EVIDENCE-BASED HEALTHCARE INFORMATION MANAGEMENT PROTOCOLS

• US 20130173303A1
• Filed: 12/05/2012
• Published: 07/04/2013
• Est. Priority Date: 12/30/2011
• Status: Active Grant

• Current Assignee: The Invention Science Fund II, L.L.C. (Intellectual Ventures LLC)
• Original Assignee: Elwha LLC (Intellectual Ventures LLC)
• Inventors: Hyde, Roderick A., Jung, Edward K.Y., Kare, Jordin T., Leuthardt, Eric C., Levien, Royce A., Lord, Richard T., Lord, Robert W., Malamud, Mark A., Rinaldo, John D. Jr., Rivet, Dennis J., Tegreene, Clarence T., Wood, Lowell L. Jr.
• Granted Patent: US 10,559,380 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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 40/67 for remote operation

Abstract

Structures and protocols are presented for signaling a status or decision (processing or transmitting a medical record or other resource, e.g.) conditionally. Such signaling may be partly based on one or more symptoms, regimen attributes, performance indicia (compliance indications, e.g.), privacy considerations (patient consent, e.g.), contextual considerations (being in or admitted by a care facility, e.g.), sensor data, or other such determinants. In some contexts this may trigger an incentive being manifested (as a dispensation of an item, e.g.), an intercommunication (telephone call, e.g.) beginning, a device being configured (enabled or customized, e.g.), data distillations being presented or tracked, or other such results.

Claims

1. A healthcare information management system comprising:

one or more articles of manufacture including

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication that an order associates a first patient with a medical device;

transistor-based circuitry having an event-sequencing structure configured for obtaining an indication that the medical device is in a vicinity of the first patient; and

transistor-based circuitry having an event-sequencing structure configured for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient.

3. The healthcare information management system of claim 1, further comprising:

a portable device including the transistor-based circuitry having the event-sequencing structure configured for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, the portable device not being the medical device.

11. The healthcare information management system of claim 1, further comprising:

the medical device, including a therapeutic module.

12. The healthcare information management system of claim 1, further comprising:

the medical device, including a data acquisition module.

13. The healthcare information management system of claim 1, further comprising:

the medical device, including a module configured to detect the indication that the medical device is in the vicinity of the first patient.

21. The healthcare information management system of claim 1, further comprising:

an application-specific integrated circuit, including the transistor-based circuitry having the event-sequencing structure configured for enabling the medical device partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient.

29. The healthcare information management system of claim 1, further comprising:

the transistor-based circuitry having the event-sequencing structure configured for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

transistor-based circuitry having an event-sequencing structure configured for retrieving a medical treatment record of the first patient selectively in response to an explicit indication of a payment reduction that identifies the first patient.

2. (canceled)

4-10. -10. (canceled)

14-20. -20. (canceled)

22-28. -28. (canceled)

30-43. -43. (canceled)

44. A healthcare information management system comprising:

one or more articles of manufacture including

means for obtaining an indication that an order associates a first patient with a medical device;

means for obtaining an indication that the medical device is in a vicinity of the first patient; and

means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient.

45. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for looking up a communication delay as a function of a therapeutic protocol; and

means for transmitting a query as an automatic response to an expiration of the communication delay.

46. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for looking up a communication delay as a function of a medical condition; and

means for transmitting a query as an automatic response to an expiration of the communication delay.

47. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic, the individual being or not being the first patient.

48. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the individual being or not being the first patient.

49. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for updating a locally-resident subscriber registry in response to the first patient entering a service zone.

50. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for obtaining an indication that a specific pathology in the first patient has been treated at a first hospital and an indication that the specific pathology in the first patient has been treated at a second hospital.

51. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for retrieving a medical treatment record of the first patient selectively in response to an explicit indication of a payment reduction that identifies the first patient.

52. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set.

54. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for obtaining an explicit indication whether or not a record of treating a medical condition in the first patient with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.

55. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for initiating a telephone call between the first patient and another entity as an automatic response to the first patient not being compliant with a health regimen and to an indication that the other entity is available.

56. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for signaling a decision whether to transfer a resource to the first patient partly based on an indication that the first patient is not compliant with a health regimen and partly based on an indication that the first patient has accepted a telephone call.

57. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

a locally-resident subscriber registry to be updated.

58. The healthcare information management system of claim 44, further comprising:

the means for obtaining the indication that the medical device is in the vicinity of the first patient including at least

means for determining whether the medical device is in a vicinity of another device, the other device being associated with the first patient, the vicinity of the other device comprising the vicinity of the first patient.

60. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for responding to a payment-reduction event relating to a first medical treatment by causing a selective retrieval of one or more records that lack any prominence indication relating to the first medical treatment from an archive that includes at least one prominence indication relating to a second medical treatment.

61. The healthcare information management system of claim 44, further comprising:

the means for obtaining the indication that the medical device is in the vicinity of the first patient including at least

means for detecting a passive wireless transponder within a vicinity of a vehicle, the passive wireless transponder being wearable by the first patient, the medical device being aboard the vehicle.

62. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for obtaining an indication whether the first patient is compliant with a health regimen.

63. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive.

64. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for transmitting a real-time notification to another entity as an automatic response to an interface on or near the first patient detecting a particular event relating to the first patient.

90. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for obtaining an indication that a specific pathology in the first patient has been treated at a first hospital and an indication that the specific pathology in the first patient has been treated at a second hospital;

means for retrieving a medical treatment record of the first patient selectively in response to an explicit indication of a payment reduction that identifies the first patient;

means for looking up a communication delay as a function of a medical condition and as a function of a therapeutic protocol;

means for transmitting a query as an automatic response to an expiration of the communication delay;

means for triggering a search of a particular records archive by providing a selective search criterion, one that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive; and

means for causing an individual to be contacted by a fallback mode of communication as a conditional response to receiving no reply from the individual by a prior mode of communication, the prior mode of communication being telephonic, the individual being or not being the first patient.

91. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for signaling a decision whether to transfer a resource to the first patient partly based on an indication that the first patient is not compliant with a health regimen and partly based on an indication that the first patient has accepted a telephone call, the health regimen including the therapeutic protocol;

means for obtaining an explicit indication whether or not a record of treating a medical condition in the first patient with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent; and

means for retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set.

92. The healthcare information management system of claim 44, further comprising:

the means for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

means for updating a locally-resident subscriber registry in response to the first patient entering a service zone;

means for responding to a payment-reduction event relating to a first medical treatment by causing a selective retrieval of one or more records that lack any prominence indication relating to the first medical treatment from an archive that includes at least one prominence indication relating to a second medical treatment;

means for transmitting a real-time notification to another entity as an automatic response to an interface on or near the first patient detecting a particular event relating to the first patient; and

means for contacting an individual by a fallback mode of communication as an automatic and conditional response to receiving no reply from the individual by a prior mode of communication, the fallback mode of communication being telephonic, the individual being or not being the first patient.

53. (canceled)

59. (canceled)

65. (canceled)

66. A healthcare information management method comprising:

obtaining an indication that an order associates a first patient with a medical device;

obtaining an indication that the medical device is in a vicinity of the first patient; and

invoking transistor-based circuitry having an event-sequencing structure configured for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient.

68. The healthcare information management method of claim 66, further comprising:

the invoking the transistor-based circuitry having the event-sequencing structure configured for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

looking up a communication delay as a function of a medical condition; and

transmitting a query as an automatic response to an expiration of the communication delay.

76. The healthcare information management method of claim 66, further comprising:

the invoking the transistor-based circuitry having the event-sequencing structure configured for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

obtaining an explicit indication whether or not a record of treating a medical condition in the first patient with a particular protocol contains any extrinsic evidence that treating the medical condition with the particular protocol has precedent.

77. The healthcare information management method of claim 66, further comprising:

the invoking the transistor-based circuitry having the event-sequencing structure configured for enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient, including at least

initiating a telephone call between the first patient and another entity as an automatic response to the first patient not being compliant with a health regimen and to an indication that the other entity is available.

67. (canceled)

69-75. -75. (canceled)

78-87. -87. (canceled)

88. An article of manufacture for healthcare information management comprising:

one or more physical media configured to bear a device-detectable implementation of a method including at least

obtaining an indication that an order associates a first patient with a medical device;

obtaining an indication that the medical device is in a vicinity of the first patient; and

enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient.

89. An article of manufacture for healthcare information management comprising:

one or more physical media bearing a device-detectable output manifesting an occurrence of

obtaining an indication that an order associates a first patient with a medical device;

obtaining an indication that the medical device is in a vicinity of the first patient; and

enabling the medical device conditionally, partly based on the indication that the order associates the first patient with the medical device and partly based on the indication that the medical device is in the vicinity of the first patient.