GRAPHICALLY REPRESENTING PHYSIOLOGY COMPONENTS OF AN ACUTE PHYSIOLOGICAL SCORE (APS)

• US 20110077968A1
• Filed: 09/29/2009
• Published: 03/31/2011
• Est. Priority Date: 09/29/2009
• Status: Abandoned Application

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: STARK, MAUREEN, HENSON, KATHY, MANGANARO, LISA, KELLY, LISA
• Application Number:
  US12/569,575
• Publication Number:
  US 20110077968A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

Systems and methods for rendering a graphical object that visually represents those physiological components that account for a patient'"'"'s acute physiology are provided. The method includes performing an acute physiology score (APS) calculation using diagnostic parameters to realize points associated therewith. The diagnostic parameters individually provide a measure of the patient'"'"'s complete acute physiology. These points are combined to generate body-system scores that are values associated with each of the physiological components, respectively. Typically, the physiological components are predefined in number and each correspond with a respective body system. The method further includes the step of generating a graphical object that visually represents the body-system scores in an intuitive format, such as a pie graph. The graphical object is then rendered on a display device, and is presented in a bed gadget associated with a particular patient staying in the ICU.

Claims

1. One or more computer-readable media accommodated by a computing device having computer-useable instructions embodied thereon that, when executed, perform a method for rendering a graphical object that visually presents those physiological components that account for a patient'"'"'s acute physiology, wherein the method comprises:

performing an acute physiology score (APS) calculation by inputting one or more diagnostic parameters to realize points associated with each of the one or more diagnostic parameters, wherein the one or more diagnostic parameters individually provide a measure of the patient'"'"'s acute physiology;

combining the points to generate at least one body-system score, wherein the at least one body-system score represents a value associated with each of the physiological components;

generating the graphical object that graphically represents the at least one body-system score, generated for each of the physiological components, in an intuitive format; and

rendering the graphical object, in association with an indicia of the patient, on a display device.

2. The computer-readable media of claim 1, wherein the method further comprises extracting relevant content from an electronic medical record (EMR) of the patient, wherein the relevant content includes the one or more diagnostic parameters that indicate recorded physical attributes of the patient.

3. The computer-readable media of claim 1, wherein the method further comprises:

utilizing medical devices to dynamically monitor the patient during an intensive care unit (ICU) stay; and

receiving data from the medical devices, wherein the data includes the one or more diagnostic parameters that describe a current status of the patient.

4. The computer-readable media of claim 1, wherein the method further comprises performing an admission assessment on the patient, wherein information gathered during the admission assessment includes the one or more diagnostic parameters that characterize a condition of the patient upon admittance to a hospital.

5. The computer-readable media of claim 1, wherein the physiological components are predefined in number and each correspond with a respective body system.

6. The computer-readable media of claim 5, wherein the method further comprises:

categorizing a selection of the one or more diagnostic parameters that measure a health of a particular body system into a group; and

associating the group of the one or more diagnostic parameters with one of the physiological components that corresponds with the particular body system.

7. The computer-readable media of claim 6, wherein combining the points to generate at least one body-system score comprises:

aggregating the points realized for each of the one or more diagnostic parameters that are members of the group associated with a particular physiological component; and

designating the aggregated points as the at least one body-system score associated with the particular physiological component.

8. The computer-readable media of claim 1, wherein performing an APS calculation comprises:

accessing a reference point associated with each of the one or more diagnostic parameters, wherein the reference point represents a benchmark measurement of an ICU patient;

iteratively ascertaining a deviation between each of the one or more diagnostic parameters and the associated reference point; and

awarding points to each of the one or more diagnostic parameters based on the deviation, wherein the greater the deviation, the higher the number of points awarded.

9. The computer-readable media of claim 8, wherein the reference point associated with each of the one or more diagnostic parameters and the points associated with each deviation are derived from a dynamically updated core dataset, wherein the core dataset computerizes experiences of a multitude of patients visiting an intensive care unit (ICU) by acquiring and analyzing treatment outcomes.

10. The computer-readable media of claim 1, wherein the method further comprises:

calculating an APS by adding the at least one body-system score associated with each of the physiological components together, wherein the APS provides an indication of an overall disease severity of the patient; and

rendering the APS in proximity with the graphical object on the display device.

11. The computer-readable media of claim 10, wherein the APS and the graphical object are rendered as content within a bed gadget, and wherein the bed gadget is assigned to a specific bed in either an ICU or a hospital.

12. The computer-readable media of claim 11, wherein the method further comprises:

calculating a predicted risk of death of the patient in the ICU and in the hospital based, in part, on the APS;

rendering a first graphical object that represents the predicted risk of death of the patient in the ICU as a percentage;

rendering a second graphical object that represents the predicted risk of death of the patient in the hospital as a percentage; and

presenting the first graphical object and the second graphical object within a display area of the bed gadget.

13. The computer-readable media of claim 12, wherein the method further comprises:

calculating a predicted length of stay of the patient in the ICU and in the hospital based, in part, on the APS;

rendering a third graphical object that represents the predicted length of stay of the patient in the ICU as a timeframe;

rendering a fourth graphical object that represents the predicted length of stay of the patient in the hospital as a timeframe; and

presenting the third graphical object and the fourth graphical object within the display area of the bed gadget.

14. The computer-readable media of claim 13, wherein the method further comprises visually coupling the predicted risk of death of the patient in the ICU and the predicted length of stay of the patient in the ICU by orientating the first graphical object and the third graphical object as a single block in a leftward portion of the display area.

15. The computer-readable media of claim 13, wherein the method further comprises visually coupling the predicted risk of death of the patient in the hospital and the predicted length of stay of the patient in the hospital by orientating the second graphical object and the fourth graphical object as a single block in a rightward portion of the display area.

16. A computer system for automatically tracking an inventory of beds residing in an intensive care unit (ICU) by calculating an acute physiological score (APS) for each adult patient that occupies one of the beds, the computer system comprising a processor coupled to a computer-readable medium, the computer-readable medium having stored thereon a plurality of computer software components executable by the processor, the computer software components comprising:

a receiving component to measure one or more diagnostic parameters of each patient that occupies one of the beds in the ICU, wherein the one or more diagnostic parameters indicate a health of a particular body system;

an APS computing component to perform an analytical process for calculating a body-system score associated with physiological components of the APS, wherein the analytical process comprises;

(a) realizing points associated with each of the one or more diagnostic parameters upon performing an APS calculation thereon;

(b) aggregating the points realized for each of the one or more diagnostic parameters that are members of a group, wherein the group is formed of the one or more diagnostic parameters that correspond with the particular body system; and

(c) designating the aggregated points as the body-system score associated with the one of the physiological components;

the APS computing component further configured to calculate the APS by adding the body-system score associated with each of the physiological components together, wherein the APS provides an indication of an overall disease severity of the patient;

a rendering component to render a bed gadget, wherein the bed gadget publishes the APS in proximity with a graphical representation of the body-system score associated with each of the physiological components.

17. The computer system of claim 16, wherein the rendering component is further configured to render the graphical object as a pie graph, wherein the pie graph is proportionally divided based on the body-system score associated with each of the physiological components.

18. The computer system of claim 17, wherein the rendering component is further configured to present a bed-board display that posts bed gadgets associated with each the beds in the ICU, respectively, and a key.

19. The computer system of claim 18, wherein each of the physiological components is assigned a consistent, non-repeating color, and wherein the key articulates which non-repeating color is assigned to each of the body systems associated with the physiologic components.

20. One or more computer-readable media having computer-executable instructions embodied thereon to present on one or more display devices a graphical user interface (GUI), the GUI being configured to present a plurality of bed gadgets that are each associated with one bed in an intensive care unit (ICU), the user interface comprising:

a bed-board display area that is populated with the plurality of bed gadgets representing each of the beds in the ICU,

wherein each of the plurality of bed gadgets publishes a pie graph that is proportionally divided according to values attached to physiological components,

wherein the physiological components are predefined in number, assigned a consistent, non-repeating color, and each correspond with a respective body system,

wherein the values attached to the physiological components are derived from comparatively evaluating a grouping of diagnostic parameters using an APS calculation,

wherein the diagnostic parameters individually provide a measure of the patient'"'"'s acute physiology,

wherein the grouping is based on the respective body system being measured by the diagnostic parameters in the group; and

a key that articulates which consistent, non-repeating color is assigned to each of the body systems associated with the physiological components.