SYSTEM FOR MANAGING PATIENT REFERRALS

• US 20160358292A1
• Filed: 03/17/2014
• Published: 12/08/2016
• Est. Priority Date: 03/15/2013
• Status: Abandoned Application

• Current Assignee: Humana Incorporated
• Original Assignee: Humana Incorporated
• Inventors: Willard, Marc, Morris, George
• Application Number:
  US14/217,163
• Publication Number:
  US 20160358292A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

The present invention is an apparatus for communicating a patient referral from a first patient care provider to a second patient care provider. Such an apparatus is also configured to communicate patient heath record data from first care provider'"'"'s electronic health records system to a second care provider'"'"'s electronic health records system in response to an electronic request from the second care provider.

Claims

1. A system for managing medical patient referrals, comprising:

a referring computerized interface device configured to receive entered patient medical data associated with a patient who has been seen by a referring care provider;

a referred-to computerized interface device configured to engage in electronic communications with said referring computerized interface device, said referred-to computerized interface device associated with a referred-to care provider who the patient has been referred to see by the referring care provider, for a particular medical need;

a first set of medical care data about said patient stored in a first electronic medical record by said referring computerized interface device and forwarded electronically to said referred-to computerized interface device; and

a second set of medical care data about said patient generated as a result of said referred-to care provider seeing said patient, stored in a second electronic medical record by said referred-to computerized interface device and forwarded electronically to said referring computerized interface device.

2. The system of claim 1, wherein said first set of medical care data is electronically stored in said first electronic medical record in a first format, the referring computerized interface device further configured to arrange said first set of medical care data into a format that is readable by said referred-to computerized interface device, and said referred-to computerized interface device further configured to store said first electronic medical record in said second electronic medical record in a second format.

3. The system of claim 1, wherein said referring computerized interface device is further configured to receive a unique identifier of said patient from said referred-to computerized interface device, whereby said first set of medical care data forwarded electronically by said referring computerized interface device is identified for forwarding.

4. The system of claim 1, wherein said referred-to computerized interface device is further configured to receive a unique identifier of said patient from said referring computerized interface device, whereby said second set of medical care data forwarded electronically by said referred-to computerized interface device is identified for forwarding in response to the receipt of said unique identifier.

5. The system of claim 1, wherein said referred-to computerized interface device is further configured to generate a user interface for display on a screen.

6. The system of claim 1, wherein said referring computerized interface device is further configured to generate a user interface for display on a screen.

7. The system of claim 5, wherein said user interface comprises a separate section for said display of patient overview data and at least one of suggested patient care plans, patient quality outcomes, allergy information, medications information, and summary information related to visits to care providers and care provided.

8. The system of claim 5, wherein said referred-to computerized interface device is further configured to:

receive user interface customization instructions where said instructions comprise instructions to highlight certain patient information; and

generate said user interface for display on said screen according to said user interface customization instructions.

9. The system of claim 8, wherein said user interface comprises a data section configured to display predetermined patient record data where said section is not subject to said user interface customization instructions.

10. The system of claim 6, where said user interface is configured to display a preselected patient data set.

11. The system of claim 1, wherein said referred-to computerized interface device is further configured to receive a notification of said referral and in response to said notification, transmit an electronic query to a third computerized interface device to provide additional patient data related to said patient and electronically stored in a third electronic medical record.

12. A method of managing a referral of a patient from a referring care provider where the patient is associated with patient data electronically stored within a referring electronic records system, wherein a plurality of computerized interface device programmed with software which configures the processors of each interface device to implement the method comprising the steps of:

receiving at a first computerized interface device, a unique identifier associated with the patient;

transmitting by the first computerized interface device, an electronic query comprising the unique identifier to a second computerized interface device;

retrieving by the second computerized device, patient data from a first electronic medical record in communication with the second computerized device that is identified by the unique identifier, the retrieved patient data in a first format which is used by the first electronic medical record;

converting, by the second computerized device, the patient data in a first format into a second format, where said format is common to the plurality of computerized interface devices;

transmitting from the second computerize device to the first computerized device, the patient data in a second format;

receiving by the first computerized device, the patient data in the second format format from the second computerized interface device;

converting the patient data into a third format where the third format is used by a referred-to electronic medical records system; and

transmitting the patient data in the third format to the referred-to electronic records system for storage.

13. The method of claim 12, further comprising the steps of:

configuring a preselected data set selected from the patient data; and

transmitting the preselected data set for display at a user interface.

14. The method of claim 12, wherein an existing patient record associated with the patient is electronically stored in the referred-to electronic records system, the method further comprising the steps of:

compare the patient data with the existing patient record; and

update the existing patient record with a subset of the patient data that does not conflict with the existing patient record.

15. The method of claim 12, wherein the unique identifier associated with the patient is received from an input device in communication with a computerized interface device.

16. The method of claim 12, wherein the unique identifier associated with the patient is received from the referred-to electronic records system.

17. The method of claim 12, wherein the unique identifier associated with the patient is received from the second computerized interface device.

18. A computerized interface device comprising:

a processor;

memory;

interface circuitry;

software which configures the processor to transmit a notification of a patient referral to another computerized interface device in response to a user input; and

software which configures the processor to automatically retrieve patient information from an electronic medical records system in electronic communication with the computerized interface device, convert the retrieved patient information from a first storage format native to the electronic medical records system into a second storage format which is a predetermined record structure, and transmit the retrieved and converted patient information to at least a second computerized interface device in response to the receipt of a notification of a patient referral from the second computerized interface device.

19. The computerized interface device of claim 18, further comprising software which configures the processor to create a virtual user interface which receives user input.

20. The computerized interface device of claim 18, further comprising software which configures the processor to:

receive patient data stored in the second storage format from another computerized interface device in response to a notification transmitted;

format the received patient data for storage on the electronic medical records system; and

transmit the formatted patient data to the electronic medical records system in communication with the computerized interface device.