System and method for interactive clinical support and compliance with clinical standards and guidelines in real-time

• US 9,892,475 B1
• Filed: 11/03/2006
• Issued: 02/13/2018
• Est. Priority Date: 11/03/2006
• Status: Active Grant

• Current Assignee: E&C Medical Intelligence Incorporated
• Original Assignee: E&C Medical Intelligence Incorporated
• Inventors: Ephrat, Eyal
• Primary Examiner(s): Morgan, Robert W
• Assistant Examiner(s): Raj, Rajiv J
• Application Number:
  US11/592,902
• Time in Patent Office: 4,120 Days
• Field of Search: 705 2- 3, 600300
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• 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 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A method and system for assisting clinical staff in providing optimal care in real-time and assisting in compliance with clinical standards and guidelines. The system performs the steps of receiving items of patient data, comparing the received patient data with a set of best practice rules to determine if at least one item of patient data has not been received. The patient data can include patient information, diagnosis, decision, or an action to be taken. The system generates a first notification if an item of patient data has not been received. The first notification is generated based on the comparison of the received patient data with the set of best practice rules. The system displays the first notification, which includes a selectable portion for entering data corresponding to the at least one item of patient data that has not been received. The system upgrades the first notification to be redisplayed again at predetermined time intervals, based on a set of best practice rules, representing the organization'"'"'s best practices, which determine that such missing patient data is critical for assuring the best clinical care is provided to the patient. The notification continues to be redisplayed until such item of missing patient data is received by the system. After a predetermined time period, based on the patient'"'"'s clinical situation and the best practice protocols, the system further upgrades the notification to be presented at a central monitor for wider audience notification. After an additional predetermined time period, based on the patient'"'"'s clinical situation and the best practice protocols, the system further upgrades the notification and mandates the entry of the reasoning why this critically missing patient data is not received. The staff, at that point, must either enter the missing data or provide the reasoning why the data in not entered.

Claims

1. A non-transitory computer-readable storage medium storing instructions that, when executed by a processor, are configured to cause the processor to perform operations for providing real-time clinical decision support, the operations comprising:

receiving items of patient data;

comparing the received items of patient data with a set of best practice standards pertaining to an applicable clinical situation, the best practice standards including a plurality of best practice data items each associated with a criticality level;

identifying at least one best practice data item applicable to the clinical situation missing from the received items of patient data;

generating a request for the at least one missing item of patient data;

determining that the requested at least one missing item of patient data has not been received after a first time interval based on the criticality level of the at least one item of patient data;

generating a notification in a first compliance phase prompting for the at least one missing item of patient data, the notification configured to be dismissible and to return after a first time interval based on the criticality level of the at least one missing item of patient data, wherein the notification is configured to repeatedly return one or more times;

determining that the requested at least one missing item of patient data has not been received after a second time interval based on the criticality level of the at least one missing item of patient data;

generating an alert in a second compliance phase after the second time interval accentuating that the at least one missing item of patient data has not been received, wherein the alert is different than the notification in the first compliance phase;

determining that the requested at least one missing item of patient data has not been received after a third time interval based on the criticality level of the at least one missing item of patient data;

generating a request in a third compliance phase after the third time interval requesting an explanation for why the at least one missing item of patient data has not been received;

receiving a reason for why the missing item of patient data has not been received, instead of receiving the missing item of patient data; and

dismissing the notification in the first compliance phase, the alert in the second compliance phase, and the request in the third compliance phase in response to receiving the reason for why the missing item of patient data has not been received.

2. The non-transitory computer-readable storage medium of claim 1 wherein the at least one missing item of patient data comprises at least one of patient information, a diagnosis, a decision, and an action to be taken.

3. The non-transitory computer-readable storage medium of claim 1 wherein the at least one missing item of patient data identifies one of at least whether a patient information has been received, whether a diagnosis has been diagnosed, whether a decision has been decided, and whether an action has been taken.

4. The non-transitory computer-readable storage medium of claim 1 wherein the notification is a visual notification that identifies the at least one item of patient data that has not been received.

5. The non-transitory computer-readable storage medium of claim 1 wherein the method further comprises displaying the first notification on at least one display.

6. The non-transitory computer-readable storage medium of claim 5 wherein the notification includes a selectable portion for entering data related to the at least one missing item of patient data.

7. The non-transitory computer-readable storage medium of claim 6 wherein the data related to the at least one missing item of patient data comprises either an indication that the at least one missing item of patient data will not be received or the at least one missing item of patient data.

8. The non-transitory computer-readable storage medium of claim 1, wherein at least two of the first time interval, the second time interval, and the third time interval are equal.

9. The non-transitory computer-readable storage medium of claim 1, wherein the notification is configured to return by being redisplayed on a display at predetermined time intervals, and

wherein the notification continues to be redisplayed until the at least one missing item of patient data is received or the reason for why the at least one missing item of patient data has not been received is received.

10. The non-transitory computer-readable storage medium of claim 1, wherein generating the alert comprises displaying the alert on at least one central location display, wherein the alert remains on the central location display until information corresponding to the at least one missing item of patient data is received or the reason for why the at least one missing item of patient data has not been received is received.

11. The non-transitory computer-readable storage medium of claim 1 wherein generating the request in the third compliance phase comprises displaying the request on a display, wherein the request remains on the display until data corresponding to the at least one missing item of data is received or the reason for why the at least one missing item of patient data has not been received is received.

12. The non-transitory computer-readable storage medium of claim 11 wherein the request comprises a selectable portion for entering data, and

wherein the selectable portion includes predetermined information corresponding to the at least one missing item of patient data that has not been received.

13. The non-transitory computer-readable storage medium of claim 1, wherein generating the alert in the second compliance phase comprises displaying the alert, wherein the alert remains on the display until data indicating that the uncompleted action is completed or the reason the at least one action has not been completed is entered.

14. The non-transitory computer-readable storage medium of claim 13 wherein the alert includes a selectable portion for indicating that the at least one action has been completed.

15. The non-transitory computer-readable storage medium of claim 13 wherein the operations further comprise generating a communication including a reason that the at least one action has not been completed.

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

receiving items of completed actions;

determining at least one action required to be completed based on a set of best practice standards pertaining to an applicable clinical situation, the best practice standards including a plurality of data items;

determining if the at least one required action has been completed;

generating a first notification in a first compliance phase based on a determination that the at least one action has not been completed, the first notification configured to be dismissible and to return after a first time interval and identifying the at least one action that has not been completed and wherein the notification is configured to repeatedly return one or more times;

generating an alert in a second compliance phase based on a determination that the at least one action has not been completed after a second time interval, the alert accentuating that the at least one action has not been completed, wherein the alert is different than the notification in the first compliance phase;

generating a request in a third compliance phase based on a determination that the at least one action has not been completed after a third time interval requesting an explanation for why the at least one action has not been completed;

receiving a reason for why the at least one action has not been completed, instead of receiving the uncompleted action; and

dismissing the notification in the first compliance phase, the alert in the second compliance phase, and the request in the third compliance phase in response to receiving the reason for why the at least one action has not been completed.

17. The non-transitory computer-readable storage medium of claim 16 wherein the first notification includes a selectable portion for entering data corresponding to the at least one action that has not been completed.

18. The non-transitory computer-readable storage medium of claim 17 wherein the first notification includes a selectable portion for indicating that the at least one action has been completed.

19. The non-transitory computer-readable storage medium of claim 16 wherein the method further comprises:

receiving items of patient data;

comparing the received items of patient data with the set of best practice standards pertaining to an applicable clinical situation, the best practice standards including a plurality of data items; and

determining the at least one action required to be completed based in part on the comparison of the received items of patient data with the set of best practice rules standards.

20. The non-transitory computer-readable storage medium of claim 19 wherein the received items of patient data include at least one of one of patient information, diagnosis, decision, and action.

21. The non-transitory computer-readable storage medium of claim 19 wherein the method further comprises:

determining at least one suggested problem based on the comparison of the received items of patient data with the set of best practice standards;

displaying at least one suggested problem on a display, the at least one suggested problem being selectable; and

selecting the at least one suggested problem as at least one of a diagnosed problem, a suspected problem, and a non-existing problem.

22. The non-transitory computer-readable storage medium of claim 16 wherein the at least one action required to be completed is at least one of inputting additional items of patient data and performing at least a portion of a patient treatment procedure.

23. The non-transitory computer-readable storage medium of claim 16 wherein the method further comprises displaying the first notification on at least one display.

24. A non-transitory computer-readable storage medium storing instructions that, when executed by a processor, are configured to cause the processor to perform a method operations, the operations comprising:

receiving items of patient data;

comparing the received items of patient data with a set of best practice standards pertaining to an applicable clinical situation, the best practice standards including a plurality of best practice data items;

generating a first notification in a first compliance phase based on a determination that at least one item of patient data is missing that is included in the best practice data items for the applicable clinical situation;

displaying the first notification on a display, wherein the first notification includes a selectable portion for entering information corresponding to the at least one item of patient data that has not been received;

generating an alert in a second compliance phase after a second time interval accentuating that the at least one item of patient data has not been received, wherein the alert is different than the notification in the first compliance phase;

displaying the alert on the display, the alert configured to remain on the display until dismissed;

generating a request in a third compliance phase after a third time interval requesting an explanation for why the at least one missing item of patient data has not been received;

displaying the request on the display;

receiving a reason for why the missing item of patient data has not been received, instead of receiving the missing item of patient data; and

dismissing the notification in the first compliance phase, the alert in the second compliance phase, and the request in the third compliance phase in response to receiving the reason for why the missing item of patient data has not been received.

25. The non-transitory computer-readable storage medium of claim 24 wherein the patient data includes at least one of patient information, diagnosis, decision, and action.