HEALTHCARE DELIVERY SYSTEM AND METHOD

• US 20140297301A1
• Filed: 03/24/2014
• Published: 10/02/2014
• Est. Priority Date: 03/26/2013
• Status: Active Grant

• Current Assignee: Vivify Health Incorporated (UnitedHealth Group Incorporated)
• Original Assignee: Eric Rock
• Inventors: Rock, Eric
• Granted Patent: US 9,619,849 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/103 Workflow collaboration or project management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A system and method integrating healthcare delivery to patients using data bridges that connect healthcare providers, patients, patient medical education, and patient monitoring devices is disclosed. The system incorporates a mobile user interface device (MUD) allowing user inputs or detected events from a variety of medical instrumentation devices (MID) to be controlled by a healthcare web server computer (HWS) over a computer communication network (CCN). Information retrieved from the MID and transmitted by the MUD to the HWS is then used by a patient healthcare monitor (PHM) process to populate a medical records database (MRD). MRD contents are then matched to patient healthcare plan (PHP) event/time triggers (ETT) that drive information from a provider content database (PCD) to the MUD through the HWS over the CCN. Healthcare provider update/control of the PHP/ETT/PCD allow integration of patient educational materials with patient health status monitoring.

Claims

1. A healthcare delivery system comprising:

(a) hospital information system (HIS);

(b) healthcare web server (HWS);

(c) mobile user interface device (MUD);

(d) medical instrumentation device (MID); and

(e) computer communication network (CCN);

wherein

said HWS is configured to communicate with said HIS via said CCN;

said HIS is configured to extract real-time patient data from a variety of patient data sources in said hospital;

said HIS is configured to transmit said real-time patient data to said HWS;

said HWS is configured to communicate with said MUD via said CCN;

said MUD is configured to present audio/video information to a patient;

said MUD is configured to accept user inputs from a patient;

said MID is configured to detect medical events or conditions associated with a patient;

said MID is configured to transmit information on said medical events or conditions to said MUD;

said HWS is configured to permit definition of a patient healthcare plan (PHP) that controls the delivery of healthcare to a patient;

said HWS is configured to transfer said PHP to said MUD via said CCN;

said MUD is configured to execute said PHP to control presentation of said audio/video information to a patient;

said MUD is configured to execute said PHP to control acceptance of said user inputs from a patient;

said MUD is configured to execute said PHP to control detection of medical events or conditions associated with a patient via operation of said MID;

said PHP is configured to permit definition of alerts that are associated with time triggers or detected patient events;

said HWS is configured to allow authorized healthcare professionals access to real-time status information on patients under their care via a web browser interface;

said real-time status information includes said real-time patient data, said user inputs, said time triggers, and said detected patient events; and

said HWS is configured to perform a risk stratification analysis (RSA) of said hospital patient data, said remote patient monitoring (RPM) data, and said alerts and display said RSA to a status dashboard via a web browser interface.

2. The healthcare delivery system of claim 1 wherein said CCN comprises the Internet.

3. The healthcare delivery system of claim 1 wherein said MID is selected from a group consisting of:

weight scale;

pulse oximeter;

blood pressure meter; and

blood glucose meter.

4. The healthcare delivery system of claim 1 wherein said PHP comprises a hierarchical decision tree incorporating alert conditions triggered based on upper and lower range values associated with measurements from said MID.

5. The healthcare delivery system of claim 1 wherein said PHP comprises a hierarchical decision tree incorporating a plurality of risk stratification alert conditions triggered based on multiple upper/lower range values associated with measurements from said MID.

6. The healthcare delivery system of claim 1 wherein said PHP comprises a hierarchical decision tree incorporating alert conditions triggered based on differential delta values associated with multiple measurements from said MID.

7. The healthcare delivery system of claim 1 wherein said PHP comprises a hierarchical decision tree incorporating alert conditions triggered based on the failure of said patient to execute a biometric measurement from said MID.

8. The healthcare delivery system of claim 1 wherein said PHP comprises a hierarchical decision tree incorporating alert conditions triggered based on the entry of multiple manual biometric measurement entries from said patient.

9. The healthcare delivery system of claim 1 wherein said PHP is configured to trigger biometric measurements from said MID on a demand basis.

10. The healthcare delivery system of claim 1 wherein said PHP is configured to trigger biometric measurements from said MID on a periodic basis.

11. The healthcare delivery system of claim 1 wherein said PHP is configured to trigger manual and automatic biometric measurements from said MID on a periodic basis.

12. The healthcare delivery system of claim 1 wherein said RSA is configured to calculate per-patient risk assessments via summation of individual patient datum risk values.

13. The healthcare delivery system of claim 1 wherein said HWS is configured to provide PHP patient care plan templates associated with specific diseases and medical conditions that may be used as the basis for the creation of a custom PHP patient care plan.

14. The healthcare delivery system of claim 1 wherein said HWS is configured to permit PHP patient care plan templates to be inserted within a custom PHP patient care plan using a drag-and-drop graphical user interface (GUI).

15. The healthcare delivery system of claim 1 wherein said PHP comprises patient queries incorporating responses selected from a group consisting of:

single selections;

multiple selections; and

yes/no responses.

16. The healthcare delivery system of claim 1 wherein said PHP comprises patient queries that have associated response alert values selected from a group consisting of:

no alert;

medium alert; and

high alert.

17. The healthcare delivery system of claim 1 wherein said PHP comprises triggers to execute presentation of audio/visual educational materials to a patient via said MUD.

18. The healthcare delivery system of claim 1 wherein said HWS is configured to:

(1) receive data/alert messages from said MUD;

(2) update a patient electronic medical record (EMR) with said data/alert messages;

(3) determine if alerts have been triggered by said MUD and deliver said alerts via a web browser interface to a healthcare provider if said alerts have been triggered; and

(4) determine if a healthcare provider via a web browser interface has updated said PHP and trigger a download of a new PHP to said MUD if said PHP has been updated.

19. The healthcare delivery system of claim 1 wherein said MUD is configured to:

(1) register MID equipment for automated measurement readings from a patient;

(2) capture MID equipment data under control of said PHP;

(3) determine if said MID data falls within the bounds of an alert limit and generate an alert and queue said alert for transmission to said HWS in the event said alert limit is within said bounds;

(4) determine if a patient interaction has been staged by said PHP and initiate a patient interaction involving a query/response or audio/video interaction if said patient interaction has been staged; and

(5) determine if a patient interaction alert has been triggered and generate a patient interaction alert for queued transmission to said HWS if said patient interaction alert has been triggered.

20. The healthcare delivery system of claim 1 wherein said MUD is configured to:

(1) determine if said HWS has a PHP update ready for installation and then authenticate and synchronize the installation of said PHP update to a local copy of the patient PHP if said PHP update is ready for installation; and

(2) determine if patient data/alerts are queued for transmission to said HWS and transmit said patient data/alerts to said HWS if said patient data/alerts are queued for transmission.

21. A healthcare delivery method, said method operating in conjunction with a healthcare delivery system comprising:

(a) hospital information system (HIS);

(b) healthcare web server (HWS);

(c) mobile user interface device (MUD);

(d) medical instrumentation device (MID); and

(e) computer communication network (CCN);

wherein

said HWS is configured to communicate with said HIS via said CCN;

said HIS is configured to extract real-time patient data from a variety of patient data sources in said hospital;

said HIS is configured to transmit said real-time patient data to said HWS;

said HWS is configured to communicate with said MUD via said CCN;

said MUD is configured to present audio/video information to a patient;

said MUD is configured to accept user inputs from a patient;

said MID is configured to detect medical events or conditions associated with a patient;

said MID is configured to transmit information on said medical events or conditions to said MUD;

said HWS is configured to permit definition of a patient healthcare plan (PHP) that controls the delivery of healthcare to a patient;

said HWS is configured to transfer said PHP to said MUD via said CCN;

said MUD is configured to execute said PHP to control presentation of said audio/video information to a patient;

said MUD is configured to execute said PHP to control acceptance of said user inputs from a patient;

said MUD is configured to execute said PHP to control detection of medical events or conditions associated with a patient via operation of said MID;

said PHP is configured to permit definition of alerts that are associated with time triggers or detected patient events;

said HWS is configured to allow authorized healthcare professionals access to real-time status information on patients under their care via a web browser interface;

said real-time status information includes said real-time patient data, said user inputs, said time triggers, and said detected patient events; and

said HWS is configured to perform a risk stratification analysis (RSA) of said hospital patient data, said remote patient monitoring (RPM) data, and said alerts and display said RSA to a status dashboard via a web browser interface;

wherein said method comprises the steps of;

(1) with said HWS, correlating said real-time patient data to individual patients;

(2) with said HWS, entering data from a web browser interface from a healthcare professional to define said PHP;

(3) with said HWS, integrating said RPM data, said real-time patient data, and said alerts generated by said PHP to form a risk stratification index associated with a patient;

(4) with said HWS, risk stratifying patients in patient groups to queue prioritized healthcare delivery within said patient groups;

(5) with said HWS, displaying a risk stratification dashboard via a web browser in real-time to trigger healthcare provider activity on specific patients within said patient groups;

(6) with said HWS, updating or clearing patient alert status once a patient status is improved or modified;

(7) with said HWS, entering data from a web browser interface from a healthcare professional to update or modify said PHP; and

(8) with said HWS, triggering interaction between a patient and a healthcare professional based on the state of said PHP.

22. The healthcare delivery method of claim 21 wherein said CCN comprises the Internet.

23. The healthcare delivery method of claim 21 wherein said MID is selected from a group consisting of:

weight scale;

pulse oximeter;

blood pressure meter; and

blood glucose meter.

24. The healthcare delivery method of claim 21 wherein said PHP comprises a hierarchical decision tree incorporating alert conditions triggered based on upper and lower range values associated with measurements from said MID.

25. The healthcare delivery method of claim 21 wherein said PHP comprises a hierarchical decision tree incorporating a plurality of risk stratification alert conditions triggered based on multiple upper/lower range values associated with measurements from said MID.

26. The healthcare delivery method of claim 21 wherein said PHP comprises a hierarchical decision tree incorporating alert conditions triggered based on differential delta values associated with multiple measurements from said MID.

27. The healthcare delivery method of claim 21 wherein said PHP comprises a hierarchical decision tree incorporating alert conditions triggered based on the failure of said patient to execute a biometric measurement from said MID.

28. The healthcare delivery method of claim 21 wherein said PHP comprises a hierarchical decision tree incorporating alert conditions triggered based on the entry of multiple manual biometric measurement entries from said patient.

29. The healthcare delivery method of claim 21 wherein said PHP is configured to trigger biometric measurements from said MID on a demand basis.

30. The healthcare delivery method of claim 21 wherein said PHP is configured to trigger biometric measurements from said MID on a periodic basis.