CARE ENGINE
First Claim
1. A method of providing a personal health record to an individual patient, the method comprising:
- aggregating electronic medical care information relating to the patient using an automated health care computer information system programmed to integrate a plurality of disparate medical data sources, the health care computer information system having access to at least one source of data, including claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan;
organizing the aggregated medical care information into a medical data file for the patient and storing the medical data file in a computer readable medium of the health care computer information system;
providing a password-protected, personal Web page for the patient, the Web page including a display of certain elements of the patient'"'"'s healthcare history automatically populated based on the contents of the medical data file, and further including a section for use by the patient to enter additional healthcare information;
receiving the additional healthcare information entered by the patient using the Web page; and
updating the medical data file with the received information.
1 Assignment
0 Petitions
Accused Products
Abstract
The present invention offers a comprehensive solution to care management which aggregates, integrates and stores clinical information from disparate sources. The system finds at-risk individuals before they experience preventable, high-cost medical events and stratifies high risk populations according to clinical criteria, which can include severity of disease states and co-morbidities. The system also compares the actual care an individual is receiving to established standards of clinical excellence and, if necessary, suggests pertinent medical care considerations to improve the care of medically mismanaged individuals. Another feature of the present invention may include a secure, patient-specific Web page which is automatically populated with a patient'"'"'s own clinical information and can be personalized with customized, relevant healthcare information. The system allows users to design, facilitate and monitor clinical care plans and increase communications among physicians, nurses and patients. The system also predicts and analyzes the outcome of disease or case management for populations and individual patients.
74 Citations
33 Claims
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1. A method of providing a personal health record to an individual patient, the method comprising:
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aggregating electronic medical care information relating to the patient using an automated health care computer information system programmed to integrate a plurality of disparate medical data sources, the health care computer information system having access to at least one source of data, including claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan; organizing the aggregated medical care information into a medical data file for the patient and storing the medical data file in a computer readable medium of the health care computer information system; providing a password-protected, personal Web page for the patient, the Web page including a display of certain elements of the patient'"'"'s healthcare history automatically populated based on the contents of the medical data file, and further including a section for use by the patient to enter additional healthcare information; receiving the additional healthcare information entered by the patient using the Web page; and updating the medical data file with the received information. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A health care computer information system for providing a personal health record to an individual patient, the system comprising:
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an aggregation module for automatically collecting electronic medical care information relating to the patient, the module having access to at least one source of data, including claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan; a medical data file stored in a computer readable medium of the health care computer information system and comprising medical care information for the patient collected by the aggregation module; a personal, password-protected Web page for the at least one patient, the Web page comprising; a display of certain elements of the patient'"'"'s healthcare history automatically populated based on the contents of the medical data file; and a section for entry of additional patient healthcare information; and a system portal for presenting the personal Web page for the patient, the system portal capable of receiving the additional healthcare information entered via the Web page in order to update the medical data file for the patient. - View Dependent Claims (12, 13, 14, 15)
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16. A Web-based user interface for electronically presenting a personal health record for an individual patient comprising:
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certain elements of the patient'"'"'s healthcare history automatically populated based on the contents of a medical data file for the patient, the medical data file automatically aggregated via a health care computer information system programmed to integrate a plurality of disparate medical data sources and comprising claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan; a password-protection mechanism for securely accessing the personal health record; and a data entry section for use by the patient to enter additional healthcare information for updating the medical data file stored at a computer readable medium of the health care computer information system. - View Dependent Claims (17, 18, 19)
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20. A method of providing a personalized health risk assessment for an individual patient comprising:
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aggregating electronic medical care information relating to the patient using an automated health care computer information system programmed to integrate a plurality of disparate medical data sources, the health care computer information system having access to at least one source of data, including claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan; organizing the aggregated medical care information into a medical data file for the patient and storing the medical data file in a computer readable medium of the health care computer information system; providing to the patient electronic access to an interactive health risk assessment questionnaire; receiving a response to the questionnaire from the patient, wherein the response to the questionnaire supplements the information in the medical data file to enable an assessment of the patient'"'"'s health status; and providing the assessment of the patient'"'"'s health status based on the received response and the information in the medical data file. - View Dependent Claims (21, 22, 23, 24, 25)
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26. A health care computer information system for a personalized health risk assessment for an individual patient comprising:
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an aggregation module for automatically collecting electronic medical care information relating to the patient, the module having access to at least one source of data, including claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan; a medical data file stored in a computer readable medium of the health care computer information system and comprising medical care information for the patient collected by the aggregation module; a system portal for electronically presenting to the patient a questionnaire comprising a series of health-related questions, and for receiving patient responses to the questionnaire, wherein the responses to the questionnaire supplement the information in the medical data file to enable an assessment of the patient'"'"'s health status; and an engine for processing received responses along with the information in the medical data file to form the health risk assessment for the patient. - View Dependent Claims (27, 28)
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29. A method of providing a personalized health risk assessment for an individual patient comprising:
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aggregating electronic medical care information relating to the patient using an automated health care computer information system programmed to integrate a plurality of disparate medical data sources, the health care computer information system having access to at least one source of data, including claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan; organizing the aggregated medical care information into a medical data file for the patient and storing the medical data file in a computer readable medium of the health care computer information system; providing to the patient electronic access to an interactive health risk assessment questionnaire; receiving a response to the questionnaire from the patient; and pulling additional medical care information from the response into the medical data file for the patient for updating the medical data file, wherein the health care computer information system is further programmed to build an assessment of the patient'"'"'s health status and develop an individualized care plan for the patient based on the assessment. - View Dependent Claims (30)
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31. A method of providing a personalized health risk assessment for an individual patient comprising:
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aggregating electronic medical care information relating to the patient using an automated health care computer information system programmed to integrate a plurality of disparate medical data sources, the health care computer information system having access to at least one source of data, including claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan; organizing the aggregated medical care information into a medical data file for the patient and storing the medical data file in a computer readable medium of the health care computer information system; providing to the patient electronic access to an interactive health risk assessment questionnaire; receiving a response to the questionnaire from the patient; and pulling additional medical care information from the response into the medical data file for the patient for updating the medical data file.
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32. A method of providing personalized health reference information to an individual patient comprising:
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aggregating electronic medical care information relating to the patient using an automated health care computer information system programmed to integrate a plurality of disparate medical data sources, the health care computer information system having access to at least one source of data, including claims data reflecting clinical information obtained from at least one health care provider and submitted in connection with a claim under a health plan; organizing the aggregated medical care information into a medical data file for the patient and storing the medical data file in a computer readable medium of the health care computer information system; and providing a password-protected, personal Web page for the patient, the Web page providing access to relevant health reference information based on the contents of the medical data file. - View Dependent Claims (33)
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Specification