Method for selecting a clinical treatment plan tailored to patient defined health goals

• US 8,744,867 B2
• Filed: 06/07/2002
• Issued: 06/03/2014
• Est. Priority Date: 06/07/2002
• Status: Active Grant

• Current Assignee: Terumo Medical Corporation (Terumo Corporation)
• Original Assignee: Health Outcomes Sciences, LLC
• Inventors: Spertus, John
• Primary Examiner(s): Hewitt, II, Calvin Loyd
• Assistant Examiner(s): SHERR, CRISTINA O
• Application Number:
  US10/165,855
• Publication Number:
  US 20030229513A1
• Time in Patent Office: 4,379 Days
• Field of Search: 705 1- 5, 707/1, 707/10, 707/100, 707/200, 707/205
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

The invention discloses a method by which the health care professional or patient may draw upon historical medical data concerning patients similarly situated in medical condition, to assist him/her in deciding on a clinical intervention procedure to select. This method is specifically tailored to the patient, as data is provided and evaluated from only similarly situated patients, and provides an expectation of potential outcome of the patient should one or the other of the options be selected. The invention further provides a database that may be used in order to provide this comparison based evaluation method. A computer based software system is further disclosed that implements the method. The invention more speiocifically provides a method by which a post-coronary event patient may make an informed decision of which post-coronary revascularization procedure to undergo in the future management of his disease. This method employs the patient'"'"'s health status date (symptoms, function and quality of life), and provides projections of the patient'"'"'s expected survival, risk, and 1-year health status outcome from the selection of revascularization procedure, such as Coronary Artery Bypass Grafting (CABG) or Percutaneous Coronary Intervention (PCI).

Claims

1. A non-transitory computer readable storage medium storing instructions that when executed by a computer system, cause the computer system to perform operations comprising:

accessing a database to retrieve information regarding a first individual patient;

identifying a disease state of the first individual patient using information accessed from the database;

assessing health status parameters of the first individual patient;

identifying a projected health outcome corresponding to the first individual patient based upon a preference of the first individual patient and on a goal of the first individual patient;

accessing the database to retrieve information regarding health status parameters from a population having similar demographics to the first individual patient to provide a library of projected health outcomes for a plurality of treatments for the disease state of the first individual patient; and

at least partly based on the first individual patient'"'"'s goal and preference, assisting the patient and or provider in selecting preferred outcomes from the library of projected health outcomes.

2. The non-transitory computer readable storage medium as defined in claim 1, wherein the operations further comprise:

assessing health status parameters from a first population of patients selected from the population having similar demographics to the first individual patient to provide a first reference data assessment profile;

assessing health status parameters from a second population of patients selected from the population having similar demographics to the first individual patient to provide a second reference data assessment profile;

assessing health status parameters from a third population of patients selected from the population having similar demographics to the first individual patient to provide a third reference data assessment profile;

wherein the first, second, and third populations have had correspondingly different treatments for the disease state,

wherein the survival and quality of life probability of the first individual patient is projected from the first, second, and third reference data assessment profiles to respectively provide first, second and third projected post-procedural outcomes, and

wherein at least the first and second post-procedural outcomes are compared to select an appropriate procedure for the first individual patient.

3. The non-transitory computer readable storage medium as defined in claim 1, wherein the operations further comprise:

predicting health status outcomes for the first individual patient with respect to a cardiac revascularization procedure performed on the first individual patient.

4. The non-transitory computer readable storage medium as defined in claim 1, wherein the operations further comprise:

indicating an appropriate post-cardiac clinical regime using a statistical analysis on a quality of life profile associated with the first individual patient.

5. The non-transitory computer readable storage medium as defined in claim 1, wherein the operations further comprise indicating an appropriate post-cardiac clinical regime by performing a statistical analysis on the first individual patient'"'"'s quality of life profile, compute a statistical average based on the statistical analysis, and compute a statistical deviation about the average.

6. The non-transitory computer readable storage medium as defined in claim 1, wherein the operations further comprise:

predicting health status outcomes for at least one individual patient suffering from one or more of the following conditions;

arthritis, chronic obstructive pulmonary disease, cancer, and/or a peripheral vascular, disease,

by isolating treatment regimens for the one or more conditions that resulted historically in health status outcomes and goals corresponding to those of the first individual patient to thereby provide the first individual patient with a corresponding set of health care options from which to select.

7. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s health status is determined based on the first individual patient'"'"'s symptoms, function, and quality of life.

8. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s demographics include economic burden, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s economic burden.

9. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s demographics include living situation, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s living situation.

10. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s demographics include social support and,

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s social support.

11. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s demographics include employment status, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s employment status.

12. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s demographics include type of employment, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s type of employment.

13. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s demographics include education level, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s education level.

14. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s disease state includes clinical data relating to comorbidities, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s clinical data relating to comorbidities.

15. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s disease state includes clinical data relating to depression and,

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s clinical data relating to depression.

16. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s disease state includes clinical data relating to a medicine setting, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s clinical data relating to the medicine setting.

17. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s disease state includes clinical data relating to cardiac risk factors, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s clinical data relating to the cardiac risk factors.

18. The non-transitory computer readable storage medium as defined in claim 1, wherein the first individual patient'"'"'s disease state includes clinical data relating to smoking status, and

the preferred outcomes are selected by the computer system based at least in part on the first individual patient'"'"'s clinical data relating to the smoking status.

19. The non-transitory computer readable storage medium as defined in claim 1, wherein the information regarding health status parameters from the population having similar demographics to the first individual patient includes responses to a standardized questionnaire having a plurality of questions regarding demographic and clinical information from a plurality of patients.

20. The non-transitory computer readable storage medium as defined in claim 1, wherein the standardized questionnaire includes the Seattle Angina Questionnaire.