METHOD AND APPARATUS FOR SOLICITING AN EXPERT OPINION FROM A CARE PROVIDER AND MANAGING HEALTH MANAGEMENT PROTOCOLS

• US 20110313258A1
• Filed: 06/15/2011
• Published: 12/22/2011
• Est. Priority Date: 06/16/2010
• Status: Abandoned Application

• Current Assignee: Pingmd, Inc.
• Original Assignee: Dauphin Health, Inc.
• Inventors: Chopra, Gopal Krishan, Chopra, Manju Rattan, Veilleux, Alex
• Application Number:
  US13/161,342
• Publication Number:
  US 20110313258A1
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• 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 computer-implemented method of facilitating communication between a care giver and a care provider. The method includes receiving identifications of one or more of primary complaints and selecting data collection questions based at least in part on the identified primary complaint(s). The questions are presented to the care giver in non-expert language and configured to help identify a medical problem associated with the medical issue, but not to diagnosis the medical problem. After responses to the questions are received from the care giver, an Intelligent Resident Note is constructed and displayed to the care provider. The care provider enters or selects a diagnosis and one or more medical protocols for inclusion in a management protocol. The management protocol may include one or more instructions related to treat the medical problem that are sent to the care giver. The care giver confirms when each instruction has been performed.

Claims

1. A computer-implemented method for use with a care recipient experiencing a medical issue, the method comprising:

receiving an identification of the care recipient from a computing device operated by a care giver;

receiving identifications of one or more of primary complaints from the computing device operated by the care giver;

selecting a plurality of data collection questions based at least in part on the one or more primary complaints, the plurality of data collection questions being organized in a structure that determines at least in part an order in which responses are to be provided to the plurality of data collection questions, the order comprising a previous question to be responded to before a selected one of a plurality of subsequent questions, the selected one of the plurality of subsequent questions being selected at least in part based on a response to the previous question, the plurality of data collection questions and structure being configured to help identify a medical problem associated with the medical issue, but not to diagnosis the medical problem, the plurality of data collection questions being in non-expert language;

sending the plurality of data collection questions to the computing device operated by the care giver for display to the care giver in accordance with the order;

receiving a response to each of the plurality of data collection questions from the computing device operated by the care giver; and

sending one or more instructions to the computing device operated by the care giver related to treating the medical problem.

2. The method of claim 1, wherein the plurality of data collection questions and structure are further configured to help identify the severity of the medical problem, but not to diagnosis the severity of the medical problem.

3. The method of claim 1 for use with a health profile comprising health information related to the care recipient, the method further comprising:

formulating a list of selectable primary complaints based at least in part on the health information related to the care recipient for display to the care giver by the computing device operated by the care giver, wherein receiving the identifications of one or more of primary complaints from the computing device operated by the care giver comprises receiving a selection of the one or more of the selectable primary complaints from the computing device operated by the care giver.

4. The method of claim 1, further comprising before sending the one or more instructions to the computing device operated by the care giver:

formulating a non-expert language description of the medical issue;

sending the non-expert language description of the medical issue to the computing device operated by the care giver; and

receiving an indication that the care giver has accepted the non-expert language description of the medical issue.

5. The method of claim 1, further comprising:

identifying preprepared information associated with at least one of the one or more of primary complaints and the responses to the plurality of data collection questions; and

providing the preprepared information to the computing device operated by the care giver for display thereby.

6. The method of claim 1, wherein the one or more instructions comprise at least one action to be performed by the care giver, and the method further comprises:

receiving an indication from the computing device operated by the care giver that the at least one action has been performed.

7. The method of claim 1, wherein the one or more instructions comprise at least one action to be performed by the care giver, and the method further comprises:

sending one or more alerts to the computing device operated by the care giver prompting the care giver to perform the at least one action.

8. The method of claim 1, further comprising:

formulating an expert-language description of the medical issue after receiving the responses to the plurality of data collection questions from the computing device operated by the care giver;

sending the expert-language description of the medical issue to a computing device operated by a selected care provider; and

receiving the one or more instructions related to treating the medical problem from the computing device operated by the selected care provider.

9. The method of claim 1, further comprising:

receiving a first language selection, the plurality of data collection questions being formulated in accordance with the first language selection;

receiving a second language selection, the second language selection being different from the first language selection;

formulating an expert-language description of the medical issue in accordance with the second language selection after receiving the responses to the plurality of data collection questions from the computing device operated by the care giver;

sending the expert-language description of the medical issue to a computing device operated by a selected care provider; and

receiving the one or more instructions related to treating the medical problem from the computing device operated by the selected care provider, the one or more instructions sent to the computing device operated by the care giver being constructed in accordance with the first language selection.

10. The method of claim 1, further comprising:

formulating an expert-language description of the medical issue after receiving the responses to the plurality of data collection questions from the computing device operated by the care giver;

sending the expert-language description of the medical issue to a computing device operated by a first care provider;

receiving an identification of a second care provider from the computing device operated by the first care provider;

sending the expert-language description of the medical issue to a computing device operated by the second care provider; and

receiving the one or more instructions related to treating the medical problem from the computing device operated by the second care provider.

11. The method of claim 1, wherein the care giver is a member of a care giver network comprising a plurality of care givers, and the method further comprises:

sending the one or more instructions to computing devices operated by the members of the care giver network.

12. The method of claim 1, further comprising:

receiving an instruction from the computing device operated by the care giver that at least a portion of the one or more instructions are to be assigned to an alternate care giver; and

sending the portion of the one or more instructions to a computing device operated by the alternate care giver.

13. The method of claim 1, further comprising:

instructing the computing device operated by the care giver to display a list of care providers; and

receiving an identification of the selected care provider from the computing device operated by the care giver.

14. The method of claim 13, wherein the list of care providers was provided by the care giver.

15. The method of claim 13, further comprising:

selecting the care providers included in the list based on the geographic location of the computing device operated by the care giver.

16. The method of claim 1 further comprising:

after receiving the identifications of one or more primary complaints from the computing device operated by the care giver, sending a request requesting at least one of vital sign information associated with the care recipient and data related to observations of the care recipient to the computing device operated by the care giver.

17. The method of claim 1, wherein the structure is a tree.

18. The method of claim 1 for use with a health profile comprising health information related to the care recipient, wherein the plurality of questions is selected based at least in part on the health information related to the care recipient.

19. The method of claim 1 for use with a health profile comprising health information related to the care recipient, the health information comprising at least one of an age of the care recipient, a gender of the care recipient, and a geographic location of the care recipient, wherein the list of selectable primary complaints is formulated based at least in part on the at least one of the age of the care recipient, the gender of the care recipient, and the geographic location of the care recipient.

20. The method of claim 1 for use with a health profile comprising health information related to the care recipient, the health information identifying at least one chronic condition, wherein the list of selectable primary complaints is formulated based at least in part on the at least one chronic condition identified in the health profile.

21. A computer-implemented method comprising:

formulating an expert-language representation of health related information associated with a care recipient experiencing a medical issue, the health related information having been provided by a computing device operated by a care giver, at least a portion of the health related information having been provided in non-expert language;

sending the expert-language representation to a computing device operated by a care provider;

receiving a diagnosis;

identifying a medical protocol based on the diagnosis;

sending the medical protocol to the computing device operated by the care provider for display thereby;

receiving an acceptance of the medical protocol from the computing device operated by the care provider; and

sending a management protocol comprising at least a portion of the medical protocol to the computing device operated by the care giver for display thereby.

22. The method of claim 21, further comprising before the acceptance of the medical protocol is received from the computing device operated by the care provider:

instructing the computing device operated by the care provider to display an editable version of the medical protocol to the care provider; and

receiving edits to the medical protocol from the computing device operated by the care provider.

23. The method of claim 21, wherein the health related information provided by the computing device operated by the care giver comprises responses to questions provided by the care giver and health information stored in a health profile associated with the care recipient.

24. The method of claim 21, further comprising:

sending questions to the computing device operated by the care giver;

receiving responses to the questions from the computing device operated by the care giver, the information provided by the computing device operated by the care giver comprising the responses;

identifying at least one additional medical protocol based on one or more of the responses;

receiving an acceptance of the at least one additional medical protocol from the computing device operated by the care provider; and

instructing the computing device operated by the care giver to display at least one additional management protocol comprising at least a portion of the at least one additional medical protocol.

25. The method of claim 21, wherein the management protocol comprises at least one action to be performed by the care giver, and the method further comprises:

sending an indication to the computing device operated by the care provider when the at least one action has been performed.

26. The method of claim 21, wherein the management protocol comprises at least one action to be performed by the care giver, and the method further comprises:

in response to a request from the computing device operated by the care provider, instructing the computing device operated by the care provider to display an indication of whether the at least one action has been performed.

27. The method of claim 21, further comprising:

searching a medical history associated with the care recipient for past events and data related to at least one of the primary complaint and the information provided by the computing device operated by the care giver; and

instructing the computing device operated by the care provider to display to the care provider any of the past events and data located by the search.

28. The method of claim 27, further comprising:

instructing the computing device operated by the care provider to display a link to the medical history associated with the care recipient.

29. The method of claim 21, wherein the identified medical protocol was provided by the care provider.

30. The method of claim 21 for use with information supplied by a third party comprising preprepared information related to a plurality of diagnoses, the method further comprising:

identifying a portion of the information supplied by the third party comprising preprepared information related to the diagnosis; and

providing the identified portion of the information supplied by the third party to the computing device operated by the care giver for display thereby.

31. The method of claim 21, further comprising:

identifying preprepared information associated with at least one of the primary complaint and the information provided by the computing device operated by the care giver; and

providing the preprepared information to the computing device operated by the care giver for display thereby.

32. The method of claim 21 further comprising before receiving the diagnosis:

receiving a request from the computing device operated by the care provider for a response from the care giver;

instructing the computing device operated by the care giver to display the request;

receiving a response to the request from the computing device operated by the care giver; and

sending the response to the request to the computing device operated by the care provider.

33. The method of claim 21 further comprising before receiving the diagnosis and the indication of severity:

receiving a request from the computing device operated by the care provider for at least one of a data file and a data stream;

instructing the computing device operated by the care giver to display the request;

receiving at least one of a data file and a data stream in response to the request from the computing device operated by the care giver; and

sending the received at least one of the data file and the data stream to the computing device operated by the care provider.

34. The method of claim 33, wherein the received at least one of the data file and the data stream comprises an image file, a video file, an audio file, or a rich media file.

35. The method of claim 33, further comprising before sending the received at least one of the data file and the data stream to the computing device operated by the care provider:

sending a request for tag information for the requested at least one of the data file and the data stream to the computing device operated by the care giver;

receiving the tag information from the computing device operated by the care giver;

comparing the tag information to the request for the at least one of the data file and the data stream to identify a mismatch; and

if a mismatch is identified, instructing the computing device operated by the care giver to display a request for another at least one of a data file and a data stream.

36. A computer-implemented method comprising:

collecting health information associated with a plurality of care recipients from a plurality of care givers, the health information comprising a plurality of images each associated with at least one of the plurality of care recipients, a primary complaint, demographic variable values associated with the at least one of the plurality of care recipients, and responses to questions provided by one or more of the plurality of care givers, the questions having been generated based at least in part on the primary complaint associated with the image;

receiving a request for images associated with at least one search criteria from a requesting computing device, the at least one search criteria identifying at least one of a particular primary complaint, a particular value of a selected one of the demographic variables, and a particular response to a selected question provided by one or more of the plurality of care givers;

identifying ones of the plurality of images satisfying the at least one search criteria; and

forwarding the identified ones of the plurality of images to the requesting computing device.

37. A computer-implemented method comprising:

instructing a computing device operated by a care provider to display a plurality of primary complaints each describing a medical issue of a care recipient;

receiving a diagnosis and an indication of severity for each of the plurality of primary complaints from the computing device operated by the care provider;

identifying a medical protocol for each of the plurality of primary complaints based on the diagnosis and the indication of severity received for the primary complaint;

instructing the computing device operated by the care provider to display to the care provider an editable version of the medical protocol for each of the plurality of primary complaints;

receiving edits to at least a portion of the medical protocols from the computing device operated by the care provider; and

determining a compliance metric for the care provider as a function of a number of the medical protocols edited by the care provider.

38. A computer-implemented method comprising:

storing medical data associated with a plurality of care recipients, a different portion of the medical data being associated with each of the plurality of care recipients, each different portion of the medical data comprising a primary complaint and responses to questions provided by at least one of the plurality of care givers and a diagnosis and management protocol provided by a care provider;

identifying broadcast criteria;

searching the medical data using the broadcast criteria to identify ones of the plurality of care recipients associated with portions of the medical data that satisfy the broadcast criteria; and

sending a message to each of the identified ones of the plurality of care recipients.

39. The method of claim 38 wherein each different portion of the medical data further comprises at least one of vital sign information associated with the care recipient and data related to observations of the care recipient provided by the at least one of the plurality of care givers.

40. The method of claim 38 wherein each different portion of the medical data further comprises at least one data file provided by the at least one of the plurality of care givers.

41. The method of claim 38 wherein the broadcast criteria identifies a particular primary complaint.

42. The method of claim 38 wherein the broadcast criteria identifies a particular response to a particular question.

43. A computer-implemented method comprising:

for each of a plurality of care recipients, receiving an identification of a primary complaint, the primary complaint being substantially identical for each of a plurality of care recipients;

for each of the plurality of care recipients, sending a set of questions associated with the primary complaint to a computing device operated by a care giver;

for each of the plurality of care recipients, receiving responses to the set of questions;

for each of the plurality of care recipients, sending the responses to a computing device operated by a care provider;

for each of at least a portion the plurality of care recipients, receiving a new question from the computing device operated by the care provider; and

adding the new question to the set of questions associated with the primary complaint.

44. A system for use with a care giver computing device and a care provider computing device, the system comprising:

(a) one or more data storage devices storing a plurality of data collection questions associated with a primary complaint, the plurality of data collection questions being in non-expert language; and

(b) a core computing system configured to (i) receive an identification of the primary complaint from the care giver computing device, (ii) send selected ones of the plurality of data collection questions to the care giver computing device, the selected ones comprising subsequent data collection questions selected based on responses received from the care giver computing device to at least one previously sent question, (iii) send an expert-language representation of the responses received from the care giver computing device to the care provider computing device, (iv) receive a diagnosis and a management protocol from the care provider computing device, and (v) send the management protocol to the care giver computing device.

45. The system of claim 44, wherein the one or more data storage devices store a medical protocol associated with the diagnosis,

the core computing system is further configured to send the medical protocol to the care provider computing device after receiving the diagnosis, receive an acceptance of the medical protocol from the care provider computing device, and

the management protocol comprises at least a portion of the accepted medical protocol.

46. The system of claim 45, wherein the core computing system is further configured to receive modifications to the medical protocol from the care provider, and the management protocol comprises at least a portion of the modified medical protocol.

47. The system of claim 44, wherein the one or more data storage devices store a health profile associated with the care recipient experiencing the medical issue, the health profile comprising health information related to the care recipient, and the core computing system is further configured to select the selected ones of the plurality of data collection questions based at least in part on the health profile associated with the care recipient.

48. The system of claim 44, wherein the core computing system comprises a plurality of computing devices.