SYSTEM-DETERMINED INDICATION FOR FACILITATING THE CONVERSION OF MEDICATION CLAIMS TO ACTIVE MEDICATIONS

• US 20080294463A1
• Filed: 01/25/2008
• Published: 11/27/2008
• Est. Priority Date: 01/26/2007
• Status: Abandoned Application

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: MOORE, MATTHEW J., EDWARDS, MALLIKA
• Application Number:
  US12/020,365
• Publication Number:
  US 20080294463A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients

Abstract

Systems and methods are provided for facilitating the conversion of medication claims to active medications by identifying medication claims that correspond with medications that a patient may be currently taking. In one method, medication claims data corresponding with a number of medication claims is accessed. A determination is made for each medication claim whether the medication claim corresponds with a medication that the patient is currently taking. The medication claims are presented with an indication provided for each medication claim determined to correspond with a current medication for the patient. A clinician may then review the medication claims and easily identify and select medication claims for conversion to active medications.

Claims

1. A method in a clinical computing environment for facilitating the conversion of medication claims to active medications by determining medication claims that correspond with medications a patient is currently taking, the method comprising:

accessing medication claims data corresponding with one or more medication claims;

determining, for each medication claim, whether the medication claim corresponds with a medication that the patient is currently taking; and

presenting the one or more medication claims, wherein an indication is provided for each medication claim determined to correspond with a medication that the patient is currently taking.

2. The method of claim 1, further comprising:

receiving a selection of one of the one or more medication claims; and

based on the selection, converting the selected medication claim to an active medication.

3. The method of claim 1, wherein accessing medication claims data comprises accessing a database storing the medication claims data.

4. The method of claim 1, wherein accessing medication claims data comprises accessing medication claims data from one or more payers.

5. The method of claim 4, wherein accessing medication claims data further comprises converting the medication claims data to a standard format.

6. The method of claim 5, wherein converting the medication claims data to a standard format comprises:

determining a source of the medication claims data;

selecting a data mapping based on the source; and

mapping at least one data element of the medication claims data to the standard format.

7. The method of claim 1, wherein determining, for each medication claim, whether the medication claim corresponds with a medication that the patient is currently taking comprises determining whether the medication claim corresponds with a medication for a chronic condition.

8. The method of claim 1, wherein determining, for each medication claim, whether the medication claim corresponds with a medication that the patient is currently taking comprises:

accessing medication claims data for the medication claim;

determining a time period that the patient is taking the medication based on the medication claims data for the medication claim; and

determining whether the time period has expired.

9. The method of claim 8, wherein the medication claims data for the medication claim comprises at least one of a date of service for the medication claim, a date of prescription, a quantity dispensed, a dosage prescribed, and a frequency prescribed.

10. The method of claim 1, wherein presenting the one or more medication claims comprises presenting a user interface providing for the selection of at least one of the one or more medication claims for conversion to an active medication.

11. The method of claim 1, further comprising, for at least one of the one or more medication claims, determining whether there is an interaction with other medication claims and current medications, and if an interaction is determined, presenting an indication of the interaction.

12. The method of claim 2, wherein converting the selected medication claim to an active medication comprises:

populating a script pad with medication data associated with the selected medication claim;

presenting the script pad; and

receiving an electronic signature.

13. One or more computer-readable media having computer-useable instructions embodied thereon for performing the method of claim 1.

14. A computer programmed to perform the method of claim 1.

15. A system in a clinical computing environment for facilitating the conversion of medication claims to active medications by determining medication claims that correspond with medications a patient is currently taking, the system comprising:

an accessing component for accessing medication claims data corresponding with one or more medication claims;

a determining component for determining, for each medication claim, whether the medication claim corresponds with a medication that the patient is currently taking; and

a presentation component for presenting the one or more medication claims, wherein an indication is provided for each medication claim determined to correspond with a medication that the patient is currently taking.

16. The system of claim 15, wherein the determining component determines whether each medication claim corresponds with a medication that the patient is currently taking by determining whether the medication claim corresponds with a medication for a chronic condition.

17. The system of claim 15, wherein the determining component determines whether each medication claim corresponds with a medication that the patient is currently taking by accessing medication claims data for the medication claim, determining a time period that the patient is taking the medication based on the medication claims data for the medication claim, and determining whether the time period has expired.

18. The system of claim 15, wherein the medication claims data for the medication claim comprises at least one of a date of service for the medication claim, a date of prescription, a quantity dispensed, a dosage prescribed, and a frequency prescribed.

19. One or more computer-readable media having computer-useable instructions embodied thereon that provide for the presentation of one or more user interfaces for facilitating the conversion of a medication claim to an active medication by indicating medication claims corresponding with medications a patient is currently taking, the one or more user interfaces comprising:

a medication claims area that comprises a list of one or more medication claims and that provides for a user selection of medication claims for conversion to active medications, wherein an indication is provided for each of the one or more medication claims determined to correspond with a medication that the patient is currently taking; and

a current medications area that comprises a list of one or more current medications, the list of one or more current medications comprising active medications converted from medication claims.

20. The one or more computer-readable media of claim 19, wherein the medication claims area further comprises at least one interaction indication representing that an interaction has been determined between a medication claim and at least one of another medication claim and a current medication.