Computer implemented healthcare monitoring, notifying and/or scheduling system

• US 20080046286A1
• Filed: 06/27/2007
• Published: 02/21/2008
• Est. Priority Date: 09/16/2005
• Status: Abandoned Application

• Current Assignee: Mark Halsted
• Original Assignee: Mark Halsted
• Inventors: Halsted, Mark
• Application Number:
  US11/823,464
• Publication Number:
  US 20080046286A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• 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 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A medical information system includes a computer server having access to one or more medical information data stores and operating at least a portion of a medical information monitoring tool, and includes at least one user network interface device operatively coupled for communication with the computer server over a computer network or integrated with the computer server, where the medical information data stores include a plurality of patient medical records; where the system is configured to allow an authorized user to activate, via a graphical user interface operating on the user network interface device, a medical information monitoring profile, where the medical information monitoring profile includes: (a) an identification of one or more medical information data items in the medical information data stores to access, (b) at least one notification trigger upon which one or more parties will be notified, an identity of one or more parties to notify, and (c) one or more notification mechanisms for notifying the one or more parties; where the system is further configured to monitor at least one or more of the medical information data items identified in the medical information monitoring profile; and where the system is further configured to automatically notify the one or more parties identified in the medical information monitoring profile, via the one or more notification mechanisms included in the medical information monitoring profile, in automatic response to the at least one notification trigger being satisfied.

Claims

1. A computer implemented method for monitoring a healthcare information system comprising the steps of:

providing a medical information system including a computer server having access to one or more medical information data stores and operating at least a portion of a medical information monitoring tool, and including at least one user network interface device operatively coupled for communication with the computer server over a computer network or integrated with the computer server, the medical information data stores including a plurality of patient medical records;

logging into the medical information monitoring tool using a graphical user interface on the at least one user network interface device by an authorized user;

activating, by the authorized user via the graphical user interface, a medical information monitoring profile, the medical information monitoring profile including;

an identification of one or more medical information data items in the medical information data stores to access,

at least one notification trigger upon which one or more parties will be notified, an identity of one or more parties to notify, and

one or more notification mechanisms for notifying the one or more parties;

following the activation step, monitoring by the medical information monitoring tool at least one or more of the medical information data items identified in the medical information monitoring profile; and

automatically notifying the one or more parties identified in the medical information monitoring profile, via the one or more notification mechanisms included in the medical information monitoring profile, in automatic response to the at least one notification trigger being satisfied.

2. The computer implemented method of claim 1, wherein:

the medical information monitoring tool has access to a plurality of predefined medical information monitoring profiles; and

the activating step provides a choice to the authorized user, via the graphical user interface, to activate one or more of the predefined medical information monitoring profiles or to set up a custom medical information monitoring profile.

3. The computer implemented method of claim 2, wherein the plurality of predefined medical information monitoring profiles will be selected for the authorized user based upon the authorized user'"'"'s roles within the healthcare facility.

4. The computer implemented method of claim 1, wherein the one or more medical information data items include one or more medical procedure reports.

5. The computer implemented method of claim 4, wherein the one or more medical information data items include at least a portion of a patient'"'"'s medical record.

6. The computer implemented method of claim 4, wherein the one or more medical information data items include one or more medical test results.

7. The computer implemented method of claim 4, wherein the one or more medical information data items include one or more resource availability status of healthcare facility resources.

8. The computer implemented method of claim 7, wherein the availability status of healthcare facility resources are taken from a group consisting of:

medical equipment availability, procedure room availability and medical personnel availability.

9. The computer implemented method of claim 1, wherein the at least one notification trigger is a check of whether a medical test result is outside of a predetermined range of values.

10. The computer implemented method of claim 1, wherein the at least one notification trigger is a determination of a risk to a patient developing contrast nephropathy.

11. The computer implemented method of claim 10, wherein the monitoring step occurs automatically in response to the patient being scheduled for an intravenous contrast procedure.

12. The computer implemented method of claim 10, wherein the at least one notification trigger is the result of an identification of, at least in part, a medical test result of the patient'"'"'s creatinine level being outside of a predetermined range.

13. The computer implemented method of claim 10, wherein the at least one notification trigger is based upon, at least in part, a calculation of a patient'"'"'s risk for contrast nephropathy, the calculation involving at least the patient'"'"'s creatinine level.

14. The computer implemented method of claim 13, wherein the calculation further involves one or more of the following medical information data items:

the patient'"'"'s age, the patient'"'"'s height, the patient having a diagnosis or history of diabetes, the patient having a diagnosis or history of cardiac disease, the patient having a diagnosis or history of heart failure, the patient having a diagnosis or history of hypotension, the patient having a diagnosis or history of dehydration, the patient having an existence or history of diuretic usage, the patient having a diagnosis or history of low hemoglobin, the patient having a diagnosis or history of low serum albumin, the patient having an existence of simultaneous use of certain medications toxic to the kidneys, and the patient having an existence of concurrent use of particular medications.

15. The computer implemented method of claim 10, wherein the at least one notification trigger is the result of, at least in part, an identification of a medical test result of the patient'"'"'s creatinine level being outside of a predetermined range and the patient being scheduled for an intravenous contrast procedure.

16. The computer implemented method of claim 1, wherein the at least one notification trigger is the result of at least one Boolean operation performed on two or more of the medical information data items.

17. The computer implemented method of claim 1, wherein the at least one notification trigger is a determination related to the timing of a scheduled medical procedure.

18. The computer implemented method of claim 17, wherein the determination related to the timing of the scheduled medical procedure includes a calculation, either approximate or actual, of when the medical procedure will be available to start.

19. The computer implemented method of claim 18, wherein the calculation involves one or more of the following medical information data items:

occurrence of a medical test result, scheduling of a medical test, availability of a medical facility, scheduling for a medical facility, availability of one or more pieces of medical equipment, scheduling of one or more pieces of medical equipment, availability of one or more medical personnel, and the scheduling of one or more medical personnel.

20. The computer implemented method of claim 19, wherein the scheduled medical procedure is a surgery.

21. The computer implemented method of claim 20, wherein the notification includes a notification to a surgeon of an approximate surgery start time.

22. The computer implemented method of claim 1, wherein the at least one notification trigger is in response to a scheduling of a radiation-based diagnostic test or therapy.

23. The computer implemented method of claim 22, wherein the notification includes a calculation or an approximation of a patient'"'"'s lifetime radiation exposure.

24. The computer implemented method of claim 23, wherein the notification is body-part specific.

25. A computer implemented method for monitoring a healthcare information system for risks of contrast nephropathy comprising the steps of:

providing a medical information system including a computer server having access to one or more medical information data stores and operating at least a portion of a medical information monitoring tool, and including at least one user network interface device operatively coupled for communication with the computer server over a computer network or integrated with the computer server, the medical information data stores including a plurality of patient medical records;

scheduling a medical procedure involving intravenous contrast for a patient by an authorized user utilizing the at least one user network interface;

determining, by the medical information monitoring tool from information accessed in the medical information data stores, a risk for contrast nephropathy with the patient; and

automatically transmitting a notification regarding the determined risk to one or more medical system personnel.

26. The computer implemented method of claim 25, wherein the notification step is performed in response to the determined risk being at or above a predetermined threshold.

27. The computer implemented method of claim 25, wherein the determining step involves an identification of, at least in part, a medical test result of the patient'"'"'s creatinine level being outside of a predetermined range.

28. The computer implemented method of claim 25, wherein the determining step involves a calculation of at least the patient'"'"'s glomerular filtration rate (GFR).

29. The computer implemented method of claim 28, wherein the calculation further involves one or more of the following medical information data items:

the patient'"'"'s age, the patient'"'"'s height, the patient having a diagnosis or history of diabetes, the patient having a diagnosis or history of cardiac disease, the patient having a diagnosis or history of heart failure, the patient having a diagnosis or history of abnormal blood pressure, the patient having a diagnosis or history of dehydration, the patient having an existence or history of diuretic usage, the patient having a diagnosis or history of low hemoglobin, the patient having a diagnosis or history of low serum albumin, the patient having an existence of simultaneous use of certain medications toxic to the kidneys, and the patient having an existence of concurrent use of particular medications.

30. The computer implemented method of claim 25, wherein the determining step involves an identification of a medical test result of the patient'"'"'s creatinine level being outside of a predetermined range and the patient being scheduled for an intravenous contrast procedure.

31. A computer implemented method for monitoring a healthcare information system medical procedure schedule comprising the steps of:

providing a medical information system including a computer server having access to one or more medical information data stores and operating at least a portion of a medical information monitoring tool, and including at least one user network interface device operatively coupled for communication with the computer server over a computer network or integrated with the computer server, the medical information data stores including one or more of healthcare institution medical procedure schedules, healthcare institution medical facility availability information, healthcare institution medical equipment availability, healthcare institution medical personnel availability and healthcare institution medical test result information;

scheduling a medical procedure for the medical institution for a scheduled start time;

determining, by the medical information monitoring tool from information accessed in the medical information data stores at least one of;

(a) whether or not the scheduled medical procedure will be likely to start at the scheduled start time, (b) an estimated actual start time for the scheduled medical procedure, and (c) at least one factor presently interfering with an ability for the scheduled medical procedure to start at the scheduled start time; and

automatically transmitting a notification regarding a result of the determining step to one or more medical system personnel.

32. The computer implemented method of claim 31, wherein the medical information data stores include at least a portion of a patient'"'"'s medical record and the determining step is based upon, at least in part, information present or not present in the portion of the patient'"'"'s medical record.

33. The computer implemented method of claim 31, wherein the medical information data stores include one or more medical test results, and the determining step is based upon, at least in part, the one or more medical test results.

34. The computer implemented method of claim 31, wherein the medical information data stores include one or more resource availability status of healthcare facility resources, and the determining step is based upon, at least in part, the status of at least one healthcare facility resource.

35. The computer implemented method of claim 34, wherein the availability status of healthcare facility resources are taken from a group consisting of:

medical equipment availability, procedure room availability and medical personnel availability.

36. The computer implemented method of claim 31, wherein the scheduled medical procedure is a surgery.

37. The computer implemented method of claim 36, wherein the notification includes a notification to a surgeon of an approximate time prior to the determined surgery start time.

38. A computer implemented method for monitoring a healthcare information system for risks of radiation exposure comprising the steps of:

providing a medical information system including a computer server having access to one or more medical information data stores and operating at least a portion of a medical information monitoring tool, and including at least one user network interface device operatively coupled for communication with the computer server over a computer network or integrated with the computer server, the medical information data stores including a plurality of patient medical records;

at least one of (a) initiating a scheduling of and (b) scheduling a radiation-based diagnostic test or therapy for a patient by an authorized user utilizing the at least one user network interface;

determining, by the medical information monitoring tool from information accessed in the medical information data stores, a radiation exposure risk for the patient; and

automatically transmitting a notification regarding the determined radiation exposure risk to one or more medical system personnel.

39. The computer implemented method of claim 38, wherein the determination includes a calculation or an approximation of a patient'"'"'s lifetime radiation exposure.

40. The computer implemented method of claim 39, wherein the determination is body-part specific.

41. A computer implemented method for monitoring a healthcare information system to determine whether a patient, who has an implanted device or a foreign body that may be incompatible with a magnetic resonance scanner'"'"'s magnetic field, is at an increased risk of injury if placed in a magnetic resonance scanner'"'"'s magnetic field, the method comprising the steps of:

providing a medical information system including a computer server having access to one or more medical information data stores and operating at least a portion of a medical information monitoring tool, and including at least one user network interface device operatively coupled for communication with the computer server over a computer network or integrated with the computer server, the medical information data stores including a plurality of patient medical records;

scheduling a medical procedure involving a magnetic resonance scan for a patient by an authorized user utilizing the at least one user network interface;

determining, by the medical information monitoring tool from information accessed in the medical information data stores, a risk to a patient having at least one of an implanted device and a foreign body at least partially incompatible with a magnetic field generated by a magnetic resonance scanner; and

automatically transmitting a notification regarding the determined risk to one or more medical system personnel.

42. The computer implemented method of claim 41, wherein the determining step determines from the accessed medical information data stores whether the patient has at least one of an implanted device and a foreign body.

43. The computer implemented method of claim 42, wherein the determining step further determines from the accessed medical information whether the at least one implanted device and foreign body has at least one of an actual incompatibility with a magnetic field generated by a magnetic resonance scanner and a potential incompatibility with a magnetic field generated by a magnetic resonance scanner.

44. The computer implemented method of claim 41, wherein the transmitting step occurs only upon a determined risk being above a predetermined threshold.

45. The computer implemented method of claim 41, wherein the determined risk is at least the determined presence of at least one of an implanted device and a foreign body in the patient.

46. The computer implemented method of claim 41, wherein the notification is transmitted to the authorized user in the same session in which the user scheduled the medical procedure.

47. The computer implemented method of claim 46, wherein the notification is within a pop-up window.

48. The computer implemented method of claim 41, wherein the notification includes a limit to the magnetic field that can be used with the at least one implanted device and foreign body.

49. The computer implemented method of claim 41, wherein the determining step is performed in automatic response to the scheduling step.

50. The computer implemented method of claim 41, wherein the determined risk is at least the determined presence of a certain data item on the patient'"'"'s medical record.

51. A medical information system comprising a computer server having access to one or more medical information data stores and operating at least a portion of a medical information monitoring tool, and including at least one user network interface device operatively coupled for communication with the computer server over a computer network or integrated with the computer server, the medical information data stores including a plurality of patient medical records;

the system being configured to allow an authorized user to activate, via a graphical user interface operating on the user network interface device, a medical information monitoring profile, the medical information monitoring profile including;

an identification of one or more medical information data items in the medical information data stores to access,

at least one notification trigger upon which one or more parties will be notified, an identity of one or more parties to notify, and

one or more notification mechanisms for notifying the one or more parties;

the system being further configured to monitor at least one or more of the medical information data items identified in the medical information monitoring profile; and

the system being further configured to automatically notify the one or more parties identified in the medical information monitoring profile, via the one or more notification mechanisms included in the medical information monitoring profile, in automatic response to the at least one notification trigger being satisfied.