PHARMACY MANAGEMENT AND ADMINISTRATION WITH BEDSIDE REAL-TIME MEDICAL EVENT DATA COLLECTION

• US 20100324936A1
• Filed: 04/22/2010
• Published: 12/23/2010
• Est. Priority Date: 04/22/2009
• Status: Abandoned Application

• Current Assignee: Millennium Pharmacy Systems LLC
• Original Assignee: Millennium Pharmacy Systems LLC
• Inventors: Lister, Andrew Jonathan, Miller, Christopher Lee, Newtzie, Garick George, McKillip, Ronald Leo, Poliseo, Joseph B., Sturgeon, Lena Elizabeth, Vishnubhatla, Suresh-Kumar Venkata
• Application Number:
  US12/765,681
• Publication Number:
  US 20100324936A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G06Q 50/22 Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G06V 20/66 Trinkets, e.g. shirt buttons or jewellery items recognising microscopic objects G06V20/69
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/13 delivered from dispensers
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

Methods and systems for automatically establishing an enhanced electronic health record (EHR) for a patient include an automatic data collection facility that collects data of a medically related event in proximity to a patient upon occurrence of the event. The collected data may include medication administration data such as medication, time of administration, administration of a dosage of medication, reaction data, and the like. The collected data is communicated to a real-time data integration facility that automatically integrates the data with a patient'"'"'s electronic health record to establish an enhanced electronic health record.

Claims

1. A system for automatically establishing an enhanced electronic heath record for a patient, comprising:

an automatic data collection facility for collecting data of a medically-related event in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises medication administration data; and

a real-time data integration facility in electronic communication with the automatic data collection facility for automatically integrating the data of a medically-related event with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

2. The system of claim 1, wherein the automatic data collection facility is a machine reader.

3. The system of claim 2, wherein the machine reader is a bar code reader.

4. The system of claim 1, wherein the system further comprises an input facility adapted to prompt a user to input additional data of the medically-related event.

5. The system of claim 1, wherein the medication administration data includes at least one of medication, time of administration, dosage, and reaction data.

6. The system of claim 1, wherein the enhanced electronic health record includes prescription management data for a medication that is identifiable by the medication administration data.

7. The system of claim 1, wherein the enhanced electronic health record includes data representing a prescription for the medication and medication delivery data.

8. The system of claim 1, wherein the enhanced electronic health record includes data representing caregiver treatment outcome data.

9. The system of claim 1, wherein the enhanced electronic health record includes data representing real-time collected vitals pre and post administration.

10. The system of claim 1, wherein the enhanced electronic health record includes data representing outcome prediction and variance from prediction.

11. The system of claim 1, wherein the enhanced electronic health record includes data representing historical data.

12. The system of claim 1, wherein the enhanced electronic health record includes data representing facility admission data.

13. The system of claim 1, where medication administration data includes administration of a dosage of medication.

14. The system of claim 1, wherein the data collection facility is a reader device in electronic communication with a medication administration facility and wherein the reader reads electronically readable information on a packaging of a dosage of medication.

15. The system of claim 1, further including a healthcare related dashboard that is updated in real-time and contemporaneously with establishing the enhanced electronic health record.

16. A method for automatically establishing an enhanced electronic health record for a patient, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises medication administration data; and

integrating in real-time the data of a medically-related event automatically with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

17. The method of claim 16, wherein the automatic data collection facility is a machine reader.

18. The method of claim 17, wherein the machine reader is a bar code reader.

19. The method of claim 16, further including prompting a user to input additional data of the medically-related event into a user interface associated with the data collection facility.

20. The method of claim 16, wherein the medication administration data includes at least one of medication, time of administration, dosage, and reaction data.

21. The method of claim 16, wherein the data collection facility is a reader device in electronic communication with a medication administration facility and wherein collecting data comprises reading electronically readable information on a packaging of a dosage of medication with the reader device.

22. The method of claim 16, further including updating a healthcare related dashboard with a portion of the medically-related event data in real-time and contemporaneously with establishing the enhanced electronic health record.

23. A method for automatically establishing an enhanced electronic health record for a patient, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises raw medication administration data;

transforming with a processor the raw medication administration data collected by the automatic data collection facility into a format suitable for use in an enhanced electronic healthcare database record; and

integrating in real-time the data of a medically-related event automatically with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

24. The method of claim 23, wherein the automatic data collection facility is a machine reader.

25. The method of claim 24, wherein the machine reader is a bar code reader.

26. The method of claim 25, wherein the raw medication administration data comprises a bar code.

27. The method of claim 23, further including prompting a user to input additional data of the medically-related event into a user interface associated with the data collection facility.

28. The method of claim 23, wherein the data collection facility is a reader device in electronic communication with a medication administration facility and wherein collecting data comprises reading electronically readable information on a packaging of a dosage of medication with the reader device.

29. The method of claim 23, further including updating a healthcare related dashboard with a portion of the medically-related event data in real-time and contemporaneously with establishing the enhanced electronic health record.

30. A system for automatically maintaining an enhanced electronic heath record for a patient, comprising:

an automatic data collection facility for collecting data of a healthcare-related event in proximity to a patient upon the occurrence of the event, wherein the data of the healthcare-related event comprises medication administration data; and

a real-time data integration facility in electronic communication with the automatic data collection facility for automatically integrating the data of a healthcare-related event with a patient'"'"'s electronic health record to maintain the enhanced electronic health record.

31. The system of claim 30, wherein the automatic data collection facility is a machine reader.

32. The system of claim 31, wherein the machine reader is a bar code reader.

33. The system of claim 30, wherein the system further comprises an input facility adapted to prompt a user to input additional data of the healthcare-related event.

34. The system of claim 30, wherein the medication administration data includes at least one of medication, time of administration, dosage, and reaction data.

35. The system of claim 30, wherein the enhanced electronic health record includes prescription management data for a medication that is identifiable by the medication administration data.

36. The system of claim 30, wherein the enhanced electronic health record includes data representing a prescription for the medication and medication delivery data.

37. The system of claim 30, wherein the enhanced electronic health record includes data representing caregiver treatment outcome data.

38. The system of claim 30, wherein the enhanced electronic health record includes data representing real-time collected vitals pre and post administration.

39. The system of claim 30, wherein the enhanced electronic health record includes data representing outcome prediction and variance from prediction.

40. The system of claim 30, wherein the enhanced electronic health record includes data representing historical data.

41. The system of claim 30, wherein the enhanced electronic health record includes data representing facility admission data.

42. The system of claim 30, where medication administration data includes administration of a dosage of medication.

43. The system of claim 30, wherein the data collection facility is a reader device in electronic communication with a medication administration facility and wherein the reader reads electronically readable information on a packaging of a dosage of medication.

44. The system of claim 30, further including a healthcare related dashboard that is updated in real time and contemporaneously with establishing the enhanced electronic health record.

45. A method for automatically maintaining an enhanced electronic heath record for a patient, comprising:

collecting data of a healthcare-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of the healthcare-related event comprises medication administration data; and

integrating in real-time the data of a healthcare-related event automatically with a patient'"'"'s electronic health record to maintain the enhanced electronic health record.

46. The method of claim 45, wherein the automatic data collection facility is a machine reader.

47. The method of claim 46, wherein the machine reader is a bar code reader.

48. The method of claim 45, further including prompting a user to input additional data of the medical-related event into a user interface associated with the data collection facility.

49. The method of claim 45, wherein the medication administration data includes at least one of medication, time of administration, dosage, and reaction data.

50. The method of claim 45, wherein the data collection facility is a reader device in electronic communication with a medication administration facility and wherein collecting data comprises reading electronically readable information on a packaging of a dosage of medication with the reader device.

51. The method of claim 45, further including updating a healthcare related dashboard with a portion of the medically-related event data in real-time and contemporaneously with establishing the enhanced electronic health record.

52. A method for automatically maintaining an enhanced electronic heath record for a patient, comprising:

collecting data of a healthcare-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of the healthcare-related event comprises raw medication administration data;

transforming with a processor the raw medication administration data collected by the auto collection facility into a format suitable for use in an enhances electronic healthcare database record; and

integrating in real-time the data of a healthcare-related event automatically with a patient'"'"'s electronic health record to maintain the enhanced electronic health record.

53. The method of claim 52, wherein the automatic data collection facility is a machine reader.

54. The method of claim 53, wherein the machine reader is a bar code reader.

55. The method of claim 54, wherein the raw medication administration data comprises a bar code.

56. The method of claim 52, further including prompting a user to input additional data of the medically-related event into a user interface associated with the data collection facility.

57. The method of claim 52, wherein the data collection facility is a reader device in electronic communication with a medication administration facility and wherein collecting data comprises reading electronically readable information on a packaging of a dosage of medication with the reader device.

58. The method of claim 52, further including updating a healthcare related dashboard with a portion of the medically-related event data in real-time and contemporaneously with establishing the enhanced electronic health record.

59. A system for automatically establishing an enhanced electronic heath record for a patient, comprising:

an automatic data collection facility for collecting data of a medically-related event in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises medication administration data and another type of data of the medically-related event; and

a real-time data integration facility in electronic communication with the automatic data collection facility for automatically integrating the data of a medically-related event with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

60. The system of claim 59, wherein another type of data of the medically-related event is patient health condition data.

61. The system of claim 60, wherein the patient health condition data represents at least one of patient vital signs, patient blood chemistry results.

62. The system of claim 59, wherein another type of data of the medically-related event is patient physical activity data.

63. The system of claim 62, wherein patient physical activity data includes patient position and movement facilitated by a caregiver.

64. The system of claim 62, wherein patient physical activity data includes patient sleep data.

65. The system of claim 59, wherein another type of data of the medically-related event is patient treatment data.

66. The system of claim 59, wherein patient treatment data includes bathing.

67. The system of claim 59, wherein patient treatment data includes dressing.

68. The system of claim 59, wherein patient treatment data includes wound care.

69. The system of claim 59, wherein patient treatment data includes bed position adjustment.

70. The system of claim 59, wherein patient treatment data includes physical therapy.

71. The system of claim 59, wherein patient treatment data includes psychotherapy.

72. The system of claim 59, wherein patient treatment data includes patient position adjustment.

73. The system of claim 59, wherein another type of data of the medically-related event is patient oral consumption data.

74. The system of claim 73, wherein the patient oral consumption data represents foods prepared for the patient and foods consumed by the patient.

75. The system of claim 73, wherein the patient oral consumption data represents fluids consumed by the patient.

76. The system of claim 73, wherein the patient oral consumption data represents non-prescription medications consumed by the patient.

77. The system of claim 59, wherein another type of data of the medically-related event is patient visitor data.

78. The system of claim 59, wherein another type of data of the medically-related event is patient outcome data.

79. The system of claim 59, wherein another type of data of the medically-related event is patient psychological data.

80. The system of claim 79, wherein patient psychological data is collected by observation of the patient by a caregiver observing the patient.

81. A system for automatically maintaining an enhanced electronic heath record for a patient, comprising:

an automatic data collection facility for collecting data of a medically-related event in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises medication administration data that includes patient identification data that is collected from a medication container contemporaneously with the medically-related event; and

a real-time data integration facility in electronic communication with the automatic data collection facility for automatically integrating the data of a medically-related event with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

82. A method for automatically maintaining an enhanced electronic heath record for a patient, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises medication administration data that includes patient identification data that is collected from a medication container contemporaneously with the medically-related event; and

integrating in real-time the data of a medically-related event automatically with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

83. A method for automatically maintaining an enhanced electronic heath record for a patient, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises raw medication administration data that includes patient identification data that is collected from a medication container contemporaneously with the medically-related event;

transforming with a processor the raw medication administration data collected by the automatic data collection facility into a format suitable for use in an enhanced electronic healthcare database record; and

integrating in real-time the data of a medically-related event automatically with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

84. A system for automatically maintaining an enhanced electronic heath record for a patient, comprising:

an automatic data collection facility for collecting data of a medically-related event in proximity to a patient upon the occurrence of the event, wherein the medically-related event is a medication administration event and wherein the data of the medically-related event comprises data for a medication that was prescribed but not administered during the occurrence of the event; and

a real-time data integration facility in electronic communication with the automatic data collection facility for automatically integrating the data of a medically-related event with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

85. A method for automatically maintaining an enhanced electronic heath record for a patient, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the medically-related event is a medication administration event and wherein the data of the medically-related event comprises data for a medication that was prescribed but not administered during the occurrence of the event; and

integrating in real-time the data of a medically-related event automatically with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

86. A method for automatically maintaining an enhanced electronic heath record for a patient, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the medically-related event is a medication administration event and wherein the data of the medically-related event comprises raw data for a medication that was prescribed but not administered during the occurrence of the event;

transforming with a processor the raw data for a medication collected by the automatic data collection facility into a format suitable for use in an enhanced electronic healthcare database record; and

integrating in real-time the data of a medically-related event automatically with a patient'"'"'s electronic health record to establish the enhanced electronic health record.

87. A system for maintaining a health information dashboard, comprising:

an automatic data collection facility for collecting data of a medically-related event in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises medication administration data;

a real-time data integration facility in electronic communication with the automatic data collection facility for automatically integrating the data of a medically-related event into a data repository; and

a user interface for displaying data from the data repository, the displayed data facilitating management of health care administration.

88. The system of claim 87, wherein the data from the data repository is patient attribute data.

89. The system of claim 88, wherein the patient attribute data comprises at least one of:

health condition data, patient physical activity data, patient treatment data, patient outcome data and patient psychological data.

90. The system of claim 87, wherein the data from the data repository is the patient'"'"'s prescription data.

91. The system of claim 87, wherein the data from the data repository is the patient'"'"'s validated prescription data.

92. The system of claim 87, wherein the data from the data repository is the patient'"'"'s prescription history data.

93. The system of claim 87, wherein the data from the data repository is the patient'"'"'s prescription substitution data.

94. The system of claim 87, wherein the data from the data repository relates to time of medication administration.

95. The system of claim 87, wherein the data from the data repository relates to frequency of administration of the medication.

96. The system of claim 87, wherein the data from the data repository relates to dosage of medication administered to the patient.

97. The system of claim 87, wherein the data from the data repository relates to medication that was prescribed but not administered.

98. The system of claim 87, wherein the data from the data repository relates to outcome data.

99. The system of claim 87, wherein the outcome data is at least one of:

patient'"'"'s response to medication administration, measure of the patient'"'"'s health condition, improvement or worsening of the patient'"'"'s health condition, improvement or worsening of a symptom, onset of new symptoms, degree of pain, degree of fatigue, physical functioning, emotional distress and social role participation.

100. The system of claim 87, wherein management of health care administration comprises management of health care administration of a facility.

101. The system of claim 87, wherein management of health care administration comprises management of health care administration of care planning for a patient.

102. The system of claim 87, wherein management of health care administration comprises management of health care administration of care planning for a plurality of patients.

103. The system of claim 87, wherein management of health care administration comprises management of health care administration of facility planning.

104. The system of claim 87, wherein management of health care administration comprises management of health care administration of insurance planning.

105. The system of claim 87, wherein management of health care administration comprises management of health care administration of prescription writing.

106. The system of claim 87, wherein management of health care administration comprises management of health care administration of prescription management.

107. The system of claim 87, wherein management of health care administration comprises management of health care administration of pharma-related planning.

108. The system of claim 87, wherein management of health care administration comprises management of health care administration of regulatory compliance.

109. The system of claim 87, wherein management of health care administration comprises management of health care administration of use of third-party healthcare data management facilities.

110. The system of claim 87, wherein management of health care administration comprises management of health care administration of medication administration.

111. The system of claim 87, wherein the data repository is an enhanced electronic health record of a patient.

112. The system of claim 87, wherein the user interface display is updated with the data of a medically-related event contemporaneously with integrating the data of a medically-related event into a data repository.

113. The system of claim 87, wherein the user interface is populated contemporaneously with capture of patient attributes and events.

114. A method for maintaining a health information dashboard, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of medically-related event comprises medication administration data;

integrating in real-time the data of the medically-related event automatically in to a data repository; and

displaying in a dashboard of a user interface data from the data repository, the displayed data facilitating management of health care administration.

115. A method for maintaining a health information dashboard, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of medically-related event comprises raw medication administration data;

transforming with a processor the raw medication administration data collected by the automatic data collection facility into a format suitable for use in a medical information data repository;

integrating in real-time the data of the medically-related event automatically into the data repository; and

displaying in a dashboard of a user interface data from the data repository, the displayed data facilitating management of health care administration.

116. A dashboard for a system to manage the prescribing and administration of medication, comprising:

a medication administrator records (MAR) facility configured to access a database having information from a reporting source therein, wherein the reporting source comprises an automatic data collection facility for collecting data of a medically-related event in proximity to a patient upon the occurrence of the event, wherein the data of medically-related event comprises medication administration data;

a user selectable dashboard definer configured to provide user selectable options for defining the information from the MAR facility to be presented in a report at a dashboard; and

a display definer configured to operate in conjunction with the user selectable dashboard definer to define the format in which the report from the MAR facility is to be presented at a dashboard.

117. The dashboard of claim 116, wherein the MAR facility is configured to:

determine whether at least one of an ordered medication for a patient and medication administered to a patient is covered by the patient'"'"'s insurance;

aggregate covered and non-covered medications into sets; and

generate reports, in real time, regarding the sets.

118. The dashboard of claim 116, wherein the access to the reporting source is real-time.

119. The dashboard of claim 116, wherein the dashboard generates a display based on continuously received data.

120. The dashboard of claim 116, wherein the display features analysis and report tools.

121. A system for predicting a health-related outcome of a patient with a health condition, comprising:

an automatic data collection facility for collecting data of a medically-related event in proximity to a patient upon the occurrence of the event, wherein data of the medically-related event comprises automatically collected medication administration data and outcome data;

a real-time data integration facility in electronic communication with the automatic data collection facility for automatically integrating the data of a medically-related event into a data repository; and

a prediction facility in electronic communication with the data repository utilizing the data of a medically-related event for predicting the health-related outcome.

122. The system of claim 121, wherein the outcome data is the patient'"'"'s response to the medication.

123. The system of claim 121, wherein the outcome data is a measure of the patient'"'"'s health condition.

124. The system of claim 121, wherein the outcome data relates to at least one of an improvement or worsening of the patient'"'"'s health condition.

125. The system of claim 121, wherein the outcome data relates to at least one of an improvement or worsening of a symptom associated with the patient'"'"'s health condition.

126. The system of claim 121, wherein the outcome data relates to onset of new symptoms associated with the patient'"'"'s health condition.

127. The system of claim 121, wherein the outcome data relates to degree of pain associated with the patient.

128. The system of claim 121, wherein the outcome data relates to degree of fatigue associated with the patient.

129. The system of claim 121, wherein the outcome data relate to physical functioning associated with the patient.

130. The system of claim 121, wherein the outcome data relate to emotional distress associated with the patient.

131. The system of claim 121, wherein the outcome data relate to social role participation associated with the patient.

132. The system of claim 121, wherein the automatic data collection collects data from a medication container contemporaneously with the medically-related event.

133. The system of claim 121, wherein the data of a medically-related event includes data for a medication that was prescribed but not administered during the occurrence of the event.

134. The system of claim 121, wherein the outcome data is the patient'"'"'s response to the medication.

135. The system of claim 121, wherein the outcome data is a measure of the patient'"'"'s health condition.

136. The system of claim 121, wherein the outcome data relates to at least one of an improvement or worsening of the patient'"'"'s health condition.

137. The system of claim 121, further comprising an input facility to enter other data of the medically-related event.

138. The system of claim 137, wherein the other data comprises patient health condition data patient.

139. The system of claim 137, wherein the other data comprises physical activity data.

140. The system of claim 137, wherein the other data comprises patient treatment data.

141. The system of claim 137, wherein the other data comprises patient oral consumption data.

142. The system of claim 137, wherein the other data comprises patient visitor data.

143. The system of claim 137, wherein the other data comprises patient psychological data.

144. The system of claim 137, wherein the other data comprises caregiver observations.

145. The system of claim 121, wherein the data repository is an enhanced electronic health record of the patient.

146. The system of claim 121, wherein predicting the health-related outcome is based on medically-related event data for a plurality of patients in the data repository.

147. The system of claim 146, wherein the data repository includes a plurality of real-time electronically updated patient enhanced electronic health records.

148. The system of claim 121, wherein the prediction facility is for collecting and organizing the outcome data for facilitating clinical outcome prediction.

149. The system of claim 121, wherein the data repository includes individual patient outcome data collected in real-time from a plurality of individual patients.

150. The system of claim 121, wherein the prediction facility is server executing machine learning software.

151. The system of claim 121, wherein the prediction facility is an analytic workbench for drawing inferences as to whether certain data in the data repository has statistical significance in the outcome data.

152. The system of claim 121, wherein the prediction facility uses statistical analysis techniques selected from the list containing regression analysis, iterative analysis, complex modeling, multivariable analytics, Analysis of Variance (ANOVA), Chi-square test, Correlation, Factor analysis, Mann-Whitney U, Mean square weighted deviation (MSWD), Pearson product-moment correlation coefficient, Regression analysis, Spearman'"'"'s rank correlation coefficient, Student'"'"'s t-test, Time series analysis, Bootstrap &

Jackknife Resampling, Statistical classification, Statistical surveys, Structured data analysis (statistics), Survival analysis, Multivariate discriminant analysis, Linear discriminant analysis, Cluster analysis and Principal component analysis.

153. The system of claim 121, wherein predicting the health-related outcome includes weighting the outcome data.

154. The system of claim 153, wherein weighting the outcome data is based on financial data associated with a medication identifiable by the medication administration data.

155. The system of claim 121, wherein further including maintaining a long term care plan for the patient based on the predicted health-related outcome.

156. The system of claim 121, wherein further including facilitating prescription management based on the predicted health-related outcome.

157. The system of claim 121, wherein further including updating prescription management business rules based on the predicted health-related outcome.

158. The system of claim 121, wherein further including updating a pharmaceutical-related plan based on the predicted health-related outcome.

159. The system of claim 121, wherein further including facilitating management of regulatory compliance based on the predicted health-related outcome.

160. The system of claim 121, wherein further including facilitating prescription writing based on the predicted health-related outcome.

161. The system of claim 121, wherein further including facilitating management of insurance planning based on the predicted health-related outcome.

162. The system of claim 121, wherein further including facilitating management of facility planning based on the predicted health-related outcome.

163. The system of claim 121, wherein further including facilitating management of care planning for a plurality of patients based on the predicted health-related outcome.

164. The system of claim 121 wherein further including facilitating health care administration for a facility based on the predicted health-related outcome.

165. A method for predicting a health-related outcome of a patient with a health condition, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises automatically collected medication administration data and event outcome data;

integrating in real-time the data of the medically-related event automatically into a data repository; and

utilizing the data of the medically-related event for predicting the health-related outcome.

166. The method of claim 165, wherein collecting data of a medically-related event includes collecting data from a medication container contemporaneously with the medically-related event.

167. The method of claim 165, wherein the data of a medically-related event includes data for a medication that was prescribed but not administered during the occurrence of the event.

168. The method of claim 165, wherein the outcome data is the patient'"'"'s response to the medication.

169. The method of claim 165, wherein the outcome data is a measure of the patient'"'"'s health condition.

170. The method of claim 165, wherein the outcome data relates to at least one of an improvement or worsening of the patient'"'"'s health condition.

171. A method for predicting a health-related outcome of a patient with a health condition, comprising:

collecting data of a medically-related event with an automatic data collection facility in proximity to a patient upon the occurrence of the event, wherein the data of the medically-related event comprises raw medication administration data and raw event outcome data;

transforming with a processor the raw medication administration data and raw event outcome data collected by the automatic data collection facility into a format suitable for use in a medical information data repository;

integrating in real-time the data of the medically-related event automatically into the data repository; and

utilizing the data of the medically-related event for predicting the health-related outcome.

172. A system to manage the prescribing and administration of medication, comprising:

a medication management facility comprising an electronic order entry facility for accepting electronic medication orders, the medication management facility configured to at least one of;

verify formulary compliance;

determine drug allergy information associated with the electronic medication orders; and

determine drug interaction information associated with the electronic medication orders;

a medication billing and dispensing facility in electronic communication with the medication management facility, the medication billing and dispensing facility for receiving the electronic medication orders, providing information regarding formulary compliance, providing the drug allergy information, providing the drug interaction information, and further comprising an interface allowing a pharmacist to approve the electronic medication order;

a medication dispensing machine in electronic communication with the medication dispensing and billing facility, receiving an approved electronic medication order and dispensing at least one dosage of medication based on the approved electronic order, the at least one dosage being packaged in packaging comprising electronically readable information regarding the at least one dosage of medications;

a medication cart configured to store a plurality of dosages of medications;

a workstation having an output facility, the workstation in electronic communication with the medication management facility; and

a reader device in electronic communication with the workstation and capable of reading the electronically readable information regarding the at least one dosage of medications, wherein the workstation transmits the electronically readable information regarding the at least one dosage of medication read by the reader to the medication management facility, and

wherein the medication management facility generates a warning if the electronically readable information transmitted from the workstation differs from a current electronic medication order.

173. The system of claim 172, wherein the workstation is mobile.

174. The system of claim 172, wherein the medication dispensing and billing facility associates data with released medication orders, wherein the data are at least one of patient identifying information, the facility in which the patient resides or receives care, locations within the facility, patient insurance information, facility personnel associated/responsible for the patient, and administration frequency.

175. The system of claim 172, wherein medication management facility further comprises a medication administration facility.

176. The system of claim 172, wherein the medication administration facility prompts a user to enter information associated with administration of the dosages of medication.

177. The system of claim 176, wherein the information associated with administration of the dosages of medication is read by the reader.

178. The system of claim 176, wherein the information associated with administration of the dosages of medication comprises at least one of time of administration, mode of administration, and identity of professional that administered the medication.

179. The system of claim 176, wherein the medication administration facility prompts a user to verify that a dosage has been administered to a patient.

180. The system of claim 172, wherein the dosages are individually packaged.

181. The system of claim 172, wherein the reader is a bar code scanner.

182. The system of claim 172, wherein the medication management facility further comprises a therapeutic equivalent facility.

183. The system of claim 182, wherein the therapeutic equivalent facility determines a therapeutic equivalent for an electronically ordered medication.

184. The system of claim 183, wherein the therapeutic equivalent facility gathers and stores information regarding therapeutic equivalents to respective medications.

185. The system of claim 172, wherein at least one of the medication management facility and the medication dispensing and billing facility groups the electronic medication orders by at least one of institutional facility, patient, and facility dispensing time.

186. The system of claim 172, wherein the medication management facility further comprises a utility configured to suggest medications based on at least one of a prescriber'"'"'s pattern of ordering and a diagnosis.

187. The system of claim 172, wherein the medication management facility is further configured to:

determine whether at least one of an ordered medication for a patient and medication administered to a patient is covered by the patient'"'"'s insurance;

aggregate covered and no covered medications into sets; and

generate reports, in real time, regarding the sets.

188. An integrated system of managing administration, billing, and filling orders for medication, comprising:

a medication administration facility for automatically receiving data related to actual administration of medications;

a medication order and billing facility for storing data related to orders and cost of the administered medication; and

a reporting interface, wherein the medication administration facility and the medication order and billing facility are in real-time two-way communication with one another, and in real-time communication with the reporting interface.

189. The system of claim 188, wherein data related to actual administration of medications is automatically received from an automatic data collection facility for collecting medication administration data in proximity to a patient upon the occurrence of the administration.

190. The system of claim 188, further including a real-time data integration facility in electronic communication with the medication administration facility for automatically integrating the data related to actual administration of medications with a patient'"'"'s electronic health record to establish an enhanced electronic health record.

191. The integrated system of claim 190, wherein the real-time data integration facility is in real-time two-way communication with the medication order and billing facility and the medication administration facility, and in real-time communication with the reporting interface.