CA2771779A1 - A system and method of monitoring care of patients - Google Patents
A system and method of monitoring care of patients Download PDFInfo
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- CA2771779A1 CA2771779A1 CA2771779A CA2771779A CA2771779A1 CA 2771779 A1 CA2771779 A1 CA 2771779A1 CA 2771779 A CA2771779 A CA 2771779A CA 2771779 A CA2771779 A CA 2771779A CA 2771779 A1 CA2771779 A1 CA 2771779A1
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- location
- patient
- data
- condition
- communication device
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
Abstract
Embodiments provide systems and methods for care of patients.
Location data indicative of a location of an assessment of the patient is received from a communication device disposed at the respective location. Condition data indicative of the condition of the patient is received from the communication device for at least part of the assessment and reporting data is generated based on the condition data and location data.
Location data indicative of a location of an assessment of the patient is received from a communication device disposed at the respective location. Condition data indicative of the condition of the patient is received from the communication device for at least part of the assessment and reporting data is generated based on the condition data and location data.
Description
A SYSTEM AND METHOD OF MONITORING CARE OF PATIENTS
FIELD OF THE INVENTION
The present invention relates to a system and method of monitoring care of patients. The invention is of particular, although not exclusive, application in receiving data from a communication device disposed at a location of a patient to monitor care of the patient.
BACKGROUND OF THE INVENTION
Existing methods of monitoring care of patients generally involve office based staff manually reviewing assessment reports of condition of patients, filled out by carers, to determine whether adequate care was provided to the patients and whether some of the patients require further care. For example, carers, such as registered nurses, social workers or other allied health professionals, may provide care and perform assessments on patients typically every three to six months depending on the designated care program for each patient. The carers, however, are generally responsible for planning and delivering care to the patients on a needs basis, and are not responsible for selecting, supervising or rostering carers to the patients. Thus, there may be a discontinuity between carers and patients, and observations, such as observations of deterioration of a patient, might go unnoticed. In addition, in the absence of regular and systematic observations of a patient's condition by the same carer, supervisory staff, such as case managers, commonly visit patients regularly, such as every six weeks to three months, to confirm that the provided care plan and services meet the patient's needs.
One existing system for monitoring care of patients provides an electronic storage of patient assessments. In this case, office based staff read assessments performed by the carers, collate information with respect to the assessments, enter the information into a database, and alert a supervisor to visit a patient if they observe a deterioration of the patient's condition.
Furthermore, there were approximately 878,000 patients receiving home based care in Australia in 2010 and approximately 300,000 of these have complex needs requiring a high level of care. At least some of these patients will require consistent and systematic monitoring of care and with existing systems this is a labour intensive and uneconomical service.
SUMMARY OF THE INVENTION
According to one aspect of the present invention, there is provided a system for monitoring care of at least one patient comprising:
a location module arranged to receive location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location;
a condition module arranged to receive condition data indicative of a condition of the at least one patient from the communication device as at least part of the assessment; and a generation module arranged to generate reporting data based on the condition data and the location data for output to a user.
In an embodiment, the system further comprises a verification module arranged to verify the location data indicative of the location of the assessment of the at least one patient with respect to designated location data indicative of a designated location of the at least one patient. For example, the communication device comprises a telephone and the location data comprises a telephone number for the telephone indicative of the location of the at least one patient. In addition, the designated location data comprises the telephone number indicative of the location of the at least one patient. That is, a fixed line telephone number associated with an address of the patient is received from the telephone and associated with the condition data to verify that a user, such as a carer, was present at the location of the patient to perform the assessment and care for the patient.
In another example, the communication device comprises a mobile phone and the location data comprises location coordinates of the mobile phone indicative of the location of the at least one patient. Thus, for example, the designated location data comprises the location coordinates of the patient and the verification module compares the location coordinates of the mobile phone indicative of the location of the assessment of the patient with the designated location coordinates of the patient.
In one arrangement, the mobile phone comprises a GPS
transceiver and the location coordinates comprise GPS
coordinates indicating the location of the GPS transceiver of the mobile phone. In another arrangement, the location coordinates comprise an indication of proximity to one or more base stations servicing the mobile phone. It will be appreciated by those persons skilled in the art that, in other arrangements, the location coordinates can be derived other ways, such as triangulation from more than one base station servicing the mobile phone or by detecting the amount of power used by the mobile phone at a servicing base station.
In an embodiment, the condition data comprises weighted answers to a series of designated questions indicating the condition of the at least one patient. In the embodiment, the reporting data comprises an alert if a sum of the weighted answers with respect to the at least one patient is determined to be greater than a threshold value. For example, in use, a carer, such as a registered nurse, performs an assessment of a patient at their home and enters condition data indicative of the condition of the patient into a database using a telephone disposed at the patient's home by answering a series of designated questions indicating the condition of the patient.
The series of designated questions can be answered in a yes/no fashion or by providing a score indicating severity. For example, such a question may be:
How do you assess the patient's mobility?
1 - very good, 2 - good, 3 - not good, or 4 - minimal.
With respect to the above example, the threshold value may be designated to be 50% such that if 50% of the answers are averaged over the series of questions to be "not good"
than an alert is outputted. It will be appreciated by those persons skilled in the art that the alert may be generated based on other criteria such as if an answer to a particular question is a particular value (e.g. "4 - minimal"). In the embodiment, the alert comprises a communication to a supervisor monitoring care of the at least one patient. In an arrangement, the communication comprises an SMS. In another arrangement, the communication comprises an email, or a combination of both email and SMS. For example, email alerts may be provided for less severe transgressions of the threshold (e.g. between 50% and 75%) and SMS alerts may be provided for more severe transgressions (e.g. greater than 75%). Again, it will be appreciated by those persons skilled in the art that other methods of communication may be employed to alert a supervisor of a deterioration of a condition of a patient, such as a telephone call.
In an embodiment, the designated questions are stored in an evaluation module residing in the communication device. In the embodiment, the evaluation module is arranged to communicate the weighted answers and the location data to the database over a network. For example, the communication device is a mobile phone, such as a smart phone, and the evaluation module resides in the memory of the phone and is performed by an application dedicated to communicate the weighted answers and the location data to the database over the network.
In an embodiment, the system comprises a database in data communication with the communication device. In the embodiment, the database comprises the location module, the condition module and the generation module. In addition, the database comprises an association module arranged to associate said location data with said condition data in the database with respect to the at least one patient. Furthermore, the database further comprises an output module arranged to output a report, such as a progression report or an alert, based on the reporting data with respect to the patient.
FIELD OF THE INVENTION
The present invention relates to a system and method of monitoring care of patients. The invention is of particular, although not exclusive, application in receiving data from a communication device disposed at a location of a patient to monitor care of the patient.
BACKGROUND OF THE INVENTION
Existing methods of monitoring care of patients generally involve office based staff manually reviewing assessment reports of condition of patients, filled out by carers, to determine whether adequate care was provided to the patients and whether some of the patients require further care. For example, carers, such as registered nurses, social workers or other allied health professionals, may provide care and perform assessments on patients typically every three to six months depending on the designated care program for each patient. The carers, however, are generally responsible for planning and delivering care to the patients on a needs basis, and are not responsible for selecting, supervising or rostering carers to the patients. Thus, there may be a discontinuity between carers and patients, and observations, such as observations of deterioration of a patient, might go unnoticed. In addition, in the absence of regular and systematic observations of a patient's condition by the same carer, supervisory staff, such as case managers, commonly visit patients regularly, such as every six weeks to three months, to confirm that the provided care plan and services meet the patient's needs.
One existing system for monitoring care of patients provides an electronic storage of patient assessments. In this case, office based staff read assessments performed by the carers, collate information with respect to the assessments, enter the information into a database, and alert a supervisor to visit a patient if they observe a deterioration of the patient's condition.
Furthermore, there were approximately 878,000 patients receiving home based care in Australia in 2010 and approximately 300,000 of these have complex needs requiring a high level of care. At least some of these patients will require consistent and systematic monitoring of care and with existing systems this is a labour intensive and uneconomical service.
SUMMARY OF THE INVENTION
According to one aspect of the present invention, there is provided a system for monitoring care of at least one patient comprising:
a location module arranged to receive location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location;
a condition module arranged to receive condition data indicative of a condition of the at least one patient from the communication device as at least part of the assessment; and a generation module arranged to generate reporting data based on the condition data and the location data for output to a user.
In an embodiment, the system further comprises a verification module arranged to verify the location data indicative of the location of the assessment of the at least one patient with respect to designated location data indicative of a designated location of the at least one patient. For example, the communication device comprises a telephone and the location data comprises a telephone number for the telephone indicative of the location of the at least one patient. In addition, the designated location data comprises the telephone number indicative of the location of the at least one patient. That is, a fixed line telephone number associated with an address of the patient is received from the telephone and associated with the condition data to verify that a user, such as a carer, was present at the location of the patient to perform the assessment and care for the patient.
In another example, the communication device comprises a mobile phone and the location data comprises location coordinates of the mobile phone indicative of the location of the at least one patient. Thus, for example, the designated location data comprises the location coordinates of the patient and the verification module compares the location coordinates of the mobile phone indicative of the location of the assessment of the patient with the designated location coordinates of the patient.
In one arrangement, the mobile phone comprises a GPS
transceiver and the location coordinates comprise GPS
coordinates indicating the location of the GPS transceiver of the mobile phone. In another arrangement, the location coordinates comprise an indication of proximity to one or more base stations servicing the mobile phone. It will be appreciated by those persons skilled in the art that, in other arrangements, the location coordinates can be derived other ways, such as triangulation from more than one base station servicing the mobile phone or by detecting the amount of power used by the mobile phone at a servicing base station.
In an embodiment, the condition data comprises weighted answers to a series of designated questions indicating the condition of the at least one patient. In the embodiment, the reporting data comprises an alert if a sum of the weighted answers with respect to the at least one patient is determined to be greater than a threshold value. For example, in use, a carer, such as a registered nurse, performs an assessment of a patient at their home and enters condition data indicative of the condition of the patient into a database using a telephone disposed at the patient's home by answering a series of designated questions indicating the condition of the patient.
The series of designated questions can be answered in a yes/no fashion or by providing a score indicating severity. For example, such a question may be:
How do you assess the patient's mobility?
1 - very good, 2 - good, 3 - not good, or 4 - minimal.
With respect to the above example, the threshold value may be designated to be 50% such that if 50% of the answers are averaged over the series of questions to be "not good"
than an alert is outputted. It will be appreciated by those persons skilled in the art that the alert may be generated based on other criteria such as if an answer to a particular question is a particular value (e.g. "4 - minimal"). In the embodiment, the alert comprises a communication to a supervisor monitoring care of the at least one patient. In an arrangement, the communication comprises an SMS. In another arrangement, the communication comprises an email, or a combination of both email and SMS. For example, email alerts may be provided for less severe transgressions of the threshold (e.g. between 50% and 75%) and SMS alerts may be provided for more severe transgressions (e.g. greater than 75%). Again, it will be appreciated by those persons skilled in the art that other methods of communication may be employed to alert a supervisor of a deterioration of a condition of a patient, such as a telephone call.
In an embodiment, the designated questions are stored in an evaluation module residing in the communication device. In the embodiment, the evaluation module is arranged to communicate the weighted answers and the location data to the database over a network. For example, the communication device is a mobile phone, such as a smart phone, and the evaluation module resides in the memory of the phone and is performed by an application dedicated to communicate the weighted answers and the location data to the database over the network.
In an embodiment, the system comprises a database in data communication with the communication device. In the embodiment, the database comprises the location module, the condition module and the generation module. In addition, the database comprises an association module arranged to associate said location data with said condition data in the database with respect to the at least one patient. Furthermore, the database further comprises an output module arranged to output a report, such as a progression report or an alert, based on the reporting data with respect to the patient.
In an embodiment, the database further comprises a care module arranged to receive identification data indicative of a carer of the at least one patient from the communication device. In the embodiment, the identification data comprises a designated PIN stored in the database so that, in use, a carer enters a PIN identifying the carer using the communication device which can then be verified at the database. Once the PIN is verified, the carer can then enter condition data for association with the location data into the io database.
In another aspect of the invention, there is provided a method of monitoring care of at least one patient, the method comprising:
is electronically receiving location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location;
electronically receiving condition data indicative of a condition of the at least one patient from the communication 20 device as at least part of the assessment; and electronically generating reporting data based on the condition data and the location data for output to a user.
In another aspect of the invention, there is provided 25 code usable to configure a server to implement a method of monitoring care of at least one patient, the server being configured to:
receive location data indicative of a location of an assessment of the at least one patient from a communication 30 device disposed at the respective location over a network;
receive condition data indicative of a condition of the at least one patient from the communication device over the network as at least part of the assessment; and generate reporting data based on the condition data and the location data for output to a user.
In another aspect of the invention, there is provided computer program code which when executed implements the above method.
In another aspect of the invention, there is provided a computer readable medium comprising the above program code.
In another aspect of the invention, there is provided a data file comprising the above program code.
BRIEF DESCRIPTION OF THE DRAWINGS
In order that the invention be more clearly ascertained, embodiments will now be described, by way of example, with reference to the accompanying drawings, in which:
Figure 1 is a schematic view of a system for monitoring care of at least one patient according an embodiment of the present invention;
Figure 2 is a further schematic view of the system of Figure 1, Figure 3 is another schematic view of the system of Figure 1;
Figure 4 is a flow chart of a method of monitoring care of at least one patient according to an embodiment of the present invention;
Figure 5 is a flow chart of a method of monitoring care showing the initial steps of rostering a patient for provision of care and using a communication device according to an embodiment of the present invention;
Figure 6 is a further flow chart of the method of Figure 5 showing the subsequent steps of capturing and recording observations of condition using the communication device;
Figure 7 is a further flow chart of the method of Figure 5 showing the subsequent steps of generating alerts based on the condition data; and Figure 8 is a further flow chart of the method of Figure 5 showing the final steps of reviewing the alerts and determining an appropriate response.
DETAILED DESCRIPTION
According to an embodiment of the present invention, there is provided a system 10 for monitoring care of patients.
The system 10 comprises a number of modules arranged to receive data from a communication device 12, associate the data in a database 16 and generate reporting data for output to a user according to this data. That is, the system 10 comprises a location module 18 arranged to receive location data indicative of a location of an assessment of a patient from the communication device 12 disposed at the location of the patient, a condition module 20 arranged to receive condition data indicative of a condition of the patient from the communication device 12 as at least part of the assessment, and a generation module 22 arranged to generate reporting data based on the condition data and the location data for output to a user.
In another aspect of the invention, there is provided a method of monitoring care of at least one patient, the method comprising:
is electronically receiving location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location;
electronically receiving condition data indicative of a condition of the at least one patient from the communication 20 device as at least part of the assessment; and electronically generating reporting data based on the condition data and the location data for output to a user.
In another aspect of the invention, there is provided 25 code usable to configure a server to implement a method of monitoring care of at least one patient, the server being configured to:
receive location data indicative of a location of an assessment of the at least one patient from a communication 30 device disposed at the respective location over a network;
receive condition data indicative of a condition of the at least one patient from the communication device over the network as at least part of the assessment; and generate reporting data based on the condition data and the location data for output to a user.
In another aspect of the invention, there is provided computer program code which when executed implements the above method.
In another aspect of the invention, there is provided a computer readable medium comprising the above program code.
In another aspect of the invention, there is provided a data file comprising the above program code.
BRIEF DESCRIPTION OF THE DRAWINGS
In order that the invention be more clearly ascertained, embodiments will now be described, by way of example, with reference to the accompanying drawings, in which:
Figure 1 is a schematic view of a system for monitoring care of at least one patient according an embodiment of the present invention;
Figure 2 is a further schematic view of the system of Figure 1, Figure 3 is another schematic view of the system of Figure 1;
Figure 4 is a flow chart of a method of monitoring care of at least one patient according to an embodiment of the present invention;
Figure 5 is a flow chart of a method of monitoring care showing the initial steps of rostering a patient for provision of care and using a communication device according to an embodiment of the present invention;
Figure 6 is a further flow chart of the method of Figure 5 showing the subsequent steps of capturing and recording observations of condition using the communication device;
Figure 7 is a further flow chart of the method of Figure 5 showing the subsequent steps of generating alerts based on the condition data; and Figure 8 is a further flow chart of the method of Figure 5 showing the final steps of reviewing the alerts and determining an appropriate response.
DETAILED DESCRIPTION
According to an embodiment of the present invention, there is provided a system 10 for monitoring care of patients.
The system 10 comprises a number of modules arranged to receive data from a communication device 12, associate the data in a database 16 and generate reporting data for output to a user according to this data. That is, the system 10 comprises a location module 18 arranged to receive location data indicative of a location of an assessment of a patient from the communication device 12 disposed at the location of the patient, a condition module 20 arranged to receive condition data indicative of a condition of the patient from the communication device 12 as at least part of the assessment, and a generation module 22 arranged to generate reporting data based on the condition data and the location data for output to a user.
In use, a user, such as a carer (e.g. a registered nurse), observes a patient and uses the communication device 12 to answer questions, forming condition data, indicative of the observed condition of the patient. The communication device 12 then transmits the condition data along with the location data indicative of the location over the network 14 to the database 16. It will be appreciated by those persons skilled in the art that the network may comprise a dedicated network, such as a LAN, or may use existing infrastructure such as the Internet or a fixed line telephone network. The generation module 22 then generates reporting data, based on the condition data and the location data for output to a user, indicating, for example, progress or regression of the condition of the patient or an alert based on the condition data.
As shown in Figure 2, the database 16 also comprises a verification module 29 arranged to verify the location data indicative of the location of the assessment of the patient with respect to designated location data indicative of a designated location of the patient such as the patient's house address. Also, the database 16 comprises an association module 24 arranged to associate the received location data with the condition data in the database 16 with respect to the patient. As described, the carer may also be required to enter a PIN to further verify that they performed the assessment and, in this case, the database 16 comprises a carer module (not shown) arranged to receive the PIN and compare it against a stored designated PIN to verify the carer.
For example, a carer provides care to a patient at one location (e.g. the patient's house) and performs an assessment - l0 -of a condition of the patient using a communication device 12 in a form of a telephone 30A, as shown with respect to a system 28 for monitoring care of patients in Figure 2. With reference to this example, a carer performs an assessment of a patient in one location and enters condition data indicative of a condition of the patient using the patient's telephone 30A, via, for example, a keypad of the telephone 30A. Another carer, or the same carer at a later time, also performs an assessment of another patient and enters condition data indicative of a condition of the patient using this patient's telephone 30B. In this example, the network 14 is a telephone network and the telephones 30A 30B, disposed at respective locations of the patients, have telephone numbers associated therewith indicative of their respective house addresses.
Thus, received telephone numbers are used by the verification module 29 for comparison with designated patient telephone numbers to verify location of the assessment.
As described, the condition data is derived from the carers' assessment of patients by providing weighted answers to a series of designated assessment questions. The answers, such as selecting multiple choice answers having different weightings, thus indicate the condition of the patient and can be entered using the key pad of the telephones 30A 30B. For example, key "1" indicates "Yes" and key "2" indicates "No" to a question. In this way, a numerical sum value of the answers can be obtained and used for comparison against threshold values to determine whether to generate a report, or an alert, or both. For example, a regression report is outputted when a threshold value of 30% is reached, a first alert when a threshold value of 50% is reached and a second alert when a threshold value of 75% is reached. In addition, it is envisaged that the system 10 can make a comparison of condition data recorded over time for a patient and a progress or regress report of the condition of patient is also outputted based on the condition data.
Figure 2 and Figure 3 also show the database 16 being implemented in a memory 34 of a server 32. That is, the server 32 is accessible by the telephones 30A 30B, mobile phones 40A 40B, or a computer 44, over the network 14, and comprises a memory 34 implementing the database 16 and a processor 36 implementing the location module 18, condition module 20, association module 24, generation module 22, and an output module 26 arranged to output a report based on the reporting data. It will be appreciated by those persons skilled in the art that the database 32 may implemented in some other way, such as in a distributed form across a number of servers.
As shown in Figure 3, the communication device 12 comprises a mobile phone, or a computer, which carers are equipped with, or otherwise use, when assessing the patient.
The carers use the mobile phones 40A 40B and/or the computer 44 to communicate location and condition data to the database 16. In an example, the network 16 comprises a network connected to the Internet, such as Wi-Fi, 3G, ADSL, etc., and the location data comprises location coordinates of the mobile phones 40A 40B at the patients' respective location, or an IP
address of the computer 44 (or some other computer identification coordinates). As described, the mobile phones 40A 40B comprise GPS transceivers and the location coordinates comprise GPS coordinates indicating the location of the GPS
transceivers. In this way, carers using the mobile phones 40A
40B to communicate condition data in the form of weighted answers also communicate GPS coordinates for verification of the location of the assessment by the verification module 29 at the server 32. Thus, for example, the database 16 contains designated addresses for patient in the form of GPS
coordinates so that the verification module 29 can compare the received GPS coordinates with the stored GPS coordinates.
The mobile phones 40A 40B and computer 44 also comprise a processor and a memory to implement modules residing thereon.
In this case, the mobile phones 40A 40B and the computer 44 comprise an evaluation module 42A 42B 46, residing thereon, to forward the location data and the condition data to the server 32. In the embodiment shown in Figure 2, carers using the telephones 30A 30B either take with them a copy of the questions for assessing a patient or are prompted by voice commands. Alternatively, the carers are provided the questions by the respective evaluation modules of the mobile phones 40A 403 and computer 44. In any case, the database 16 comprises the questions so that the condition data an be used for reporting.
These designated questions are answered by providing weighted answers, such as selecting multiple choices of answers having different weightings, indicating the condition of the patient. An example of a series of designated questions is given below:
1. How well do you know this client?
1. Very well 2. Quite well 3. Not well 4. Not at all 2.Is there evidence today the client is eating regular meals?
Yes/No 3.Is the client walking/moving about today (as per their usual mobility skills)?
Yes/No 4. Do you have concerns today about the client's continence?
Yes/No 5. Do you have concerns today about the client's personal hygiene?
Yes/No 6. Does the client seem to be happy/willing to receive your services today?
Yes/No 7.Is the client able to understand and/or talk with you today as they usually do?
Yes/No 8.Is there evidence that the client has taken their medication today as per their service instructions?
Yes/No 9.Is the client their usual self today in terms of their mood and behaviour?
Yes/No 10. Looking at the big picture of the client's overall needs, do you have any major concerns?
Yes/No If yes, what are your major concerns? (You may select as many as you believe to be applicable.) 1. Nutrition/hydration (includes diet) 2. Mobility/falls 3. Continence/hygiene 4. Medication 5. Mental status/behaviour 6. Social/financial situation 7. Carer's health or carer's stress 8. Continue to next question 11. Based on your observations today, do you believe the client may possibly benefit from a reassessment or review?
Yes/No Thus, in use, a carer using mobile phone 40A inputs answers to these questions using the keypad (or, in some cases, touch pad) of the phone. For example, when answering the designated questions, pressing 1 on the keypad indicates "Yes", pressing 2 indicates "No", pressing 9 indicates "unknown/unsure/not applicable", and 0 allows the carer to hear the question again. Furthermore, the * key is used to navigate through the series of questions, e.g. to move back a question, and the # key provides help.
The designated questions also comprise a final question confirming whether the assessment is complete. For example, this final question is as follows:
a. Feel unsure about the client's needs and safety or b. Believe the client's condition or situation is unusual or c. Have OH&S concerns or d. Have concerns regarding possible abuse or neglect of the client?
When answering this question, the carer has the option to press 1 on the keypad to discuss these concerns directly with s the supervisor.
The generated reports comprise condition reports for the patients. These reports show progress or regress of condition and can be used for auditing purposes to demonstrate an assessment of a patient was performed and care provided. In addition, the report comprises an alert in designated situations. In particular, an alert is generated when a sum of the weighted answers with respect to a patient is determined to be greater than a threshold value. With is reference to the above questions, if, for example, the patient scores six "No's" out of the 11 questions, the sum of weighted answers is six and greater than a first report threshold of 50%. An alert is then generated and outputted in a form of an SMS to a carer to administer care to the patient and/or to a supervisor to take further action, such as increasing the frequency of assessments by carers.
Figures 5 to 8 show an example of the system 10 for monitoring care of patients, shown as clients, in use. The flow chart 100 shows the example from the perspectives of carers 106, a supervisor of the carers, shown as a case manager 102, and the communication device 12, shown as the carer's phone 104.
The flow chart 100 begins with a client (e.g. a patient) being rostered 104 for provision of care by the case manager 102 to a carer 106. The carer 106 then delivers 110 service to the client in their home and uses the carer's telephone 104 to input condition data by first dialling 112 a telephone number to access the'database and then verifying 114 the location of the carer based on the client's telephone number.
The database then identifies the client using the telephone number, as shown in Figure 6, and determines whether the client is enrolled in the care program at step 116. If the client is not enrolled, the carer is informed by the database, via the phone, at step 118 and the service is cancelled at step 136. If the client is enrolled, the carer is requested 120 to enter an ID and this is entered 122 by the carer using the telephone. The database subsequently identifies 124 the carer based on this ID, such as a stored PIN, and the carer is then presented with an option 126 of a preferred language. The carer ;_s then prompted 128 with a series of designated questions to asses the client's condition. These are entered 130 using the keypad of the carer's phone and if the carer has concerns with the client the carer can transfer 132 the call to a supervisor or case manager for discussion 134. The assessment is then completed and the call ended 136 by the carer so that the condition data is communicated 138 to the database for association with the location data.
As shown in Figure 7, the answers are weighted so that a trigger score can be calculated 140 therefrom to determine 142 whether a threshold value has been reached. In the example shown in the figure, two thresholds are utilised; a first, email alert, threshold representing a minor concern with the client's condition, and a second, SMS alert, threshold representing a major concern with the client's condition. The database determines whether an email alert threshold 142 has been reached and if so forwards 144 an alert by email to the supervisor. Alternatively, or additionally, the database determines 146 that an SMS threshold has been reached and if so sends an SMS to the supervisor. The carer is also given feedback at step 150 that the answers have been entered correctly and whether an alert has been sent.
If the supervisor has been alerted, either via SMS or email, that there is a problem with the condition of the client, the supervisor can access 152 the database using a web 1.0 interface to view reports on the condition of the client, as shown in Figure 8. The supervisor then verifies 154 his/her details for access to the database and reviews 156 the case history to determine whether the observations made by the carer of condition were accurate. Again, feedback of the supervisor's review is sent 160 to the carer. The supervisor can determine 162 an appropriate care response, such as more frequent care of the client, and this is recorded 164 in the database for future action.
Referring back to Figure 4, a method of monitoring care of a patient is summarised. The method 48 comprises electronically receiving 50 receiving location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location, electronically receiving 52 condition data indicative of a condition of the at least one patient from the communication device as at least part of the assessment, and electronically generating 54 reporting data based on the condition data and the location data for output to a user.
Further aspects of the method will be apparent from the above description of the system. Persons skilled in the art also appreciate the method could be embodied in a program code. The program code could be supplied in a number of ways, for example, on a computer readable medium, such as a disk or a memory or as a data signal or data file (for example, by transmitting it from a server).
It will be understood to persons skilled in the art of the invention that many modifications may be made without departing from the spirit and scope of the invention.
It is to be understood that, if any prior art publication is referred to herein, such reference does not constitute an admission that the publication forms a part of the common general knowledge in the art, in Australia or any other country.
In the claims which follow and in the preceding description of the invention, except where the context requires otherwise due to express language or necessary implication, the word "comprise" or variations such as "comprises" or "comprising" is used in an inclusive sense, i.e. to specify the presence of the stated features but not to preclude the presence or addition of further features in various embodiments of the invention.
As shown in Figure 2, the database 16 also comprises a verification module 29 arranged to verify the location data indicative of the location of the assessment of the patient with respect to designated location data indicative of a designated location of the patient such as the patient's house address. Also, the database 16 comprises an association module 24 arranged to associate the received location data with the condition data in the database 16 with respect to the patient. As described, the carer may also be required to enter a PIN to further verify that they performed the assessment and, in this case, the database 16 comprises a carer module (not shown) arranged to receive the PIN and compare it against a stored designated PIN to verify the carer.
For example, a carer provides care to a patient at one location (e.g. the patient's house) and performs an assessment - l0 -of a condition of the patient using a communication device 12 in a form of a telephone 30A, as shown with respect to a system 28 for monitoring care of patients in Figure 2. With reference to this example, a carer performs an assessment of a patient in one location and enters condition data indicative of a condition of the patient using the patient's telephone 30A, via, for example, a keypad of the telephone 30A. Another carer, or the same carer at a later time, also performs an assessment of another patient and enters condition data indicative of a condition of the patient using this patient's telephone 30B. In this example, the network 14 is a telephone network and the telephones 30A 30B, disposed at respective locations of the patients, have telephone numbers associated therewith indicative of their respective house addresses.
Thus, received telephone numbers are used by the verification module 29 for comparison with designated patient telephone numbers to verify location of the assessment.
As described, the condition data is derived from the carers' assessment of patients by providing weighted answers to a series of designated assessment questions. The answers, such as selecting multiple choice answers having different weightings, thus indicate the condition of the patient and can be entered using the key pad of the telephones 30A 30B. For example, key "1" indicates "Yes" and key "2" indicates "No" to a question. In this way, a numerical sum value of the answers can be obtained and used for comparison against threshold values to determine whether to generate a report, or an alert, or both. For example, a regression report is outputted when a threshold value of 30% is reached, a first alert when a threshold value of 50% is reached and a second alert when a threshold value of 75% is reached. In addition, it is envisaged that the system 10 can make a comparison of condition data recorded over time for a patient and a progress or regress report of the condition of patient is also outputted based on the condition data.
Figure 2 and Figure 3 also show the database 16 being implemented in a memory 34 of a server 32. That is, the server 32 is accessible by the telephones 30A 30B, mobile phones 40A 40B, or a computer 44, over the network 14, and comprises a memory 34 implementing the database 16 and a processor 36 implementing the location module 18, condition module 20, association module 24, generation module 22, and an output module 26 arranged to output a report based on the reporting data. It will be appreciated by those persons skilled in the art that the database 32 may implemented in some other way, such as in a distributed form across a number of servers.
As shown in Figure 3, the communication device 12 comprises a mobile phone, or a computer, which carers are equipped with, or otherwise use, when assessing the patient.
The carers use the mobile phones 40A 40B and/or the computer 44 to communicate location and condition data to the database 16. In an example, the network 16 comprises a network connected to the Internet, such as Wi-Fi, 3G, ADSL, etc., and the location data comprises location coordinates of the mobile phones 40A 40B at the patients' respective location, or an IP
address of the computer 44 (or some other computer identification coordinates). As described, the mobile phones 40A 40B comprise GPS transceivers and the location coordinates comprise GPS coordinates indicating the location of the GPS
transceivers. In this way, carers using the mobile phones 40A
40B to communicate condition data in the form of weighted answers also communicate GPS coordinates for verification of the location of the assessment by the verification module 29 at the server 32. Thus, for example, the database 16 contains designated addresses for patient in the form of GPS
coordinates so that the verification module 29 can compare the received GPS coordinates with the stored GPS coordinates.
The mobile phones 40A 40B and computer 44 also comprise a processor and a memory to implement modules residing thereon.
In this case, the mobile phones 40A 40B and the computer 44 comprise an evaluation module 42A 42B 46, residing thereon, to forward the location data and the condition data to the server 32. In the embodiment shown in Figure 2, carers using the telephones 30A 30B either take with them a copy of the questions for assessing a patient or are prompted by voice commands. Alternatively, the carers are provided the questions by the respective evaluation modules of the mobile phones 40A 403 and computer 44. In any case, the database 16 comprises the questions so that the condition data an be used for reporting.
These designated questions are answered by providing weighted answers, such as selecting multiple choices of answers having different weightings, indicating the condition of the patient. An example of a series of designated questions is given below:
1. How well do you know this client?
1. Very well 2. Quite well 3. Not well 4. Not at all 2.Is there evidence today the client is eating regular meals?
Yes/No 3.Is the client walking/moving about today (as per their usual mobility skills)?
Yes/No 4. Do you have concerns today about the client's continence?
Yes/No 5. Do you have concerns today about the client's personal hygiene?
Yes/No 6. Does the client seem to be happy/willing to receive your services today?
Yes/No 7.Is the client able to understand and/or talk with you today as they usually do?
Yes/No 8.Is there evidence that the client has taken their medication today as per their service instructions?
Yes/No 9.Is the client their usual self today in terms of their mood and behaviour?
Yes/No 10. Looking at the big picture of the client's overall needs, do you have any major concerns?
Yes/No If yes, what are your major concerns? (You may select as many as you believe to be applicable.) 1. Nutrition/hydration (includes diet) 2. Mobility/falls 3. Continence/hygiene 4. Medication 5. Mental status/behaviour 6. Social/financial situation 7. Carer's health or carer's stress 8. Continue to next question 11. Based on your observations today, do you believe the client may possibly benefit from a reassessment or review?
Yes/No Thus, in use, a carer using mobile phone 40A inputs answers to these questions using the keypad (or, in some cases, touch pad) of the phone. For example, when answering the designated questions, pressing 1 on the keypad indicates "Yes", pressing 2 indicates "No", pressing 9 indicates "unknown/unsure/not applicable", and 0 allows the carer to hear the question again. Furthermore, the * key is used to navigate through the series of questions, e.g. to move back a question, and the # key provides help.
The designated questions also comprise a final question confirming whether the assessment is complete. For example, this final question is as follows:
a. Feel unsure about the client's needs and safety or b. Believe the client's condition or situation is unusual or c. Have OH&S concerns or d. Have concerns regarding possible abuse or neglect of the client?
When answering this question, the carer has the option to press 1 on the keypad to discuss these concerns directly with s the supervisor.
The generated reports comprise condition reports for the patients. These reports show progress or regress of condition and can be used for auditing purposes to demonstrate an assessment of a patient was performed and care provided. In addition, the report comprises an alert in designated situations. In particular, an alert is generated when a sum of the weighted answers with respect to a patient is determined to be greater than a threshold value. With is reference to the above questions, if, for example, the patient scores six "No's" out of the 11 questions, the sum of weighted answers is six and greater than a first report threshold of 50%. An alert is then generated and outputted in a form of an SMS to a carer to administer care to the patient and/or to a supervisor to take further action, such as increasing the frequency of assessments by carers.
Figures 5 to 8 show an example of the system 10 for monitoring care of patients, shown as clients, in use. The flow chart 100 shows the example from the perspectives of carers 106, a supervisor of the carers, shown as a case manager 102, and the communication device 12, shown as the carer's phone 104.
The flow chart 100 begins with a client (e.g. a patient) being rostered 104 for provision of care by the case manager 102 to a carer 106. The carer 106 then delivers 110 service to the client in their home and uses the carer's telephone 104 to input condition data by first dialling 112 a telephone number to access the'database and then verifying 114 the location of the carer based on the client's telephone number.
The database then identifies the client using the telephone number, as shown in Figure 6, and determines whether the client is enrolled in the care program at step 116. If the client is not enrolled, the carer is informed by the database, via the phone, at step 118 and the service is cancelled at step 136. If the client is enrolled, the carer is requested 120 to enter an ID and this is entered 122 by the carer using the telephone. The database subsequently identifies 124 the carer based on this ID, such as a stored PIN, and the carer is then presented with an option 126 of a preferred language. The carer ;_s then prompted 128 with a series of designated questions to asses the client's condition. These are entered 130 using the keypad of the carer's phone and if the carer has concerns with the client the carer can transfer 132 the call to a supervisor or case manager for discussion 134. The assessment is then completed and the call ended 136 by the carer so that the condition data is communicated 138 to the database for association with the location data.
As shown in Figure 7, the answers are weighted so that a trigger score can be calculated 140 therefrom to determine 142 whether a threshold value has been reached. In the example shown in the figure, two thresholds are utilised; a first, email alert, threshold representing a minor concern with the client's condition, and a second, SMS alert, threshold representing a major concern with the client's condition. The database determines whether an email alert threshold 142 has been reached and if so forwards 144 an alert by email to the supervisor. Alternatively, or additionally, the database determines 146 that an SMS threshold has been reached and if so sends an SMS to the supervisor. The carer is also given feedback at step 150 that the answers have been entered correctly and whether an alert has been sent.
If the supervisor has been alerted, either via SMS or email, that there is a problem with the condition of the client, the supervisor can access 152 the database using a web 1.0 interface to view reports on the condition of the client, as shown in Figure 8. The supervisor then verifies 154 his/her details for access to the database and reviews 156 the case history to determine whether the observations made by the carer of condition were accurate. Again, feedback of the supervisor's review is sent 160 to the carer. The supervisor can determine 162 an appropriate care response, such as more frequent care of the client, and this is recorded 164 in the database for future action.
Referring back to Figure 4, a method of monitoring care of a patient is summarised. The method 48 comprises electronically receiving 50 receiving location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location, electronically receiving 52 condition data indicative of a condition of the at least one patient from the communication device as at least part of the assessment, and electronically generating 54 reporting data based on the condition data and the location data for output to a user.
Further aspects of the method will be apparent from the above description of the system. Persons skilled in the art also appreciate the method could be embodied in a program code. The program code could be supplied in a number of ways, for example, on a computer readable medium, such as a disk or a memory or as a data signal or data file (for example, by transmitting it from a server).
It will be understood to persons skilled in the art of the invention that many modifications may be made without departing from the spirit and scope of the invention.
It is to be understood that, if any prior art publication is referred to herein, such reference does not constitute an admission that the publication forms a part of the common general knowledge in the art, in Australia or any other country.
In the claims which follow and in the preceding description of the invention, except where the context requires otherwise due to express language or necessary implication, the word "comprise" or variations such as "comprises" or "comprising" is used in an inclusive sense, i.e. to specify the presence of the stated features but not to preclude the presence or addition of further features in various embodiments of the invention.
Claims (24)
1. A system for monitoring care of at least one patient comprising:
a location module arranged to receive location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location;
a condition module arranged to receive condition data indicative of a condition of the at least one patient from the communication device as at least part of the assessment; and a generation module arranged to generate reporting data based on the condition data and the location data for output to a user.
a location module arranged to receive location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location;
a condition module arranged to receive condition data indicative of a condition of the at least one patient from the communication device as at least part of the assessment; and a generation module arranged to generate reporting data based on the condition data and the location data for output to a user.
2. A system as claimed in claim 1, further comprising a verification module arranged to verify the location data indicative of the location of the assessment of the at least one patient with respect to designated location data indicative of a designated location of the at least one patient.
3. A system as claimed in claim 2, wherein the communication device comprises a telephone and the location data comprises a telephone number for the telephone indicative of the location of the at least one patient.
4. A system as claimed in claim 3, wherein the designated location data comprises the telephone number indicative of the location of the at least one patient.
5. A system as claimed in claim 2, wherein the communication device comprises a mobile phone and the location data comprises location coordinates of the mobile phone indicative of the location of the at least one patient.
6. A system as claimed in claim 5, wherein the designated location data comprises the location coordinates indicative of the location of the at least one patient.
7. A system as claimed in claim 5, wherein the mobile phone comprises a GPS transceiver and the location coordinates comprise GPS coordinates indicating the location of the GPS
transceiver of the mobile phone.
transceiver of the mobile phone.
8. A system as claimed in claim 5, wherein the location coordinates comprise an indication of proximity to one or more base stations servicing the mobile phone.
9. A system as claimed in any one of claims 1 to 8, wherein the condition data comprises weighted answers to a series of designated questions indicating the condition of the at least one patient.
10. A system as claimed in claim 9, wherein the reporting data comprises an alert if a sum of the weighted answers with respect to the at least one patient is determined to be greater than a threshold value.
11. A system as claimed in any one of claim 10, wherein the alert comprises a communication to a supervisor monitoring care of the at least one patient.
12. A system as claimed in any one of claim 11, wherein the communication comprises an SMS.
13. A system as claimed in any one of claims 9 to 12, wherein the designated questions are stored in an evaluation module residing in the communication device.
14. A system as claimed in claim 13, wherein the evaluation module is arranged to communicate said weighted answers to the condition module and said location data to the location module over a network.
15. A system as claimed in any one of claims 1 to 14, further comprising a database in data communication with the communication device, the database comprising the location module, the condition module and the generation module.
16. A system as claimed in claim 15, wherein the database further comprises an association module arranged to associate said location data with said condition data in the database with respect to the at least one patient.
17. A system as claimed in claim 15, wherein the database further comprises a carer module arranged to receive identification data indicative of a user performing the assessment of the at least one patient from the communication device.
18. A system as claimed in claim 17, wherein the identification data comprises a designated PIN stored in the database.
19. A system as claimed in claim 15, wherein the database further comprises an output module arranged to output a report based on the reporting data with respect to the patient.
20. A method of monitoring care of at least one patient, the method comprising:
electronically receiving location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location;
electronically receiving condition data indicative of a condition of the at least one patient from the communication device as at least part of the assessment; and electronically generating reporting data based on the condition data and the location data for output to a user.
electronically receiving location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location;
electronically receiving condition data indicative of a condition of the at least one patient from the communication device as at least part of the assessment; and electronically generating reporting data based on the condition data and the location data for output to a user.
21. Computer program code usable to configure a server to implement a method of monitoring care of at least one patient, the server being configured to:
receive location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location over a network;
receive condition data indicative of a condition of the at least one patient from the communication device over the network as at least part of the assessment; and generate reporting data based on the condition data and the location data for output to a user.
receive location data indicative of a location of an assessment of the at least one patient from a communication device disposed at the respective location over a network;
receive condition data indicative of a condition of the at least one patient from the communication device over the network as at least part of the assessment; and generate reporting data based on the condition data and the location data for output to a user.
22. Computer program code which when executed implements the method of claim 20.
23. A computer readable medium comprising the program code of claim 22.
24. A data file comprising the program code of claim 22.
Applications Claiming Priority (2)
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| AU2011900898A AU2011900898A0 (en) | 2011-03-11 | A System and Method of Monitoring Care of Patients | |
| AU2011900898 | 2011-03-11 |
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| AU (1) | AU2012201402A1 (en) |
| CA (1) | CA2771779A1 (en) |
| GB (1) | GB2488904A (en) |
Cited By (1)
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| CN103690240A (en) * | 2013-09-16 | 2014-04-02 | 上海华美络信息技术有限公司 | Medical system |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| EP2441409A1 (en) | 2010-10-12 | 2012-04-18 | Smith&Nephew, Inc. | Medical device |
| GB2507812A (en) * | 2012-11-13 | 2014-05-14 | Healthquest Solutions Ltd | Monitoring medical activity of a patient |
| CN110141689A (en) | 2013-03-14 | 2019-08-20 | 史密夫和内修有限公司 | System and method for application decompression treatment |
| US9737649B2 (en) | 2013-03-14 | 2017-08-22 | Smith & Nephew, Inc. | Systems and methods for applying reduced pressure therapy |
| RU2016108629A (en) | 2013-08-13 | 2017-09-19 | Смит Энд Нефью, Инк. | SYSTEMS AND METHODS FOR USING LOW PRESSURE THERAPY |
| AU2015411394B2 (en) | 2015-10-07 | 2021-07-08 | Smith & Nephew, Inc. | Systems and methods for applying reduced pressure therapy |
| CA3023932A1 (en) | 2016-05-13 | 2017-11-16 | Smith & Nephew, Inc. | Automatic wound coupling detection in negative pressure wound therapy systems |
| JP7063887B2 (en) | 2016-09-29 | 2022-05-09 | スミス アンド ネフュー インコーポレイテッド | Construction and protection of components in negative pressure wound healing systems |
| US11712508B2 (en) | 2017-07-10 | 2023-08-01 | Smith & Nephew, Inc. | Systems and methods for directly interacting with communications module of wound therapy apparatus |
| GB201820668D0 (en) | 2018-12-19 | 2019-01-30 | Smith & Nephew Inc | Systems and methods for delivering prescribed wound therapy |
Family Cites Families (4)
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| US7249036B2 (en) * | 2000-07-06 | 2007-07-24 | Cary Gresham Bayne | Method for clinician house calls utilizing portable computing and communications equipment |
| US7843934B2 (en) * | 2002-01-08 | 2010-11-30 | Verizon Services Corp. | Methods and apparatus for providing emergency telephone service to IP-based telephone users |
| US8852093B2 (en) * | 2006-08-31 | 2014-10-07 | Health Hero Network, Inc. | Home care logistics and quality assurance system |
| US20080097550A1 (en) * | 2006-10-24 | 2008-04-24 | Kent Dicks | Systems and methods for remote patient monitoring and command execution |
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2012
- 2012-03-08 GB GB1204115.8A patent/GB2488904A/en not_active Withdrawn
- 2012-03-08 AU AU2012201402A patent/AU2012201402A1/en not_active Abandoned
- 2012-03-09 CA CA2771779A patent/CA2771779A1/en not_active Abandoned
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103690240A (en) * | 2013-09-16 | 2014-04-02 | 上海华美络信息技术有限公司 | Medical system |
| CN103690240B (en) * | 2013-09-16 | 2016-03-02 | 上海华美络信息技术有限公司 | A kind of medical system |
Also Published As
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|---|---|
| GB2488904A (en) | 2012-09-12 |
| GB201204115D0 (en) | 2012-04-25 |
| AU2012201402A1 (en) | 2012-09-27 |
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