Health care patient status event processing and reporting

• US 20070013511A1
• Filed: 07/27/2006
• Published: 01/18/2007
• Est. Priority Date: 03/20/2004
• Status: Active Grant

• Current Assignee: Welch Allyn Incorporated
• Original Assignee: Welch Allyn Incorporated
• Inventors: Lee, Koo, Petersen, Eric, Baker, Steven, Adams, Douglas, Fo, Jon, Weiner, Herbert
• Granted Patent: US 7,439,856 B2
• Time in Patent Office: Days
• US Class Current: 340/539.120
• CPC Class Codes: A61B 2560/0271 using a remote monitoring unit
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/145 Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissuemeasuring of blood pressure or blood flow A61B5/02; non-radiation detecting or locating of foreign bodies in blood A61B5/06
• CPC Class Codes: A61B 5/361 Detecting fibrillation
• CPC Class Codes: G08B 21/0453 worn on the body to detect health condition by physiological monitoring, e.g. electrocardiogram, temperature, breathing detecting, measuring or recording for diagnostic purposes A61B5/00
• CPC Class Codes: G08B 25/001 Alarm cancelling procedures or alarm forwarding decisions, e.g. based on absence of alarm confirmation
• CPC Class Codes: G08B 25/005 Alarm destination chosen according to a hierarchy of available destinations, e.g. if hospital does not answer send to police station
• CPC Class Codes: G08B 25/006 Alarm destination chosen according to type of event, e.g. in case of fire phone the fire service, in case of medical emergency phone the ambulance
• CPC Class Codes: G08B 25/016 Personal emergency signalling and security systems emergency non-personal manually actuated alarm activators G08B25/12
• CPC Class Codes: Y10S 128/903 Radio telemetry
• CPC Class Codes: Y10S 128/904 Telephone telemetry

Abstract

The invention provides a method and system for communicating, processing and responding to information reporting the status of health care patients. In one aspect, the invention provides a procedure for allocating the attention of health care personnel to issues and events that are reported in association with health care patients located within a health care facility. In some embodiments, assignment of health care personnel to health care patients can be configured according to a set of directives. The directives can direct assignment of personnel based upon many criteria including, but not limited to, the identity and/or location of a health care patient, an issue or event associated with the status of the health care patient, the relative availability of other health care personnel to respond to the issue or event, or a combination thereof.

Claims

1. A method for responding to a communication regarding the status of a health care patient, comprising the steps of:

receiving a first communication that includes information regarding the status of an associated health care patient;

determining an identity of the patient and whether an event of sufficient priority has occurred in association with said patient based upon one or more characteristics of said first communication;

determining an identity of each member of a set of one or more first level respondents, said first level respondents having an association with said first communication;

determining whether at least one of said first level respondents is available to receive a second communication including information regarding said first communication, and if no first level respondents are available to receive said second communication, performing a set of escalation actions, or else

transmitting said second communication to a respondent device associated with said at least one of said first level respondents that are available to receive said second communication; and

determining if at least a first one of said first level respondents transmits a first response communication that includes an indication of an acceptance of responsibility to respond to said first communication within a pre-determined period of time, and if not true, performing said set of escalation actions, and else if true, performing a step of assignment of said respondent to said first communication.

2. The method of claim 1 where if said step of assignment is performed, then performing a step of transmitting a third communication to each of said first level respondents as a notification of said step of assignment.

3. The method of claim 1 where at least one of said initial respondents transmits a second response communication that includes an indication of a refusal to respond to said second communication.

4. The method of claim 1 where if said first one of said first level respondents transmits a third response communication including an indication of a revocation of said acceptance of responsibility to respond, then a fourth communication to notify of said revocation is transmitted to said set of first level respondents, and said steps of claim 1 that are performed in association with said second communication are performed in association with said fourth communication.

5. The method of claim 4 where if no other first level respondent is available to accept responsibility, then performing said escalation actions.

6. The method of claim 1 where said set of escalation actions includes performing a step of raising a mode of escalation from a lowest first escalation level to a higher second escalation level and transmitting said second communication to a set of second escalation level respondents.

7. The method of claim 6 including a plurality of escalation levels and where at least one of said escalation levels includes the step of broadcast transmitting said second communication to all potential respondents and where all potential respondents include respondents associated with all of said plurality of escalation levels.

8. The method of claim 1 where said first communication is received at a notification server before said step of transmitting said second communication and where said notification server is configured to receive and to conditionally transmit said second communication to respondents.

9. The method of claim 8 where said notification server is configured to output a representation of said first communication and its characteristics and to output a representation of an availability of potential respondents to receive and accept responsibility to respond to said first communication.

10. The method of claim 9 where said notification server is configured to enable personnel to suspend, cancel, re-direct, further direct or escalate transmission of said second communication to one or more potential respondents in response to receiving said first communication.

11. The method of claim 1 where said first communication is transmitted from a reporting device associated with said patient and where a suspension or a cancellation of said first communication can be performed via said reporting device.

12. The method of claim 11 where said cancellation is communicated from said reporting device to said notification server and from said notification server to any of said respondent devices that have received said second communication.

13. The method of claim 8 where said notification server is configured to automatically suspend, cancel, re-direct, further direct or escalate transmission of said second communication to one or more of said respondents in response to receiving said first communication in accordance with pre-determined directives.

14. The method of claim 8 where said notification server is configured to also output a representation of said second communication and a representation of any response communications transmitted from any of said respondent devices in response to said second communication, said response communications including refusal to respond and revocation of acceptance to respond to said first communication.

15. The method of claim 8 where said notification server is configured to also output a representation of a suspension or a cancellation of said first communication.

16. The method of claim 1 where said characteristics indicate that said first communication requires confirmation as a pre-condition before transmitting said second communication.

17. The method of claim 1 where said first communication includes information describing a measurement of the current status of a patient.

18. The method of claim 16 where said measurement indicates an alarm event condition requiring prompt attention from a respondent.

19. The method of claim 16 where said measurement indicates no condition that requires prompt attention from a respondent.

20. The method of claim 17 where said alarm event is based upon at least one physiological measurement of said patient.

21. The method of claim 17 where said alarm event indicates a current location of said patient.

22. The method of claim 1 where said first communication is transmitted from a reporting device associated with said patient and where a suspension or a cancellation of said first communication can be performed from the notification server.

23. The method of claim 6 including a plurality of escalation levels where said second communication is retransmitted to all potential respondents in the event that none of the potential respondents accepts responsibility.

24. The method of claim 1 in which the first communication indicates that the health care patient has moved beyond the permitted boundaries.

25. The method of claim 1 where said association between said first communication and said first level respondents is determined before an occurrence of said event based upon a location that is assigned to a patient and upon a location that is assigned to each of said first level respondents.

26. The method of claim 1 where said association between said first communication and said first level respondents is determined in response to an occurrence of said event based upon an actual location of a patient associated with said first communication and based upon an actual location of each of one or more potential respondents as indicated by a location monitoring and reporting technology.

27. The method of claim 1 where said association between said first communication and said first level respondents is determined before a time of an occurrence of said event based upon an actual location of a patient associated with said first communication and based upon an actual location of each of one or more potential respondents as indicated by a location monitoring and reporting technology.

28. A system for responding to a communication regarding the status of a health care patient, comprising:

at least one reporting device that is configured for transmitting a first communication of status information associated with a health care patient;

at least one respondent device that is configured for receiving a second communication that is transmitted in response to said first communication;

at least one server that is configured to;

receive said first communication;

determine an identity of said patient associated with said first communication;

determine an identity of each member of a set of one or more first level respondents, said first level respondents having a predetermined association with said first communication;

determine whether at least one of said first level respondents is available to receive a second communication;

transmit said second communication to said at least one of said respondent device that is associated with at least one of said first level respondents that is available to receive said second communication; and

determine if at least a first one of said first level respondents transmits a first response communication to said server that includes an indication of an acceptance of responsibility to respond to said first communication within a pre-determined period of time, and if not true, performing said set of escalation actions, and else if true, performing a step of assignment of said respondent to said first communication.