Method and System for Generating Personal/Individual Health Records

• US 20090177492A1
• Filed: 10/30/2007
• Published: 07/09/2009
• Est. Priority Date: 10/11/2000
• Status: Active Grant

• Current Assignee: Healthtrio LLC (Spok Holdings, Inc.)
• Original Assignee: Malik M. Hasan
• Inventors: Wallen, J. Dominic, Peterson, John C., Hasan, Malik M.
• Granted Patent: US 7,707,047 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A system and method for generating and/or updating a personal/individual health record. Inputs of data to the system may come from diverse sources including, but not limited to, patient questionnaires, insurance company (or other payor) claims data, hospitals, clinics and other institutional providers, and individual physicians and physicians'"'"' offices.

Claims

1. (canceled)

15. The PHR system of claim 1, where the health care provider includes a hospital, a laboratory, or a pharmacy benefits manager.

2. A personal/individual/electronic health record (“

PHR”

) system comprising;

a messaging facility configured to establish a secure connection with a computer system of a health care provider, wherein the messaging facility is adapted to query the computer system for electronic health care data of a plurality of patients using master patient identifications that are unique to each respective patient across multiple health care providers;

a PHR population engine configured to assemble a plurality of personal/individual/electronic health records for the plurality of patients based, at least in part, on the electronic health care data received from the messaging facility;

a web-based portal configured to provide a patient with access to his personal/individual/electronic health record over the Internet; and

a data analysis module configured to analyze patterns in the plurality of personal/individual/electronic health records across multiple patients.

3. The PHR system of claim 2, wherein the data analysis module is configured to profile quality of care for a plurality of health care providers by analyzing patient outcomes associated with the health care providers in the plurality of personal/individual/electronic health records across multiple patients.

4. The PHR system of claim 3, wherein the data analysis module is configured to rank quality of care for the health care providers based on the analysis of the plurality of personal/individual/electronic health records.

5. The PHR system of claim 2, wherein the data analysis module is configured to profile cost of care of a plurality of health care providers by analyzing the cost charged by the health care providers for a plurality of medical procedures in the plurality of personal/individual/electronic health records across multiple patients.

6. The PHR system of claim 5, wherein the data analysis module is configured to rank cost of care of the health care providers for the plurality of medical procedures based on the analysis of the plurality of personal/individual/electronic health records.

7. The PHR system of claim 2, wherein the data analysis module is configured to establish a list of preferred health care providers based on objective measures for quality and cost of care determined by an analysis of the plurality of personal/individual/electronic health records across multiple patients.

8. The PHR system of claim 2, wherein the data analysis module is configured to perform population studies by analyzing the plurality of personal/individual/electronic health records across multiple patients.

9. The PHR system of claim 8, wherein the population studies include an analysis of one or more of progress of condition, impact of co-morbidities on an underlying condition, effectiveness of procedures on a condition, and effectiveness of medications on a condition.

10. The PHR system of claim 8, wherein the data analysis module is configured to determine an outcomes measurement based on the population studies of the plurality of personal/individual/electronic health records.

11. The PHR system of claim 10, wherein the data analysis module is configured to analyze the plurality of personal/individual/electronic health records to identify an effectiveness of a medication for a condition.

12. The PHR system of claim 10, wherein the data analysis module is configured to analyze the plurality of personal/individual/electronic health records to identify an effectiveness of a surgery for a condition.

13. The PHR system of claim 12, wherein the data analysis module is configured to analyze the plurality of personal/individual/electronic health records to measure complications of types of surgeries.

14. The PHR system of claim 10, wherein the data analysis module is configured to analyze the plurality of personal/individual/electronic health records to determine the effectiveness of one or more wellness programs.

16. A personal/individual/electronic health record (“

PHR”

) system comprising;

a messaging facility configured to establish a secure connection with computer systems of multiple health care providers of a patient, wherein the messaging facility is adapted to query the computer systems for electronic health care data of the patient using a master patient identification that is unique to the patient across the multiple health care providers;

a PHR population engine configured access a computer system with payor claims data of a payor and assemble a personal/individual/electronic health record of the patient based on both the electronic health care data received from the messaging facility and at least one diagnostic code extracted from the payor claims data; and

a web-based portal configured to provide a patient with access to his personal/individual/electronic health record over the Internet.

17. The PHR system of claim 16, wherein the PHR population engine assembles the personal/individual/electronic health record of the patient based on both the electronic health care data received from the messaging facility and at least one diagnostic code and at least one procedure code extracted from the payor claims data.

18. The PHR system of claim 17, wherein the diagnostic code is an International Classification of Diseases (“

ICD”

) code.

19. The PHR system of claim 17, wherein the procedure code is a Current Procedural Terminology (“

CPT”

) code.

20. The PHR system of claim 17, wherein the PHR population engine is configured to use the diagnostic code and the procedure code extracted from the payor claims data to structure the personal/individual/electronic health record for population of the electronic health care data received from the messaging facility.

21. The PHR system of claim 16, wherein the web-based portal is configured to receive supplemental information from the patient for storage in the personal/individual/electronic health record.

22. The PHR system of claim 21, wherein the web-based portal is configured to receive information from the patent concerning one or more of over-the-counter medications, allergies, and immunizations of the patient.

23. The PHR system of claim 16, wherein the web-based portal is configured to allow the patient to view one or more of a diagnosis and laboratory results of the patient.

24. A personal/individual/electronic health record (“

PHR”

) system comprising;

a records entry module configured to add entries to a personal/individual/electronic health record of a patient based on health care data of the patient received from multiple sources including;

(a) a messaging facility configured to establish a secure connection with a computer system of a health care provider of the patient and transfer electronic health care data of the patient over a communication network to the PHR system;

(b) a PHR population engine configured to access a computer system with payor claims data of a payor, wherein the PHR population engine is configured to assemble the personal/individual/electronic health record of the patient based on the electronic health care data transferred by the messaging facility and at least one diagnostic code extracted from the payor claims data;

(c) a web-based health care provider portal configured to provide a health care provider with access to review and make direct entries into the personal/individual/electronic health record of the patient over a communications network;

a web-based patient portal configured to provide the patient with access to the personal/individual/electronic health record of the patient over the Internet, wherein the health care provider'"'"'s access to the personal/individual/electronic health care record of the patient is granted by the patient via the web-based patient portal.

25. The PHR system of claim 24, wherein the web-based patient portal is configured to present a graphical user interface to the patient that allows selection of one or more security settings associated with the personal/individual/electronic health record.

26. The PHR system of claim 25, wherein the security settings are configured to restrict access of the health care provider to the personal/individual/electronic health care record of the patient based on selections of the patient on the web-based patient portal.

27. The PHR system of claim 24, wherein the web-based health care provider portal is configured to present the health care provider with a graphical user interface to order tests for the patient over the communications network.

28. The PHR system of claim 24, wherein the web-based health care provider portal is configured to present the health care provider with a graphical user interface to order treatment for the patient over the communications network.

29. The PHR system of claim 24, wherein the PHR population engine is configured to organize the personal/individual/electronic health record of the patient based on universal health care concept codes.

30. A personal/individual/electronic health record (“

PHR”

) system comprising;

a records entry module configured to add entries to a personal/individual/electronic health record of a patient based on health care data of the patient received from multiple sources including;

(a) a messaging facility configured to establish a secure connection with a computer system of a health care provider of the patient and transfer electronic health care data of the patient over a communication network to insert entries into the personal/individual/electronic health record of the patient;

(b) a health care provider portal configured to provide a health care provider with access to review and make direct entries into the personal/individual/electronic health record of the patient over a communications network;

a web-based patient portal configured to provide the patient with access to the personal/individual/electronic health record of the patient over the Internet, wherein the health care provider'"'"'s access to the personal/individual/electronic health care record of the patient is granted by the patient via the web-based patient portal.

31. The PHR system of claim 30, wherein the web-based patient portal is configured to present a graphical user interface to the patient that allows selection of one or more security settings associated with the personal/individual/electronic health record.

32. The PHR system of claim 31, wherein the security settings are configured to restrict access of the health care provider to the personal/individual/electronic health care record of the patient based on selections of the patient on the web-based patient portal.

33. The PHR system of claim 30, wherein the web-based health care provider portal is configured to present the health care provider with a graphical user interface to order tests for the patient over the communications network.

34. The PHR system of claim 30, wherein the web-based health care provider portal is configured to present the health care provider with a graphical user interface to order treatment for the patient over the communications network.

35. The PHR system of claim 30, wherein the PHR population engine is configured to organize the personal/individual/electronic health record of the patient based on universal health care concept codes.