System, method, and manufacture for decreasing the amount of treatment a patient requires from a first care-giver

• US 7,921,021 B1
• Filed: 08/24/2005
• Issued: 04/05/2011
• Est. Priority Date: 08/26/2004
• Status: Expired due to Fees

• Current Assignee: Interface Eap, Inc.
• Original Assignee: Interface Eap, Inc.
• Inventors: Newman, Fred
• Primary Examiner(s): O'Connor; Gerald J
• Assistant Examiner(s): Pauls; John A
• Application Number:
  US11/212,081
• Time in Patent Office: 2,050 Days
• Field of Search: 705/2, 705/3, 705/4
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients

Abstract

A process, system, and manufacture are provided for decreasing the amount of treatment a patient requires from a first care-giver. In at least one example, the system comprises a means for receiving a set of records, and the set of records includes at least one representing a treatment prescribed by the first care-giver, and at least one representing at least one patient characteristic. There is also a means for determining, from the set of records, independently of records relating to effectiveness of the treatment prescribed for the patient, and based on a predetermined set of screening criteria, whether a different treatment is appropriate. Further, a means is provided for generating, based on the screening, an eligibility tag associated with the patient for providing notice to the patient associated with the eligibility tag of the different treatment availability at no cost to the patient and of a financial consequence of receipt of the treatment.

Claims

1. A process for decreasing the amount of treatment a patient requires from a first care-giver, the process comprising:

receiving in a computer a set of records wherein the set of records comprises;

at least one record representing a drug treatment prescribed by the first care-giver to said patient;

wherein said drug treatment prescribed by the first care-giver comprises a psychotropic drug, and

at least one record representing a medical specialty of the first care-giver;

determining in the computer, from the set of records, and based on a predetermined set of screening criteria, whether a different treatment is available to said patient;

wherein said determining is performed independently of records relating to effectiveness of the treatment prescribed for the patient by the first care-giver, and

wherein said screening criteria comprises comparing the medical specialty of the first care-giver prescribing said drug treatment to the type of said drug treatment prescribed for said patient; and

generating in the computer, in response to the determining, an eligibility tag associated with the patient;

wherein said eligibility tag provides an indication that said different treatment is available for said patient; and

wherein said generating an eligibility tag is performed if the medical specialty is not a mental health specialty and the type of said drug treatment is a psychotropic drug; and

providing a notice to the patient associated with the eligibility tag of the different treatment availability;

wherein the different treatment is provided at no cost to the patient; and

wherein a financial consequence is described in the notice.

2. A process as in claim 1 wherein the treatment prescribed by the first care-giver comprises a drug chosen from the group consisting of:

tricyclic antidepressants, anxiolytic hypnotics, non-benzodiazepines, bupropion, duloxetine, mirtazapine, nefazodone, trazodone, venlafaxine, sedative hypnotics, phenelzine, tranylcypromine, escitalopram, citalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline.

3. A process as in claim 1 wherein the financial consequence described in the notice comprises a description of a cost saving for the drug treatment prescribed by the first care-giver, wherein the cost savings is dependent upon participation by the patient in the different treatment.

4. A process as in claim 3 wherein the cost saving comprises a reduction in a cost in the event of participation by the patient in the different treatment.

5. A process as in claim 4 wherein the reduction in a cost comprises a reduction in a co-pay component of an insurance policy.

6. A process as in claim 1 wherein the financial consequence described in the notice comprises a description of a cost increase for the drug treatment prescribed by the first care-giver, wherein the cost increase is dependent upon lack of participation by the patient in the different treatment.

7. A process as in claim 6 wherein the cost increase comprises an increase in a cost in the event of failure by the patient to participate in the different treatment.

8. A process as in claim 7 wherein the increase comprises an increase in a co-pay component of an insurance policy.

9. A process as in claim 1 wherein the different treatment comprises counseling.

10. A process as in claim 1 wherein the different treatment comprises psychotherapy.

11. A process as in claim 1 further comprising providing a monetary incentive to an employer to provide the different treatment at no cost to the patient.

12. A system for decreasing the amount of treatment a patient requires from a first care-giver, the system comprising:

a computer comprising a processor and a memory configured to;

receive a set of records wherein the set of records comprises;

at least one record representing a drug treatment prescribed by the first care-giver to said patient;

wherein said drug treatment prescribed by the first care-giver comprises a psychotropic drug, and

at least one record representing a medical specialty of the first care-giver;

determine, from the set of records, and based on a predetermined set of screening criteria, whether a different treatment is available to said patient;

wherein said determining is performed independently of records relating to effectiveness of the treatment prescribed for the patient by the first care-giver, and

wherein said screening criteria comprises comparing the medical specialty of the first care-giver prescribing said drug treatment to the type of said drug treatment prescribed for said patient; and

a printer coupled to said computer and configured to;

generate, in response to the determining, an eligibility tag associated with the patient;

wherein said eligibility tag provides an indication that said different treatment is available for said patient; and

wherein said generating an eligibility tag is performed if the medical specialty is not a mental health specialty and the type of said drug treatment is a psychotropic drug; and

provide a notice to the patient associated with the eligibility tag of the different treatment availability;

wherein the different treatment is provided at no cost to the patient; and

wherein a financial consequence is described in the notice.

13. A system as in claim 12 wherein the treatment prescribed by the first care-giver comprises a drug chosen from the group consisting of:

tricyclic antidepressants, anxiolytic hypnotics, non-benzodiazepines, bupropion, duloxetine, mirtazapine, nefazodone, trazodone, venlafaxine, sedative hypnotics, phenelzine, tranylcypromine, escitalopram, citalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline.

14. A system as in claim 12 wherein the financial consequence described in the notice comprises a description of a cost saving for the drug treatment prescribed by the first care-giver, wherein the cost savings is dependent upon participation by the patient in the different treatment.

15. A system as in claim 12 wherein the financial consequence described in the notice comprises a description of a cost increase for the drug treatment prescribed by the first care-giver, wherein the cost increase is dependent upon lack of participation by the patient in the different treatment.

16. A system as in claim 12 wherein the different treatment comprises counseling.

17. A system as in claim 12 wherein the different treatment comprises psychotherapy.

18. A system for decreasing the amount of treatment a patient requires from a first care-giver, the system comprising:

means for receiving in a computer a set of records wherein the set of records comprises;

at least one record representing a drug treatment prescribed by the first care-giver to said patient;

wherein said drug treatment prescribed by the first care-giver comprises a psychotropic drug, and

at least one record representing a medical specialty of the first care-giver;

means for determining in the computer, from the set of records, and based on a predetermined set of screening criteria, whether a different treatment is available to said patient;

wherein said determining is performed independently of records relating to effectiveness of the treatment prescribed for the patient by the first care-giver, and

wherein said screening criteria comprises comparing the medical specialty of the first care-giver prescribing said drug treatment to the type of said drug treatment prescribed for said patient; and

means for generating in the computer, in response to the determining, an eligibility tag associated with the patient;

wherein said eligibility tag provides an indication that said different treatment is available for said patient; and

wherein said generating an eligibility tag is performed if the medical specialty is not a mental health specialty and the type of said drug treatment is a psychotropic drug; and

means for providing a notice to the patient associated with the eligibility tag of the different treatment availability;

wherein the different treatment is provided at no cost to the patient; and

wherein a financial consequence is described in the notice.

19. A system as in claim 18 wherein the financial consequence described in the notice comprises a description of a cost saving for the drug treatment prescribed by the first care-giver, wherein the cost savings is dependent upon participation by the patient in the different treatment.

20. A system as in claim 18 wherein the financial consequence described in the notice comprises a description of a cost increase for the drug treatment prescribed by the first care-giver, wherein the cost increase is dependent upon lack of participation by the patient in the different treatment.