System and method for providing feedback to an individual patient for automated remote patient care

• US 6,908,431 B2
• Filed: 08/22/2003
• Issued: 06/21/2005
• Est. Priority Date: 06/03/1999
• Status: Expired due to Fees

• Current Assignee: Cardiac Intelligence Corp (Boston Scientific Corporation)
• Original Assignee: Cardiac Intelligence Corp (Boston Scientific Corporation)
• Inventors: Bardy, Gust H.
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US10/646,037
• Publication Number:
  US 20040147980A1
• Time in Patent Office: 669 Days
• Field of Search: 600/300, 600/301, 600/508, 600/509, 607/32, 607/60, 128/903, 128/906, 128/923, 705/2, 705/3
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/4803 Speech analysis specially adapted for diagnostic purposes
• CPC Class Codes: A61B 5/7465 Arrangements for interactive communication between patient and care services, e.g. by using a telephone network telemetry of measured physiological signal A61B5/0002
• CPC Class Codes: A61N 1/3627 for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics

Abstract

A system for providing feedback to an individual patient for automated remote patient care is presented. A server providing feedback includes a database module collecting device measures providing physiological measures collected by an implantable medical device on a substantially continuous basis for storage into a patient care record and receiving voice feedback spoken by an individual patient substantially contemporaneous to the collection of at least one set of the device measures, a feedback module processing the voice feedback into normalized quality of life measures for storage into the patient care record, and an analysis module analyzing the physiological measures and the quality of life measures stored in the patient care record relative to at least one of other physiological measures and other quality of life measures to determine a patient status indicator.

Claims

1. A system for providing feedback to an individual patient for automated remote patient care, comprising:

a serve providing feedback, comprising;

a database module collecting device measures providing physiological measures collected by an implantable medical device on a substantially continuous basis for storage into a patient care record and receiving voice feedback spoken by an individual patient substantially contemporaneous to the collection of at least one set of the device measures;

a feedback module processing the voice feedback into normalized quality of life measures for storage into the patient care record; and

an analysis module analyzing the physiological measures and the quality of life measures stored in the patient care record through derived measure determination and statistical value calculation relative to at least one of other physiological measures and other quality of life measures to determine a patient status indicator.

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

the analysis module comparing the physiological measures and quality of life measures stored in the patient care record to at least one of physiological measures and quality of life measures stored in patient care records for the individual patient, a patient peer group, and a patient population.

3. A system according to claim 1, wherein the physiological measures comprise at least one of a collected physiological measure or a derived physiological measure.

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

the feedback module generating automated feedback from the patient status indicator.

5. A system according to claim 4, further comprising:

the feedback module providing tiered automated feedback comprising

at a first level of feedback, communicating an interpretation of the patient status indicator;

at a second level of feedback, communicating a notification of potential medical concern based on the patient status indicator;

at a third level of feedback, communicating a notification of potential medical concern based on the patient status indicator to medical personnel; and

at a fourth level of feedback, communicating a set of reprogramming instructions based on the patient status indicator to the implantable medical device.

6. A system according to claim 4, wherein the automated feedback comprises at least one of the group consisting of a peer group status indicator, a historical status indicator, a trend indicator, a medicinal efficacy indicator, and a wellness indicator.

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

the feedback module requesting the spoken voice feedback through pre-determined prompts, each such prompt being associated with a quality of life measure and parsing the spoken voice feedback in accordance with a voice grammar and speech vocabulary.

8. A method for providing feedback to an individual patient for automated remote patient care, comprising:

providing patient feedback, comprising;

collecting device measures providing physiological measures collected by an implantable medical device on a substantially continuous basis for storage into a patient care record;

receiving voice feedback spoken by an individual patient substantially contemporaneous to the collection of at least one set of the device measures;

processing the voice feedback into normalized quality of life measures for storage into the patient care record; and

analyzing the physiological measures and the quality of life measures stored in the patient care record through derived measure determination and statistical value calculation relative to at least one of other physiological measures and other quality of life measures to determine a patient status indicator.

9. A method according to claim 8, further comprising:

comparing the physiological measures and quality of life measures stored in the patient care record to at least one of physiological measures and quality of life measures stored in patient care records for the individual patient, a patient peer group, and a patient population.

10. A method according to claim 8, wherein the physiological measures comprise at least one of a collected physiological measure or a derived physiological measure.

11. A method according to claim 8, further comprising:

generating automated feedback from the patient status indicator.

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

providing tiered automated feedback comprising;

at a first level of feedback, communicating an interpretation of the patient status indicator;

at a second level of feedback, communicating a notification of potential medical concern based on the patient status indicator;

at a third level of feedback, communicating a notification of potential medical concern based on the patient status indicator to medical personnel; and

at a fourth level of feedback, communicating a set of reprogramming instructions based on the patient status indicator to the implantable medical device.

13. A method according to claim 11, wherein the automated feedback comprises at least one of the group consisting of a peer group status indicator, a historical status indicator, a trend indicator, a medicinal efficacy indicator, and a wellness indicator.

14. A method according to claim 8, further comprising:

requesting the spoken voice feedback through pre-determined prompts, each such prompt being associated with a quality of life measure; and

parsing the spoken voice feedback in accordance with a voice grammar and speech vocabulary.

15. A computer-readable storage medium holding code for providing feedback to an individual patient for automated remote patient care, comprising:

code for providing patient feedback, comprising;

code for collecting device measures providing physiological measures collected by an implantable medical device on a substantially continuous basis for storage into a patient care record;

code for receiving voice feedback spoken by an individual patient substantially contemporaneous to the collection of at least one set of the device measures;

code for processing the voice feedback into normalized quality of life measures for storage into the patient care record; and

code for analyzing the physiological measures and the quality of life measures stored in the patient care record through derived measure determination and statistical value calculation relative to at least one of other physiological measures and other quality of life measures to determine a patient status indicator.

16. A storage medium according to claim 15, further comprising:

code for comparing the physiological measures and quality of life measures stored in the patient care record to at least one of physiological measures and quality of life measures stored in patient care records for the individual patient, a patient peer group, and a patient population.

17. A storage medium according to claim 15, further comprising:

code for generating automated feedback from the patient status indicator.

18. A storage medium according to claim 17, further comprising:

code for providing tiered automated feedback comprising;

at a first level of feedback, communicating an interpretation of the patient status indicator;

at a second level of feedback, communicating a notification of potential medical concern based on the patient status indicator;

at a third level of feedback, communicating a notification of potential medical concern based on the patient status indicator to medical personnel; and

at a fourth level of feedback, communicating a set of reprogramming instructions based on the patient status indicator to the implantable medical device.

19. A storage medium according to claim 15, further comprising:

code for requesting the spoken voice feedback through pre-determined prompts, each such prompt being associated with a quality of life measure; and

code for parsing the spoken voice feedback in accordance with a voice grammar and speech vocabulary.