PHARMACY MANAGEMENT AND ADMINISTRATION WITH BEDSIDE REAL-TIME MEDICAL EVENT DATA COLLECTION

• US 20120303388A1
• Filed: 08/06/2012
• Published: 11/29/2012
• Est. Priority Date: 04/22/2009
• Status: Active Grant

• Current Assignee: Millennium Pharmacy Systems LLC
• Original Assignee: Millennium Pharmacy Systems LLC
• Inventors: Vishnubhatla, Suresh-Kumar Venkata, Sturgeon, Lena Elizabeth, Miller, Christopher Lee, McKillip, Ronald Leo, Lister, Andrew Jonathan, Newtzie, Garick George, Poliseo, Joseph B.
• Granted Patent: US 9,501,624 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G06Q 50/22 Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G06V 20/66 Trinkets, e.g. shirt buttons or jewellery items recognising microscopic objects G06V20/69
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/13 delivered from dispensers
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

Methods and systems for automatically establishing an enhanced electronic health record (EHR) for a patient include an automatic data collection facility that collects data of a medically related event in proximity to a patient upon occurrence of the event. The collected data may include medication administration data such as medication, time of administration, administration of a dosage of medication, reaction data, and the like. The collected data is communicated to a real-time data integration facility that automatically integrates the data with a patient'"'"'s electronic health record to establish an enhanced electronic health record.

Claims

1. A system to manage the prescribing and administration of medication, comprising:

a medication management facility comprising an electronic order entry facility for accepting electronic medication orders, the medication management facility configured to at least one of;

verify formulary compliance;

determine drug allergy information associated with the electronic medication orders;

and

determine drug interaction information associated with the electronic medication orders;

a medication billing and dispensing facility in electronic communication with the medication management facility, the medication billing and dispensing facility for receiving the electronic medication orders, providing information regarding formulary compliance, providing the drug allergy information, providing the drug interaction information, and further comprising an interface allowing a pharmacist to approve the electronic medication order;

a medication dispensing machine in electronic communication with the medication dispensing and billing facility, receiving an approved electronic medication order and dispensing at least one dosage of medication based on the approved electronic order, the at least one dosage being packaged in packaging comprising electronically readable information regarding the at least one dosage of medications;

a medication cart configured to store a plurality of dosages of medications;

a workstation having an output facility, the workstation in electronic communication with the medication management facility; and

a reader device in electronic communication with the workstation and capable of reading the electronically readable information regarding the at least one dosage of medications, wherein the workstation transmits the electronically readable information regarding the at least one dosage of medication read by the reader to the medication management facility, and

wherein the medication management facility generates a warning if the electronically readable information transmitted from the workstation differs from a current electronic medication order.

2. The system of claim 1, wherein the workstation is mobile.

3. The system of claim 1, wherein the medication dispensing and billing facility associates data with released medication orders, wherein the data are at least one of patient identifying information, the facility in which the patient resides or receives care, locations within the facility, patient insurance information, facility personnel associated/responsible for the patient, and administration frequency.

4. The system of claim 1, wherein medication management facility further comprises a medication administration facility.

5. The system of claim 1, wherein the medication administration facility prompts a user to enter information associated with administration of the dosages of medication.

6. The system of claim 5, wherein the information associated with administration of the dosages of medication is read by the reader.

7. The system of claim 5, wherein the information associated with administration of the dosages of medication comprises at least one of time of administration, mode of administration, and identity of professional that administered the medication.

8. The system of claim 5, wherein the medication administration facility prompts a user to verify that a dosage has been administered to a patient.

9. The system of claim 1, wherein the dosages are individually packaged.

10. The system of claim 1, wherein the reader is a bar code scanner.

11. The system of claim 1, wherein the medication management facility further comprises a therapeutic equivalent facility.

12. The system of claim 11, wherein the therapeutic equivalent facility determines a therapeutic equivalent for an electronically ordered medication.

13. The system of claim 12, wherein the therapeutic equivalent facility gathers and stores information regarding therapeutic equivalents to respective medications.

14. The system of claim 1, wherein at least one of the medication management facility and the medication dispensing and billing facility groups the electronic medication orders by at least one of institutional facility, patient, and facility dispensing time.

15. The system of claim 1, wherein the medication management facility further comprises a utility configured to suggest medications based on at least one of a prescriber'"'"'s pattern of ordering and a diagnosis.

16. The system of claim 1, wherein the medication management facility is further configured to:

determine whether at least one of an ordered medication for a patient and medication administered to a patient is covered by the patient'"'"'s insurance;

aggregate covered and no covered medications into sets; and

generate reports, in real time, regarding the sets.

17. An integrated system of managing administration, billing, and filling orders for medication, comprising:

a medication administration facility for automatically receiving data related to actual administration of medications;

a medication order and billing facility for storing data related to orders and cost of the administered medication; and

a reporting interface, wherein the medication administration facility and the medication order and billing facility are in real-time two-way communication with one another, and in real-time communication with the reporting interface.

18. The system of claim 17, wherein data related to actual administration of medications is automatically received from an automatic data collection facility for collecting medication administration data in proximity to a patient upon the occurrence of the administration.

19. The system of claim 17, further including a real-time data integration facility in electronic communication with the medication administration facility for automatically integrating the data related to actual administration of medications with a patient'"'"'s electronic health record to establish an enhanced electronic health record.

20. The integrated system of claim 19, wherein the real-time data integration facility is in real-time two-way communication with the medication order and billing facility and the medication administration facility, and in real-time communication with the reporting interface.