Data recording, billing, charges, and quality assurance software for mobile devices
First Claim
1. An anesthesia record data management system, comprising:
- a handheld computer device that includes manual input capability, digital input capability, and a display screen, wherein said handheld computer is capable of two-way communication with a main computer, wherein said at least one handheld computer device is capable of accepting data wherein said data is selected from the group consisting of patient information, drug information, and medical procedure information;
further wherein said handheld device includes;
a medical history module that includes a series of questions about the medical history of said patient in electronic format, where the manual input capability may be used to answer said series of questions;
a notes module, wherein said notes module that displays pre-anesthesia information including an anesthesia care plan, regional anesthetic plan, monitors, invasive monitors, intubation, post-anesthesia care plan, analgesia program, and physical exam;
a pre-induction assessment module that includes information about anesthesia options and risks and benefits discussed with said patient or family of said patient prior to administration of anesthesia;
a timing information module that includes timing information related to a medical procedure being performed on said patient, an anesthesia process being performed on said patient, and an amount of time spent in surgery by said patient;
a dosage display module that displays said drug information and said patient information in graphical format, wherein said drug information and patient information includes medications that are administered to said patient, dosages of said medications, and physiological measures that will be monitored during said procedure selected from the group consisting of EKG, O2 saturation, CO2, O2%, temperature, and muscle relaxation;
a blood pressure display module that displays blood pressure of said patient in real time and in graphical format, wherein said blood pressure display module coordinates with said dosage display module to display said blood pressure and said drug information in real time, wherein said dosage display module and said blood pressure display module integrate said blood pressure information and at least one physiological measure into a single display;
an intubation and checklist module that includes information about the type of intubation performed, the quality of said intubation, the equipment used in said intubation, and patient consent data; and
a main computer with an information record database, wherein said main computer generates an anesthesia record, an anesthesia billing form, a pharmacy medication charge form, and an anesthesia quality assurance report using data from said modules.
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Abstract
A software-based system and method for providing data collection, recording, billing, supply charges, and quality assurance for a mobile computing environment. Specifically, the present invention comprises a plurality of mobile, handheld computer devices to be used in combination with a main computer to facilitate the recording, manipulation, and reporting of data pertaining to a plurality of different patients in a hospital setting. The system includes handheld software that allows an anesthesia provider to log information related to a patient during an anesthesia procedure. A subsequent synchronization step allows that information to be automatically transferred to the main computer for storage and subsequent report generation and printing. The information can also be transferred to an attached or remote computer system (e.g., the hospital or insurance company computer network) for further processing.
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Citations
28 Claims
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1. An anesthesia record data management system, comprising:
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a handheld computer device that includes manual input capability, digital input capability, and a display screen, wherein said handheld computer is capable of two-way communication with a main computer, wherein said at least one handheld computer device is capable of accepting data wherein said data is selected from the group consisting of patient information, drug information, and medical procedure information; further wherein said handheld device includes; a medical history module that includes a series of questions about the medical history of said patient in electronic format, where the manual input capability may be used to answer said series of questions; a notes module, wherein said notes module that displays pre-anesthesia information including an anesthesia care plan, regional anesthetic plan, monitors, invasive monitors, intubation, post-anesthesia care plan, analgesia program, and physical exam; a pre-induction assessment module that includes information about anesthesia options and risks and benefits discussed with said patient or family of said patient prior to administration of anesthesia; a timing information module that includes timing information related to a medical procedure being performed on said patient, an anesthesia process being performed on said patient, and an amount of time spent in surgery by said patient; a dosage display module that displays said drug information and said patient information in graphical format, wherein said drug information and patient information includes medications that are administered to said patient, dosages of said medications, and physiological measures that will be monitored during said procedure selected from the group consisting of EKG, O2 saturation, CO2, O2%, temperature, and muscle relaxation; a blood pressure display module that displays blood pressure of said patient in real time and in graphical format, wherein said blood pressure display module coordinates with said dosage display module to display said blood pressure and said drug information in real time, wherein said dosage display module and said blood pressure display module integrate said blood pressure information and at least one physiological measure into a single display; an intubation and checklist module that includes information about the type of intubation performed, the quality of said intubation, the equipment used in said intubation, and patient consent data; and
a main computer with an information record database, wherein said main computer generates an anesthesia record, an anesthesia billing form, a pharmacy medication charge form, and an anesthesia quality assurance report using data from said modules. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A method for managing patient data in an anesthesia record-keeping system utilizing at least one handheld computer device and a main computer, comprising the steps of:
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displaying notes on pre-anesthesia information on said handheld device, wherein anesthesia information includes an anesthesia care plan, regional anesthetic plan, monitors, invasive monitors, intubation procedures, post-anesthetic care plan, analgesia program, and physical examination; displaying information on said handheld device about pre-induction assessment that includes anesthesia options and risks and benefits discussed with said patient prior to administration of anesthesia; obtaining dosage information including medications that are administered to a patient, dosages of said medications, and physiological measures that are monitored during said procedure selected from the group consisting of EKG, O2 saturation, CO2, O2%, temperature, and muscle relaxation; displaying timing information related to a medical procedure being performed on said patient, an anesthesia process being performed on said patient, and an amount of time spent in surgery by said patient on said handheld device; displaying said dosage information on said handheld device in real time and graphical format; displaying blood pressure of said patient on said handheld device in real time and in graphical format, wherein said blood pressure information and at least one of said physiological measures are combined into a single display; displaying information on said handheld device about intubation;
including information about the type of intubation performed, the quality of said intubation, and the equipment used in said intubation, and patient consent data on said handheld device;synchronizing the handheld computer device to the main computer, wherein said synchronizing occurs in real time; and generating documents with said main computer using data from said handheld device, wherein said documents include anesthesia record, anesthesia billing form, pharmacy medication charge form, and anesthesia quality assurance report. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27, 28)
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Specification