Method and system for the tracking and profiling of supply usage in a health care environment

• US 5,991,728 A
• Filed: 04/30/1997
• Issued: 11/23/1999
• Est. Priority Date: 04/30/1997
• Status: Expired due to Term

• Current Assignee: GE Medical Systems Information Technologies Incorporated (General Electric Company), VDO Adolf Schindling AG (Vodafone Group PLC)
• Original Assignee: Deroyal Industries Incorporated
• Inventors: DeBusk, Brian C., Cofer, Michael C., Shanks, Mark W.
• Primary Examiner(s): Weinhardt, Robert A.
• Application Number:
  US08/846,798
• Time in Patent Office: 937 Days
• Field of Search: 705/2, 705/3, 705/7, 705/28, 705/29, 364/468.14, 364/468.22, 235/375, 235/385
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/0639 Performance analysis of employees; Performance analysis of enterprise or organisation operations
• CPC Class Codes: G06Q 10/087 Inventory or stock management, e.g. order filling, procurement or balancing against orders
• 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
• CPC Class Codes: G16H 40/63 for local operation

Abstract

A method for tracking medical supply usage on a procedure level in a clinical setting. The method includes the steps of creating at least one procedural template comprising a list of anticipated supplies to be used during a given medical procedure, creating a recordation form from a given procedure based upon the procedural template, the form including at least a partial listing of the anticipated supplies to be used during the procedure based upon the procedural template, recording on the form actual usage of supplies during the procedure, and storing the procedural template and actual usage information in a retrievable manner for the purposes of analysis.

Claims

1. A computer-implemented method for tracking medical supply usage on a procedural level in a clinical setting comprising the steps of:

creating provider-specific procedural templates, each comprising a list of supplies predetermined to be preferred by a particular healthcare provider for use during a given medical procedure;

creating a recordation form for the given procedure based upon at least one of said provider-specific procedural templates for the given procedure, said recordation form including at least a partial listing of the supplies predetermined to be preferred by a particular healthcare provider for use during the given procedure based upon the at least one provider-specific procedural template, said recordation form including a scheduled amount of each of the supplies included in the procedural template to be used during the given medical procedure;

recording on said recordation form actual usage information reflecting the actual usage of supplies during the given procedure, said recording comprising the steps of;

recording an issued amount of each of the supplies included in the procedural template, where the issued amount is an amount issued for use in the medical procedure;

recording a consumed amount of each of the supplies included in the procedural template, where the consumed amount is an amount actually consumed during the medical procedure;

recording a returned amount of each of the supplies included in the procedural template, where the returned amount is an amount returned to storage after the medical procedure;

recording a scrapped amount of each of the supplies included in the procedural template, where the scrapped amount is an amount disposed of but not consumed during the medical procedure nor returned to storage;

storing said provider-specific procedural templates and actual usage information in a retrievable manner for the purposes of analysis

analyzing said actual usage information from the given procedure and the at least one of said provider-specific procedural templates to determine supply request and actual usage patterns on a procedural level over a given time period for the particular healthcare provider by comparing the issued, consumed, returned, and scrapped amounts; and

modifying said provider-specific procedural templates to more fully conform to the actual usage patterns based on said analyzing.

2. The method of claim 1 further wherein said step of creating provider-specific procedural templates further comprises the steps of:

expressing a medical procedure as a series of care events;

associating the supplies used during the given medical procedure with the care events in which the supplies are used; and

creating lists of associated supply bundles for each expressed care event.

3. The method of claim 2 in which the step of expressing a medical procedure as a series of care events further comprises:

expressing the given medical procedure in terms of a clinical pathway;

identifying discrete elements of said clinical pathway which correspond to separate occurrences requiring interaction between a patient and a health care provider; and

grouping said discrete elements together according to shared characteristics, said grouped discrete elements constituting a given care event.

4. The method of claim 1 in which the step of creating a recordation form further comprises creating an electronic recordation form for receiving and storing information electronically.

5. The method of claim 1 in which the step of creating a recordation form comprises creating a paper form containing a listing of the at least partial lisiting of supplies.

6. The method of claim 1 wherein said step of storing said provider-specific procedural template and the actual usage information in a retrievable manner includes storing said provider-specific procedural template and the actual usage information in a searchable and sortable database.

7. The method of claim 1 wherein said step of storing said provider-specific procedural template and the actual usage information in a retrievable manner includes storing said provider-specific procedural template and the actual usage information in a client/server database.

8. A The method of claim 1 further comprising the following steps:

repeating the steps of creating a recordation form for the given procedure, recording the actual usage information on the recordation form for the given procedure and storing the actual usage information for a plurality of given procedures to create a historical database of supply usage for the given procedures corresponding to said provider-specific procedural template;

sorting the historical database according to selected criteria to compare the actual usage information to the list of supplies set out in the provider-specific procedural template; and

generating reports displaying selected information resulting from the sorted historical database, and thereby providing historical actual usage information.

9. The method of claim 8 comprising the additional step of refining the list of supplies set out in the provider-specific procedural template to more accurately reflect the historical actual usage information provided from said step of generating reports.

10. The method of claim 9 comprising the additional step of ordering the supplies for the given procedure based upon the refined procedural template list of supplies.

11. The method of claim 1 wherein the step of creating provider-specific procedural templates further comprises the following steps:

creating a plurality of supply records containing at least identifying information for an item of supply, cost information about the item of supply, and a description of the item of supply, and

using said supply records to incorporate information into said provider-specific procedural templates containing at least a partial listing of the supplies predetermined to be preferred by the particular healthcare provider for use during a given procedure.

12. The method of claim 1 wherein the step of creating provider-specific procedural templates further comprises the following steps:

creating a plurality of employee records containing at least employee identifying information and type of employee information, and

using said employee records to incorporate information into said provider-specific procedural templates reflecting employee participation in the procedure.

13. A computer-implemented process for the management of information relating to the consumption of health care resources in a clinical environment comprising the steps of:

generating a machine readable and displayable provider-specific template of health care resources predetermined to be preferred by a particular healthcare provider for use during a given health care procedure;

storing said provider-specific template in a machine readable and displayable database;

outputting a recordation form in a human perceivable format based upon said machine readable and displayable provider-specific template, said recordation form comprising at least a partial listing of health care resources predetermined to be preferred by a particular healthcare provider for use during the given health care procedure;

inputting actual usage information concerning the actual usage of health care resources associated with the given procedure, said inputting including the steps of;

inputting an issued amount of each of the resources included in the template, where the issued amount is an amount issued for use in the procedure;

inputting a consumed amount of each of the resources included in the template, where the consumed amount is an amount actually consumed during the procedure;

inputting a returned amount of each of the resources included in the template, where the returned amount is an amount returned to storage after the procedure;

inputting a scrapped amount of each of the resources included in the template, where the scrapped amount is an amount disposed of but not consumed during the procedure nor returned to storage;

storing said actual usage information in a machine readable and displayable database;

analyzing said actual usage information and said provider-specific template to determine deviations between expected resource consumption and actual resource consumption for the particular healthcare provider during the given health care procedure, said analyzing including comparing the issued, consumed, returned, and scrapped amounts of the resources; and

modifying said provider-specific template to more fully conform to the actual usage of health care resources by the particular health care provider during the given health care procedure based on said analyzing.

14. The method of claim 13 comprising the following additional steps:

creating a plurality of machine readable parts records, each of the parts records corresponding to an item of supply which may be used in the health care procedure, each of said parts records including, at least, part identifying information, and part cost information;

creating a plurality of machine readable employee records, each of the employee records corresponding to an employee who might participate in the health care procedure, each of said employee records including at least employee identifying information and employee duty information; and

using said parts records and said employee records when performing the step of generating said machine readable and displayable provider-specific templates of health care resources.

15. The method of claim 13 further comprising the following steps:

repeating the steps of inputting and storing the actual usage information for a plurality of performed health care procedures;

generating stored health care procedure records corresponding to the performed health care procedures; and

storing the actual usage information for the performed health care procedures based on the stored procedure records, said machine readable and displayable database organized so as to be searchable and sortable.

16. The method of claim 15 wherein the modifying step is based upon the actual usage information stored in said health care procedure records.

17. The method of claim 15 wherein said analyzing step further comprises the following steps:

comparing anticipated resource usage information to the actual usage information stored in said procedure records; and

identifying potential component standardization opportunities across the health care procedures performed by the particular health care providers.

18. The method of claim 15 wherein said health care procedure records include cost information and further comprising the step of extracting historical cost information for at least one of the health care procedures from said health care procedure records.