Medical wellness parameters management system, apparatus and method

• US 6,454,705 B1
• Filed: 09/21/1999
• Issued: 09/24/2002
• Est. Priority Date: 09/21/1999
• Status: Expired due to Term

• Current Assignee: Cardiocom LLC (Medtronic Plc)
• Original Assignee: Cardiocom LLC (Medtronic Plc)
• Inventors: Cosentino, Louis C., Cosentino, Daniel L., Dorfe, Steven George, Duea, Duane Robert, Duea, Michael John
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): Astorino, Michael C
• Application Number:
  US09/399,041
• Time in Patent Office: 1,099 Days
• Field of Search: 600/300-301, 600/481-500, 600/529-546, 128/903-905, 128/920-925, 705/2-3
• 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 40/67 for remote operation
• CPC Class Codes: Y10S 128/903 Radio telemetry
• CPC Class Codes: Y10S 128/904 Telephone telemetry
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics

Abstract

A medical system, apparatus and method for monitoring and managing one or more ambulatory patients on a computer and allowing a caregiver to review the ambulatory patients'"'"' wellness parameters to provide treatment in accordance with the wellness parameters. The system, apparatus and method provides a patient monitoring apparatus having a first communication device associated therewith for monitoring a patient'"'"'s wellness parameters. A central computer located remote from the monitoring apparatus and in communication therewith, the central computer having a second communication device associated therewith for communicating wellness parameters and treatment data over a communications link established between the central computer and the monitoring apparatus, the central computer being operated for querying the patient via the patient monitoring apparatus, receiving and processing measured wellness parameters from the monitoring apparatus and calculating a score according to the wellness parameters. A main database coupled to the central computer having patient medical records stored therein. One or more computer workstations located remote from the central computer and in communication therewith, the one or more computers having a third communication device associated therewith for communicating physical examination data between the central computer and the one or more workstations over a communication link established therebetween. The score calculated by the central computer according to the wellness parameters is compared with a predetermined value, and based on the results of the comparison the central computer issuing an exception report and communicating the exception report to the one or more workstations located remote therefrom, whereby a caregiver located at the remote workstation site is notified of the exception report.

Claims

1. A medical system for monitoring and managing one or more ambulatory patients on a computer and allowing a caregiver to review the ambulatory patients'"'"' wellness parameters to provide treatment in accordance with the wellness parameters, comprising:

a patient monitoring apparatus having a first communication device associated therewith for monitoring a patient'"'"'s wellness parameters;

a central computer located remote from the monitoring apparatus and in communication therewith, the central computer having a second communication device associated therewith for communicating wellness parameters and treatment data over a communications link established between the central computer and the monitoring apparatus, the central computer being operated for querying the patient via the patient monitoring apparatus, receiving and processing measured wellness parameters from the monitoring apparatus and calculating a score according to the wellness parameters;

a main database coupled to the central computer having patient medical records stored therein; and

one or more computer workstations located remote from the central computer and in communication therewith, the one or more computers having a third communication device associated therewith for communicating physical examination data between the central computer and the one or moire workstations over a communication link established therebetween;

wherein, the score calculated by the central computer according to the wellness parameters is compared with a predetermined value, and based on the results of the comparison the central computer issuing an exception report and communicating the exception report to the one or more workstations located remote therefrom, whereby a caregiver located at the remote workstation site is notified of the exception report; and

wherein the central computer initiates and provides a notification or absence, during a pre-designated interval of time, of communication of the patient'"'"'s wellness parameters.

2. The system according to claim 1, wherein the patient monitoring apparatus is configured and arranged to monitor the patient'"'"'s weight.

3. The system according to claim 1, wherein the one or more workstations are located at any one of one or more health clinics, hospitals, emergency rooms and HMOs.

4. The system according to claim 1, further comprising:

a remote dial-in workstation located remote from the central computer and in communication therewith, the remote dial-in workstation having a fourth communication device associated therewith for communicating with the central computer and accessing the database.

5. The system according to claim 1, further comprising:

a second database located remote from the main database and having patient medical records stored therein, the second database being accessible by the central computer via a communication link established therebetween.

6. The system according to claim 5, wherein the second database includes the patient'"'"'s hospital information data stored therein.

7. The system according to claim 1, wherein a telephone number is automatically downloaded into the home monitoring apparatus from a remote location.

8. A method for monitoring and managing one or more ambulatory patients on a computer and allowing a caregiver to review the ambulatory patients'"'"' wellness parameters to provide treatment in accordance with the wellness parameters, the method comprising;

receiving a patient'"'"'s wellness parameters at a central computer from a patient monitoring apparatus located remote therefrom;

creating a patient medical record in a database coupled to the central computer and storing the patient'"'"'s wellness parameters received from the monitoring apparatus into the database;

monitoring the patient'"'"'s status;

calculating a score with the central computer based on the patient'"'"'s wellness parameters;

comparing the score with a predetermined value;

based on the results of the comparison, issuing an exception report and communicating the report to one or more workstations located remote from the central computer, whereby a caregiver is notified of the exception report; and

intiating a notification of absence, during a pre-designated interval of time, of communication of the patient'"'"'s wellness parameters.

9. The method according to claim 8, wherein the patient monitoring apparatus is configured and arranged to monitor the patient'"'"'s weight.

10. The method according to claim 8, wherein the one or more workstations are located at any one of one or more health clinics, hospitals, emergency rooms and HMOs.

11. The method according to claim 8, further comprising:

accessing a second database located remote from the main database and having patient medical records stored therein, the second database being accessible by the central computer via a communication link established therebetween.

12. The method according to claim 11, wherein the second database includes the patient'"'"'s hospital information data stored therein.

13. The method according to claim 8, wherein upon being provided with an exception report, the caregiver:

contacting the patient;

verifying the condition that triggered the exception report; and

making the appropriate adjustments to the patient'"'"'s medication and/or fluid intake.

14. The method according to claim 13, further comprising notifying a physician of the patient'"'"'s symptoms.

15. The method according to claim 8, wherein a telephone number is automatically downloaded into the home monitoring apparatus from a remote location.

16. An apparatus for monitoring and managing one or more ambulatory patients on a computer and allowing a caregiver to review the ambulatory patients'"'"' wellness parameters to provide treatment in accordance with the wellness parameters, the apparatus comprising:

a central computer located remote from a patient monitoring apparatus and in communication therewith, the central computer having a communication device associated therewith for communicating wellness parameters and treatment data over a communications link established between the central computer and the monitoring apparatus, the central computer being operated to query the patient via the patient monitoring apparatus, receiving and processing measured wellness parameters from the monitoring apparatus and calculating a score according to the wellness parameters received by the computer system, the computer system having one or more storage devices coupled thereto; and

one or more computer programs, performed by the central computer for receiving a patient'"'"'s wellness parameters at a central computer from a patient monitoring apparatus located remote therefrom, creating a patient medical record in a database coupled to the central computer and storing the patient'"'"'s wellness parameters received from the monitoring apparatus into the database, monitoring the patient'"'"'s status, calculating the score with the central computer based on the patient'"'"'s wellness parameters, comparing the score with a predetermined value and based on the results of the comparison, issuing an exception report and communicating the exception report to one or more workstations located remote from the central computer, whereby a caregiver is notified of the exception report.

17. The apparatus according to claim 16, wherein the patient monitoring apparatus is configured and arranged to monitor the patient'"'"'s weight.

18. The apparatus according to claim 16, wherein the one or more workstations are located at any one of one or more health clinics, hospitals, emergency rooms and HMOs.

19. The apparatus according to claim 16, further comprising:

accessing a second database located remote from the main database and having patient medical records stored therein, the second database being accessible by the central computer via a communication link established therebetween.

20. The apparatus according to claim 19, wherein the second database includes the patient'"'"'s hospital information data stored therein.

21. The apparatus according to claim 16, wherein a telephone number is automatically downloaded into the home monitoring apparatus from a remote location.

22. An article of manufacture comprising a computer program carrier readable by a computer system having one or more processors and embodying one or more instructions executable by the computer system to perform a method for monitoring and managing one or more ambulatory patients on a computer and allowing a caregiver to review the ambulatory patients'"'"' wellness parameters and provide treatment in accordance with the wellness parameters, the method comprising:

receiving a patient'"'"'s wellness parameters at a central computer from a patient monitoring apparatus located remote therefrom;

creating a patient medical record in a database coupled to the central computer and storing the patient'"'"'s wellness parameters received from the monitoring apparatus into the database;

monitoring the patient'"'"'s status;

calculating a score with the central computer based on the patient'"'"'s wellness parameters;

comparing the score with a predetermined value;

based on the results of the comparison, issuing an exception report and communicating the exception report to one or more workstations located remote from the central computer, whereby a caregiver is notified of the exception report; and

initiating a notification of absence, during a pre-designated interval of time, of communication of the patient'"'"'s wellness parameters.

23. The article of manufacturing according to claim 22, wherein the patient monitoring apparatus is configured and arranged to monitor the patient'"'"'s weight.

24. The article of manufacture according to claim 22, wherein the one or more work stations are located at any one of one or more health clinics, hospitals, emergency rooms and HMOs.

25. The article of manufacture according to claim 22, further comprising:

accessing a second database located remote from the main database and having patient medical records stored therein, the second database being accessible by the central computer via a communication link established therebetween.

26. The article of manufacture according to claim 25, wherein the second database