Clinical care utilization management system

• US 7,860,729 B2
• Filed: 09/08/2006
• Issued: 12/28/2010
• Est. Priority Date: 11/13/2000
• Status: Active Grant

• Current Assignee: Peter Stangel
• Original Assignee: Peter Stangel
• Inventors: Stangel, Peter
• Primary Examiner(s): Cobanoglu; Dilek B
• Application Number:
  US11/530,374
• Publication Number:
  US 20070073559A1
• Time in Patent Office: 1,572 Days
• Field of Search: 348/207.1, 422/68.1, 434/68.1, 600/300, 700/83, 705/2, 705/3, 705/4, 705/67, 706/45, 707/104.1, 707/3, 713/600, 715/506.741
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/00 Administration; Management
• 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 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A computer implemented system for generating an electronic record of a patient clinical encounter in clinical chart format for submission for review by a health care reviewing organization. The system includes a selection interface module adapted to facilitate the selection of one or more reasons for the patient clinical encounter and/or one or more diagnoses. The system also includes a verification module for determining an authorization level for the diagnosis and/or reason for the encounter by referring to data in identified fields. The verification module determines the authorization level prior to the submission of the clinical record via a web browser on the client side to a server computer. The selection interface module facilitates selection of criteria prompts in a prompt pop-up button list by the display of a clickable navigator text field. The navigator field describes prompts selected to meet criteria for the diagnosis and/or reason for the encounter.

Claims

1. A computer implemented system, consisting of one or more computers connected by one of an internet and a local area network, for generating an electronic clinical record, in clinical chart note format, of a patient clinical encounter for submission for review by a health care reviewing organization, comprising:

at least one selection interface module, the selection interface module adapted to facilitate the selection of at least a diagnosis; and

a verification module for determining an authorization level for the diagnosis by referring to at least data in identified fields, the verification module determining said authorization level prior to submission of the clinical record via a web browser on the client side to a server computer,

said selection interface module facilitating selection of criteria prompts in a prompt pop-up button list by display of a clickable navigator text field,

text in the navigator field describes a set of criteria prompts which are selected to meet criteria for a diagnosis for a patient encounter;

wherein the criteria pop-up button list displays criteria based on a diagnosis or reason for the clinical encounter;

wherein a plurality of hierarchical pop up lists are automatically set in response to the selection of a criteria from the criteria pop-up button list;

the selection interface module presenting a criteria selection interface in a clinical format that is familiar to clinicians and healthcare reviewers, the criteria selection interface being presented to the user within a single screen while selecting criteria.

2. The system of claim 1, wherein said selection interface module facilitates one or more clinically formatted chart notes to be downloaded from the server computer in spreadsheet format to a user'"'"'s computer system for on-screen display of multiple clinical charts in a single screen display.

3. The system of claim 1, wherein said selection interface module facilitates display of multiple clinical encounters by displaying a timeline with color codes and text, and

each line of the timeline displays one of a parameter and a finding across multiple clinical encounters, with a single column forming a cell with the row representing one or more findings for each date of said patient encounter.

4. A computer implemented system, consisting of one or more computers connected by one of an internet and a local area network, for generating an electronic clinical record, in clinical chart note format, of a patient clinical encounter for submission for review by a health care reviewing organization, comprising:

at least one selection interface module, the selection interface module adapted to facilitate the selection of at least one reason for the patient clinical encounter; and

a verification module for determining an authorization level for the at least one reason for the encounter by referring to at least data in identified fields, the verification module determining said authorization level prior to submission of the clinical record via a web browser on the client side to a server computer,

said selection interface module facilitating selection of criteria prompts in a prompt pop-up button list by display of a clickable navigator text field,

text in the navigator field describes a set of criteria prompts which are selected to meet criteria for the at least one reason for the patient clinical encounter;

wherein the criteria pop-up button list displays criteria based on a diagnosis or reason for the clinical encounter;

wherein a plurality of hierarchical pop up lists are automatically set in response to the selection of a criteria from the criteria pop-up button list;

the selection interface module presenting a criteria selection interface in a clinical format that is familiar to clinicians and healthcare reviewers, the criteria selection interface being presented to the user within a single screen while selecting criteria.

5. The computer implemented system according to claim 4, wherein the hierarchical pop-up lists comprise an element pop-up list, a system-group pop-up list, a parameter pop-up list and a finding pop-up list.