SYSTEMS, METHODS, AND ENVIRONMENT FOR IDENTIFICATION AND PROCESSING OF MEDICAL EVENTS

• US 20140372147A1
• Filed: 06/11/2014
• Published: 12/18/2014
• Est. Priority Date: 06/13/2013
• Status: Abandoned Application

• Current Assignee: Navinet Incorporated
• Original Assignee: Navinet Incorporated
• Inventors: White, Jason
• Application Number:
  US14/301,532
• Publication Number:
  US 20140372147A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06F 16/2455 Query execution
• 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: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

Described herein is a medical network intelligence environment that includes a central event processing system for receiving, processing, and routing messages triggered by real-time medical events. The central event processing system, for example, may identify patient information associated with a medical event and match the patient information to one or more of a health plan, a clinical location, a health-related study, or a utilization management system. Upon matching the medical event with the interested parties, the central event processing system may forward at least a portion of the information regarding the medical event to one or more interested parties within a short period of time of the triggering event (e.g., in near real-time). For example, based upon rules associated with each interested party, the central event processing system may forward information and/or issue an alert or notification to an interested party to make the interested party aware of the medical event.

Claims

1. A method comprising:

receiving, from an external computing device, via a network, event data regarding a medical event, wherein

the medical event is associated with a patient, and

the event data is received within a time period corresponding to substantially real time in relation to occurrence of the medical event;

mapping, by a processor of a computing device, the event data to a particular event type of a plurality of event types;

applying, by the processor, one or more filters to the event data based at least in part upon the particular event type to determine at least a first matching filter of the one or more filters, wherein each filter of the one or more filters corresponds to a respective handling activity;

routing, by the processor, at least a portion of the event data according to the handling activity of the first matching filter; and

archiving, by the processor, audit data corresponding to the handling activity.

2. The method of claim 1, comprising, prior to mapping the event data to the particular type, determining whether the patient associated with the medical event has agreed to participation.

3. The method of claim 2, wherein applying the one or more filters comprises applying, based upon the patient having not agreed to participation, one or more filters configured to capture information regarding anonymous medical events.

4. The method of claim 1, comprising, prior to applying the one or more filters, determining, by the processor, no duplicate event exists for the medical event.

5. The method of claim 4, wherein determining no duplicate event exists comprises determining no prior event of the particular event type occurred in relation to the patient, within a predetermined period of time.

6. The method of claim 1, wherein mapping the event data further comprises reformatting the event data to a standard canonical data format.

7. The method of claim 1, wherein applying the one or more filters comprises determining a third party entity associated with the patient.

8. The method of claim 7, wherein the third party entity comprises at least one of an employer, a health plan provider, a clinical facility, and an integrated delivery system.

9. The method of claim 1, wherein receiving the event data comprises receiving, from a third party computing system, a request for verification of eligibility of medical benefits.

10. The method of claim 1, wherein the external computing device comprises a biometric device of the patient.

11. The method of claim 1, wherein the time period comprises twenty-four hours.

12. The method of claim 1, wherein the event type comprises one or more of emergency room registration and emergency care facility registration.

13. The method of claim 12, wherein the handling activity comprises issuing an alert to at least one of a medical facility and a clinician associated with the patient.

14. A system comprising:

a processor; and

a memory having instructions stored thereon, wherein the instructions, when executed by the processor, cause the processor to;

receive event data regarding a medical event, wherein the medical event is associated with a patient;

determine a follow-on event corresponding to the medical event, wherein the follow-on event is associated with a time period;

after the time period has expired, determine no historic medical events associated with the patient match the follow-on event;

trigger a non-event, wherein the non-event relates to evident failure of the patient to perform an activity corresponding to the follow-on event within the time period;

apply one or more filters to the non-event based at least in part upon an event type of the follow-on event to determine at least a first matching filter of the one or more filters, wherein each filter of the one or more filters corresponds to a respective handling activity; and

route data corresponding to the non-event according to the handling activity of the first matching filter.

15. The system of claim 14, wherein the follow-on event comprises a medical facility visit and the handling activity comprises issuing an alert to the medical facility.

16. The system of claim 14, wherein the event data is imported from one of a health information exchange, a customer relationship management system, and a care management system.

17. The system of claim 14 wherein the instructions cause the processor to, after routing the data, archive audit data corresponding to the handling activity.

18. A non-transitory computer readable medium having instructions stored thereon, wherein the instructions, when executed by a processor, cause the processor to:

receive, from an external computing device, via a network, event data regarding a medical event, wherein

the medical event is associated with a patient, and

the event data is received within a time period corresponding to substantially real time in relation to occurrence of the medical event;

apply one or more filters to the event data based at least in part upon a particular event type of the medical event to determine at least a first matching filter of the one or more filters, wherein each filter of the one or more filters corresponds to a respective handling activity;

perform the handling activity of the first matching filter, wherein performing the handling activity comprises providing information regarding at least one of the medical event and the patient to a third party computing system within a second time period corresponding to substantially real time in relation to the occurrence of the medical event; and

archive audit data corresponding to the handling activity.

19. The computer readable medium of claim 18, wherein the third party computing system comprises the external computing device.

20. The computer readable medium of claim 18, wherein the second time period comprises less than five minutes.