Medication Therapy Review Methods

• US 20090265189A1
• Filed: 12/05/2008
• Published: 10/22/2009
• Est. Priority Date: 12/05/2007
• Status: Abandoned Application

• Current Assignee: PharmMD Solutions, LLC
• Original Assignee: PharmMD Solutions, LLC
• Inventors: Tice, Bradley P., Bartholomew, Samuel W. III, Hogue, Michael D., McDaniel, Scott A.
• Application Number:
  US12/328,996
• Publication Number:
  US 20090265189A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients

Abstract

A method for population and patient-specific medication therapy review using a computer particularly adapted for a medication therapy management or health care delivery organization is provided, wherein the method includes at least the steps of: collecting patient claims data; reviewing the patient claims data for accuracy and data integrity; identifying particular characteristics sought within the patient claims data; organizing and structuring the patient claims data; establishing a set of clinical rules; transforming the set of clinical rules established into a computer language, and entering the transformed clinical rules into an electronic database; and analyzing the patient claims data by applying the clinical rules using a computer particularly adapted for a medication therapy management or health care delivery organization, thereby producing an analytical result. In further embodiments, the analytic results are used to evaluate the need for patient-level medication therapy review and, optionally, to actually conduct a patient-level medication therapy review based on the review of the analytic results.

Claims

1. A method for population and patient-specific medication therapy review using a computer particularly adapted for a medication therapy management or health care delivery organization, wherein the method comprises the following steps:

a) collecting patient claims data;

b) reviewing the patient claims data for accuracy and data integrity;

c) identifying characteristics sought within said patient claims data;

d) organizing and structuring the patient claims data;

e) establishing a set of clinical rules;

f) transforming the set of clinical rules established into a computer language, and entering the transformed clinical rules into an electronic database; and

g) analyzing the patient claims data by applying the clinical rules using a computer particularly adapted for a medication therapy management or health care delivery organization, thereby producing an analytical result.

2. The method of claim 1, further comprising:

transforming predetermined formulary data into a computer language; and

entering the transformed data into an electronic database.

3. The method claim 1, further comprising:

collecting other patient data and combining it with the claims patient data of step a), thereby creating population-level data.

4. The method of claim 3, further comprising:

reviewing the population-level data for accuracy and data integrity;

identifying characteristics sought within said population-level data;

organizing and structuring the population-level data;

establishing a set of clinical rules;

transforming the set of clinical rules established into a computer language, and entering the transformed clinical rules into an electronic database;

analyzing the population-level data by applying the clinical rules using a computer particularly adapted for a medication therapy management or health care delivery organization, thereby producing an analytical result.

5. The method of claim 1, further comprising:

reviewing the analytic result of the patient claims data analysis to evaluate the need for patient-level medication therapy review.

6. The method of claim 5, further comprising:

optionally conducting a patient-level medication therapy review based on the review of said analytic results.

7. The method of claim 4, further comprising:

reviewing the analytic result of the population-level data analysis to evaluate the need for patient-level medication therapy review.

8. The method of claim 7, further comprising:

optionally conducting a patient-level medication therapy review based on the review of said analytic results.