates to aid the scribe in documenting the clinical encounter.

28. The method of claim 27, further comprising:

utilizing new dynamically-generated templates to aid the scribe in documenting the clinical encounter, wherein the new dynamically-generated templates are created and added to the library of practice-specific templates as needed.

29. The method of claim 27, further comprising:

linking a website to the electronic medical records, wherein the website comprises information about a specific predetermined medical event.

30. The method of claim 27, further comprising:

utilizing the patient as the scribe to create their own electronic medical record.

31. The method of claim 30, further comprising:

allowing the patient to pre-register for their clinical encounter via a predetermined website.

32. The method of claim 27, further comprising:

providing information to predetermined recipients.

33. The method of claim 32, further comprising:

utilizing a library of documents for communicating information to the predetermined recipients.

34. The method of claim 33, wherein the predetermined recipients comprise at least one of:

a patient, a physician, a nurse, a medical professional, an insurance company, and any appropriate recipient who is entitled to access health information.

35. The method of claim 33, wherein the information is communicated to the predetermined recipients via a communication network.

36. The method of claim 35, wherein the communication network comprises at least one of the following:

telephone, pager, e-mail, voicemail, ground-based mail, and courier.

37. The method of claim 33, wherein the library of documents comprises at least one of the following documents:

a letter of referral, an insurance claim form, a summary of follow-up actions to be taken, post-operative care recommendations, treatment modules and instructions, and suggestions for medical goods and supplies.

38. The method of claim 27, wherein the scribe comprises at least one of:

a doctor, a medical assistant, a nurse, a secretary, a personal assistant, a professional assistant, and a patient.

39. The method of claim 27, further comprising:

utilizing a compliance system to identify whether or not each electronic medical record is complete.

40. The method of claim 27, further comprising:

allowing predetermined purchasers to purchase durable medical goods and supplies via a predetermined website.

41. An electronic patient healthcare system for documenting a clinical encounter and communicating about same, the system comprising:

a means for allowing a patient to obtain medical event-specific information and pre-register for a clinical encounter, via a predetermined website, prior to the clinical encounter;

a means for allowing the patient to save their pre-registration information into an electronic medical record, wherein the patient'"'"'s electronic medical record is saved on a predetermined computer;

a means for allowing a scribe to document the clinical encounter directly into the patient'"'"'s saved electronic medical record, wherein at least one practice-specific template is utilized to guide the scribe through the documentation of the clinical encounter; and

a means for communicating information electronically to a predetermined recipient after the clinical encounter.

42. The system of claim 41, wherein the system is capable of allowing new dynamically-generated templates to be created and saved to a library of practice-specific templates as needed.

43. The system of claim 41, wherein the predetermined recipient comprises at least one of:

the patient, a physician, a nurse, a medical professional, an insurance company, and any appropriate recipient who is entitled to access health information.

44. The system of claim 41, wherein the information that is communication electronically to the predetermined recipient comprises at least one of the following:

a letter of referral, an insurance claim form, a summary of follow-up actions to be taken, post-operative care recommendations, treatment modules and instructions, and suggestions for medical goods and supplies.