System and method for remote patient monitoring and assessment to facilitate patient treatment

• US 9,208,288 B2
• Filed: 08/23/2010
• Issued: 12/08/2015
• Est. Priority Date: 08/23/2010
• Status: Active Grant

• Current Assignee: Basic Home Infusion, Inc.
• Original Assignee: Basic Home Infusion, Inc.
• Inventors: Putrino, Roy C
• Primary Examiner(s): McNally, Kerri
• Assistant Examiner(s): Afrifa-Kyei, Anthony D
• Application Number:
  US12/861,403
• Publication Number:
  US 20120044070A1
• Time in Patent Office: 1,933 Days
• Field of Search: 340/539.1
• US Class Current: 1/1
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A system and method for remote patient monitoring and assessment to facilitate patient treatment are provided. The system includes at least one portable computing device (such as a smart cellular telephone) operated by a caregiver, which generates a plurality of user interface screens for allowing the caregiver to enter information relating to a patient'"'"'s medical condition and treatment of the patient. The system compares a parameter of the information entered by the caregiver to a pre-defined threshold to determine whether the parameter is acceptable, and displays an alert screen on the portable computing device if the means for comparing the parameter determines that the parameter is unacceptable. A central server in communication with the portable computing device via a network receives the information entered by the caregiver, and electronically generates a report summarizing the patient'"'"'s medical condition and treatment given to the patient by the caregiver.

Claims

1. A system for remote patient monitoring and assessment to facilitate patient treatment, comprising:

at least one portable computing device operated by a caregiver, the at least one portable computing device generating a plurality of user interface screens for allowing the caregiver to enter information relating to a patients medical condition and to treatment of the patient;

a local assessment engine stored on and executed by the at least one portable computing device, the local assessment engine comparing a parameter of the information entered by the caregiver to a pre-defined threshold to determine whether the parameter is acceptable;

wherein the at least one portable computing device is adapted to generate and display an alert screen on the at least one portable computing device if the local assessment engine determines that the parameter is unacceptable;

wherein the at least one portable computing device is adapted to lock the user interface of the at least one portable computing device and display a screen to the caregiver requiring the caregiver to communicate with a supervisor if the local assessment engine determines that the parameter is unacceptable;

a central server in communication with the portable computing device via a network, the central server receiving the information entered by the caregiver and electronically generating a report summarizing the patients medical condition and treatment given to the patient by the caregiver;

a transmitter adapted to transmit the report to a recipient;

a Global Positioning System (GPS) receiver for determining a location of the caregiver, the portable computing device adapted to transmit the location to the central server for processing by the central server and inclusion in the report;

wherein the at least one portable computing device is adapted to determine time spent by the caregiver at the patient'"'"'s location, the portable computing device adapted to transmit the time to the central server for processing by the central server and inclusion in the report;

wherein the at least one portable computing device is adapted to schedule future appointments to visit the patient; and

wherein the at least one portable computing device is adapted to create a progress note relating to progress of a patient'"'"'s treatment, and to transmit the progress note to a medical professional; and

wherein the plurality of user interface screens comprises a screen requiring the caregiver to enter the caregiver'"'"'s signature.

2. The system of claim 1, wherein the alert screen displays a corrective action to be taken by the caregiver.

3. The system of claim 1, wherein the portable computing device comprises a camera for allowing the caregiver to take a photograph of the patient.

4. The system of claim 1, wherein the portable computing device comprises means for obtaining telemetry information from a medical device used by the patient.

5. The system of claim 4, wherein the portable computing device transmits the telemetry information to the central server, and the central server processes and includes the telemetry information in the report.

6. A method for remotely monitoring and assessing a patient to facilitate patient treatment, comprising the steps of:

providing a portable computing device to a caregiver;

displaying a plurality of user interface screens on the portable computing device;

allowing the caregiver to enter information relating to a patient'"'"'s medical condition and treatment of the patient using the plurality of user interface screens on the portable computing device;

transmitting the information entered by the caregiver to a central server in communication with the portable computing device, the central server electronically generating a report summarizing the patient'"'"'s medical condition and treatment given to the patient by the caregiver;

comparing a parameter of the information entered by the caregiver to a pre-defined threshold to determine whether the parameter is acceptable using a local assessment engine executing on the portable computing device;

displaying an alert screen on the portable computing device if the parameter 1s unacceptable;

locking the user interface of the portable computing device and displaying a screen to the caregiver requiring the caregiver to communicate with a supervisor if the parameter is unacceptable;

displaying on the portable computing device a screen which requires the caregiver to enter the caregiver'"'"'s signature;

determining a location of the caregiver using the portable computing device;

transmitting the location to the central server for processing by the central server and inclusion in the report;

determining time spent by the caregiver at the patient'"'"'s location;

transmitting the time to the central server for processing by the central server and inclusion in the report;

allowing the caregiver to schedule future appointments to visit the patient using the portable computing device; and

allowing the caregiver to create a progress note relating to progress of a patient'"'"'s treatment and to transmit the progress note to a medical professional.

7. The method of claim 6, wherein the step of displaying the alert screen comprises displaying an alert screen including a corrective action to be taken by the caregiver if the parameter is unacceptable.

8. The method of claim 6, further comprising allowing the caregiver to take a photograph of the patient using a camera in the portable computing device.

9. The method of claim 6, further comprising obtaining, using the portable computing device, telemetry information from a medical device used by the patient.

10. The method of claim 9, further comprising transmitting the telemetry information to the central server, the central server processing and including the telemetry information in the report.

11. A non-transitory, computer-readable storage medium having computer-readable instructions for remotely monitoring and assessing a patient to facilitate patient treatment, wherein when the computer-readable instructions are executed by a portable computing device operated by a caregiver, cause the portable computing device to execute the steps comprising:

displaying a plurality of user interface screens on the portable computing device;

allowing the caregiver to enter information relating to a patient'"'"'s medical condition and treatment of the patient using the plurality of user interface screens on the portable computing device;

transmitting the information entered by the caregiver to a central server in communication with the portable computing device, for subsequent electronic generation of a report summarizing the patient'"'"'s medical condition and treatment given to the patient by the caregiver;

comparing a parameter of the information entered by the caregiver to a pre-defined threshold to determine whether the parameter is acceptable using a local assessment engine executing on the portable computing device;

displaying an alert screen on the portable computing device if the parameter is unacceptable;

locking the user interface of the portable computing device and displaying a screen to the caregiver requiring the caregiver to communicate with a supervisor if the parameter is unacceptable;

displaying on the portable computing device a screen which requires the caregiver to enter the caregiver'"'"'s signature;

determining a location of the caregiver using the portable computing device;

transmitting the location to the central server for processing by the central server and inclusion in the report;

determining time spent by the caregiver at the patient'"'"'s location;

transmitting the time to the central server for processing by the central server and inclusion in the report; and

allowing the caregiver to schedule future appointments to visit the patient using the portable computing device.

12. The computer-readable medium of claim 11, wherein the step of displaying the alert screen comprises displaying an alert screen including a corrective action to be taken by the caregiver if the parameter is unacceptable.

13. The computer-readable storage medium of claim 11, further comprising allowing the caregiver to take a photograph of the patient using a camera in the portable computing device.

14. The computer-readable storage medium of claim 11, further comprising obtaining, using the portable computing device, telemetry information from a medical device used by the patient.

15. The computer-readable storage medium of claim 14, further comprising transmitting the telemetry information to the central server, the central server processing and including the telemetry information in the report.

16. A method for remotely monitoring and assessing a patient having an implanted infusion pump to facilitate patient treatment, comprising the steps of:

providing a portable computing device to a caregiver;

displaying a plurality of user interface screens on the portable computing device;

allowing the caregiver to enter information relating to the implanted infusion pump using the plurality of user interface screens on the portable computing device;

comparing a parameter of the information entered by the caregiver to a pre-defined threshold to determine whether the parameter is acceptable using a local assessment engine stored and executing on the portable computing device;

displaying an alert screen on the portable computing device if the parameter is unacceptable;

locking the user interface of the portable computing device and requiring the caregiver to communicate with a supervisor if the parameter is unacceptable; and

allowing the caregiver to refill the implanted infusion pump if the parameter is acceptable;

allowing the caregiver to input medical information about the patient using the plurality of user interface screens; and

transmitting the medical information to a patient assessment server and generating a report at the server summarizing treatment of the patient by the caregiver.

17. A method for remotely monitoring and assessing a patient having an implanted infusion pump to facilitate patient treatment, comprising the steps of:

providing a portable computing device to a caregiver;

allowing the caregiver to withdraw fluid remaining in the implanted infusion pump;

displaying a plurality of user interface screens on the portable computing device;

allowing the caregiver to enter information relating to the fluid withdrawn from the implanted infusion pump using the plurality of user interface screens on the portable computing device;

analyzing the information entered by the caregiver;

comparing the information to an expected amount of remaining fluid using a local assessment engine stored and executing on the portable computing device;

displaying an alert screen on the portable computing device if the information entered by the caregiver does not match the expected amount of remaining fluid; and

locking the user interface of the portable computing device and requiring the caregiver to communicate with a supervisor if the information entered by the caregiver is unacceptable;

calculating a range of acceptable remaining amounts using the portable computing device;

comparing the information provided by the caregiver to the range of acceptable amounts; and

displaying an alert screen if the information provided by the caregiver is outside of the range of acceptable amount.