Method and system for facilitating patient care plans

• US 6,434,531 B1
• Filed: 05/06/1997
• Issued: 08/13/2002
• Est. Priority Date: 02/28/1995
• Status: Expired due to Term

• Current Assignee: CliniComp International, Inc.
• Original Assignee: CliniComp International, Inc.
• Inventors: Urquhart, Kristopher S., Lancelot, Jean Francois, Burford, Jon J.
• Primary Examiner(s): Poinvil, Frantzy
• Application Number:
  US08/852,191
• Time in Patent Office: 1,925 Days
• Field of Search: 705/2, 705/3, 705/4, 707/10, 707/100-104
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• 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 40/63 for local operation

Abstract

A method and system of facilitating the management of patient care includes storing clinical pathway templates of pre-defined patient care paths, and assigning a template to a given patient undergoing treatment. The assigned template is tailored for the requirements of the given patient, and variances from the patient care path are collected so that the pre-defined patient care path templates can be modified with patient treatment experience.

Claims

1. A method of facilitating the management of patient care, the method implementing clinical pathway flowsheets on a computer system, comprising:

storing clinical pathway templates, said template being a pre-defined patient care path;

assigning a template to a given patient under treatment;

tailoring the predefined patient care path of the assigned template for the requirements of the given patient;

said tailoring including entering into the computer system order information specific to the given patient relating to the pre-defined patient care path;

said tailoring also including automatically creating an updated clinical pathway flowsheet for the given patient reflecting the tailoring of the assigned template by automatically transferring said entered information to the flowsheet, the updated flowsheet for indicating the progression of patient care for the given patient;

displaying the updated clinical pathway flowsheet at a computer display station wherein the clinical pathway flowsheet indicates a progression of time including the progression of patient care for the given patient;

entering subsequently change information into the computer system relating to the patient care pathway flowsheet provided for the given patient, the change information indicative of a change in the care for the given patient;

recording automatically variance information for the clinical pathway flowsheet for the given patient responsive to the entered change information to inform the user of changes in future patient care for the given patient; and

developing a modified, optimized pre-defined care path in accordance with the variance information of the given patient and variance information obtained from a plurality of other clinical pathway patients utilizing the pre-defined care path of the template assigned to the given patient.

2. A method according to claim 1, further including collecting variances from patient care paths for a plurality of patients, including the variance for the given patient, so that the pre-defined patient care path templates can be modified with patient treatment experience.

3. A method according to claim 2, further including modifying said templates in accordance with the collected variances.

4. A method according to claim 1, further including configuring said templates in levels of objects.

5. A method according to claim 4, further including arranging said levels in a hierarchy of a sequence of objects including at least one of the following objects including a clinical pathway, a section, a row, a level and an order.

6. A method according to claim 5, further including configuring individual orders.

7. A method according to claim 5, further including grouping orders into levels.

8. A method according to claim 5, further including grouping orders into rows.

9. A method according to claim 5, further including grouping rows into sections.

10. A method according to claim 5, further including grouping sections into a pathway.

11. A system operating on a computer for facilitating the management of patient care and displaying clinical pathway flowsheets, comprising:

means for storing clinical pathway templates, said template being a pre-defined patient care path;

means for assigning a template to a given patient under treatment;

means for tailoring the pre-defined patient care path of the assigned template for the requirements of the given patient;

said means for tailoring including means for entering into the computer system order information specific to the given patient relating to the pre-defined patient care path;

said means for tailoring also including means for automatically creating an updated clinical pathway flowsheet for the given patient reflecting the tailoring of the assigned template by automatically transferring said entered information to the flowsheet, the updated flowsheet for indicating the progression of patient care for the given patient;

means for displaying the updated clinical pathway flowsheet at a computer display station wherein the clinical pathway flowsheet indicates a progression of time including the progression of patient care for the given patient;

means for entering subsequently change information into the computer relating to the patient care pathway flowsheet provided for the given patient, the change information indicative of a change in the care for the given patient;

means for recording automatically variance information for the clinical pathway flowsheet for the given patient responsive to the entered change information to inform the user of changes in future patient care for the given patient; and

means for developing a modified, optimized pre-defined care path in accordance with the variance information of the given patient and variance information obtained from a plurality of other clinical pathway patients utilizing the pre-defined care path of the template assigned to the given patient.

12. A system according to claim 11 further including means for collecting variances from the patient care paths for a plurality of patients, including the variance for the given patient, so that the pre-defined patient care path template can be modified with patient treatment experience.

13. A system according to claim 12, further including means for modifying said templates in accordance with the collected variances.

14. A system according to claim 11, further including means for configuring said templates in levels of objects.

15. A system according to claim 14, further including means for arranging said levels in a hierarchy of a sequence of objects including at least one of the following objects including a clinical pathway, a section, a row, a level and an order.

16. A system according to claim 15, further including means for configuring individual orders.

17. A system according to claim 15, further including means for grouping orders into levels.

18. A system according to claim 15, further including means for grouping levels into rows.

19. A system according to claim 15, further including means for grouping rows into sections.

20. A method of facilitating patient care paths, the method implemented on a computer system, comprising:

entering order information for a given critical care flowsheet;

tailoring the critical care flowsheet by automatically transferring the entered order information to the given flowsheet for each of a plurality of given patients, each tailored critical care flowsheet being indicative of a patient care path for a single given patient;

entering change information into said given flowsheet;

generating automatically a variance responsive to the entered change;

collecting patient care path variances from each of the plurality of given patients; and

optimizing delivery of care to each of a plurality of given patients by editing critical care pathway flowsheets for each given patient responsive to the collected variances collected from each respective given patient.

21. A method of facilitating the management of patient care using a computer system, comprising:

storing clinical pathway templates, said templates providing a pre-defined patient care path flowsheet;

assigning a template to a given patient under treatment;

entering order information specific to the given patient into the computer system;

automatically tailoring the assigned template for the requirements of the given patient responsive to the entered information;

said tailoring including generating a critical care flowsheet by transferring the entered information to the flowsheet for the given patient;

displaying the critical care flowsheet for the given patient, the critical care flowsheet showing future patient management information;

subsequently entering a variance into the generated flowsheet;

collecting variances from the critical care flowsheet for the given patient;

collecting variances from a plurality of critical care flowsheets generated from the template so that the pre-defined patient care path templates can be modified with patient treatment experience; and

optimizing the pre-defined patient care path templates by modifying said templates in accordance with the collected variances for the templates.