Therapy adherence methods and architecture

• US 8,224,667 B1
• Filed: 02/06/2009
• Issued: 07/17/2012
• Est. Priority Date: 02/06/2009
• Status: Active Grant

• Current Assignee: T-Mobile Innovations LLC (Deutsche Telekom AG)
• Original Assignee: Sprint Communications Company LP (Deutsche Telekom AG)
• Inventors: Persson, Carl J., Wilson, Thomas H., Miller, Deborah L.
• Primary Examiner(s): Cobanoglu, Dilek B
• Application Number:
  US12/367,382
• Time in Patent Office: 1,257 Days
• Field of Search: 705/2, 600/300, 340/309.19, 424/9.2, 607/60, 715/741
• US Class Current: 705/2
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

A therapy adherence system is provided. The system comprises at least one computer system, a database, and an application that, when executed on the at least one computer system, receives a message from a home-based patient device containing medication compliance information and physical condition information. The system also compares medication compliance information and physical condition information with a current treatment regimen and historical medication and physical condition information stored in the database. The system also calculates an updated regimen and health risk level based on at least current and historical medication compliance information and physical condition information. The system also notifies an at least one health care provider when health risk level exceeds a threshold. The system also receives response from the at least one health care provider, the response comprising adjustments to the updated regimen and a diagnosis and communicates the updated regimen.

Claims

1. A therapy adherence system, comprising:

an at least one computer system;

a database; and

an application that, when executed on the at least one computer system,

receives a message from a home-based patient device containing medication compliance information and physical condition information;

compares medication compliance information and physical condition information with a current treatment regimen and historical medication and physical condition information stored in the database;

calculates an updated regimen and an initial health risk level based on at least current and historical medication compliance information and physical condition information;

notifies an at least one health care provider when the initial health risk level exceeds a threshold;

receives a response from the at least one health care provider, the response comprising adjustments to the updated regimen and a diagnosis;

communicates the updated regimen;

calculates a subsequent risk level based upon data from at least one of the patient and the home-based patient monitoring device;

when the subsequent risk level is higher than the initial health risk level, sends alerting notifications with at least one of increased frequency and increased intensity to the at least one healthcare provider;

when the at least one health care provider does not timely respond to the alerting notifications, contacts an emergency medical provider or a law enforcement agency.

2. The system of claim 1, wherein the at least one health care provider comprises at least one of a physician, an in-home health care provider, a visiting nurse service, and a pharmacy.

3. The system of claim 1, wherein the system encourages regimens for treatment of at least one of chronic illness and disability and regimens for weight control, diet, and exercise programs, and compliance with court-imposed requirements.

4. The system of claim 1, wherein the system compiles historical records on patient conditions, medical data, and medication regimen compliance on a plurality of patients.

5. The system of claim 4, wherein the system uses the historical data to infer health trends in individual patients and provides the trend information to the patients'"'"' health care providers for health care providers'"'"' use in diagnosing conditions and adjusting regimens.

6. The system of claim 4, wherein the historical data is aggregated, subjected to statistical analysis, and made available to pharmaceutical manufacturers, universities, and government agencies for use in determining efficacy of medication and treatment regimens.

7. The system of claim 4, wherein the application more frequently determines a health risk level using different criteria as the health risk level rises.

8. The system of claim 4, wherein the application further contacts at least one caregiver prior to notifying the at least one health care provider.

9. A processor-implemented method of encouraging therapy regimen adherence, comprising:

a therapy adherence server receiving a first message from a patient device, the first message comprising patient medication regimen compliance information;

the therapy adherence server reviewing the patient medication regimen compliance information received in the first message from the patient device against a current prescribed medication regimen to determine variances from the prescribed patient medication regimen;

the therapy adherence server entering the received patient medication regimen compliance information into a database;

the therapy adherence server determining an adjusted patient medication regimen adjusting at least one of dosage of medication prescribed and schedule for administering medication;

the therapy adherence server sending a second message containing the adjusted patient medication regimen to the patient device;

the therapy adherence server setting a timer to track compliance with the adjusted patient medication regimen, wherein the timer is set to conduct follow-up messaging with the patient device;

the therapy adherence server determining an initial patient risk level and a subsequent patient risk level;

the therapy adherence server sending alerting notifications with at least one of increased frequency and increased intensity to at least one health care provider when the subsequent patient risk level is higher than the initial patient risk level; and

the therapy adherence server contacting an emergency medical provider or a law enforcement agency when the at least one health care provider does not timely respond to the alerting notifications.

10. The method of claim 9, wherein the patient device is one of a mobile telephone and personal digital assistant (PDA) and the patient device is enabled for near-field communication.

11. The method of claim 10, wherein the patient device receives messaging from at least one patient monitoring device and the messaging comprises at least one of patient vital signs, body temperature, pulse rate, blood chemistry information, glucose level information, saliva chemistry information, and blood pressure information.

12. The method of claim 11, wherein information contained in the messaging from the patient monitoring devices is stored in a database.

13. The method of claim 9, wherein when the medication regimen comprises a plurality of medications and the patient does not comply with the regimen for at least a first medication, the method adjusts the dosage quantity and administration schedule for at least one of the other medications in the regimen.

14. The method of claim 9, wherein the method contacts caregivers comprising at least one of family members, counselors, and court-appointed officers.

15. The method of claim 9, wherein the method increases at least one of the frequency and intensity of alerting notifications sent to the patient device when expected messages are not received from the patient device by scheduled deadlines.

16. A processor-implemented method of encouraging therapy regimen adherence, comprising:

a therapy adherence server receiving a first message from a patient device;

the therapy adherence server calculating compliance with a medication regimen;

the therapy adherence server determining a first risk level of patient condition;

the therapy adherence server sending a second message to at least one care provider, the second message containing the first risk level determined based on current and historical information on the patient;

the therapy adherence server determining a second risk level of patient condition;

the therapy adherence server sending a plurality of messages to the at least one care provider with increased frequency and intensity when the second risk level is higher than the first risk level; and

the therapy adherence server contacting an emergency medical provider or a law enforcement agency when the at least one care provider does not timely respond to the plurality of messages.

17. The method of claim 16, wherein messages are sent to the patient containing inquiries about symptoms experienced.

18. The method of claim 16, wherein the method contacts a pharmacy for refill of medication.

19. The method of claim 16, wherein the method further includes tracking the physical location of a patient device and communicating alerts to the patient device when the patient device is determined to be physically distant from medication and monitoring devices.

20. The method of claim 16, wherein the patient is at least one of a homebound senior citizen, homebound veteran, mentally or physically disabled person, minor, eating-disorder patient, grossly overweight person, and parolee or registered sex-offender subject to at least one of court-ordered home confinement and medication regimen.