SYSTEMS AND METHODS FOR DISEASE MANAGEMENT ALGORITHM INTEGRATION

• US 20130066648A1
• Filed: 09/14/2012
• Published: 03/14/2013
• Est. Priority Date: 11/22/2000
• Status: Abandoned Application

• Current Assignee: Catalis, Inc.
• Original Assignee: Catalis, Inc.
• Inventors: Lipscher, Randolph B., Wohl, Eric, Dahlin, Michael D.
• Application Number:
  US13/619,716
• Publication Number:
  US 20130066648A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 70/60 relating to pathologies

Abstract

A system includes a disease management advisor system configured to receive a disease management algorithm from a disease management advisor, the disease management algorithm including a selection condition and a healthcare provider system response action; a healthcare provider system communicatively coupled to the disease management advisor system and to receive the disease management algorithm from the disease management advisor system; and a conversion module accessible to the healthcare provider system and to convert the disease management algorithm to a healthcare provider algorithm based on a controlled medical vocabulary, the healthcare provider system to implement the healthcare provider system response action in accordance with the healthcare provider algorithm.

Claims

1. A system comprising:

a disease management advisor system configured to receive a disease management algorithm from a disease management advisor, the disease management algorithm including a selection condition and a healthcare provider system response action;

a healthcare provider system communicatively coupled to the disease management advisor system and to receive the disease management algorithm from the disease management advisor system; and

a conversion module accessible to the healthcare provider system and to convert the disease management algorithm to a healthcare provider algorithm based on a controlled medical vocabulary, the healthcare provider system to implement the healthcare provider system response action in accordance with the healthcare provider algorithm.

2. The system of claim 1, wherein the healthcare provider system is configured to provide an interface based on the healthcare provider algorithm.

3. The system of claim 2, wherein the healthcare provider system is to receive patient medical information and to provide the interface in response to the patient medical information.

4. The system of claim 3, wherein the patient medical information has an associated mapping to the controlled medical vocabulary.

5. The system of claim 3, wherein the patient medical information includes medical findings input.

6. The system of claim 1, wherein the disease management algorithm is coded in an XML format.

7. The system of claim 1, wherein the disease management algorithm includes a set of payer rules.

8. The system of claim 1, wherein the disease management algorithm includes a text message to be displayed based on a medical criteria.

9. A disease management system comprising:

an input interface configured to receive a disease management algorithm comprising a selection condition and a healthcare provider system response action;

a selection module configured to select a set of recipients for the disease management algorithm; and

a transmission module configured to transmit the disease management algorithm to a healthcare provider system associated with at least one recipient of the set of recipients, the disease management algorithm to be implemented by the healthcare provider system to perform the healthcare provider system response action.

10. The disease management system of claim 9, wherein the set of recipients includes a physician.

11. The disease management system of claim 10, wherein the physician and the disease management message are associated with a specific patient.

12. The disease management system of claim 9, wherein the disease management algorithm includes a set of rules associated with a specific payer and wherein the set of recipients include physicians eligible to examine patients associated with the specific payer.

13. A healthcare provider system comprising:

an algorithm reception interface for receiving a disease management algorithm comprising a selection condition and a healthcare provider system response action;

storage responsive to the algorithm reception interface and configured to store the disease management algorithm; and

a medical data module configured to provide a medical data based on the disease management algorithm.

14. The healthcare provider system of claim 13, wherein the medical data module is configured to transmit patient medical data to a remote disease management advisor system.

15. The healthcare provider system of claim 13, further comprising an electronic medical records module configured to provide a medical data interface and configured to receive patient medical information.

16. The healthcare provider system of claim 15, wherein the patient medical information includes data selected from a group consisting of patient identification, medical findings, healthcare provider identification, and medical workflow task.

17. The healthcare provider system of claim 15, wherein the medical data interface is provided in response to receiving the patient medical information.

18. The healthcare provider system of claim 15, wherein the medical data interface includes an order interface.

19. The healthcare provider system of claim 18, wherein the order interface includes a warning associated with an order violation.

20. The healthcare provider system of claim 15, wherein the medical data interface includes a prescription interface that includes a warning associated with a formulary violation.