METHOD AND APPARATUS FOR GUIDING PATIENTS TOWARD HEALTHCARE GOALS
First Claim
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1. A computer-implemented method comprising:
- storing electronic patient data for a plurality of patients in a data storage unit;
analyzing in a computer the patient data by applying process logic to the patient data of a particular patient to generate one or more recommended healthcare actions for the patient;
generating by a computer and transmitting to the patient an electronic message including the recommended actions;
wherein the process logic is based on one or more of;
best medical practices;
evidence based rules;
clinical rules;
healthcare provider preferences;
policies and payor rules;
financial coverage;
consumer preferences; and
aggregate population clinical data.
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Abstract
System and method for guiding patients toward completion of recommended healthcare actions based on the individual patient'"'"'s profile, as well as incorporating aggregate patient population data (e.g., generally accepted or current best practices) in one or more healthcare fields for driving the recommendations to the patient population most likely to benefit from such practices. In addition, the system/method allows different providers (e.g., healthcare providers, insurance providers, and other providers) to establish their own rules for their own subsets of patients. The system/method may include monitoring and tracking patient completion of the recommended actions.
10 Citations
26 Claims
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1. A computer-implemented method comprising:
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storing electronic patient data for a plurality of patients in a data storage unit; analyzing in a computer the patient data by applying process logic to the patient data of a particular patient to generate one or more recommended healthcare actions for the patient; generating by a computer and transmitting to the patient an electronic message including the recommended actions; wherein the process logic is based on one or more of; best medical practices; evidence based rules; clinical rules; healthcare provider preferences; policies and payor rules; financial coverage; consumer preferences; and aggregate population clinical data. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A computer-implemented method comprising:
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for a collection of stored patient profile information for a plurality of patients and a collection of tags, each tag comprising a recommended action for one or more patients; for each tag of the collection, applying application logic that determines if a tag of the collection is applicable to a respective patient based on the patient'"'"'s stored patient profile information and for one or more of the determined applicable tags; transmitting a message to the respective patient concerning the applicable tags, the message including an interface for implementing the recommended actions; following the transmitting, monitoring the respective patient for completion of recommended actions of the associated tags. - View Dependent Claims (11, 12, 13, 14, 15)
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16. A computer-implemented method comprising:
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collecting electronic rules data from multiple healthcare or insurance providers, the data including recommended healthcare actions based on patient parameters; generating by a computer relative priority values for the collected rules data and storing the collected rules data and priority values in a data storage unit; on a periodic basis, applying process logic and the stored rules data and priority values to individual electronic patient profile information for a plurality of patients to; identify a match of individual patient to the rules data based on the associated patient parameters and patient profile information; selecting by the computer one or more of the matches based on the priority values of the associated rules data; and generating by the computer, an electronic message including one or more recommended healthcare actions based on the selected matches. - View Dependent Claims (17, 18, 19)
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20. A data processing system for recommending patient healthcare actions, the system comprising:
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a communications controller, a data storage unit having stored therein; patient profile information for a plurality of patients; a plurality of tags, each tag comprising a recommendation for patient healthcare action and rules, the rules including rules determining whether a recommendation for a patient is applicable and unfulfilled; a computer, coupled to said data storage and to said communications controller to; for a patient, apply a set of one or more tags to the patient profile information, for an applied tag that is applicable and unfulfilled, generate an electronic message for the patient with the recommended healthcare action, transmit the electronic message to the patient via the controller. - View Dependent Claims (21, 22, 23, 24, 25, 26)
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Specification