Method and apparatus for an integrated clinical tele-informatics system

• US 6,139,494 A
• Filed: 10/15/1997
• Issued: 10/31/2000
• Est. Priority Date: 10/15/1997
• Status: Expired due to Fees

• Current Assignee: Health Informatics Tools Co.
• Original Assignee: Health Informatics Tools Co.
• Inventors: Cairnes, Walter J.
• Primary Examiner(s): Gilbert, Samuel G.
• Application Number:
  US08/953,852
• Time in Patent Office: 1,112 Days
• Field of Search: 600/300, 600/301, 128/897, 128/898, 128/920-924, 705/2, 705/3
• US Class Current: 600/300
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets
• CPC Class Codes: G16H 20/70 relating to mental therapies, e.g. psychological therapy or autogenous training
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

An integrated clinical tele-informatics based system that provides outpatient health care delivery, self-care services, clinical communications and information, and clinical practice management services. The system retrieves and analyzes sign and symptom data of patients according to a plurality of case management rules, generates a patient information and develops a therapeutic program in response to the information. The therapeutic program is regularly updated based upon system monitoring of the patient'"'"'s condition. The system provides clinical management functional tools that alert a Personal Health Advisor when the data of at least one patient exceeds predefined medical parameters, triage clinical activity of volumes of patients based on the patient data, transform the data into clinical practice management information, and generate clinical practice management information reports of summarized text, numerical representations, and/or graphical representations.

Claims

1. A tele-informatics system for providing clinical case and clinical practice management service comprising:

a plurality of information appliances configured for deployment at locations remote from a central location for use by a corresponding plurality of patients, each appliance having a respective data entry device and an alpha-numeric display;

a Personal Health Advisor ("PHA") configured for deployment at said central location, said information appliances and said PHA in selective two-way communications with one another, said information appliances and said PHA being configured to transmit and receive data from each other, each of said information appliances selectively generating data by means of said data entry device which is received by said PHA, said PHA including a computer for analyzing said data and generating a plurality of responses which are received by said alpha-numeric display of said information appliances to provide clinical practice management for the plurality of patients; and

wherein said PHA further includes an event manager executing on said computer configured to generate a clinical agenda based on a comparative analysis of said data provided by said plurality of patients, said clinical agenda prioritizing timing of patient care.

2. A system as recited in claim 1, wherein said data entry device includes at least one of weight scale, heart monitor, blood sugar monitor, and pulse monitor.

3. A system as recited in claim 2, wherein said clinical practice management includes a first portion configured to accept said data;

and a second portion configured to analyze said data according to a plurality of clinical case management rules.

4. A system as recited in claim 1, wherein said event manager generates an alert when said data from at least one of said plurality of patients exceeds a predefined medical parameter defined by said clinical case management rules.

5. A system as recited in claim 4, wherein at least one of said responses includes a request to schedule a subsequent activity as defined by said clinical case management rules.

6. A system as recited in claim 5, wherein at least one of said responses includes a plurality of queries to be completed by the patient to whom said one response is directed to provide additional amounts of said data.

7. A system as recited in claim 6, wherein said PHA further includes a decision support manager to generate therapy information of recommended treatments based upon an analysis of said data and transmitting said therapy information through said responses to said information appliances.

8. A system as recited in claim 1, including a health provider, said health provider using said data to determine trends among those patients having similar conditions.

9. A tele-informatics system for providing outpatient health care delivery, self-care services, clinical communications and information, and clinical practice management services comprising a personal health advisor ("PHA") including:

a medical data portion configured to accept medical data from a plurality of patients;

a clinical information portion configured to analyze said medical data entered in said medical data portion according to a plurality of clinical case management rules;

a therapy response portion configured to respectively assign the patients at least one therapy responsive to said clinical information portion;

a monitoring portion configured to monitor updated data from each of the patients and to update said clinical information portion and said therapy response portion in response to said updated data; and

wherein said PHA further includes an event manager executing on a computer and configured to generate a clinical agenda based on a comparative analysis of said medical data received by said medical data portion, said clinical agenda prioritizing timing of patient care.

10. The system as recited in claim 9, further comprising a plurality of information appliances respectively located by the patients, said information appliances being respectively configured to generate said data received by said medical data portion of said PHA, receive alphanumeric messages, and key responses to queries generated by said PHA.

11. The system as recited in claim 9, wherein said monitoring portion further includes:

a portion configured to modify said clinical case management rules according to at least one of (i) historical responses of the patients to therapy and (ii) revision by an expert; and

a portion configured to modify, for at least one of said patients, a respective therapy according to one of said updated data and said modified clinical case management rules.

12. A method for providing a communications tele-informatics system for providing outpatient health care delivery, patient self-care services, clinical communications and information, and clinical practice management services, said method comprising the following steps performed by a Personal Health Advisor, of:

retrieving medical data from a plurality of patients;

generating a triaged clinical agenda from a comparative analysis of said medical data to thereby prioritize a PHA response to each patient'"'"'s health care needs;

analyzing said medical data according to a plurality of clinical case management rules;

generating clinical case management information for each patient from said analyzing step;

assigning, for each patient, at least one therapy responsive to said generating step; and

sending, to each patient, the at least one therapy of the assigning step in accordance with the triaged clinical agenda.

13. The method recited in claim 12, comprising the step of modifying said clinical case management rules based on said case management information from the plurality of patients.

14. The method recited in claim 12, comprising the steps of

sending to at least one of the patients a message enclosing a schedule to enter said medical data into an information device;

monitoring updated medical data from said information device;

analyzing said updated medical data;

generating a clinical information update of the at least one patient; and

updating said therapy associated with said at least one patient when said clinical information update differs from said clinical information.

15. The method of claim 12, comprising the step of providing at least one of the patients health care education, said health care education including access to medical libraries, medical terminology, and explanations of said therapy associated with said at least one patient.

16. The method as recited in claim 12, further comprising the steps, performed by at least one of the patients, of:

generating said medical data;

storing said medical data into an information device; and

receiving said therapy associated with said at least one patient in response to said sending step.

17. The method as recited in claim 16, performed by at least one of the patients, wherein said data of said medical data generating step is provided by one of responses to an interview and readings from a medical device.

18. A method as recited in claim 12, further comprising the step, performed by a health provider, of:

responding in accordance with the triaged clinical agenda.

19. A tele-informatics system for providing clinical case and clinical practice management services comprising:

a plurality of information appliances configured for deployment at locations remote from a central location for use by a corresponding plurality of patients, each appliance having a respective data entry device and an alpha-numeric display; and

a Personal Health Advisor ("PHA") configured for deployment at said central location, said information appliances and said PHA in selective two-way communications with one another, said information appliances and said PHA being configured to transmit and receive data from each other, each of said information appliances selectively generating data by means of said data entry device which is received by said PHA, said PHA including a computer for analyzing said data and generating a plurality of responses which are received by said alpha-numeric display of said information appliances to provide clinical practice management for the plurality of patients, said PHA further including

a medical data portion configured to accept medical data from the plurality of patients,

a clinical information portion configured to analyze said medical data entered in said medical data portion according to a plurality of clinical case management rules,

a therapy response portion configured to respectively assign the patient at least one therapy responsive to said clinical information portion, and

a monitoring portion configured to monitor updated data from each of the patients and to update said clinical information portion and said therapy response portion in response to said updated information wherein said PHA further includes an event manager executing on said computer configured to generate a clinical agenda based on a comparative analysis of said data provided by said plurality of patients, said clinical agenda prioritizing timing of patient care.

20. A tele-informatics system as recited in claim 19, wherein

said data entry device includes at least one of a weight scale, heart monitor, blood sugar monitor, and pulse monitor;

said clinical practice management includes a first portion configured to accept said data; and

a second portion configured to analyze said data according to a plurality of clinical case management rules;

said event manager generating an alert when said data exceeds a predefined medical parameter defined by said clinical case management rules;

at least one of said responses including a request to schedule a subsequent activity as defined by said clinical case management rules;

at least one of said responses including a plurality of queries to be completed by the patient to whom the queries are directed to provide additional amounts of said data;

a decision support manager to generate therapy information of recommended treatments based upon an analysis of said data and transmitting said therapy information through said responses to said information appliances; and

a health provider having medical knowledge, said health provider using said data to determine trends among those patients having similar conditions.