Pharmaceutical care of patients and documentation system therefor
First Claim
1. A documentation system for pharmaceutical care practice, comprising:
- a module for entering coded patient data from encounters with a pharmaceutical care practitioner into electronic therapeutic records, the patient data including demographics, past and present medications, drug therapy problems, and medical indications for pharmacotherapy, and for entering coded outcomes from pharmacotherapy;
a module for consolidating the patient data with a patient database holding statistical assessment data from a large number of patients;
a module for searching the statistical data using a key including data from at least one of the encounters associated with a subject patient;
a module for accessing a product database containing known characteristics of a set of medications;
a module for accessing a legal database containing legal criteria concerning medications;
a module for accessing an eligibility database containing eligibility criteria of at least one third-party provider;
6 Assignments
0 Petitions
Accused Products
Abstract
A pharmaceutical care practitioner has a n ongoing relationship with a patient in a series of encounters. The practitioner generates an assessment, including demographics of the patient, resulting in a set of indications for pharmacotherapy. The practitioner evaluates medications for appropriateness, effectiveness, safety, and compliance, and recommends or selects medications (including dosage, duration, frequency, etc.) for each indication in a care plan. The practitioner evaluates outcomes from the medications. Items from the assessment, plan, or outcomes are coded as searchable terms in a patient database employed by the practitioner for generating the care plan. The patient database may be consolidated among many different practitioners for greater statistical power. Agreements between practitioners and third-party providers may permit practitioners to override or allow actions not normally permitted by patients'"'"' plans, such as drug substitution, dosage adjustment, or choice of source. A computer-based documentation system accesses or contains databases such as patient information, medication products, legal criteria, or insurance criteria. The system may also produce documents or reports, such as care plans, assessments, claims, invoices, statistical analyses, or practice guidelines.
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Citations
60 Claims
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1. A documentation system for pharmaceutical care practice, comprising:
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a module for entering coded patient data from encounters with a pharmaceutical care practitioner into electronic therapeutic records, the patient data including demographics, past and present medications, drug therapy problems, and medical indications for pharmacotherapy, and for entering coded outcomes from pharmacotherapy;
a module for consolidating the patient data with a patient database holding statistical assessment data from a large number of patients;
a module for searching the statistical data using a key including data from at least one of the encounters associated with a subject patient;
a module for accessing a product database containing known characteristics of a set of medications;
a module for accessing a legal database containing legal criteria concerning medications;
a module for accessing an eligibility database containing eligibility criteria of at least one third-party provider;
- View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A method, comprising:
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assigning a subject patient to a pharmaceutical care practitioner in a practice;
generating or updating an electronic therapeutic record for the subject patient, including demographics, present and past medications, and drug therapy problems;
developing a set of indications exhibited by the subject patient and treatable or preventable by one or more medications;
recording one or more outcomes resulting from pharmacotherapy of each indication;
for at least some of the outcomes, searching a multiple-practice patient database for statistical information concerning candidate medications for the indications and demographics relating to the subject patient;
evaluating the medications found in the database for appropriateness, effectiveness, safety, and compliance;
entering data from the assessment and the outcomes in searchable form into the multi-practice patient database and consolidating the entered data with similar data from a large number of other patients assigned to pharmaceutical care practitioners in other practices. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29)
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30. A method, comprising:
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assigning a subject patient to a pharmaceutical care practitioner;
the practitioner being a registered pharmacist having specialized education in patient care;
generating an electronic therapeutic record for the patient, including demographics, present and past medications, and drug therapy problems;
developing a set of indications for patient conditions treatable or preventable by pharmacotherapy;
searching a consolidated patient database for statistical data matching certain portions of the electronic therapeutic record and the indications;
developing a medication care plan of medications for each of the indications at least partly in response to data derived from a consolidated patient database that includes demographics, indications, and outcomes associated with a large number of other patients;
evaluating outcomes from each indication in the care plan;
evaluating each medication in the care plan for appropriateness, effectiveness, safety, and compliance in terms of the drug therapy problems;
coding data in the electronic therapeutic record and the outcomes of the subject patient and of other patients as searchable items in the consolidated patient database, such that the consolidated patient database contains statistical data regarding the assessments, indications, and outcomes for a large number of patients. - View Dependent Claims (31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44)
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45. A method practiced by a registered pharmacist, comprising:
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including a medication in a care plan for a patient;
determining that the medication is not eligible for reimbursement under criteria of a third-party provider for the patient;
overriding the criteria so as to allow reimbursement for the medication in accordance with an agreement operative between the registered pharmacist and the third-party provider. - View Dependent Claims (46, 47, 48, 49, 50, 51, 52, 53, 54)
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55. A method practiced by a registered pharmacist, comprising:
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including a prescription medication in a care plan for a patient who receives reimbursement under a reimbursement plan from a third-party provider;
selecting a source for the medication in accordance with an agreement between the pharmacist and the third-party provider. - View Dependent Claims (56, 57, 58, 59, 60)
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Specification