Medical diagnosis feedback tool

• US 20070067185A1
• Filed: 09/18/2006
• Published: 03/22/2007
• Est. Priority Date: 09/16/2005
• Status: Abandoned Application

• Current Assignee: Children's Hospital & Medical Center
• Original Assignee: Children's Hospital & Medical Center
• Inventors: Halsted, Mark
• Application Number:
  US11/522,847
• Publication Number:
  US 20070067185A1
• Time in Patent Office: Days
• US Class Current: 705/2
• 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 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• 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
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A computer implemented medical event notification system and method for a healthcare facility is provided. The system includes at least one user computer and at least one computer server operatively coupled for communication over a computer network. The computer server operates at least a portion of a medical notification software tool and has access to a patient record database containing a plurality of patient records. The method includes a step of monitoring the plurality of patient records by the medical notification software tool for at least one predetermined event; and includes one or both of the following steps: (a) upon detecting the occurrence of the at least one predetermined event by the medical notification software tool, automatically pushing a notification of the detected predetermined event occurrence to an authorized user of the medical information even notification system; and (b) upon detecting the non-occurrence of the at least one predetermined event by the medical notification software tool in a predetermined window of time, automatically pushing a notification of the detected predetermined event non-occurrence to an authorized user of the medical information event notification system. A critical element to this system and method is that the notification is automatically “pushed” to the authorized user; that is, the authorized user is not required to query the system for the occurrence or non-occurrence of the event.

Claims

1. A method for operating a computerized medical information feedback tool comprising the steps of:

providing a medical information brokering system including at least one user computer, and at least one computer server operatively coupled for communication over a computer network, the computer server operating at least a portion of a medical information feedback tool and having access to an electronic patient record database containing a plurality of patient medical records;

logging into the medical information feedback tool using a graphical user interface on the at least one user computer by an authorized user;

subscribing by the authorized user, using the graphical user interface, to one or more target patient medical records and establishing by the authorized user one or more events for the medical information feedback tool to track with respect to the subscribed one or more target patient medical records;

tracking, by the medical information feedback tool, the subscribed one or more target patient medical records for established one or more events; and

automatically notifying the authorized user by the medical information feedback tool in the event that the medical information feedback tool detects at least one of the following;

(a) the established one or more events occurs with respect to the subscribed one or more target patient medical records, and (b) the established one or more events fails to occur with respect to the subscribed one or more target patient medical records.

2. The method of claim 1, wherein the notifying step is performed automatically by the medical information feedback tool using one or more of the following:

an electronic mail message;

a pager message;

a telephone communication;

a cellular telephone communication;

a facsimile communication;

an instant message;

a pop-up window communication.

3. The method of claim 1, further comprising the step of automatically storing information pertaining to the logging, subscribing and notifying steps in a central audit database by the medical information feedback tool, such information including at least one of the following:

a date;

a time;

an identity of the authorized user; and

an identity of the subscribed one or more target patient records.

4. The method of claim 1, wherein the established one or more events includes any of the following:

a medical intervention;

a diagnosis;

a referral;

a scheduling of an appointment;

a completion of an appointment; and

a discharge.

5. The method of claim 4, wherein the medical intervention includes one or more of the following:

a treatment;

a test;

a procedure;

an exam;

a prescription.

6. The method of claim 5, wherein the notification step further comprises the step of providing the authorized user with an electronic report regarding the medical intervention by the medical information feedback tool.

7. The method of claim 6, wherein the electronic report is presented to the user in a graphical user interface that includes a recommendation for a follow-up medical intervention and an actuatable item, which upon actuation by the authorized user, provides an intervention-ordering graphical user interface to the authorized user from which the authorized user may order the follow-up medical intervention.

8. The method of claim 7, further comprising the step of routing information entered by the authorized user in the intervention-ordering graphical user interface to a scheduling database.

9. The method of claim 1, wherein the notifying step includes the step of notifying the authorized user by the medical information feedback tool in the event that the medical information feedback tool detects at least one of the following:

(a) the established one or more events occurs with respect to the subscribed one or more target patient medical records within a specific time period, and (b) the established one or more events fails to occur with respect to the subscribed one or more target patient medical records within a specific time period.

10. The method of claim 1, wherein the established one or more events is a positive comparison of a completed medical intervention against a recommended medical intervention associated with the one or more target patient medical records.

11. The method of claim 10, wherein the comparison step is performed utilizing natural language processing algorithms.

12. The method of claim 11, wherein the comparison step further utilizes a set of expert rules.

13. The method of claim 12, wherein the completed medical intervention is a positive comparison of the recommended medical intervention if the completed medical intervention is substantially similar to the recommended medical intervention.

14. The method of claim 1, wherein the one or more events includes a positive comparison by the medical information feedback tool of a present diagnosis in the subscribed one or more target patient medical records to a subsequent diagnosis associated with the one or more target patient medical records.

15. The method of claim 1, wherein the one or more events includes a positive comparison by the medical information feedback tool of a present diagnosis in the subscribed one or more target patient medical records to a subsequent diagnosis associated with the one or more target patient medical records.

16. The method of claim 15, wherein the comparison step is performed utilizing natural language processing algorithms.

17. The method of claim 1, further comprising the steps of:

monitoring, by the medical information feedback tool, the plurality of patient medical records for extraordinary events; and

upon detection of an extraordinary event in the monitoring step, automatically notifying the authorized user of the extraordinary event.

18. The method of claim 17, wherein the extraordinary event is taken from a group consisting of:

a diagnosis of a highly contagious disease and a test result indicating the existence of a highly contagious disease.

19. The method of claim 18, further comprising the steps of:

automatically identifying the patient medical record associated with the extraordinary event by the medical information feedback tool;

automatically identifying by the patient medical record feedback tool, from the identified patient medical record, employees of a healthcare facility that may have come into contact with the highly contagious disease; and

automatically notifying by the medical information feedback tool the identified employees of the diagnosis.

20. The method of claim 19, wherein the step of automatically notifying the identified employees further includes providing the identified employees with instructions.

21. The method of claim 17, wherein the extraordinary event is taken from a group consisting of:

a substantially usual diagnosis and a substantially unusual test result.

22. The method of claim 17, wherein the monitoring step is performed utilizing natural language processing algorithms.

23. The method of claim 22, wherein the monitoring step further utilizes a set of expert rules.

24. A method for operating a computerized medical information feedback tool comprising the steps of:

providing a medical information brokering system including at least one user computer and at least one computer server operatively coupled for communication over a computer network, the computer server operating at least a portion of a medical information feedback tool and having access to an electronic patient record database containing a plurality of patient medical records;

logging into the medical information feedback tool using a graphical user interface on the at least one user computer by an authorized user;

subscribing by the authorized user, using the graphical user interface, to one or more target patient medical records and establishing by the authorized user one or more events for the medical information feedback tool to track with respect to the subscribed one or more target patient medical records;

subscribing by the authorized user, using the graphical user interface, one or more recipients of notification information;

tracking, by the medical information feedback tool, the subscribed one or more target patient medical records for established one or more events; and

automatically notifying the one or more recipients by the medical information feedback tool in the event that the medical information feedback tool detects at least one of the following;

(a) the established one or more events occurs with respect to the subscribed one or more target patient medical records, and (b) the established one or more events fails to occur with respect to the subscribed one or more target patient medical records.

25. An event notification method for a healthcare facility comprising the steps of:

providing a medical information event notification system including at least one user computer and at least one computer server operatively coupled for communication over a computer network, the computer server operating at least a portion of a medical notification software tool and having access to a patient record database containing a plurality of patient records;

monitoring the plurality of patient records by the medical notification software tool for at least one predetermined event; and

performing one or both of the following steps,

(a) upon detecting the occurrence of at least one predetermined event by the medical notification software tool, automatically pushing a notification of the detected predetermined event occurrence to an authorized user of the medical information event notification system; and

(b) upon detecting the non-occurrence of at least one predetermined event by the medical notification software tool in a predetermined window of time, automatically pushing a notification of the detected predetermined event non-occurrence to an authorized user of the medical information event notification system.

26. The method of claim 25, further comprising the step of, prior to the monitoring step, subscribing the authorized user to the at least one predetermined event.

27. The method of claim 26, wherein the predetermined event is a test result.

28. The method of claim 26, wherein the predetermined event is a diagnosis.

29. The method of claim 26, wherein the predetermined event is the scheduling of a medical appointment.

30. The method of claim of 26, wherein the predetermined event is the occurrence of a medical appointment.

31. The method of claim 25, wherein the predetermined event is a difference between an initial diagnosis and a subsequent diagnosis.

32. The method of claim 25, wherein the predetermined event is a confirmation between an initial diagnosis and a subsequent diagnosis.

33. The method of claim 25, wherein the predetermined event is a diagnosis of a communicable disease.

34. The method of claim 25, wherein the predetermined event is a potential duplication of one or more of an ordered test, exam and procedure.

35. The method of claim 25, wherein the predetermined event is a detected discrepancy in a patient'"'"'s medical record.

36. The method of claim 25, wherein the notification is in the form of one or more of the following:

an email, an electronic page, a telephone call, a voice-mail, and a fax.

37. The method of claim 25, wherein the authorized user is a family member of a patient.

38. The method of claim 25, wherein the authorized user is a referring physician.

39. A computer implemented medical event notification system comprising:

a computer network;

at least one user network device operatively coupled for communication over the computer network; and

at least one computer server operatively coupled for communication over a computer network, the computer server operating at least a portion of a medical notification software tool and having access to a patient record database containing a plurality of patient records;

wherein the medical notification software tool is programmed to perform at least the step of monitoring the plurality of patient records for at least one predetermined event, and is further programmed to perform at least one or both of the following steps,

(a) upon detecting the occurrence of the at least one predetermined event, automatically pushing a notification of the detected predetermined event occurrence to an authorized user of the medical information even notification system; and

(b) upon detecting the non-occurrence of the at least one predetermined in a predetermined window of time, automatically pushing a notification of the detected predetermined event non-occurrence to an authorized user of the medical information event notification system.

40. The computer implemented medical event notification system of claim 39, wherein the at least one user network device is taken from a group consisting of:

a desktop user computer, a laptop user computer, a handheld computer device, a cellular device, and a pager device.

41. The computer implemented medical event notification system of claim 39, wherein the medical notification software tool is further programmed to perform at least the step of the step of, prior to the monitoring step, subscribing the authorized user to the at least one predetermined event.

42. The computer implemented medical event notification system of claim 39, wherein the predetermined event is taken from a group consisting of:

a test result, a diagnosis, the scheduling of a medical appointment, the occurrence of a medical appointment, a difference between an initial diagnosis and a subsequent diagnosis, a confirmation between an initial diagnosis and a subsequent diagnosis, a diagnosis of a communicable disease, a potential duplication of one or more of an ordered test, exam and procedure, and a detected discrepancy in a patient'"'"'s medical record.

43. The computer implemented medical event notification system of claim 39, wherein the notification is in the form of one or more of the following:

an email, an electronic page, a telephone call, a voice-mail, and a fax.

44. The computer implemented medical event notification system of claim 39, wherein the medical notification software tool includes a natural language processing function for use in detecting the occurrence or non-occurrence of the at least one predetermined event.