Disease management system and method

• US 7,769,600 B2
• Filed: 10/31/2007
• Issued: 08/03/2010
• Est. Priority Date: 03/13/1997
• Status: Expired due to Fees

• Current Assignee: Healthways SC, LLC (Warner Bros. Discovery, Inc.)
• Original Assignee: Clinical Decision Support
• Inventors: Iliff, Edwin C.
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): Sorey; Robert A.
• Application Number:
  US11/933,098
• Publication Number:
  US 20080052122A1
• Time in Patent Office: 1,007 Days
• Field of Search: 705/2
• US Class Current: 705/2
• 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 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/925 Neural network

Abstract

One aspect of the invention is directed to a system and method for allowing a patient to access an automated process for managing a specified health problem called a disease. The system performs disease management in a fully automated manner, using periodic interactive dialogs with the patient to obtain health state measurements from the patient, to evaluate and assess the progress of the patient'"'"'s disease, to review and adjust therapy to optimal levels, and to give the patient medical advice for administering treatment and handling symptom flare-ups and acute episodes of the disease. The medical records are updated, the progression of the disease is stored and tracked, and the patient'"'"'s preferences for treatment are stored and then used to offer medical advice based on the current state of the disease. Subjective and objective health measurements are used to determine a metric, which can be used to adjust patient therapy.

Claims

1. A computerized method of managing a patient'"'"'s health, the method comprising:

retrieving, by a computer, historical health data from a patient medical record that is stored in a memory of the computer;

identifying, by the computer, from the historical health data, at least one historical value of a particular health parameter associated with a specific disease or associated with a previously diagnosed disease of the patient;

retrieving, by the computer, current health data of the patient from the memory of the computer;

identifying, by the computer, from the current health data, at least one current value of the particular health parameter;

determining, by the computer, a patient health progression value based on an analysis of the identified historical and current health parameter values and respective times of the identified historical and current health parameter values;

retrieving, by the computer, a critical threshold value of the particular health parameter from the memory of the computer;

comparing, by the computer, the patient health progression value to the critical threshold value; and

outputting, via an interface of the computer, an indication of the comparison.

2. The method of claim 1, wherein the indication of the comparison comprises a disease management order suggesting tests to be performed, recommended therapy, or orders to be given to medical personnel.

3. The method of claim 1, wherein the indication of the comparison comprises a recommended change in therapy.

4. The method of claim 1, wherein determining the patient health progression value comprises plotting a patient critical curve based on the identified historical and current health parameter values and the respective times of the identified historical and current health parameter values.

5. The method of claim 4, further comprising plotting a standard critical curve.

6. The method of claim 1, wherein the patient health progression value is a slope.

7. The method of claim 1, wherein the patient health progression value is a three-point trend.

8. The method of claim 1, wherein the patient health progression value is based on four or more points.

9. The method of claim 1, wherein the critical threshold value indicates a significant decline in health.

10. The method of claim 1, wherein the critical threshold value indicates an expected decline in health.

11. The method of claim 1, wherein the critical threshold value is based on a population to which the patient belongs.

12. The method of claim 1, wherein the interface of the computer comprises one or more input or output devices.

13. The method of claim 1, wherein the interface of the computer comprises a bus.

14. The method of claim 1, further comprising measuring the patient'"'"'s response time to a question presented to the patient and determining if the response time exceeds one or more corresponding thresholds.

15. A computerized system for managing a patient'"'"'s health, the system comprising:

a computer;

a memory connected to the computer;

an input device connected to the computer; and

an output device connected to the computer,

wherein the computer is configured to;

retrieve historical health data from a patient medical record stored in the memory,

identify, from the historical health data, at least one historical value of a particular health parameter associated with a specific disease,

retrieve current health data from the memory,

identify, from the current health data, at least one current value of the particular health parameter,

determine a patient health progression value based on the identified historical and current health parameter values and respective times of the historical and current health parameter values,

retrieve a critical threshold value of the particular health parameter from the memory,

compare the patient health progression value to the critical threshold value, and

output an indication of the comparison via the output device.

16. The system of claim 15, wherein the computer is further configured to plot a patient critical curve based on the identified historical and current health parameter values and respective times of the historical and current health parameter values.

17. The system of claim 16, wherein the computer is further configured to plot a standard critical curve.

18. The system of claim 15, wherein the indication of the comparison comprises a disease management order suggesting tests to be performed, recommended therapy, or orders to be given to medical personnel.

19. The system of claim 15, wherein the patient health progression value is a slope.

20. The system of claim 15, wherein the patient health progression value is a three-point trend.

21. The system of claim 15, wherein the patient health progression value is based on four or more points.

22. The system of claim 15, wherein the critical threshold value indicates a significant decline in health.

23. The system of claim 15, wherein the critical threshold value indicates an expected decline in health.

24. The system of claim 15, wherein the critical threshold value is based on a population to which the patient belongs.

25. A computer-readable storage medium having encoded thereon code for performing a method of managing a patient'"'"'s health, the method comprising:

retrieving, by a computer, historical health data from a patient medical record that is stored in a memory of the computer;

identifying, by the computer, from the historical health data, at least one historical value of a particular health parameter associated with a specific disease or associated with a previously diagnosed disease of the patient;

retrieving, by the computer, current health data of the patient from the memory of the computer;

identifying, by the computer, from the current health data, at least one current value of the particular health parameter;

determining, by the computer, a patient health progression value based on an analysis of the identified historical and current health parameter values and respective times of the identified historical and current health parameter values;

retrieving, by the computer, a critical threshold value of the particular health parameter from the memory of the computer;

comparing, by the computer, the patient health progression value to the critical threshold value; and

outputting, via an interface of the computer, an indication of the comparison.