PATHWAYS FOR TREATING PATIENTS

• US 20150324543A1
• Filed: 03/15/2013
• Published: 11/12/2015
• Est. Priority Date: 10/05/2012
• Status: Active Grant

• Current Assignee: H Lee Moffitt Cancer Center & Research Institute (State University System of Florida)
• Original Assignee: Alan F. List
• Inventors: LIST, Alan F., SCHIPPITS, Mark Gerard
• Granted Patent: US 11,361,867 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

Methods, systems, and apparatus, including computer programs encoded on a computer storage medium are provided, including a method for presenting information for treating patients. The method comprises presenting, in a user interface, a pathway for use in treating a patient with a disease and including a combination of therapeutic and diagnostic pathway elements including an integration of diagnostic, radiation, chemotherapy, surgical and other elements. The method further comprises augmenting the pathway including providing controls for accessing additional information associated with a given pathway element, augmenting pathway elements to include indicators for pricing, efficacy and/or toxicity of a treatment associated with a given treatment element, and augmenting the pathway with a connection to another pathway including providing a link to another pathway at a point in a given pathway that provides information for a related pathway. The method further comprises presenting an augmented pathway to a patient or treating physician.

Claims

1. A computer-implemented method comprising:

presenting in a user interface a pathway, the pathway for use in treating a patient with a disease and including a combination of therapeutic and diagnostic pathway elements including an integration of diagnostic, radiation, chemotherapy, surgical elements and/or other elements including those related to other procedures, disciplines or pharmacotherapy;

augmenting the pathway including providing one or more controls for accessing additional information associated with a given pathway element;

augmenting pathway elements to include indicators for pricing, efficacy and/or toxicity of a treatment associated with a given treatment element in the pathway;

augmenting the pathway with a connection to another pathway including providing a link to another pathway at a point in a given pathway to enable quick reference to the another pathway from a relevant point of the given pathway; and

presenting an augmented pathway in a user interface to a patient or treating physician.

2. The method of claim 1 wherein the pathway is specific to a form of cancer.

3. The method of claim 1 wherein providing one or more controls further includes identifying one or more references germane to or for inclusion in a pathway, identifying updates or comments to the references, and providing one or both when the control is activated.

4. The method of claim 1 wherein the indicators for pricing include an estimate of one or more of a wholesale price, co-payments or actual cost, profit or other raw or evaluated financial indicators of a treatment associated with a pathway element and wherein the method further includes determining one or more of an estimate for a wholesale price, co-payments, an actual cost, profit or other raw or evaluated financial indicators for the treatment.

5. The method of claim 1 wherein the indicators include indicators of effectiveness of treatment or indicators of appropriateness of a treatment.

6. The method of claim 1 wherein the indicators for toxicity and/or efficacy include a toxicity and/or efficacy score, and wherein the method further includes calculating a toxicity and/or efficacy score based at least in part on historical information associated with treatment of patients using the pathway.

7. The method of claim 1 wherein the pathway includes plural integrated pathways.

8. The method of claim 1 further comprising color-coding the elements based on a type of element such that different therapeutic or diagnostic element types are color-coded to reflect the type of element.

9. The method of claim 1 wherein the color coding includes color coding individual pathway elements and color coding blocks of elements to define particular portions of the pathway.

10. The method of claim 1 wherein the additional information includes information to assist in making a decision in association with a decision element in the pathway, clarification information for an element, patient education information, or decision rationale information.

11. The method of claim 1 further comprising augmenting one or more pathway elements with referral information when the pathway element involves a treatment that is beyond a scope of a current treatment facility.

12. The method of claim 11 wherein augmenting the one or more pathway elements with referral information further includes augmenting a pathway element with a control for directly referring a patient to another treating facility or care provider.

13. The method of claim 1 further comprising linking the pathway to an electronic medical record for the patient.

24. The method of claim 1 wherein the additional information includes periodicals, drill-down information, teaching tools, resources or presentations.

26. The method of claim 1 wherein the another pathway is selected from the group comprising nursing, discharge, planning, complications or prevention pathways.

14. A method for presenting treatment information to a patient or treatment professional comprising:

identifying a disease associated with a patient;

identifying a pathway associated with the disease, the pathway including a combination of therapeutic and diagnostic pathway elements including an integration of diagnostic, radiation, chemotherapy and/or surgical elements;

using a question and answer paradigm to navigate the pathway to identify a current location on the pathway that is relevant to the patient; and

presenting an instantiation of the pathway in a user interface including highlighted portions that reflect a path associated with a treatment and evaluation of the patient.

15. The method of claim 14 wherein presenting the instantiation of the pathway further includes presenting a forward-looking version of the pathway from a current treatment point for the particular patient and presenting a breadcrumb trail or clinical summary in an outline format and/or graphical format for decisions and selections made previously that resulted in a traversal of the path to the current point.

16. The method of claim 15 wherein the forward looking version of the pathway is presented in one frame of a user interface and the clinical summary or breadcrumb trail is presented in a second different frame of the user interface.

17. The method of claim 15 further comprising receiving a selection of an element in the forward looking version breadcrumb trail and the method further comprising presenting an instantiation of the pathway from a point in the pathway associated with the selection including a highlighted portion reflecting the path traversed in treating the patient.

18. The method of claim 14 wherein the pathway is an augmented pathway that includes one or more controls for accessing additional information associated with a given pathway element to assist in either evaluating a pathway element or making a decision in association with a decision element in the pathway and one or more indicators for pricing, efficacy and/or toxicity or outcomes of a treatment associated with a given treatment element in the pathway.

19. The method of claim 14 wherein the pathway provides a clinical summary of past treatment of and potential future treatment options for the patient.

20. The method of claim 19 further comprising providing a control for expanding or contracting the clinical summary including a control for enabling display of the pathway from a current time point forward, the current time point backward, the entire pathway, or some other time frame.

21. The method of claim 19 wherein the some other time frame includes providing an expanded portion of the pathway for a first portion of the time frame along with a contracted portion of the pathway for a second portion of the time frame.

22. The method of claim 14 wherein using the question and answer paradigm to navigate the pathway to identify the current location on the pathway that is relevant to the patient further comprises linking the pathway to an electronic medical record for the patient to facilitate navigation of the pathway.

23. The method of claim 22 wherein facilitating further includes providing answers to one or more questions based on information stored in the electronic medical record during navigation.

25. The method of claim 14 further including:

receiving data input associated with the pathway, the data input including data received automatically from data capture tools integrated into an electronic medical record and data received from manual inputs of medical staff or a patient; and

providing at least one clinical summary that is color-coded and expandable based at least in part on responsibilities or needs of a viewing party.