Method for evaluating and reviewing a patient's condition

• US 5,473,537 A
• Filed: 04/12/1995
• Issued: 12/05/1995
• Est. Priority Date: 07/30/1993
• Status: Expired due to Fees

• Current Assignee: Behavioral Algorithms, Inc.
• Original Assignee: Psychresources Development Company
• Inventors: Gray, Geoffrey V., Glazer, William M.
• Primary Examiner(s): Hayes, Gail O.
• Assistant Examiner(s): Poinvil, Frantzy
• Application Number:
  US08/420,854
• Time in Patent Office: 237 Days
• Field of Search: 128/732, 128/630, 364/419.2, 600/26, 600/27
• US Class Current: 600/300
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• 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: Y10S 128/92 Computer assisted medical diagnostics

Abstract

A method for evaluating and/or reviewing a patient'"'"'s condition comprises the steps of: collecting clinical data relevant to a determination about the propriety of a particular level of care for a patient; generating a behavioral severity series for the patient; and deriving a recommended treatment intensity from the behavioral severity series. The method is preferably performed using a computer to collect the clinical data. The computer can be programmed to automatically generate the behavioral severity series and derive the recommended treatment intensity for the patient.

Claims

1. A computer-assisted method for evaluating and reviewing the condition of an individual and a proposed level of care for said individual, said method comprising the steps of:

collecting clinical data relevant to a determination of the necessity of said proposed level of care;

said collecting step comprises gathering information about a plurality of elements including said individual'"'"'s behavior, a provider'"'"'s opinion as to imminent danger, and social resources available to the individual;

recording said gathered information by inputting said information into a computer;

generating a behavioral severity series for said individual from said recorded information;

said generating step comprising respective rating of each of said elements on a scale having a defined range;

deriving a treatment intensity based upon said behavioral severity series; and

said deriving step comprising deriving a recommended treatment intensity from a matrix which takes into account said rating for each said element and a weighing of said respective ratings.

2. The method of claim 1 wherein said information gathering step comprises gathering information about the individual'"'"'s tendency towards dangerous behavior, the individual'"'"'s social performance, and the individual'"'"'s substance abuse risk.

3. The method of claim 1 wherein each said scale has a range of 1 to 3.

4. The method of claim 1 wherein said treatment deriving intensity step comprises identifying different levels of potential care for an individual and correlating said recommended treatment with one of said levels of potential care.

5. The method of claim 4 wherein said different levels of care include:

(a) standard outpatient care;

(b) high intensity outpatient care;

(c) standard diversion care;

(d) high intensity diversion care including partial hospitalization;

(e) holding bed care;

(f) residential, non-hospital; and

(g) inpatient care.

6. The method of claim 4 wherein said different levels of care in the case of substance abuse illnesses include:

(a) standard outpatient care;

(b) high intensity outpatient care;

(c) medically managed outpatient care;

(d) high intensity diversion care;

( e ) residential therapeutic community care; and

(f) inpatient detoxification care.

7. The method of claim 4 wherein said treatment intensity deriving step further comprises norming said behavioral severity series for at least one factor selected from the group consisting of:

(a) child;

(b) adolescent;

(c) adult; and

(d) substance abuse populations.

8. The method of claim 4 further comprising:

providing a database containing case history information and treatment intensity information for individuals stored on a storage device; and

comparing said recommended treatment intensity with treatment information within said database.

9. A method for assessing and reviewing the condition of an individual and a proposed level of care for said individual, said method comprising the steps of:

providing a computer;

providing a database on a storage device which contains a number of potential questions which can be asked as part of a clinical data collecting step;

collecting clinical data relevant to a determination of the necessity of said proposed level of care by gathering information about the behavior of said individual, a provider'"'"'s opinion as to imminent danger, and social resources available to said individual;

inputting said gathered information into said computer;

selecting questions from said database in response to said inputted information;

generating a behavioral severity series for said individual from said gathered information and responses to said selected questions; and

deriving a treatment intensity for said individual using a matrix which takes into account said behavioral severity series.

10. The method of claim 9 wherein said selecting step is performed by said central processing unit.

11. The method of claim 9 further comprising:

storing said gathered information and said derived treatment intensity in said database.

12. The method of claim 9 further comprising:

said driving step comprising deriving a recommended treatment intensity; and

comparing said recommended treatment intensity with archival data about recommended treatment intensities for a particular class of individuals stored in said database.

13. The method of claim 9 wherein said clinical data collecting step comprises gathering information about the individual from a treating clinician.

14. The method of claim 9 wherein said clinical data collecting step comprises gathering information about the individual from a psychiatrist.

15. The method of claim 9 wherein said behavioral severity series is generated by said computer.

16. The method of claim 9 wherein said treatment intensity is derived by said computer.