Compliance audit for integrated emergency medical transportation database system
DCFirst Claim
1. A computerized, integrated emergency medical transportation database system having a compliance audit component, the system comprising:
- a medical emergency database configured to store at least clinical encounter data, patient demographic data and transport data, the clinical encounter data comprising the medical status of the patient and the transport data comprising the location of the clinical encounter, wherein at least a portion of the data is input by emergency medical personnel; and
a compliance audit component in communication with the medical emergency database, wherein the compliance audit component is configured to;
check to ensure that data in the medical emergency database for a current encounter is consistent with a high risk compliance area, wherein checking to ensure consistency is based on data selected from the group consisting of the medical status of the patient, the location of the clinical encounter, and combinations thereof, andprompt the emergency medical personnel for correction of the data where the data is not consistent.
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Abstract
An integrated medical database system for the emergency medical transportation business. In one aspect of the invention, the system includes a dispatch and demographic module, a clinical module, an administration module and a billing module. Each module may communicate data with one or more of the other modules to form a system incorporating data sharing, thus achieving an end-to-end automation of emergency medical care accounting. Internal consistency checks using specific libraries of modifiable data rules are performed by the system to ensure that proper treatments are performed according to a chosen diagnosis. The system includes a compliance audit module operating on data from the dispatch module and clinical module. The compliance audit module checks to ensure that data is consistent with high risk compliance areas. The results of the compliance audit module are forwarded to the billing module.
66 Citations
18 Claims
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1. A computerized, integrated emergency medical transportation database system having a compliance audit component, the system comprising:
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a medical emergency database configured to store at least clinical encounter data, patient demographic data and transport data, the clinical encounter data comprising the medical status of the patient and the transport data comprising the location of the clinical encounter, wherein at least a portion of the data is input by emergency medical personnel; and a compliance audit component in communication with the medical emergency database, wherein the compliance audit component is configured to; check to ensure that data in the medical emergency database for a current encounter is consistent with a high risk compliance area, wherein checking to ensure consistency is based on data selected from the group consisting of the medical status of the patient, the location of the clinical encounter, and combinations thereof, and prompt the emergency medical personnel for correction of the data where the data is not consistent. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A method of performing a compliance check for an integrated emergency medical transportation database system, the method comprising:
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collecting at least clinical encounter data, patient demographic data and transport data into a medical emergency database, the data comprising the medical status of the patient and the transport data comprising the location of the clinical encounter, wherein at least a portion of the data is collected from a member of an emergency medical team; identifying one or more high risk compliance areas; applying a specific library of modifiable data rules to ensure that the collected data is consistent with the high risk compliance areas, wherein checking to ensure consistency is based on data selected from the group consisting of the medical status of the patient, the location of the clinical encounter, and combinations thereof; and prompting a member of the emergency medical team for correction of the data where the data is not consistent. - View Dependent Claims (14, 15, 16, 17)
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18. A computerized, integrated emergency medical transportation database system having a compliance filter, the system comprising:
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a medical emergency database configured to store at least clinical encounter data, patient demographic data and transport data, the clinical encounter data comprising the medical status of the patient and the transport data comprising the location of the clinical encounter; a compliance filter in communication with the medical emergency database, wherein the compliance filter is configured to; use a specific library of modifiable data rules to ensure that data in the medical emergency database for a current encounter is consistent with a high risk compliance area, wherein checking to ensure consistency is based on data selected from the group consisting of the medical status of the patient, the location of the clinical encounter, and combinations thereof, and prompt for correction of the data where the data is not consistent; and a billing module in communication with the medical emergency database, the billing module receiving corrected data from the compliance filter, and the billing module being configured to generate a bill based at least in part on the corrected data.
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Specification