Computerized system and method for verifying authority to modify clinical orders

• US 7,865,374 B2
• Filed: 02/22/2006
• Issued: 01/04/2011
• Est. Priority Date: 02/22/2006
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Ash, Michael A., DeVerter, John Q.
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): ALTSCHUL, AMBER L
• Application Number:
  US11/359,011
• Publication Number:
  US 20070198292A1
• Time in Patent Office: 1,777 Days
• Field of Search: 705/2, 705/3
• US Class Current: 705/2
• CPC Class Codes: G06F 21/6218 to a system of files or objects, e.g. local or distributed file system or database
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• 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 40/67 for remote operation

Abstract

Computerized methods for verifying authority to modify clinical orders are provided. The methods may include receiving a clinical order having components associated with a plurality of phases; associating a plurality of the components to form a cross-phase group, the components including components associated with a first phase and a second phase, each of the components including a common attribute; receiving an indication to modify the common attribute of the component associated with the first phase; and determining whether a user from whom the indication is received has the authority to modify the common attribute. If it is determined that the user has the authority, the method may further include modifying all components that are associated in the group. If it is determined that the user does not have the authority, the method may further include not modifying the common attribute. Computerized systems for performing the disclosed methods are also provided.

Claims

1. A method in a clinical computing environment for verifying authority to modify at least one clinical order, the method comprising:

receiving, through a first computing process, the at least one clinical order, the at least one clinical order having components that are administered in two or more phases, wherein a phase is a sub-plan within a healthcare plan, wherein individual phases are separated from other phases by at least one day; and

wherein a healthcare plan includes multiple orders for the treatment of a particular ailment in a patient;

associating, through a second computing process, a plurality of the components to form a cross-phase group, the plurality of the components including at least a component associated with a first phase and a component associated with a second phase, wherein each of the components in the cross-phase group includes a common attribute, wherein the common attribute is a clinical detail related to administration of the at least one clinical order to the patient, and wherein the first phase and the second phase occur at least one day apart;

receiving, through a third computing process, a user indication to modify the common attribute of the component associated with the first phase; and

determining, through a fourth computing process, whether a user from whom the user indication is received has the authority to modify the common attribute of the component associated with the first phase; and

modifying, through a fifth computing process and in response to the user indication, the common attribute of all components in the cross-phase group in the same way, wherein the first, second, third, fourth, and fifth computing processes are performed on one or more computing devices.

2. The method of claim 1, further comprising displaying, through a sixth computing process, a message indicating that the common attribute of the component associated with the first phase will be modified in response to the indication received, wherein the sixth computing process is performed on the one or more computing devices.

3. The method of claim 1, wherein the first phase and the second phase are separated by a period of time greater than six days.

4. The method of claim 1, wherein the common attribute a route of administration for a medication.

5. The method of claim 3, wherein the common attribute is a medication dosage.

6. The method of claim 3, wherein the common attribute is an administration frequency for a medication.

7. A method in a clinical computing environment for verifying authority to modify at least one clinical order, the method comprising:

receiving, through a first computing process, the at least one clinical order, the at least one clinical order having components associated with a plurality of phases, wherein a phase is one or more clinical orders occurring within a period of time;

associating, through a second computing process, a plurality of the components to form a cross-phase group, the plurality of the components including at least a component associated with a first phase and a component associated with a second phase, wherein each of the components in the cross-phase group includes a common attribute, and wherein the first phase is separated by at least one day from the second phase;

receiving, through a third computing process, a user indication to modify the common attribute of the component associated with the first phase; and

modifying, through a fourth computing process and in response to the user indication, the common attribute of all components in the cross-phase group, wherein the first, second, third, and fourth computing processes are performed on one or more computing devices.

8. The method of claim 7, further comprising determining, through a fifth computing process, whether a user from whom the user indication is received has the authority to modify the common attribute of the component associated with the first phase, wherein the fifth computing process is performed on the one or more computing devices.

9. The method of claim 7, wherein the first phase and the second phase are separated by a period of time greater than six days.

10. The method of claim 7, wherein the common attribute is a medication dosage.

11. The method of claim 7, wherein the common attribute a route of administration for a medication.

12. The method of claim 7, wherein the common attribute is an administration frequency for a medication.

13. The method of claim 8, further comprising a displaying, through a sixth computing process, a message indicating that the user from whom the user indication is received has the authority to modify the common attribute, wherein the sixth computing process is performed on the one or more computing devices.

14. One or more computer-readable media having computer-executable instructions embodied thereon that when executed by one or more computing devices perform a method for verifying authorization to modify at least one clinical order, the method comprising;

receiving, at the one or more computing devices, the at least one clinical order, the at least one clinical order having components associated with a plurality of phases, wherein a phase is a sub-plan within a healthcare plan, wherein individual phases are separated from other phases by at least one day, and wherein a healthcare plan includes multiple orders for the treatment of a particular ailment in a patient;

generating, at the one or more computing devices, a cross-phase group that includes at least two of the components, the at least two components including at least a component associated with a first phase and a component associated with a second phase, wherein each of the components in the cross-phase group includes a common attribute, and wherein the first phase and the second phase occur at least one day apart;

receiving, at the one or more computing devices, a user indication to modify the common attribute of the component associated with the first phase; and

determining, at the one or more computing devices, whether a user from whom the user indication is received has the authority to modify the common attribute of the component associated with the first phase.

15. The media of claim 14, further comprising modifying, at the one or more computing devices, all components that are associated in the cross-phase group in response to the indication received if it is determined that the user from whom the user indication is received has the authority to modify the common attribute.

16. The media of claim 14, further comprising displaying, through a user interface coupled to the one or more computing devices, a message indicating that the common attribute will not be modified in response to the indication received if it is determined that the user from whom the user indication is received does not have the authority to modify the common attribute.