Health care management system for managing medical treatments and comparing user-proposed and recommended resources required for treatment

• US 5,583,758 A
• Filed: 06/07/1995
• Issued: 12/10/1996
• Est. Priority Date: 06/22/1992
• Status: Expired due to Term

• Current Assignee: McKesson Health Solutions LLC (McKesson Corp.)
• Original Assignee: Health Risk Management, Inc.
• Inventors: Kees, Julie E., McIlroy, Gary T., Kalscheuer, Jacquelyn A.
• Primary Examiner(s): Hayes, Gail O.
• Assistant Examiner(s): VERDUN, HAYWARD AUBRY
• Application Number:
  US08/475,523
• Time in Patent Office: 552 Days
• Field of Search: 364/401, 364/402, 364/403, 364/408
• US Class Current: 705/2
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• 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 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: G16H 70/20 relating to practices or guidelines
• 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

A health care management system for use by hospitals, physicians, insurance companies, health maintenance organizations, and others in the health care field includes a processing unit and health condition guidelines. A user inputs information related to the health condition of an individual and guideline treatment options are identified. The user also inputs actual or proposed and final recommendation treatments for the same individual. The resulting comparative information can be used to modify the actual or proposed treatment, or provide explanatory information as to reasons for the difference between the final recommendation treatment and guideline treatment options. Also, the comparative information can be used by a reviewer for evaluation or utilization purposes.

Claims

1. An electronic system for managing medical treatments and resources required for the treatments, wherein a treatment is recommended to a care giver and the care giver proposes a treatment, comprising:

means for entering a user-proposed treatment and the resources required for the proposed treatment;

resource display means for displaying on a display device for a user one or more medical resources required to implement a recommended treatment and those required for the proposed treatment so that the required resources can be readily compared;

treatment comparison means for comparing the resources required for the proposed treatment with the resources required for a recommended treatment, and notifying a user that specialist review is required for a proposed treatment that requires resources that vary from those required for a recommended treatment;

final recommendation for treatment input means for entering a final recommendation for a treatment identified by a care giver and for accepting from a user information to explain any variance in resources between the final recommendation and the recommended treatment.

2. A system according to claim 1 wherein the resources displayed by the means for displaying are a setting for the recommended treatment, a length of stay for the recommended treatment, and a number of preop days for the recommended treatment.

3. A system according to claim 2 further wherein the means for displaying includes means for displaying the resources for the recommended treatment and final recommendation in side-by-side columns, respectively, and for displaying in a third column aligned with the side-by-side columns the reason codes accepted by a user.

4. A system according to claim 3 further wherein the treatment comparison means includes means for accepting from the user a selection of one of at least two different types of specialist review, and for displaying one or more of at least two different reasons for specialist review.

5. A system according to claim 2 further wherein the resource display means includes means for displaying for a recommended treatment whether an assistant surgeon is required for the treatment.