System and method for adaptively adjusting patient data collection in an automated patient management environment

• US 20080021287A1
• Filed: 06/26/2006
• Published: 01/24/2008
• Est. Priority Date: 06/26/2006
• Status: Abandoned Application

• Current Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Woellenstein, Matthias, Simms, Howard
• Application Number:
  US11/475,642
• Publication Number:
  US 20080021287A1
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

A system and method for adaptively adjusting patient data collection in an automated patient management environment is presented. A patient is monitored through continual remote patient management. Physiological measures are collected from the patient on a substantially regular basis. The collected physiological measures are analyzed to evaluate patient status based on an assessment to recognize a trend in status quo, progression, regression, onset, or absence of a health condition affecting the patient. An actionable change in the patient is identified. The collection of the physiological measures is dynamically adjusted in response to the actionable change.

Claims

1. A system for adaptively adjusting patient data collection in an automated patient management environment, comprising:

a device to monitor a patient through continual remote patient management, comprising;

a collector to collect physiological measures from the patient on a substantially regular basis; and

an analyzer to analyze the collected physiological measures to evaluate patient status based on an assessment to recognize a trend in status quo, progression, regression, onset, or absence of a health condition affecting the patient; and

an adjuster to identify an actionable change in the patient, and to dynamically adjust the collection of the physiological measures in response to the actionable change.

2. A system according to claim 1, wherein the physiological measures comprise at least one of objective quantitative and subjective qualitative measures.

3. A system according to claim 1, wherein the patient is queried to probe the subjective qualitative measures.

4. A system according to claim 1, wherein the collection of the physiological measures is modified through at least one of temporal, volumetric, and compositional changes.

5. A system according to claim 1, wherein the collection of the physiological measures is modified, comprising at least one of increasing the collection of the physiological measures upon identifying a trend indicating a progression or onset of an adverse health condition, and decreasing the collection of the physiological measures upon identifying a trend indicating a regression or absence of an adverse health condition.

6. A system according to claim 5, wherein the collection of the physiological measures is maintained upon identifying a trend indicating a status quo of an adverse health condition.

7. A system according to claim 1, further comprising:

at least one of clinician-specified, automated, and patient-specified criteria to define the actionable change.

8. A system according to claim 1, wherein the dynamic adjustment is effected on one of one-time, limited, scheduled, recurring, and real time bases.

9. A system according to claim 1, wherein the dynamic adjustment is effected on one or more of a centralized server, patient management device, and patient medical device or sensor.

10. A system according to claim 1, further comprising:

at least one of an implantable medical device, an external medical device, an implantable sensor, and an external sensor to collect the physiological measures.

11. A method for adaptively adjusting patient data collection in an automated patient management environment, comprising:

monitoring a patient through continual remote patient management, comprising;

collecting physiological measures from the patient on a substantially regular basis; and

analyzing the collected physiological measures to evaluate patient status based on an assessment to recognize a trend in status quo, progression, regression, onset, or absence of a health condition affecting the patient;

identifying an actionable change in the patient; and

dynamically adjusting the collection of the physiological measures in response to the actionable change.

12. A method according to claim 11, wherein the physiological measures comprise at least one of objective quantitative and subjective qualitative measures.

13. A method according to claim 11, further comprising:

querying the patient to probe the subjective qualitative measures.

14. A method according to claim 11, further comprising:

modifying the collection of the physiological measures through at least one of temporal, volumetric, and compositional changes.

15. A method according to claim 11, further comprising:

modifying the collection of the physiological measures, comprising at least one of;

increasing the collection of the physiological measures upon identifying a trend indicating a progression or onset of an adverse health condition; and

decreasing the collection of the physiological measures upon identifying a trend indicating a regression or absence of an adverse health condition.

16. A method according to claim 15, further comprising:

maintaining the collection of the physiological measures upon identifying a trend indicating a status quo of an adverse health condition.

17. A method according to claim 11, further comprising:

defining the actionable change through at least one of clinician-specified, automated, and patient-specified criteria.

18. A method according to claim 11, further comprising:

effecting the dynamic adjustment on one of one-time, limited, scheduled, recurring, and real time bases.

19. A method according to claim 11, further comprising:

effecting the dynamic adjustment on one or more of a centralized server, patient management device, and patient medical device or sensor.

20. A method according to claim 11, further comprising:

collecting the physiological measures via at least one of an implantable medical device, an external medical device, an implantable sensor, and an external sensor.

21. A computer-readable storage medium holding code for performing the method according to claim 11.

22. An apparatus adaptively adjusting patient data collection in an automated patient management environment, comprising:

means for monitoring a patient through continual remote patient management, comprising;

means for collecting physiological measures from the patient on a substantially regular basis; and

means for analyzing the collected physiological measures to evaluate patient status based on an assessment to recognize a trend in status quo, progression, regression, onset, or absence of a health condition affecting the patient;

means for identifying an actionable change in the patient; and

means for dynamically adjusting the collection of the physiological measures in response to the actionable change.