Medical professional monitoring system and associated methods

• US 7,464,042 B2
• Filed: 07/28/2005
• Issued: 12/09/2008
• Est. Priority Date: 07/28/2005
• Status: Expired due to Fees

• Current Assignee: Beraja IP LLC
• Original Assignee: Esther Beraja, Roberto Beraja, Victor Beraja
• Inventors: Beraja, Victor, Beraja, Esther, Beraja, Roberto
• Primary Examiner(s): Gilligan; C Luke
• Assistant Examiner(s): Najarian; Lena
• Application Number:
  US11/191,304
• Publication Number:
  US 20070027711A1
• Time in Patent Office: 1,230 Days
• Field of Search: 706 14- 16, 705 2- 3, 600/300
• US Class Current: 705/2
• CPC Class Codes: G06Q 40/08 Insurance
• 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 70/20 relating to practices or guidelines

Abstract

A medical professional monitoring system includes a user interface in communication with a global communications network for use by a medical professional. The system may also include a patient information database, a diagnosis database, a medical treatment database, and a server, each of which are in communication with a global communications network and are accessible by the medical professional. The patient information database includes patient information for a plurality of registered patients. The diagnosis database includes diagnosis information, and the medical treatment database includes medical treatment information. The server may include a recording system to record medical treatments selected by the medical professional, and to track the selected medical treatments for compliance with predetermined standards.

Claims

1. A medical professional monitoring system comprising:

at least one user interface in communication with a global communications network for use by at least one medical professional;

at least one patient information database in communication with the global communications network and including patient information for a plurality of patients accessible by the at least one medical professional;

at least one diagnosis database in communication with the global communications network and including diagnosis information accessible by the at least one medical professional;

at least one medical treatment database in communication with the global communications network and including medical treatment information accessible by the at least one medical professional; and

at least one server in communication with the global communications network and accessible by the at least one medical professional, said server comprising a recording system to record medical treatments selected by the at least one medical professional and to analyze the selected medical treatments for compliance with at least one of a plurality of predetermined standards;

wherein said medical treatment database comprises a plurality of rules that provide requirements including predetermined medical standards necessary for the at least one medical professional to make a medical recommendation, order a medical procedure or test and prescribe a medical treatment from the at least one medical treatment database;

said at least one server preventing the at least one medical professional from making a medical recommendation, ordering a medical procedure or test and prescribing a medical treatment if the requirements provided by the rules are not followed.

2. A system according to claim 1 further comprising at least one standards database in communication with the global communications network and including the plurality of predetermined standards;

and wherein said at least one standards database is updateable and customizable.

3. A system according to claim 2 wherein the plurality of predetermined standards are hospital standards, insurance standards, medical treatment standards, pharmaceutical standards, medical office standards, or emergency response standards.

4. A system according to claim 1 wherein each of said at least one patient information, diagnosis, and medical treatment databases are updateable and customizable.

5. A system according to claim 3 further comprising a reporting system in communication with a global communications network for reporting a medical professional that selects a medical treatment that is not in compliance with at least one of the plurality of predetermined standards in said at least one standards database to a reporting agency.

6. A system according to claim 1 further comprising a medical professional identification system in communication with a global communications network for identifying the at least one medical professional that has accessed at least one of the patient information, diagnosis, and medical information databases.

7. A system according to claim 1 wherein the at least one medical professional is at least one of a physician, a physician assistant, a nurse, a pharmacist, a dietician, a laboratory technician, and an emergency responder.

22. A system according to claim 1 wherein the plurality of rules in each of said diagnosis database and medical treatment database are customizable by the at least one medical professional.

23. A system according to claim 1 wherein at least one of said at least one diagnosis database and medical treatment database include a plurality of questions to be asked to the at least one medical professional;

wherein answers to the plurality of questions are compared against the plurality of rules to determine if answers to additional questions are necessary for the at least one medical professional to select at least one of a diagnosis from the diagnosis database and a medical treatment from the medical treatment database; and

wherein an indication is provided to the at least one medical professional if answers to additional questions are necessary.

24. A system according to claim 23 wherein the plurality of questions are created and customizable by the at least one medical professional;

and wherein the plurality of questions are accessible by a plurality of different medical professionals so that each one of the plurality of medical professionals may customize at least one of the plurality of questions with respect to questions created by other medical professionals.

25. A system according to claim 5 further comprising an auditing system to audit at least one of the diagnosis information and medical treatment information selected by the at least one medical professional for compliance with the plurality of rules;

and wherein the auditing system provides an indication to the at least one medical professional of non-compliance of at least one of the diagnosis information and medical treatment information with the plurality of rules.

26. A system according to claim 25 further comprising a notification system in communication with the global communications network for notifying an insurance company of patient treatment;

and wherein the auditing system is automated so that the insurance standards on the predetermined standards database are verified and payment from the insurance company may be automatically made upon verification.

27. A system according to claim 1 wherein the plurality of rules are created and customized by the at least one medical professional;

and wherein the plurality of rules are accessible by a plurality of different medical professionals so that each of the plurality of medical professionals may customize at least one of the plurality of rules with respect to rules created by other medical professionals.

36. A system according to claim 5 further comprising a search engine for searching for patient information.

39. A system according to claim 2 wherein the recording system monitors a frequency with which said at least one medical professional makes an incorrect or improper diagnosis.

8. A method for monitoring at least one medical professional, the method comprising:

providing at least one medical professional access to at least one of a patient information database, a diagnosis database, and a medical treatment database, and a predetermined standards database wherein each of said medical treatment database and predetermined standards database include at least one rule relating to medical information;

entering patient information into the patient information database;

comparing information in the patient information database with information in the diagnosis database to provide a plurality of possible diagnoses;

applying the at least one rule in the medical treatment database, the at least one rule providing requirement including predetermined medical standards necessary for the at least one medical professional to make a medical recommendation, order a medical procedure or test and prescribe a medical treatment from the medical treatment database so that a server prevents the at least one medical professional from making a medical recommendation, ordering a medical procedure or test and prescribing a medical treatment that is not in compliance with the at least one rule; and

monitoring at least one medical treatment selected by the at least one medical professional from the medical treatment database for compliance with at least one predetermined standard selected from a plurality of predetermined standards on the predetermined standards database.

9. A method according to claim 8 further comprising reporting a medical professional that overrides the at least one rule and selects a medical treatment that is not in compliance with the plurality of predetermined standards to a reporting agency.

10. A method according to claim 8 further comprising identifying the at least one medical professional that has accessed at least one of the patient information, diagnosis, and medical information databases.

11. A system according to claim 8 further comprising updating the patient information, diagnosis, medical treatment, and standards databases.

28. A method according to claim 8 further comprising:

prompting the at least one medical professional with a plurality of questions to be answered;

comparing answers to the plurality of questions with at least one rule; and

prompting the at least one medical professional with additional questions if additional information is necessary for the at least one medical professional to select a medical treatment, the medical professional being prevented from selecting the medical treatment if the at least one rule is not complied with.

29. A method according to claim 28 further comprising customizing the plurality of questions, and providing access to the plurality of questions to a plurality of different medical professionals so that each one of the plurality of medical professionals may customize at least one of the plurality of questions with respect to questions created by other medical professionals.

30. A method according to claim 29 further comprising auditing the at least one medical treatment selected by the at least one medical professional for compliance with the at least one rule;

wherein the auditing system provides an indication to the at least one medical professional of non-compliance of selected medical treatment with the at least one rule; and

further comprising allowing the medical professional to override the at least one rule.

31. A method according to claim 29 further comprising notifying an insurance company of patient treatment;

and automatically auditing the selected medical treatment so that an insurance standard is verifiable and so that payment from the insurance company is automatically made upon verification.

32. A method according to claim 28 wherein the at least one rule is created and customized by the at least one medical professional;

and wherein the at least one rule is accessible by a plurality of different medical professionals so that each one of the plurality of medical professionals may customize at least one rule with respect to at least one rule created by other medical professionals.

37. A method according to claim 8 further comprising searching for patient information and providing search results of the patient information regardless of the location of the patient information.

12. A method for selecting a medical treatment, the method comprising:

accessing and updating patient information of at least one patient in a patient information database;

accessing diagnosis information in a diagnosis database, the diagnosis information being selected from a plurality of possible diagnoses based upon a comparison of the patient information in the patient information database with the plurality of possible diagnoses;

selecting at least one medical treatment for the at least one patient based upon the diagnosis information in the diagnosis database, the at least one selected medical treatment being selected from at least one of a medical treatment database and by at least one medical professional based upon an application of at least one rule that provides requirements including predetermined medical standards necessary for the at least one medical professional to make a medical recommendation, order a medical procedure or test and prescribe a medical treatment from the medical treatment database; and

evaluating the at least one selected medical treatment for conflict with an existing medical treatment;

wherein a server prevents the at least one medical professional from making a medical recommendation, ordering a medical procedure or test and prescribing a medical treatment if the requirements provided by the at least one rule are not followed.

13. A method according to claim 12 wherein evaluating the selected medical treatment comprises comparing the selected medical treatment with patient information in the patient information database, diagnosis information in the diagnosis database, and medical treatment information in the medical treatment database.

14. A method according to claim 12 further comprising monitoring the selected medical treatment for compliance with at least one predetermined standard selected from a plurality of predetermined standards on a predetermined standards database.

15. A method according to claim 14 further comprising reporting a medical professional that selects a medical treatment that is not in compliance with the plurality of predetermined standards to a reporting agency.

16. A method according to claim 12 further comprising identifying the at least one medical professional that has accessed at least one of the patient information, diagnosis, and medical information databases.

17. A method according to claim 14 further comprising updating the patient information, diagnosis, medical treatment, and standards databases.

18. A method according to claim 12 wherein the medical treatment selected from the medical treatment database includes a medical test to be conducted by the at least one medical professional;

and wherein the at least one rule governs requirements necessary before the medical test may be ordered.

19. A method according to claim 12 wherein the medical treatment selected from the medical treatment database includes a medical procedure to be performed by the at least one medical professional;

and wherein the at least one rule governs requirements necessary before the medical procedure may be performed.

20. A method according to claim 12 wherein the medical treatment selected from the medical treatment database includes a prescription of medication to be prescribed by the at least one medical professional;

and wherein the at least one rule governs requirements necessary before the medication may be prescribed.

21. A method according to claim 12 wherein the medical treatment selected from the medical treatment database includes a medical recommendation to be provided by the at least one medical professional;

and wherein the at least one rule governs requirements necessary before the medical recommendation may be provided.

33. A method according to claim 12 further comprising:

prompting the at least one medical professional with a plurality of questions to be answered;

comparing answers to the plurality of questions with the at feast one rule governing medical treatments; and

prompting the at least one medical professional with additional questions if additional information is necessary for the at least one medical professional to select a medical treatment.

34. A method according to claim 33 further comprising customizing the plurality of questions;

and providing access to the plurality of questions to a plurality of different medical professionals so that each one of the plurality of medical professionals may customize at least one of the plurality of question with respect to questions created by other medical professionals.

35. A method according to claim 33 wherein the at least one rule is created and customized by the at least one medical professional;

and wherein the at least one rule is accessible by a plurality of different medical professionals so that each one of the plurality of medical professionals may customize at least one of the plurality of rules with respect to at least one rule created by other medical professionals.

38. A method according to claim 12 further comprising searching for patient information providing search results of the patient information regardless of the location of the patient information.