Evidence-based healthcare information management protocols

• US 10,552,581 B2
• Filed: 12/05/2012
• Issued: 02/04/2020
• Est. Priority Date: 12/30/2011
• Status: Active Grant

• Current Assignee: The Invention Science Fund II, L.L.C. (Intellectual Ventures LLC)
• Original Assignee: Elwha LLC (Intellectual Ventures LLC)
• Inventors: Hyde, Roderick A., Jung, Edward K. Y., Kare, Jordin T., Leuthardt, Eric C., Levien, Royce A., Lord, Richard T., Lord, Robert W., Malamud, Mark A., Rinaldo, Jr., John D., Rivet, Dennis J., Tegreene, Clarence T., Wood, Jr., Lowell L.
• Primary Examiner(s): Tomaszewski, Michael
• Application Number:
  US13/705,421
• Publication Number:
  US 20130173305A1
• Time in Patent Office: 2,617 Days
• Field of Search: 705 2- 3
• 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
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• 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 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

Structures and protocols are presented for signaling a status or decision (processing or transmitting a medical record or other resource, e.g.) conditionally. Such signaling may be partly based on one or more symptoms, regimen attributes, performance indicia (compliance indications, e.g.), privacy considerations (patient consent, e.g.), contextual considerations (being in or admitted by a care facility, e.g.), sensor data, or other such determinants. In some contexts this may trigger an incentive being manifested (as a dispensation of an item, e.g.), an intercommunication (telephone call, e.g.) beginning, a device being configured (enabled or customized, e.g.), data distillations being presented or tracked, or other such results.

Claims

1. A healthcare treatment delivery system comprising:

at least one healthcare information server including one or more electronic devices including at least;

circuitry configured for applying at least one cognitive behavioral health regimen configured for treating at least one of depression, anxiety, drug abuse, or chronic pain to a first individual via network communication with at least one interaction unit associated with the first individual, the at least one cognitive behavioral health regimen including at least one time interval;

circuitry configured for monitoring interactions of the first individual associated with the at least one cognitive behavioral health regimen including at least circuitry configured for controlling at least one device to display, visibly in a vicinity of the first individual, a countdown timer indicating a remaining portion of the at least one time interval;

circuitry configured for automatically characterizing at least one performance metric indicative of recent behavior of the first individual associated with the at least one cognitive behavioral health regimen in relation to at least one median performance metric mathematically combined from one or more scalar indications of behavior of two or more individuals including at least determining whether one or more cognitive behavioral tasks were performed by the first individual within the at least one time interval;

circuitry configured for conditionally and automatically generating a first device-implemented query to at least one second individual responsive to the one or more cognitive behavioral tasks not being performed by the first individual within the at least one time interval, the first device-implemented query including at least a control message that facilitates at least one response by the at least one second individual;

circuitry configured for automatically determining at least one communication delay as a function of the characterized at least one performance metric indicative of the recent behavior of the first individual, the at least one communication delay including at least a first communication delay associated with the first device-implemented query and a second communication delay characterized as an expected amount of time at which timely compliance with the at least one cognitive behavioral health regimen is uncertain based at least partly on at least one effect of one or more cognitive behavioral attributes associated with the first individual, the second communication delay indicative of an interval of time between completion of the at least one cognitive behavioral health regimen and transmission of a third device-implemented query;

circuitry configured for conditionally and automatically generating a second device-implemented query having a mode of communication different from the first device-implemented query responsive to expiration of the first communication delay with no intervening response to the first device-implemented query; and

circuitry configured for generating the third device-implemented query as an automatic response to an expiration of the second communication delay, wherein the third device-implemented query includes at least one therapeutic message to conduct telephonic counseling with the first individual and solicit an evaluation of the at least one performance metric indicative of the recent behavior of the first individual from the first individual.

2. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for controlling at least one device to display a countdown timer indicating a remaining portion of the at least one time interval includes:

circuitry configured for controlling at least one device to display a countdown timer including a shrinking manifestation of the remaining portion of the at least one time interval associated with the at least one cognitive behavioral health regimen.

3. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for controlling at least one device to display a countdown timer indicating a remaining portion of the at least one time interval includes:

circuitry configured for controlling exercise equipment to display a countdown timer indicating a remaining portion of a time interval associated with the at least one cognitive behavioral health regimen including usage of the exercise equipment.

17. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for controlling at least one device to display a countdown timer indicating a remaining portion of the at least one time interval includes:

circuitry configured for controlling at least one of a handheld device or a wearable device to display the countdown timer including a remaining portion of the at least one time interval.

18. The healthcare treatment delivery system of claim 1, wherein the circuitry configured for conditionally and automatically generating a first device-implemented query to at least one second individual responsive to the one or more cognitive behavioral tasks not being performed by the first individual within the at least one time interval includes:

circuitry configured for initiating, via the at least one device displaying the countdown timer, a communication session between the first individual and the at least one second individual responsive to the receiving an indication that the at least one cognitive behavioral health regimen associated with the at least one time interval was performed within the at least one time interval.

19. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for applying at least one cognitive behavioral health regimen configured for treating at least one of depression, anxiety, drug abuse, or chronic pain to a first individual via network communication with at least one interaction unit associated with the first individual includes:

circuitry configured for applying at least one cognitive behavioral health regimen configured as a video game for treating at least one of depression, anxiety, drug abuse, or chronic pain via network communication with the at least one interaction unit associated with the first individual.

20. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for applying at least one cognitive behavioral health regimen configured for treating at least one of depression, anxiety, drug abuse, or chronic pain to a first individual via network communication with at least one interaction unit associated with the first individual includes:

circuitry configured for applying at least one cognitive behavioral health regimen configured for treating at least one of depression, anxiety, drug abuse, or chronic pain to the first individual via network communication with at least one smartphone associated with the first individual.

21. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for monitoring interactions of the first individual associated with the at least one cognitive behavioral health regimen includes:

circuitry configured for monitoring interactions of the first individual associated with at least one exercise task component of the at least one cognitive behavioral health regimen.

22. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for monitoring interactions of the first individual associated with the at least one cognitive behavioral health regimen includes:

circuitry configured for monitoring one or more query responses by the first individual to one or more survey questions associated with the at least one cognitive behavioral health regimen.

23. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for monitoring interactions of the first individual associated with the at least one cognitive behavioral health regimen includes:

circuitry configured for monitoring interactions of the first individual associated with one or more activities of the at least one cognitive behavioral health regimen.

24. The healthcare treatment delivery system of claim 1 wherein the circuitry configured for automatically characterizing at least one performance metric indicative of recent behavior of the first individual associated with the at least one cognitive behavioral health regimen in relation to at least one median performance metric mathematically combined from one or more scalar indications of behavior of two or more individuals includes:

circuitry configured for determining and recording whether scheduled events are occurring within a predetermined interval of time associated with an electronic video game.

4. A healthcare treatment delivery system comprising:

at least one computing device; and

one or more instructions that, when implemented in the at least one computing device, program the at least one computing device for;

applying at least one cognitive behavioral health regimen configured for treating at least one of depression, anxiety, drug abuse, or chronic pain to a first individual via network communication with at least one interaction unit associated with the first individual, the at least one cognitive behavioral health regimen including at least one time interval;

monitoring interactions of the first individual associated with the at least one cognitive behavioral health regimen including at least controlling at least one device to display, visibly in a vicinity of the first individual, a countdown timer indicating a remaining portion of the at least one time interval;

automatically characterizing at least one performance metric indicative of recent behavior of the first individual associated with the at least one cognitive behavioral health regimen in relation to at least one median performance metric mathematically combined from one or more scalar indications of behavior of two or more individuals including at least determining whether one or more cognitive behavioral tasks were performed by the first individual within the at least one time interval;

conditionally and automatically generating a first device-implemented query to at least one second individual responsive to the one or more cognitive behavioral tasks not being performed by the first individual within the at least one time interval, the first device-implemented query including at least a control message that facilitates at least one response by the at least one second individual;

automatically determining at least one communication delay as a function of the characterized at least one performance metric indicative of the recent behavior of the first individual, the at least one communication delay including at least a first communication delay associated with the first device-implemented query and a second communication delay characterized as an expected amount of time at which timely compliance with the at least one cognitive behavioral health regimen is uncertain based at least partly on at least one effect of one or more cognitive behavioral attributes associated with the first individual, the second communication delay indicative of an interval of time between completion of the at least one cognitive behavioral health regimen and transmission of a third device-implemented query;

conditionally and automatically generating a second device-implemented query having a mode of communication different from the first device-implemented query responsive to expiration of the first communication delay with no intervening response to the first device-implemented query; and

generating the third device-implemented query as an automatic response to an expiration of the second communication delay, wherein the third device-implemented query includes at least one therapeutic message to conduct telephonic counseling with the first individual and solicit an evaluation of the at least one performance metric indicative of the recent behavior of the first individual from the first individual.

5. The healthcare treatment delivery system of claim 4, further comprising one or more instructions that, when implemented in the at least on computing device, program the at least one computing device for:

causing at least one third individual to be contacted by a fallback mode of communication different from a communication mode of the first device-implemented query responsive to receiving no response to the first device-implemented query from the at least one second individual.

6. The healthcare treatment delivery system of claim 4, wherein the automatically characterizing at least one performance metric indicative of recent behavior of the first individual associated with the at least one cognitive behavioral health regimen in relation to at least one median performance metric mathematically combined from one or more scalar indications of behavior of two or more individuals including at least determining whether one or more cognitive behavioral tasks were performed by the first individual within the at least one time interval includes:

updating a locally-resident subscriber registry in response to the first individual entering a service zone.

7. The healthcare treatment delivery system of claim 4, further comprising one or more instructions that, when implemented in the at least on computing device, program the at least one computing device for:

at least one of;

obtaining an indication that a specific pathology associated with the first individual has been treated at a first hospital and an indication that the specific pathology associated with the first individual has been treated at a second hospital;

retrieving a medical treatment record of the first individual selectively in response to an explicit indication of a payment reduction that identifies the first individual;

retrieving a medical treatment record relating to a set of one or more pathologies selectively in response to an explicit indication of a payment reduction that identifies the set;

or

detecting a wireless device within an effective range of a stationary device, the wireless device being associated with the first individual.

8. The healthcare treatment delivery system of claim 4, further comprising one or more instructions that, when implemented in the at least on computing device, program the at least one computing device for:

obtaining an explicit indication whether a record of treating a medical condition in the first individual with a particular protocol contains extrinsic evidence that treating the medical condition with the particular protocol has precedent, the particular protocol including the at least one cognitive behavioral health regimen.

9. The healthcare treatment delivery system of claim 4, further comprising one or more instructions that, when implemented in the at least on computing device, program the at least one computing device for:

at least one of;

signaling a decision whether to transfer a resource to the first individual partly based on an indication that the first individual is not compliant with the at least one cognitive behavioral health regimen and partly based on an indication that the first individual has accepted a telephone call;

causing a locally-resident subscriber registry to be updated with an indication of the first individual;

or

determining whether a medical device is in a vicinity a device associated with the first individual.

10. The healthcare treatment delivery system of claim 4, further comprising one or more instructions that, when implemented in the at least on computing device, program the at least one computing device for:

responding to a payment-reduction event relating to a first medical treatment by causing a selective retrieval of one or more records that lack any prominence indication relating to the first medical treatment from an archive that includes at least one prominence indication relating to a second medical treatment, the at least one cognitive behavioral health regimen including the first medical treatment.

11. The healthcare treatment delivery system of claim 4, further comprising one or more instructions that, when implemented in the at least on computing device, program the at least one computing device for:

at least one of;

detecting a passive wireless transponder within a vicinity of a vehicle, a wearable device associated with the first individual including the passive wireless transponder;

or

implementing a failsafe preventing medical equipment from operating until an order that associates the medical equipment with the first individual is received and until an indication is received that the first individual is in a vicinity of the medical equipment.

12. The healthcare treatment delivery system of claim 4, further comprising one or more instructions that, when implemented in the at least on computing device, program the at least one computing device for:

triggering a search of a particular records archive by providing a selective search criterion that results in an exclusion of a first element in the particular records archive and an inclusion of a second element in the particular records archive, the second element referring to the first individual.

13. The healthcare treatment delivery system of claim 4, further comprising one or more instructions that, when implemented in the at least on computing device, program the at least one computing device for:

transmitting a real-time notification to a second individual as an automatic response to an interface on or near the first individual detecting a particular event relating to the first individual.

14. A healthcare information management method comprising:

applying at least one cognitive behavioral health regimen configured for treating at least one of depression, anxiety, drug abuse, or chronic pain to a first individual via network communication with at least one interaction unit associated with the first individual, the at least one cognitive behavioral health regimen including at least one time interval;

monitoring interactions of the first individual associated with the at least one cognitive behavioral health regimen including at least controlling at least one device to display, visibly in a vicinity of the first individual, a countdown timer indicating a remaining portion of the at least one time interval;

automatically characterizing at least one performance metric indicative of recent behavior of the first individual associated with the at least one cognitive behavioral health regimen in relation to at least one median performance metric mathematically combined from one or more scalar indications of behavior of two or more individuals including at least determining whether one or more cognitive behavioral tasks were performed by the first individual within the at least one time interval;

conditionally and automatically generating a first device-implemented query to at least one second individual responsive to the one or more cognitive behavioral tasks not being performed by the first individual within the at least one time interval, the first device-implemented query including at least a control message that facilitates at least one response by the at least one second individual;

automatically determining at least one communication delay as a function of the characterized at least one performance metric indicative of the recent behavior of the first individual, the at least one communication delay including at least a first communication delay associated with the first device-implemented query and a second communication delay characterized as an expected amount of time at which timely compliance with the at least one cognitive behavioral health regimen is uncertain based at least partly on at least one effect of one or more cognitive behavioral attributes associated with the first individual, the second communication delay indicative of an interval of time between completion of the at least one cognitive behavioral health regimen and transmission of a third device-implemented query;

conditionally and automatically generating a second device-implemented query having a mode of communication different from the first device-implemented query responsive to expiration of the first communication delay with no intervening response to the first device-implemented query; and

generating the third device-implemented query as an automatic response to an expiration of the second communication delay, wherein the third device-implemented query includes at least one therapeutic message to conduct telephonic counseling with the first individual and solicit an evaluation of the at least one performance metric indicative of the recent behavior of the first individual from the first individual.

15. The healthcare information management method of claim 14, further comprising:

obtaining an indication that a specific pathology in the first individual has been treated at a first hospital and an indication that the specific pathology in the first individual has been treated at a second hospital.

16. An article of manufacture for healthcare information management comprising:

one or more physical media bearing one or more device-detectable instructions for performing one or more operations including at least;

applying at least one cognitive behavioral health regimen configured for treating at least one of depression, anxiety, drug abuse, or chronic pain to a first individual via network communication with at least one interaction unit associated with the first individual, the at least one cognitive behavioral health regimen including at least one time interval;

monitoring interactions of the first individual associated with the at least one cognitive behavioral health regimen including at least controlling at least one device to display, visibly in a vicinity of the first individual, a countdown timer indicating a remaining portion of the at least one time interval;

automatically characterizing at least one performance metric indicative of recent behavior of the first individual associated with the at least one cognitive behavioral health regimen in relation to at least one median performance metric mathematically combined from one or more scalar indications of behavior of two or more individuals including at least determining whether one or more cognitive behavioral tasks were performed by the first individual within the at least one time interval;

conditionally and automatically generating a first device-implemented query to at least one second individual responsive to the one or more cognitive behavioral tasks not being performed by the first individual within the at least one time interval, the first device-implemented query including at least a control message that facilitates at least one response by the at least one second individual;

automatically determining at least one communication delay as a function of the characterized at least one performance metric indicative of the recent behavior of the first individual, the at least one communication delay including at least a first communication delay associated with the first device-implemented query and a second communication delay characterized as an expected amount of time at which timely compliance with the at least one cognitive behavioral health regimen is uncertain based at least partly on at least one effect of one or more cognitive behavioral attributes associated with the first individual, the second communication delay indicative of an interval of time between completion of the at least one cognitive behavioral health regimen and transmission of a third device-implemented query;

conditionally and automatically generating a second device-implemented query having a mode of communication different from the first device-implemented query responsive to expiration of the first communication delay with no intervening response to the first device-implemented query; and

generating the third device-implemented query as an automatic response to an expiration of the second communication delay, wherein the third device-implemented query includes at least one therapeutic message to conduct telephonic counseling with the first individual and solicit an evaluation of the at least one performance metric indicative of the recent behavior of the first individual from the first individual.