System and a method for providing integrated access management for peritoneal dialysis and hemodialysis

• US 7,890,341 B2
• Filed: 02/28/2003
• Issued: 02/15/2011
• Est. Priority Date: 12/09/2002
• Status: Active Grant

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: Firanek, Catherine, Marritt, Richard, DeLaCruz, Rich, Mujais, Salim, Coman, Like, McNally, Larry, Vecsey, Andy
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): ALTSCHUL, AMBER L
• Application Number:
  US10/376,022
• Publication Number:
  US 20040111294A1
• Time in Patent Office: 2,909 Days
• Field of Search: 705/2, 705/3, 705/4
• US Class Current: 705/2
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• 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 40/67 for remote operation
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A system and a method for tracking patients having renal disease, particularly Chronic Kidney Disease (CKD), are provided. The system and method track patients through a common system with multiple healthcare professionals, such as doctors, nurses and the like, having access to the system and updating the system based on information regarding the care, treatment, diagnosis, therapy, or the like provided to the patients. The system and method interface with remote machines and supply chains by a modem, via the internet or by wireless devices. The system and method provide a continuum of care for renal patients, i.e., CKD, peritoneal dialysis (PD), home hemodialyis (HHD), in-center hemodialysis and transplant within a single database associated with the system. The system and method track the access information of PD patients and/or HD patients. Specifically, the system and method track access placement, infections, non-infection related problems, medications and hospitalizations. The system and method may track PD and HD information in one comprehensive module.

Claims

1. A method for organizing care for a patient undergoing a plurality of therapies for kidney disease using a system comprising at least one input device, at least one display device, at least one memory device and at least one processor, the method comprising:

entering information about the patient using the at least one input device and storing the information about the patient in the at least one memory device;

the processor organizing the information for presentation in a plurality of screens, wherein each screen presents information pertinent to a particular aspect of the care; and

the at least one display device displaying information about at least one of a renal peritoneal dialysis access management system and a renal hemodialysis access management system, wherein the information is presented in the plurality of screens and wherein access refers to a medical device providing access to the peritoneal cavity or the vascular system of the patient, the plurality of screens including at least;

(i) an access summary screen including an implant date, an implant method, an implant location, an implant physician and a summary of patient problems sorted by infection problems and non-infection problems, and

(ii) an access implant detail screen including;

(a) at least one item of information selected from the group consisting of physician, date, location, facility, facility type, first use, graft type and graft configuration and (b) if the implant has been removed or abandoned, at least one item of information selected from the group consisting of;

a physician that removed the implant, a date the implant was removed, a location the implant was removed and a reason the implant was removed.

2. The method of claim 1, further comprising using the information to track care for the patient and to help decide a subsequent treatment step for the patient.

3. The method of claim 1, further comprising presenting information in screens concerning a treatment history and a hospitalization summary.

4. The method of claim 1, further comprising presenting information in at least one screen concerning a clinical assessment.

5. The method of claim 1, further comprising presenting information concerning a dynamic assessment in at least one screen.

6. The method of claim 1, further comprising presenting information in at least one screen concerning infection problems and non-infection problems.

7. The method of claim 1, further comprising presenting information concerning prescriptions or medications for the patient in at least one screen.

8. The method of claim 1, wherein the information, includes a digital signature for a prescription by a prescribing physician.

9. The method of claim 1, further comprising adding information that is pertinent and hiding information that is not pertinent to the particular screen being viewed.

10. The method of claim 1, wherein the information may be entered and viewed at a remote location and at a central location.

11. The method of claim 1, further comprising storing information concerning chronic kidney disease treatment pathways, Wand progress of a patient along at least one of the pathways, wherein a pathway comprises information sufficient to allow a caregiver to track progress of the patient on a course of treatment and to consider at least one additional step of care.

12. A computer program on a computer readable medium for organizing information about a patient undergoing a plurality of therapies for kidney disease, the computer program comprising:

logic for accepting and storing information about the patient in a computer database;

logic for organizing the information for presentation in a plurality of screens, wherein each screen presents information pertinent to a particular aspect of the care; and

logic for presenting information about at least one of a renal peritoneal dialysis access management system and a renal hemodialysis access management system, wherein the information is presented in the plurality of screens and wherein access refers to a medical device providing access to the peritoneal cavity or the vascular system of the patient, the plurality of screens including at least;

(i) an access summary screen including an implant date, an implant method, an implant location, an implant physician and a summary of patient problems sorted by infection problems and non-infection problems, and

(ii) an access implant detail screen including;

(a) at least one item of information selected from the group consisting of;

physician, date, location, facility, facility type, first use, graft type and graft configuration and (b) if the implant has been removed or abandoned, at least one item of information selected from the group consisting of;

a physician that removed the implant, a date the implant was removed, a location the implant was removed and a reason the implant was removed.

13. The computer program of claim 12, further comprising logic for presenting information in a plurality of screens, including at least one of:

a treatment history;

a hospitalization history;

a clinical assessment;

a dynamic assessment;

infection problems;

non-infection problems; and

prescriptions or medications for the patient.

14. The computer program of claim 12, further comprising logic for presenting information in a plurality of screens, including a treatment history, a hospitalization history, a clinical assessment, a dynamic assessment;

infection problems, non-infection problems, and prescriptions or medications for the patient.

15. The computer program of claim 12, wherein the logic for presenting information is configured to present an access summary, a treatment summary, a hospitalization summary and an access implant detail summary.

16. The computer program of claim 12, further comprising logic for storing information concerning chronic kidney disease treatment pathways, and progress of a patient along at least one of the pathways, wherein a pathway comprises information sufficient to allow a caregiver to track progress of the patient on a course of treatment and to consider at least one additional step of care, and wherein the information includes information on patient preparation for renal replacement therapy and information concerning patient diagnostics, patient co-morbidities, and a primal renal disease of the patient.

17. A method for reporting and displaying information about a patient undergoing a plurality of therapies for kidney disease using a system comprising at least one input device, at least one display device, at least one memory device and at least one processor, the method comprising:

entering information about the patient using the at least one input device and storing the information about the patient in the at least one memory device;

the processor organizing the information for presentation in a plurality of screens, wherein each screen presents information pertinent to a particular aspect of the care; and

the at least one display device displaying information in;

(i) an access summary including an implant date, an implant method, an implant location, an implant physician and a summary of patient problems sorted by infection problems and non-infection problems,

(ii) a treatment summary,

(iii) a hospitalization summary, and

(iv) an access implant detail summary including;

(a) at least one item of information selected from the group consisting of physician, date, location, facility, facility type, first use, graft type and graft configuration and (b) if the implant has been removed or abandoned, at least one item of information selected from the group consisting of;

a physician that removed the implant, a date the implant was removed, a location the implant was removed and a reason the implant was removed, wherein access refers to a medical device providing access to the peritoneal cavity or the vascular system of the patient.

18. The method of claim 17, wherein at least one of the summaries includes information about at least one of a renal peritoneal dialysis and a renal hemodialysis access management system.

19. The method of claim 17, further comprising entering additional information about the patient to update the database, to update the information presented in at least one of the summaries.

20. The method of claim 17, further comprising storing information concerning chronic kidney disease treatment pathways, and progress of a patient along at least one of the pathways, wherein a pathway comprises information sufficient to allow a caregiver to track progress of the patient on a course of treatment and to consider at least one additional step of care, and wherein the information includes information about one or more complications selected from the group consisting of renal disease, anemia, diabetes mellitus, mineral metabolism, hypertension, lipid disorders, metabolic or nutritional complications, and preventive treatments.