Systems and Methods for Establishing and Updating Clinical Care Pathways

• US 20150019259A1
• Filed: 06/24/2014
• Published: 01/15/2015
• Est. Priority Date: 06/24/2013
• Status: Abandoned Application

• Current Assignee: Acupera, Inc.
• Original Assignee: Acupera, Inc.
• Inventors: Qureshi, Imran, Razmi, Ronald, Vidal, Michael, Paul, Kyle, Qureshi, Elsie
• Application Number:
  US14/313,914
• Publication Number:
  US 20150019259A1
• 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 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/70 relating to mental therapies, e.g. psychological therapy or autogenous training
• 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 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

The present disclosure describes a system and method for updating and managing clinical care pathways for a healthcare institution. The system can create actions and protocols for care providers using a disease-specific database of recommended interventions. Further, the system can address gaps in care and stratify patient populations to project costs of healthcare services to a healthcare institution.

Claims

1. A method comprising:

a) collecting a subject'"'"'s health data from a data source; and

b) analyzing by a processor of a computer system the subject'"'"'s health data to identify a plan of care needed by the subject, wherein the analysis is performed in a domain-specific language that is specific for healthcare management, wherein the analysis is performed by a set of rules.

2. The method of claim 1, further comprising suggesting based on the analysis a care protocol for the subject.

3. The method of claim 1, further comprising processing a clinical workflow associated with the subject in the domain-specific language that is specific for healthcare management.

4. The method of claim 3, wherein the processing the clinical workflow identifies that a change in a care protocol was made in error.

5. The method of claim 3, wherein the processing the clinical workflow identifies a change in the subject'"'"'s care protocol and associates the change in the subject'"'"'s care protocol with a change in a condition of the subject.

6. The method of claim 3, wherein the processing the clinical workflow identifies two conflicting interventions that were suggested to the subject.

7. The method of claim 6, wherein the conflicting interventions are duplicate interventions, further comprising canceling one of the duplicate interventions.

8. The method of claim 6, wherein the conflicting interventions are incompatible interventions, further comprising canceling one of the incompatible interventions.

9. The method of claim 1, further comprising updating the set of rules based on a clinical outcome obtained for the subject.

10. The method of claim 1, further comprising identifying, based on the analysis, the subject as a high risk subject in comparison to a population of subjects.

11. The method of claim 1, wherein the analysis comprises a comparison of a set of interventions that the subject has undergone against a set of interventions suggested for the subject.

12. The method of claim 1, further comprising projecting a cost of healthcare associated with future care for the subject.

13. The method of claim 12, further comprising ranking the subject based on the cost of healthcare associated with future care against a population of subjects.

14. The method of claim 1, further comprising identifying a use profile of an intervention associated with the subject, and modifying the set of rules based on the use profile of the intervention.

15. The method of claim 1, further comprising mapping the subject'"'"'s health data from a source terminology into a standard terminology.

16. A computer program product comprising a computer-readable medium having computer-executable code encoded therein, the computer-executable code adapted to be executed to implement a method comprising:

a) providing a healthcare management system, wherein the healthcare management system comprises;

i) a data collection module;

ii) a rule engine;

iii) an analytics engine, wherein the analytics engine executes a domain-specific language that is specific for healthcare management; and

iv) an output module;

b) collecting by the data collection module a subject'"'"'s health data from a data source;

c) selecting by the rule engine a set of rules to use to analyze the subject'"'"'s health data;

d) analyzing by the analysis module the subject'"'"'s health data using the set of rules selected by the rule engine; and

e) outputting by the output module the care protocol.

17. The computer program product of claim 16, wherein the healthcare management system further comprises a clinical workflow module, wherein the method further comprises processing by the clinical workflow module a clinical workflow associated with the subject, wherein the clinical workflow module executes the domain-specific language that is specific for healthcare management.

18. The computer program product of claim 16, wherein the healthcare management system further comprises a risk module, wherein the method further comprises identifying by the risk module a relative level of risk associated with the subject versus a population of subjects based on the analysis module the subject'"'"'s health data.

19. The computer program product of claim 16, wherein the healthcare management system further comprises a cost-projection module, wherein the method further comprises projecting by the cost-projection module a cost of healthcare associated with future care for the subject based on the analysis module the subject'"'"'s health data.

20. The computer program product of claim 16, wherein the healthcare management system further comprises a protocol module, wherein the method further comprises constructing by the protocol module a care protocol for care of the subject based on the analysis of the subject'"'"'s health data.

21. The computer program product of claim 16, wherein the healthcare management system further comprises a reconciliation module, wherein the method further comprises identifying by the reconciliation module a change in a care protocol of the subject and associating by the reconciliation module the change in the subject'"'"'s care protocol with a change in a condition of the subject.

22. The computer program product of claim 16, wherein the healthcare management system further comprises a conflict module, wherein the method further comprises identifying by the conflict module two conflicting interventions in a care protocol of the subject and resolving the conflict by the conflict module.

23. The computer program product of claim 16, wherein the healthcare management system further comprises a clinical event module and a rule-updating module, wherein the method further comprises identifying by the clinical event module that a clinical event has occurred for the subject, and updating by the rule-updating module the set of rules based on the identified clinical event.

24. The computer program product of claim 16, wherein the healthcare management system further comprises a data mapping engine, wherein the method further comprises mapping by the data mapping engine of the subject'"'"'s health data from a source terminology into a standard terminology.