HEALTHCARE ADMINISTRATION METHOD FOR COMPLEX CASE AND DISEASE MANAGEMENT

• US 20140164017A1
• Filed: 12/12/2012
• Published: 06/12/2014
• Est. Priority Date: 12/12/2012
• Status: Active Grant

• Current Assignee: Advanced Healthcare Systems, Inc.
• Original Assignee: Richard Merkin
• Inventors: MERKIN, RICHARD
• Granted Patent: US 10,600,516 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06F 16/21 Design, administration or maintenance of databases
• CPC Class Codes: G06F 16/22 Indexing; Data structures therefor; Storage structures
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• 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 40/60 for the operation of medical equipment or devices
• CPC Class Codes: G16H 40/63 for local operation
• 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 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16H 70/00 ICT specially adapted for the handling or processing of medical references
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: H04L 63/08 for authentication of entities cryptographic mechanisms or cryptographic arrangements for entity authentication H04L9/32
• CPC Class Codes: H04L 63/10 for controlling access to devices or network resources

Abstract

The present invention discloses substantially more efficient and effective methods for delivering healthcare whereby patient care can be coordinated effectively and efficiently through changes in different physical settings and levels of care. Coordinated care helps ensure that patients seeking healthcare, and in particular chronically ill patients, with comorbidities get timely care to avoid unnecessary ER visits and admissions. Through risk and disease stratification, member profiling, inter disciplinary team follow-up and patient education, the methods of the present invention are operative to effectively allocate available resources, formulate and execute individualized care plans and successfully manage high risk members.

Claims

1. A method of administering healthcare to a population of patients in need thereof wherein a portion of said patients within the population are afflicted with complex medical cases, said method comprising the steps:

a) identifying a patient population entitled to receive said medical care;

b) obtaining medical information for each patient within said patient population and storing such data in electronic records embodied on a computer readable media;

c) remotely receiving a request from a patient within said patient population identified in step a) to receive medical care;

d) establishing a telecommunications link with said patient identified in step c) and remotely obtaining data from said patient related to said request for medical care being sought by said individual in step c);

e) evaluating said information provided by said patient in step c) while simultaneously evaluating said data stored on said computer readable media in step b);

f) determining an appropriate medical treatment based on said evaluation made in step e) and further determining if such care is capable of being rendered remotely from a medical treatment facility; and

g) rendering an appropriate treatment in response to said patient'"'"'s request for medical care remotely from a medical facility.

2. The method of claim 1 wherein in steps f) and g), said medical facility is selected from the group consisting of a hospital, emergency room, medical clinic, and doctor'"'"'s office.

3. The method of claim 2 wherein in step b), said patient data stored and embodied on a computer readable media comprises previous claims submitted by each patient within the patient population related to previous requests to receive medical care, data concerning each patient'"'"'s eligibility to receive healthcare benefits, healthcare providers that had previously rendered healthcare to said patients within said patient population, pharmacy data concerning medications prescribed to said patients within said patient population, and laboratory results for said patients within said patient population.

4. The method of claim 3 wherein in step b), said data is embodied on a central database remotely accessible for evaluation in step c) via the Internet.