System and method for determining whether to issue an alert to consider prophylaxis for a risk condition

• US 20090089079A1
• Filed: 11/09/2005
• Published: 04/02/2009
• Est. Priority Date: 11/09/2004
• Status: Abandoned Application

• Current Assignee: Brigham and Women's Hospital Incorporated
• Original Assignee: Brigham and Women's Hospital Incorporated
• Inventors: Goldhaber, Samuel S., Paterno, Marilyn, Kucher, Nils
• Application Number:
  US11/667,394
• Publication Number:
  US 20090089079A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 40/60 for the operation of medical equipment or devices
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

Disclosed herein is a system and method for determining whether to issue an alert to consider prophylaxis (e.g., mechanical and/or pharmacological) with respect to a risk condition (e.g., risk of VTE, DVT and/or PE). One or more sources of patient information are queried to retrieve patient information for a set of patients. From this retrieved patient information, it is determined whether any risk factors of a set of risk factors are satisfied for each such patient. For each patient for which one or more risk factors are satisfied, a respective value and/or classification is assigned to each risk factor. The values and/or classifications are combined to produce a combined value, and it is determined from the combined value whether the patient has the risk condition. If the patient has the risk condition, an alert is issued (e.g., on a display screen) to a health care provider for consideration of prophylaxis.

Claims

1. A method of determining whether to issue an alert for consideration of prophylaxis for at least one patient with respect to a risk condition, the method comprising computer-implemented acts of.

(A) for each risk factor of a set of risk factors, determining whether the risk factor is satisfied for the at least one patient;

(B) for each satisfied risk factor, assigning a respective pre-selected value;

(C) combining the assigned values for the at least one patient to produce a risk score; and

(D) issuing an alert to consider prophylaxis for the at least one patient if the risk score satisfies one or more predefined criteria.

2. The method of claim 1, wherein the act (A) is performed for at least a subset of a patient population.

3. The method of claim 1, further comprising:

(E) determining that the risk score is equal to or greater than a predefined threshold value.

4. The method of claim 1, further comprising an act of:

(E) repeating the acts (A)-(D) at a predetermined frequency.

5. The method of claim 4, wherein the frequency is daily.

6. The method of claim 1, wherein the act (A) comprises accessing one or more patient information data sources.

7. The method of claim 6, wherein the act (A) comprises, for a plurality of patients, determining for each risk factor of a set of risk factors, whether the risk factor is satisfied by one or more of the plurality of patients by accessing information from the one or more patient data sources for each patient.

8. The method of claim 1, wherein the risk condition is Venous Thromboembolism.

9. The method of claim 1, wherein the risk condition is Deep Vein Thrombosis.

10. The method of claim 1, wherein the risk condition is Pulmonary Embolism.

11. The method of claim 1, wherein the set of risk factors comprises two or more of the following:

patient has been diagnosed with cancer;

patient has had a prior occurrence of a Venous Thromboembolism;

patient has been diagnosed with hypercoagulability;

patient has had major surgery;

patient has not had major surgery and is currently on bed rest;

patient is of advanced age;

patient is obese; and

patient is receiving hormone replacement therapy or is currently using oral contraceptives.

12. The method of claim 1, wherein the set of risk factors comprises the following:

patient has been diagnosed with cancer;

patient has had a prior occurrence of a Venous Thromboembolism;

patient has been diagnosed with hypercoagulability;

patient has had major surgery;

patient has not had major surgery and is currently on bed rest;

patient is of advanced age;

patient is obese; and

patient is receiving hormone replacement therapy or is currently using oral contraceptives.

13. The method of claim 12, wherein the set of risk factors consists of the following:

patient has been diagnosed with cancer;

patient has had a prior occurrence of a Venous Thromboembolism;

patient has been diagnosed with hypercoagulability;

patient has had major surgery;

patient has not had major surgery and is currently on bed rest;

patient is of advanced age;

patient is obese; and

patient is receiving hormone replacement therapy or is currently using oral contraceptives.

14. The method of claim 12 or 13, wherein the set of risk factors has the following pre-selected values:

patient has been diagnosed with cancer=3;

patient has had a prior occurrence of a Venous Thromboembolism=3;

patient has been diagnosed with hypercoagulability=3;

patient has had major surgery=2;

patient has not had major surgery and is currently on bed rest=1;

patient is of advanced age=1;

patient is obese=1; and

patient is receiving hormone replacement therapy or uses oral contraceptives=1.

16. The method of claim 1, wherein the set of risk factors are divided into one or more classifications, and wherein the method further comprises:

(E) determining whether one or more predefined combinations of risk factors have been satisfied, based on the classifications of the satisfied risk factors.

17. The method of claim 16, wherein each risk factor is classified as a major risk factor, intermediate risk factor or minor risk factor, and wherein the Act (D) comprises issuing an alert to consider prophylaxis for the at least one patient if:

at least one major risk factor is satisfied and at least one of an intermediate or minor risk factor is satisfied;

or at least two intermediate risk factors are satisfied;

or at least one major intermediate risk factor and at least two minor risk factors are satisfied;

or at least four minor risk factors are satisfied.

18. The method of claim 1, wherein the act (C) comprises adding the assigned values for the at least one patient to produce the risk score.

19. The method of claim 1, wherein the act (D) comprises displaying the alert on a display device.

20. The method of claim 1, wherein the act (D) comprises directing the alert to one or more appropriate health care providers.

15. The method of 14, further comprising:

(E) determining that the risk score is equal to or greater than 4.

21-186. -186. (canceled)