Physician Treatment Ordering System

• US 20070162312A1
• Filed: 10/04/2006
• Published: 07/12/2007
• Est. Priority Date: 11/16/2005
• Status: Abandoned Application

• Current Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Original Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Inventors: Soderberg, James
• Application Number:
  US11/538,515
• Publication Number:
  US 20070162312A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A system provides decision support information that improves patient care by enabling physicians who are placing orders to see historical treatment ordering patterns and adjust order associated workflow (e.g., as part of a computerized Health Care Order Entry System) based on an analysis of past orders placed on similar types of patients with similar demographic information under similar conditions. A patient treatment decision support system employing historical treatment order data includes a pre-processor. The pre-processor analyzes and collates historical patient treatment order information for multiple different patients based on criteria including diagnostic code to provide historical order information identifying treatment orders previously initiated for patients associated with a treatment order of a particular type. The historical treatment order information is stored by the pre-processor in a repository. A user interface receives user entered data identifying a particular treatment order for a particular patient having particular characteristics and provides a display of data identifying historical order information associated with the particular treatment order by deriving the historical order information from the repository based on a determined type of the particular treatment order.

Claims

1. A patient treatment decision support system. employing historical treatment order data, comprising:

a pre-processor for analyzing and collating historical patient treatment order information for a plurality of different patients based on criteria including diagnostic code to provide historical treatment order information identifying treatment orders previously initiated for patients associated with a treatment order of a particular type, said historical treatment order information being stored by said pre-processor in a repository; and

a user interface for receiving user entered data identifying a particular treatment order for a particular patient having particular characteristics and for providing a display of data identifying historical treatment order information associated with said particular treatment order by deriving said historical treatment order information from said repository based on a determined type of said particular treatment order.

2. A system according to claim 1, wherein

said pre-processor analyzes and collates historical patient treatment order information for a plurality of different patients based on criteria comprising particular characteristics including two or more of, (a) age, (b) gender, (c) pre-existing medical condition, (d) weight, (e) height and (f) race.

3. A system according to claim 1, wherein

said historical patient treatment order information comprises transaction order information derived from a computerized treatment order entry system and

said pre-processor analyzes and collates said historical patient treatment transaction order information by indexing identified treatment orders previously initiated for patients and associating indexed identified treatment orders with a treatment order of a particular type.

4. A system according to claim 1, wherein

said user interface provides a display of data identifying historical treatment order information comprising individual treatment order types associated with said particular treatment order together with information identifying a proportion of a sampled patient population receiving said individual treatment order types.

5. A system according to claim 1, wherein

said preprocessor analyzes and collates said historical patient treatment order information to provide said historical treatment order information for pre-caching in said repository to reduce access time to said historical patient treatment order information upon said user subsequently entering said data identifying said particular treatment order for said particular patient.

6. A system according to claim 5, wherein

said pre-processor analyzes and collates a portion of said historical patient treatment order information in response to predetermined limit data to reduce processing time.

7. A system according to claim 1, wherein

said user interface provides a user selectable button in a display image supporting said user entry of said data identifying said particular treatment order for said particular patient, said button enabling initiation of display of a display image presenting said data identifying historical treatment order information associated with said particular treatment order.

8. A system according to claim 7, wherein

said display image identifies at least one of, (a) said criteria used in analyzing and collating said historical patient treatment order information to provide said historical treatment order information and (b) a statistical function used in analyzing and collating said historical patient treatment order information to provide said historical treatment order information.

9. A system according to claim 1, wherein

said user interface initiates generation of an alert message to a user indicating another treatment order has been placed together with said particular treatment order in a proportion of cases exceeding a predetermined threshold.

10. A system according to claim 1, wherein

said historical treatment order information associated with said particular treatment order is derived from said repository based on determined type of said particular treatment order indicating at least one of, (a) said particular patient has similar demographic characteristics to patients associated with said historical treatment order information, (b) treatments identified in said historical treatment order information and said particular treatment order are associated with the same diagnostic code, (c) treatments identified in said historical treatment order information and said particular treatment order are associated with the same hospital admitting diagnosis and (d) treatments identified in said historical treatment order information and said particular treatment order are associated with the same co-morbidity.

11. A patient treatment decision support system employing historical treatment order data, comprising:

a pre-processor for analyzing and collating historical patient treatment order information for a plurality of different patients based on criteria including diagnostic code to provide historical treatment order information identifying treatment orders previously initiated for patients associated with a treatment order of a particular type, said historical treatment order information being stored by said pre-processor in a repository; and

a data processor for receiving user entered data identifying a particular treatment order for a particular patient having particular characteristics and for providing a display of data identifying historical treatment order information associated with said particular treatment order by deriving said historical treatment order information from said repository, said historical treatment order information being derived by,

(a) identifying a diagnostic code common to both said particular treatment order and historical treatment orders and

(b) identifying demographic characteristics substantially similar to both said particular patient and patients associated with historical treatment orders.

12. A system according to claim 11, wherein

said historical treatment order information is derived based on a user defined value.

13. A system according to claim 11, wherein

said historical treatment order information is derived by identifying a hospital admitting diagnosis common to both said particular patient and patients associated with historical treatment orders.

14. A system according to claim 11, wherein

said display of data includes statistical data concerning a corresponding historical treatment order.

15. A system according to claim 14, wherein

said statistical data indicates at least one of, (a) a likelihood said corresponding historical treatment order needs to be placed and (b) a proportion of patients of the total number of patients in a historical treatment order database that received said corresponding historical treatment order.

16. A system according to claim 11, wherein

said data processor derives said historical treatment order information by excluding treatment orders that have been placed for the particular patient in the past and are also found in historical treatment orders.

17. A system according to claim 11, including

an order entry system enabling a user to select a candidate treatment order for a particular patient wherein

said data processor provides a display of data including a message informing a user of significant historical treatment orders, in response to detection that said user has failed to select one or more significant historical treatment orders related to said candidate treatment order.

18. A system according to claim 11, wherein

said pre-processor adaptively provides said historical treatment order information by intermittently acquiring new historical patient treatment order information for analysis and collation.

19. A system according to claim 11, including

an order entry system enabling a user to select a candidate treatment order for a particular patient wherein

said pre-processor acquires said historical patient treatment order information for analysis and collation from treatment order transaction messages generated by said order entry system.

20. A patient treatment decision support system employing historical treatment order data, comprising:

a pre-processor for analyzing and collating historical patient treatment order information for a plurality of different patients based on criteria including diagnostic code to provide historical treatment order information identifying treatment orders previously initiated for patients associated with a treatment order of a particular type, said historical treatment order information being stored by said pre-processor in a repository; and

a data processor for receiving user entered data identifying a particular treatment order for a particular patient having particular characteristics and for providing a display of data identifying historical treatment order information associated with said particular treatment order by deriving said historical treatment order information from said repository, said historical treatment order information comprising treatment orders including,

a diagnostic code common to both said particular treatment order and historical treatment orders and having demographic characteristics substantially similar to both said particular patient and patients associated with historical treatment orders and excluding treatment orders that have been placed for the particular patient in the past and are also found in historical treatment orders.

21. A system according to claim 20, wherein

said display of data includes statistical data concerning a corresponding historical treatment order and indicates a likelihood said corresponding historical treatment order needs to be placed.

22. A system according to claim 20, wherein

said display of data includes statistical data concerning a corresponding historical treatment order and indicates a proportion of patients of the total number of patients in a historical treatment order database that received said corresponding historical treatment order.