Disease management system and method including correlation assessment

• US 20030153819A1
• Filed: 02/13/2003
• Published: 08/14/2003
• Est. Priority Date: 03/13/1997
• Status: Active Grant

• Current Assignee: Healthways SC, LLC (Warner Bros. Discovery, Inc.)
• Original Assignee: First Opinion Corporation (Tivity Health, Inc.)
• Inventors: Iliff, Edwin C.
• Granted Patent: US 6,770,029 B2
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• 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 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/925 Neural network

Abstract

One aspect of the invention is directed to a system and method for allowing a patient to access an automated process for managing a specified health problem called a disease. The system performs disease management in a fully automated manner, using periodic interactive dialogs with the patient to obtain health state measurements from the patient, to evaluate and assess the progress of the patient'"'"'s disease, to review and adjust therapy to optimal levels, and to give the patient medical advice for administering treatment and handling symptom flare-ups and acute episodes of the disease. The medical records are updated, the progression of the disease is stored and tracked, and the patient'"'"'s preferences for treatment are stored and then used to offer medical advice based on the current state of the disease. Subjective and objective health measurements are used to determine a metric, which can be used to adjust patient therapy.

Claims

1. A computerized medical correlation assessment method, comprising:

a) providing a subjective health measurement in an electronic medical record corresponding to a particular patient;

b) providing an objective health measurement in the electronic medical record; and

c) calculating a metric based on the subjective health measurement and the objective health measurement.

2. The method of claim 1, wherein a)-c) are repeatedly performed over time.

3. The method of claim 2, wherein a plurality of metrics are statistically analyzed.

4. The method of claim 1, wherein the metric is a ratio.

5. The method of claim 1, wherein the metric is indicative of whether the subjective health measurement is reliable.

6. The method of claim 1, additionally comprising adjusting a therapy for the particular patient based on the metric.

7. The method of claim 1, wherein the subjective health measurement comprises health data perceived or felt by the particular patient.

8. The method of claim 1, wherein the objective health measurement includes health data measured by the particular patient.

9. The method of claim 8, wherein the health data is measured by use of a medical instrument.

10. A system for performing a computerized medical correlation assessment, the system comprising:

a computer;

a storage, in data communication with the computer, configured to store an electronic medical record corresponding to a particular patient; and

a disease management module executed by the computer and configured to;

access a subjective health measurement in the electronic medical record,

access an objective health measurement in the electronic medical record, and

calculate a metric based on the subjective health measurement and the objective health measurement.

11. The system of claim 10, wherein the computer is a portable computing device.

12. The system of claim 10, wherein the metric is calculated automatically.

13. The system of claim 10, wherein the metric is a ratio.

14. The system of claim 10, wherein the metric is indicative of whether the subjective health measurement is reliable.

15. The system of claim 10, wherein the disease management module is additionally configured to adjust a therapy for the particular patient based on the metric.

16. The system of claim 10, wherein the subjective health measurement comprises health data perceived or felt by the particular patient.

17. The system of claim 10, wherein the objective health measurement includes health data measured by the particular patient.

18. The system of claim 17, additionally comprising a medical instrument configured to measure the health data.

19. A system for performing a computerized medical correlation assessment, the system comprising:

a computer;

means, in data communication with the computer, for storing an electronic medical record corresponding to a particular patient; and

disease management means, executed by the computer, for;

accessing a subjective health measurement in the electronic medical record,

accessing an objective health measurement in the electronic medical record, and

calculating a metric based on the subjective health measurement and the objective health measurement.

20. The system of claim 19, wherein the computer is a portable computing device.

21. The system of claim 19, wherein the metric is calculated automatically.

22. The system of claim 19, wherein the metric is indicative of whether the subjective health measurement is reliable.

23. The system of claim 19, wherein the disease management means is additionally configured to adjust a therapy for the particular patient based on the metric.

24. The system of claim 19, wherein the subjective health measurement comprises health data perceived or felt by the particular patient.

25. The system of claim 19, wherein the objective health measurement includes health data measured by the particular patient.

26. A computer usable medium having computer readable program code embodied therein for performing a medical correlation assessment, the computer readable code comprising instructions for:

providing a subjective health measurement in an electronic medical record corresponding to a particular patient;

providing an objective health measurement in the electronic medical record; and

generating a metric based on the subjective health measurement and the objective health measurement.

27. The computer usable medium of claim 26, wherein the subjective health measurement is input remotely via a telecommunications device.

28. The computer usable medium of claim 26, wherein the subjective health measurement is input directly into a computer via a local peripheral device.

29. The computer usable medium of claim 26, additionally comprising instructions for adjusting a therapy for the particular patient based on the metric.

30. The computer usable medium of claim 26, wherein the metric is indicative of whether the subjective health measurement is reliable.