Method and System for Exchanging, Storing, and Analyzing Health Information

• US 20080243539A1
• Filed: 03/31/2007
• Published: 10/02/2008
• Est. Priority Date: 03/31/2007
• Status: Abandoned Application

• Current Assignee: Grant Chieh-Hsiang Yang, Matthew A. Barish, Robert C. Smith
• Original Assignee: Grant Chieh-Hsiang Yang, Matthew A. Barish, Robert C. Smith
• Inventors: Smith, Robert C., Yang, Grant Chieh-Hsiang, Barish, Matthew A.
• Application Number:
  US11/694,953
• Publication Number:
  US 20080243539A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A method and system for storing health information, automatically matching health information to interpreters based on parameters provided by the interpreters and the health information providers, and transmitting interpretations of the health information provided by the interpreters. Interpreters may be rated according to their analysis quality and dependability on providing interpretations.

Claims

1. A method for matching, comprising:

receiving one or more health information from a health information provider;

associating a send parameter to the one or more health information, wherein a send parameter is specified by the health information provider;

storing the send parameter and the one or more health information;

receiving a read parameter from a radiologist;

matching one or more health information to the radiologist, wherein the matching is as a function of at least one of the send parameter, read parameter, and a time variable;

providing a first health information to the radiologist; and

receiving an interpretation corresponding to the first health information from the radiologist.

2. A method for matching health information to an interpreter, comprising:

receiving at least a first health information from a health information provider;

associating a send parameter to the first health information;

storing the send parameter and the first health information;

receiving a read parameter from an interpreter;

providing a first health information to a first interpreter; and

receiving an interpretation corresponding to the first health information from the interpreter.

3. The method of matching according to claim 2, further comprising contacting an on-call interpreter.

4. The method of matching according to claim 2, wherein the send parameter is provided by the health information provider.

5. The method of matching according to claim 2, wherein the send parameter is provided by a health care information matching system.

6. The method of matching according to claim 2, further comprising querying the health information provider for additional health information that is associated with the first health information.

7. The method of matching according to claim 2, further comprising querying a second health information provider for additional health information associated with the first health information.

8. The method of matching according to claim 2, wherein the health information is a medical image.

9. The method of matching according to claim 2, wherein the health information is an image data.

10. The method of matching according to claim 2, wherein the health information is historical health information of the patient.

11. The method of matching according to claim 2, wherein the health information is an imaging test.

12. The method of matching according to claim 2, wherein the health information is clinical data.

13. The method of matching according to claim 8, wherein the medical image is a radiology image.

14. The method of matching according to claim 8, wherein the medical image is a pathology image.

15. The method of matching according to claim 2, further comprising:

removing personally identifiable information associated with the health information.

16. The method of matching according to claim 2, wherein the interpretation is a preliminary interpretation.

17. The method of matching according to claim 2, wherein the interpretation is a final interpretation.

18. The method of matching according to claim 2, wherein the interpreter is a doctor.

19. The method of matching according to claim 18, wherein the doctor is a radiologist.

20. The method of matching according to claim 2, further comprising:

rating the interpreter as a function of the quality of interpretations.

21. The method of matching according to claim 2, further comprising:

rating an interpreter as a function of dependability of completing interpretations.

22. The method of matching according to claim 20, wherein the rating is provided by a second interpreter.

23. The method of matching according to claim 20, wherein the rating is provided by a health information matching system.

24. The method of matching according to claim 20, wherein the rating is provided by the health information provider.

25. The method of matching according to claim 2, further comprising:

associating a bonus score to an interpreter.

26. The method of matching according to claim 25, wherein the bonus score is a function of at least one of a rating associated with the interpreter;

the number of interpretations provided by the interpreter;

the number of interpretations received by the interpreter;

a comparison of an interpreter'"'"'s rate of readings compared to other interpreters on a health information matching system;

registering as a specialist;

availability at designated times of the day;

participation in an on-call system;

a quality rating of the interpreter.

27. The method of matching according to claim 2, wherein an interpreter is a specialist.

28. The method of matching according to claim 27, further comprising verifying that the fellowship training of a specialist in a subspecialty area.

29. The method of matching according to claim 27, further comprising verifying the academic department in a subspecialty area.

30. The method of matching according to claim 27, further comprising qualifying the interpreter as a specialist after a number of health information interpretations are reviewed by a specialist in a subspecialty area.

31. The method of matching according to claim 2, further comprising:

providing the first health information and associated first interpretation by the first interpreter to a second interpreter;

receiving an opinion of the first interpretation from the second interpreter; and

receiving a second interpretation associated with the first health information.

32. The method of matching according to claim 2, further comprising:

providing health information to a first interpreter;

providing historical health information to the first interpreter; and

receiving an opinion from the first interpreter comparing the health information to historical health information

33. The method of matching according to claim 31, further comprising:

comparing the first interpretation to the second interpretation.

34. The method of matching according to claim 2, further comprising:

providing the first health information to a second interpreter; and

receiving an interpretation from the second interpreter.

35. The method of matching according to claim 34, further comprising:

comparing the first interpretation to the second interpretation.

36. The method of matching according to claim 34, further comprising:

adjusting a rating of the interpreter as a function of at least a comparison of the first plurality of interpretations and second plurality of interpretations.

37. The method of matching according to claim 2, wherein the send parameter is one of a time frame, a range of price, a fixed price, a location of licensure, a minimum price as a function of other send parameters, radiology specialty, a specific group of doctors, a specific doctor, a specific doctor that is not wanted, a doctor whose quality rating is above a threshold, a doctor whose dependability rating is above a threshold, number of doctors actively logged on a health information matching system, the years of experience of a doctor, and number of doctors that are licensed in the location

38. The method of matching according to claim 2, wherein the send parameter is provided in a template, wherein the template is applied to a plurality of health information.

39. The method of matching according to claim 2, wherein the read parameter is at least one of a type of credentialing, type of studies, time of reading, number to read, time period to read a study, or time period per health information interpretation, a fixed price, a fixed minimum read price, a minimum read price as a function of other read parameters, an equipment rating, a clinical data rating and preferred health information providers.

40. The method of matching according to claim 2, wherein the read parameter is provided in a template, wherein the template is applied to a plurality of health information.

41. The method of matching according to claim 39, wherein the credentialing is at least one of a license issued by a State government in one of the 50 States of the United States or one of its Commonwealth, a license issued by a foreign government, an approval by an organizational credentialing body, and a post-graduate training background.

42. The method of matching according to claim 2, wherein the providing of the health information to the interpreter is performed upon the matching of a read parameter and a send parameter.

43. The method of matching according to claim 2, further comprising displaying health information and a parameter, wherein the displayed parameter comprises at least one of a modality, body part, study description, time urgency, total number of images, bonus points, equipment rating, clinical data rating, and an indicia.

44. The method of matching according to claim 2, further comprising displaying health information and an associated parameter, wherein the health information is displayed as a time function, wherein the time function is dependent on time variables comprising one of at least the time the health information was sent by the health information provider, the time the health information was received by the health information exchange system, the time by which an interpretation must be provided.

45. The method of matching according to claim 44, further comprising altering a displayed indicia according to the time function.

46. The method of matching according to claim 44, wherein the time function is pre-determined by the health information provider.

47. The method of matching according to claim 44, wherein the time function is pre-determined by a health information matching system.

48. The method of matching according to claim 44, wherein the time function is variable and depends from a system variable.

49. The method of matching according to claim 48, wherein the system variable is at least one of the time function itself, the number of interpreters currently logged in to the health information matching system, the number of health information awaiting interpretation in the health information matching system, the average amount of time the plurality of health information has been in the health care information matching system, and the number of health care information not provided to any interpreters currently in the health care information matching system.

50. The method of matching according to claim 2, wherein the type of studies would be the modality and the body part.

51. The method of matching according to claim 2, further comprising:

notifying at least one of a second plurality of interpreters when a trigger event occurs, wherein the second interpreter is in a subgroup of on-call interpreters.

52. The method of matching according to claim 51, further comprising:

adjusting the rating of the plurality of on-call interpreters on dependability of completing readings.

53. The method of matching according to claim 51, wherein a trigger event is at least one of the events comprising a critical time window associated with a health information that still requires interpretation, a minimum number of interpreters in a health information matching system, a minimum number of specialist interpreters in a health information matching system, and a special event trigger.

54. The method of matching according to claim 52, wherein the adjustment of the rating of the on-call interpreter is a function of at least one of the response time of the on-call interpreter, the total available time that the on-call interpreter spends on the system, and the total number of interpretations the on-call interpreter provides.

55. The method of matching according to claim 52, further comprising:

removing the on-call interpreter from a list of on-call interpreters when the rating reaches a trigger event.

56. The method of matching according to claim 2, further comprising:

providing a bonus as a function of at least one of the time of day availability to be on-call, number of health information read while on-call, number of on-call days taken.

57. The method of matching according to claim 2, further comprising:

providing compensation to the plurality of interpreters as a function of at least a rating and a bonus.

58. The method of matching according to claim 51, further comprising notifying at least one of a third plurality of interpreters when a trigger event occurs, wherein the third interpreter comprises a subgroup of core group interpreters.

59. The method of matching according to claim 58, wherein the trigger event is at least one of the events comprising a critical time window associated with a health information that still requires interpretation, a request made by an on-call interpreter, a request made by a health information provider, a request made by one of the interpreters in a health information matching system, a minimum number of interpreters in a health care information matching system, a minimum number of specialist interpreters in a health care information matching system, a minimum number of on-call interpreters available to be notified, and a special event trigger.

60. The method of matching according to claim 21, further comprising:

providing the health information to the interpreter in a worklist.

61. The method of matching according to claim 60, further comprising:

releasing a lock on the health information in the worklist after a trigger event.

62. The method of matching according to claim 61, wherein the trigger event is the lapse of a pre-determined period of time, wherein the pre-determined period of time is one of the plurality of send parameters.

63. The method of matching according to claim 61, wherein the trigger event is receiving an interpretation of the health information.

64. The method of matching according to claim 61, further comprising adjusting a rating upon the occurrence of the trigger event.

65. The method of matching according to claim 2, wherein providing the health information in a generated worklist, wherein the worklist comprises health information, from the health information matching system, that is matched to the interpreter.

66. The method of matching according to claim 65, wherein the worklist is populated with health information as a function of the matching of the send and read parameters.

67. The method of matching according to claim 65, wherein the interpreters may select a health information from the worklist.

68. The method of matching according to claim 2, further comprising:

receiving a fixed portion of a difference between a matched send parameter fee and a read parameter fee.

69. The method of matching according to claim 2, further comprising:

receiving a fixed transaction fee.

70. The method of matching according to claim 2, further comprising:

receiving an additional fee as a function of at least one of a fixed amount of time to provide an interpretation after a health information is received by the health information exchange system, a pre-determined time of day by which an interpretation must be provided, a frame during which an interpretation must be provided, an early expiration time, a requirement for an interpretation by a specialist interpreter, a requirement for an interpretation based on the quality rating of the interpreter, and to fulfill a send parameter.

71. The method of matching according to claim 2, further comprising:

receiving a fixed fee as a function of a time frame for a health information to be interpreted.

72. The method of matching according to claim 2, further comprising:

receiving a fixed percentage of the difference between a matched send parameter fee and a read parameter fee.

73. The method of matching according to claim 2, further comprising:

receiving a fixed fee as a function of a reimbursement.

74. The method of matching according to claim 2, further comprising:

receiving a fixed fee as a function of send parameter options.

75. The method of matching according to claim 2, further comprising:

receiving a fee pre-determined as a function of market forces

76. The method of matching according to claim 2, further comprising:

refunding part of a fee to a health information provider, wherein the fee is a function of the difference between a maximum and minimum price.

77. The method of matching according to claim 2, further comprising having a health information provider transmit a fee to an interpreter, wherein the fee is related to the health information.

78. The method of matching according to claim 2, further comprising:

facilitating a transfer of funds from a health information provider to an interpreter.

79. The method of matching according to claim 2, further comprising:

receiving a fee from a payment from a health information provider, and distributing a portion of the fee to an interpreter, wherein the fee is related to the health information.

80. The method of matching health information to an interpreter, comprising:

receiving health information from the health information provider;

storing the health information in storage in a first network;

receiving a registration from an interpreter;

providing the health information to the registered interpreter; and

receiving an interpretation from the interpreter.

81. The method according to claim 80, further comprising receiving a registration from a health information provider.

82. The method according to claim 80, wherein the interpreter is accessing a terminal that is accessible through a second network.

83. The method according to claim 80, wherein the storage is in a health information matching system.

84. The method according to claim 80, wherein the storage is in a third network.

85. The method according to claim 80, further comprising encrypting the health information.

86. The method according to claim 80, further comprising notifying an on-call interpreter if a trigger event occurs.

87. The method according to claim 80, further comprising notifying a core interpreter if a trigger event occurs.

88. A method of providing medical information, comprising:

receiving a plurality of health information from a health information provider;

providing the plurality of health information to a plurality of interpreters;

receiving interpretations from a plurality of interpreters;

storing the interpretations in a storage area; and

associating the interpretations with a classification parameter.

89. The method according to claim 88, wherein the classification parameter is at least one of a modality, a body part, a disease, a sign, a symptom, a diagnosis, an interpreter, a journal article.

90. The method according to claim 88, further comprising:

associating a first health information with a second health information based on a classification parameter.

91. The method according to claim 88, further comprising:

associating a first health information with a journal article based on a classification parameter.

92. The method according to claim 88, further comprising, assigning a teaching rating to the health information.

93. A method for matching health information to interpreters, comprising:

arranging a plurality of health information in a health information matching system;

filtering by send parameters;

filtering by the interpreter information of interpreters in a health information matching system;

placing a plurality of health information into an interpreter worklist.

94. A method of matching according to claim 93, wherein the health information is sent to an interpreter in the order of the level of urgency.

95. A method of matching according to claim 93, wherein the level of urgency is a function of at least one of the time the health information was placed in a health information matching system, an urgency level indicated by a health information provider, and the amount of time before the health information expires.

96. A method of matching according to claim 93, wherein the send parameters comprise at least one of the licenses required to read the health information, the modality, the body part of the health information, the location of the interpreter, the license of the interpreter, subspecialty of the interpreter, and a requisite qualification of an interpreter.

97. A method of matching according to claim 93, wherein the number of medical information placed into an interpreter worklist is based on a function of at least one of the variables comprising the number of health information in the health information matching system, the number of interpreters in the system, the number of on-call interpreters available, and the number of health information in interpreter worklists.

98. A method of matching according to claim 93, wherein the number of medical information placed into an interpreter worklist is fixed.

99. A method of providing quality assurance, comprising:

receiving a first health information from a health information provider;

providing the first health information to a first interpreter;

receiving a first interpretations associated with the first health information from the first interpreter; and

providing the first health information to a second interpreter.

100. The method according to claim 99, further comprising:

wherein the second interpreter is a specialist interpreter.

101. The method according to claim 99, receiving a second interpretation associated with the first health information from the second interpreter.

102. The method according to claim 101, further comprising:

comparing the first interpretation with the second interpretation.

103. The method according to claim 99, further comprising:

providing the first interpretation to the second interpreter.

104. The method according to claim 103, receiving a rating of the first interpretation from the second interpreter.

105. The method according to claim 102, further comprising:

providing the first health information to a third interpreter based on the comparison of the first interpretation and the second interpretation.

106. The method according to claim 99, further comprising:

associating a rating to the interpretation as a function of the first interpretation.

107. The method according to claim 106, wherein the rating is given by at least one of the health information provider, a health information exchange system, and the second interpreter.

108. The method according to claim 99, wherein the first plurality of interpretations is a preliminary interpretation, and wherein the preliminary interpretation indicates an emergency action must be taken.

109. A method for providing medical interpretations, comprising:

receiving a first health information;

providing the first health information to a plurality of interpreters, wherein the interpreters are filtered as a function of at least one of the type of health information, subtypes of health information within a given type, interpreter qualifications and interpretation conditions; and

receiving interpretations associated with the first health information from the plurality of interpreters.

110. The method according to claim 109, wherein the interpreter qualification comprise one of at least the interpreter'"'"'s years of training, the interpreter specialty, the quantity of interpretations the interpreter has reviewed on a health information matching system, and a rating of the interpreter.

111. The method according to claim 109, wherein the interpretation condition is a pre-determined amount of time to interpret the health information.

112. A health information matching system, comprising:

a storage device, wherein a plurality of health information, a plurality of read and send parameters, and a plurality of interpreter profiles are stored;

a processor that matches a plurality of images to a plurality of interpreters to a plurality of health information as a function of read and send parameters;

a server that hosts a plurality of interpreters on the system, and

a remote connection of a first interpreter which connects a terminal of the first interpreter to the host server.

113. The system according to claim 112, further comprising a second remote connection which connects a terminal of a second interpreter to the host server.

114. The system according to claim 112, further comprising a health information provider server, wherein the server can remotely connect and send health information to the host server.

115. The system according to claim 112, further comprising an intermediary server that can receive health information and remove patient identification information from the health information.

116. The system according to claim 115, wherein the removed patient identification information and the health information are associated with a unique identifier.

117. A system for facilitating the matching of medical images to doctors, comprising:

an image server storing images;

a matching server configured to match an image to an interpreter based on a send and read parameter;

a host server connecting to a health information provider and a remote interpreter terminal; and

a data server removing patient identification information from the images and associating a unique identification with the removed data with the image data.

118. A computer readable medium containing instructions that when executed result in a performance of a method comprising:

receiving at least a health information from a health information provider;

matching the first health information to an interpreter as a function of a parameter;

providing a first health information to the interpreter; and

receiving an interpretation corresponding to the health information from the interpreter.