SYSTEM FOR INTEGRATED PROTOCOL AND DECISION SUPPORT

• US 20150187038A1
• Filed: 12/27/2013
• Published: 07/02/2015
• Est. Priority Date: 12/27/2013
• Status: Active Grant

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Johnson, Christopher Donald, Akbay, Kunter Seref, McIlroy, Brian, Malladi, Roxana, Rodrigues, Paulo Gallotti, Ribeiro, Marcelo Blois
• Granted Patent: US 10,037,821 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: G06Q 10/063118 Staff planning in a project environment
• CPC Class Codes: G06Q 10/06316 Sequencing of tasks or work
• CPC Class Codes: G06Q 10/06395 Quality analysis or management
• CPC Class Codes: G06Q 30/0203 Market surveys; Market polls
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

Embodiments of the system support hospital operations, delivery of health care, and improve patient satisfaction. The interactive hospital information system utilizes inputs from a mobile device, eliminating the cost of fixed cameras and sensor systems in the hospital facility. Aspects of the invention facilitate real-time patient care and patient room updates by care providers, validating that prescribed devices, services, and setups are in place per protocol. The system communicates with rounding persons as to specific care management. Network devices, such as an iPad® or smartphone, are utilized to monitor and record ongoing activities in the healthcare setting.

Claims

1. An integrated hospital information system for clinical decision support comprising:

a plurality of data capture devices, each having manual data input and at least one of a visual sensor, audio sensor, or a light-based sensor to configure computer generated input of sound, video, graphics, global positioning (GPS), light-based detection laser-based detection, body scanning, or retinal scanning to provide a captured image of a patient'"'"'s care and care setting;

at least one storage unit in the form of a server or a cloud-based storage connected to a network;

a processor comprising an analytics module that interacts with said at least one storage device and said plurality of data capture devices to compare said captured image with a protocol image to determine whether said captured image of the patient adheres to one or more of regulatory protocols, operating protocols, health provider orders, and a patient'"'"'s treatment or care plan; and

a user interface integrated with each of the plurality of data capture devices that refreshes said captured image in real-time;

wherein each of said plurality of data capture devices comprises a network interface for internet access.

2. The system of claim 1, wherein said captured image is saved in the system as a prior image and overlaid by an updated captured image that provides overlaid action directives on the captured image and publishes on the network as a refreshed image that encompasses one or more action items or initiates real-time indicators to provide ongoing patient monitoring and reporting updates to stakeholders.

3. The system of claim 1, wherein said analytics module produces outputs that result in augmented or annotated information delivered to at least one of said data capture devices.

4. The system of claim 1, wherein said captured image is a real-world observation by a user of said data capture device and produces a real-time image that overlays a graphic of a hospital room environment with a defined protocol.

5. The system of claim 4, wherein said graphic of said hospital room environment identifies one or more deviations from the defined protocol, and the processor provides an alert at each of said user interfaces as integrated with each of the plurality of data capture devices including at least one of the site of the deviation, at a health care provider alert station, and on one or more mobile devices.

6. The system of claim 1, wherein said captured image is updated continuously as evidence as to whether a defined protocol has been followed or not.

7. The system of claim 1, wherein the analytics module extracts a patient'"'"'s identification and HIPAA information associated with a patient'"'"'s identification tag or electronic medical record.

8. The system of claim 1, wherein said data capture device is a mobile device of a clinician to provide protocol support, treatment plans, and feedback.

9. The system of claim 1, wherein said data capture device is a mobile device of a patient to provide inputs into the system as to perceived well-being and status.

10. The system of claim 1, wherein said data capture device is a mobile device and receives information from said network along with said alerts, such that said information is shared within a hospital unit or across multiple hospital units.

11. The system of claim 1, further comprising a patient'"'"'s electronic medical records associated with a personalized treatment plan and published within the network whenever inputs or modifications are made.

12. The system of claim 11, further comprising a decision support system incorporated with said analytics module to report prior decisions made as to the personalized treatment plan, a prior patient'"'"'s treatment or care plan, and further recommending options as to future treatment.

13. The system of claim 1, wherein a plurality of inputs and a plurality of outputs are analyzed and recorded in said storage for later recall and reporting.

14. The system of claim 1, further comprising a patient feedback system that implements a survey as to patient satisfaction and overall hospital operations.

15. The system of claim 1, wherein the integrated hospital information system for clinical decision support is based in a care setting comprising any one of:

a hospital, a medical institute, a dental clinic, an outpatient clinic, a physician'"'"'s office, a pharmaceutical setting, home environment, or other patient care setting.

16. The method of using the system of claim 1, comprising a step of recording said captured image, and continually updating said captured image on said network.

17. The method of claim 16, wherein said step of continually updating, said captured image is graphically overlaid by an updated captured image that is analyzed in relation to protocol and publishes on the network to provide ongoing patient monitoring and reporting of updates.

18. The method of claim 16, further comprising a step of reporting updates that are further utilized as an ongoing score of processes being met satisfactorily or unsatisfactorily to provide a validation process during post-process analytics.

19. The method of claim 16, further comprising scheduling coverage via mobile devices networked to the system to provide monitoring of directed care using one or more of a function of hospital staffing, type of services needed, and stakeholder availability.

20. The method of claim 19, wherein said step of scheduling coverage, shift timing is adjusted throughout a 24 hour timeframe to accommodate patient care and staffing objectives.

21. The method of claim 19, wherein the step of scheduling coverage, the staffing objectives accommodate physician, nurse, and staff availability, including staff shortages, surpluses, overtime, and use of temporary or agency staff.

22. The method of claim 17, wherein said ongoing patient monitoring and reporting, said updates synchronize and publish to mobile devices, communication centers, and health care providers in the form of text, picture, video, call, or web-enabled interface on a continuous basis or as determined per protocol and communication support.

23. The method of claim 17, wherein said system utilizes a step of providing real-time patient care quality reports and a step of assessing a hospital'"'"'s operational quality to produce patient satisfaction reports and hospital assessment, respectively.

24. The method of claim 17, further comprising a step of using mixed integer linear programming to provide optimization in the system.

25. The method of claim 24, wherein the mixed integer linear programming utilizes a task component such that staffing is monitored per patient caseload and a shift prescribed for a specified hour and within a particular hospital.

26. The method of claim 25, wherein the shift prescribed triggers an inquiry in the system for availability of staff, and creates new shifts or augments an existing shift by changing the duration, start time, end time, or allocation of staff within or across units.

27. The method of claim 26, wherein the staff respond using the user interface to post and schedule real-time availability.

28. The method of claim 17, wherein the system utilizes a decision support framework in combination with protocols or patient care needs to make dynamic decisions concerning assignment of staff to patients.

29. The method of claim 17, further comprising a target response that is a control variable in a numerical simulation of a hospital care delivery process.

30. The method of claim 29, further comprising a cost to meet the target response time compared to a cost as to a variable response time, said costs correlated to a patient satisfaction score.

31. The method of claim 17, wherein the protocol image establishes a threshold protocol that is dynamically adjusted based on learned information about a patient such that a duration for a plurality of patients is a function of personality, descriptive attributes, staff, visitors, and attributes known or determined to affect patient feedback.

32. The method of claim 31, wherein the duration engages stakeholders including physicians, nurses, staff, skilled hospitality, administration and visitors.

33. The method of claim 17, wherein the data capture device is a fixed monitoring modality used to validate inputs from a plurality of mobile devices.

34. The method of using the system of claim 1, wherein said one or more of regulatory protocols, operating protocols, health provider orders, and a patient'"'"'s treatment or care plan designates at least one visit, and wherein said patient'"'"'s care and care setting alerts said stakeholder as to a missed visit.

35. The method of using the system of claim 1, comprising a step of monitoring the patient'"'"'s care and care setting in real-time, wherein the integrated hospital information system stores, analyzes, and reports data with permissions and encryption with an edge device or by way of remote computing, wherein the plurality of data capture devices comprise mobile devices.

36. The method of using the system of claim 1, further comprising managing a workflow that includes a plurality of tasks, wherein the tasks have interdependencies;

and a variation in the workflow alerts a care stakeholder to manage patient expectations.