WO2009005372A1 - Surveillance de données de soins de santé - Google Patents

Surveillance de données de soins de santé Download PDF

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Publication number
WO2009005372A1
WO2009005372A1 PCT/NZ2008/000154 NZ2008000154W WO2009005372A1 WO 2009005372 A1 WO2009005372 A1 WO 2009005372A1 NZ 2008000154 W NZ2008000154 W NZ 2008000154W WO 2009005372 A1 WO2009005372 A1 WO 2009005372A1
Authority
WO
WIPO (PCT)
Prior art keywords
data
queries
patient
subset
received
Prior art date
Application number
PCT/NZ2008/000154
Other languages
English (en)
Inventor
Desmond Hamilton Adams
Original Assignee
U Learn N' Care Limited
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by U Learn N' Care Limited filed Critical U Learn N' Care Limited
Publication of WO2009005372A1 publication Critical patent/WO2009005372A1/fr

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Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • 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
    • 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
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • 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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients

Definitions

  • the present invention relates to methods, apparatus and systems for gathering and representing health data, particularly data relating to the health of a patient when receiving medicinal or other forms of treatment.
  • an apparatus for gathering and/or representing health data including means for receiving data; means for processing at least a subset of the data; and means for displaying at least a subset of the data.
  • the means for receiving preferably includes input means for enabling entry of the data. Additionally or alternatively, data may be remotely entered, with the means for receiving configured to receive the data via wired and/or wireless communication means.
  • the input means is adapted to enable a user to enter a condition of a patient
  • the apparatus includes or is communicatively couplable to a memory, said memory having stored therein health-related questions, and wherein the apparatus is configured to selectively prompt the user to respond to at least a subset of the questions, said at least a subset being based on the entered condition of the patient.
  • the memory may be integral to the apparatus or in communication therewith, such as via the internet.
  • the apparatus includes means for associating a portion of the information with a unique identifier such as an NHI or social security number so that the data may be associated with a particular patient.
  • a unique identifier such as an NHI or social security number
  • responses to the questions may be provided via the input means.
  • the apparatus includes means for transmitting at least a subset of the data so as to enable access at locations remote from the apparatus.
  • the means for transmitting is communicatively couplable to the internet, although other communication means or mediums are also within the scope of the invention.
  • the means for processing is operable to analyse and/or format the data for display by the means for displaying. For example, responses for a plurality of patients to the same question may be correlated. Additionally or alternatively, multiple responses by the same patient to the same question at different times may be processed to provide for concurrent display and/or comparisons therebetween.
  • a system for gathering and/or representing health data includes one or more apparatus according to the first aspect; a remote station; and wired and/or wireless communication means for transferring information between each apparatus and the remote station.
  • the remote station includes or is configured to act as a server although the invention is not limited thereto.
  • other suitably enabled computing devices may be configured to perform the same function.
  • the communication means is configured to transfer the information via the internet.
  • a method of gathering and/or representing health data includes receiving data; processing at least a subset of the data; and displaying at least a subset of the data.
  • the step of receiving the data may includes entering the data via input means such as a keyboard and/or wired and/or wirelessly receiving the data from a remote source.
  • the method includes displaying one or more health-related questions to a user, wherein said questions may be selected from a pool of questions at least in part based on a condition of a patient.
  • the method includes associating a portion of the information with a unique identifier such as an NHI or social security number so that the data for a particular patient may be associated therewith.
  • the method includes transmitting at least a subset of the data so as to enable access at remote locations.
  • the step of processing includes analysing and/or formatting the data for display.
  • Figure 1 is a schematic diagram of a system according to an embodiment of the invention.
  • Figure 2 is a diagrammatic representation of a system according to an embodiment of the invention.
  • the inventor has recognised the problem that medicine management processes are unable to work without input from all sectors involved in the provision of health services and that information obtained from a large number of patients is required to improve the health outcome for any one particular patient, through improved health status and/or quality of life, and to contain healthcare costs.
  • the present invention provides health care providers with an interactive and collaborative environment that empowers the patient to improve their quality of life and lifestyle.
  • Preferred embodiments of the invention involve participation by pharmacists but the invention is not limited thereto.
  • Pharmacists have considerable knowledge of drugs which has not hitherto been exploited to anywhere near its potential.
  • the invention provides a collaborative network amongst general practitioners (GP's) and other primary health care providers, patients and pharmacists, preferably through use of a web-based tool.
  • GP general practitioners
  • patients and pharmacists preferably through use of a web-based tool.
  • at least a subset of patients which may be receiving medical care make use of a formalised procedure to report on the treatment that they are receiving.
  • this involves responding to a number of questions which may be targeted depending on the treatment being received.
  • a patient may directly provide the information.
  • a pharmacist acts as an intermediary so as to provide clarification to the patient and also to ensure that information is entered in a more objective and standardised manner.
  • embodiments of the invention are preferably implemented in pharmacies making use of suitably enabled computing devices which guide a user through a questionnaire.
  • the invention provides for the recordal and communication of a patient's perception of their health as opposed to just the clinical data available to a GP.
  • patient care can be improved by providing GP's with additional information on their patients and enabling pharmacists to identify where medication may need modifying.
  • the invention provides an invaluable tool in identifying any trends related to particular medicaments or combinations of medicaments. This is facilitated by a user interface which may be configured so as to chart particular types of data as will become more apparent herein below. This effectively empowers patients and ushers them to take greater responsibility for their own health.
  • the invention includes a number of discrete modules which are referred to herein as Questionnaires Management, Graphing/Graph Access, Registration and Hierarchies, Appointment Diary and Administration Area.
  • the Questionnaires Management module of the invention allows administrating personnel, preferably via a web or internet portal, to administer existing questions, add new questions within a questionnaire, define scores against a question within a questionnaire, and add/update/delete questionnaires.
  • the Graphing/Graph Access module facilitates the generation of graphs from all or a subset of the completed questionnaires.
  • the graphs may be made available to all users involved in the system (including patients through to health boards and pharmaceutical companies) but preferably, access rights are defined to limit the information which may be viewed by each entity or category of user within the system. For example, a patient may only be permitted to view their own data, a GP may only be permitted to view information for their own patients or a pharmaceutical company may only be permitted to view information relating to their own drugs.
  • the types of information to be displayed to different users may also be set according to access rights. For example, only the patient, the pharmacist, and the GP to which the patient is registered may be able to view that patient's personal details.
  • the graphs outline the scores from multiple questionnaires, both for an individual as multiple questionnaires are completed over time and for a collective group of patients.
  • the Registration and Hierarchies module enables an administrator of the system to add new entities to the system and to set their access rights. Any entity within a health system may be provided with access, however, in view of the sensitive nature of the information, strict controls must be in place to control who has access and what each entity may be allowed to access.
  • Example entities include DHB's (District Health Boards), PHO's (Primary Health Organisations), Pharmacies, GP's and the patients themselves.
  • DHB's are permitted to view the statistics, graphs and figures gathered from both single and collective PHO's, with the possibility of statically viewing figures/graphs based on information gathered from GP's.
  • Information may be provided to GP's via email, in which case they may be alerted to check their email once they are logged on to the system if a message has been sent.
  • GP's are also preferably able to statically view figures/graphs, based on information gathered from pharmacies.
  • the pharmacies are preferably responsible for gathering at least a sizeable proportion of the data by prompting patients to participate in undertaking the questionnaires.
  • pharmacists preferably handle registration of patients, including associating a patient with an identifier (e.g. an NHI number or social security number) and defining their particular medical condition. Provision may be made to enable a patient to add their own notes. Patients are then assigned to registered GP's in the system and information gathered through completion of the questionnaires. Results for an individual patient or a group/collective may be viewed, preferably limited to those responding to the same questionnaire (and hence with a similar condition) so that like data may be compared. Patients may be scheduled for their next questionnaire participation and referral notes sent to GP's. If a particular GP was unknown to the system, the information generated may be printed and delivered according to more conventional means.
  • embodiments of the invention preferably rely on a hierarchy through which information is passed, with different layers within the hierarchy preferably serving different functions and provided with different access rights to the generation or recordal and viewing of information.
  • the Appointment Diary module ensures that patients are appropriately scheduled for their next review.
  • Reminders may be generated, such as automatically generated email reminders, with default prior warning times able to be set at the pharmacies, or wherever else the questionnaires may be completed.
  • the invention is preferably enabled using a web-based interface, there is no limitation on where it may be implemented. Hence the participation of pharmacists within the system is not essential. For example, patients may complete questionnaires at their homes. Also, patients may be flagged for attention if they miss an appointment. More particularly, the appointment diary may be used as an audit tool to keep a record of which users/patients have been providing information.
  • means are provided for recording the time taken for a patient to respond to a questionnaire. This may be performed for information purposes to ascertain whether the time taken is too long and that perhaps the process needs simplifying. Additionally or alternatively, particularly where a third party such as a pharmacist is involved in aiding a patient through a questionnaire, the time may be recorded to serve as a basis of payment thereto by parties receiving the information.
  • the Administration Area module preferably serves to generate statistical reports, preferably through grouping together patients that belong to a particular demographic, chronic disease, age group, sex, health status, etc. Graphs may be generated at different user levels. Additional registration functionality may also be performed by this module such as allowing registration of members on to the portal (e.g. DHB's, PHO's, Pharmacies, GP's, etc) and/or setup and maintenance of questionnaires.
  • the portal e.g. DHB's, PHO's, Pharmacies, GP's, etc
  • means are preferably provided to enable the analysis and/or viewing of results for a selected subset of questions for a single patient.
  • data from each occasion may be collated and viewed at the same time, such as to show how a patient's condition has changed over time.
  • the alternative to this is relying on a patient's recollection, which, once some time has passed, may not accurately reflect the historical situation.
  • This feature is preferably made available to all users of the invention, such as through the web-based portal of the invention, although the amount or type of information provided may be restricted for particular users as set by access rights.
  • entities such as DHB's are provided with means for displaying a list of at least a subset of currently registered patients falling within that DHB.
  • patient identification details are not accessible.
  • basic demographic information e.g. age within a range, area in which they live, etc
  • the DHB can select a particular NHI number (patient), such as through use of a web-based interface, and then view that patient's responses to a questionnaire, allowing the DHB to populate, data match and compare health risks and needs by individual NHI.
  • some other unique identifier may be used to avoid use or dissemination of an identifier directly associated with a patient.
  • a generator may generate an identifier for each new user that is stored in a secure database, with each identifier linked to a patient such as via their NHI number. This provides another layer of security.
  • PHO's may be provided, preferably through a web-based interface, with an option to view data for individual patients under the care of that PHO.
  • Other members of a health system may also be able to view such information, although the extent of access may be more or less restricted. For example, an individual's access may be limited in that they are only permitted to view their own results, but at the same time, their access rights may be broader than some other members of the system in that they are able to access all of their own personal details.
  • additional data such as the mean results for all patients having responded to the same questionnaire, may be selectively concurrently viewed, such as by display of an additional graph or the display of an additional line on the same graph.
  • the overall results for a particular questionnaire may be displayed, with the user interface operable to enable a user to select and limit display to a subset of questions, including a single question.
  • results of multiple questionnaires may be displayed as an individual chart for each question, with the response score for the question versus time.
  • means are preferably provided for assimilating existing DHB forms into embodiments of the invention. More particularly, means are preferably provided for digitising current medicine review forms and integrating these into the system.
  • information for that patient may be passed to a particular selected DHB.
  • Such forms may include MUR (Medicine Use Review) Care Plan, MTA (Medicines Therapy Assessment) or CMM (Comprehensive Medicines Management) Care Plan Quarterly Report (PDF), or Pharmacist Health Education Services - Quarterly Monitoring Report.
  • the digitisation process may be divided into two phases.
  • the first phase involves digitizing of the forms and electronically storing them, such as at a server.
  • the current basic information gathered from the patient is preferably accessible in its original form allowing patients, and others, to view the information at any time.
  • a user may view the forms together with an indication as to whether the forms have been completed.
  • the details can then be edited such as through use of a suitably enabled computing device.
  • Tagging of information is preferably performed using the unique patient identifier such as an NHI number. Access rights may be controlled so that only certain users may modify information while a larger sub-group may view the information.
  • the second phase involves passing or transferring the information elsewhere in the system, such as to the DHB's.
  • FIG. 1 is a schematic diagram of a system, generally marked 10, according to an embodiment of the present invention.
  • System 10 includes server 11 and terminals 12, communicatively coupled via communications interface 13 (e.g. the internet).
  • communications interface 13 e.g. the internet.
  • the invention is not limited to the transfer of data via the internet and it is intended that all alternatives which would be apparent to one of skill in the art are also included within the scope of the invention.
  • dedicated links or virtual dedicated links may be provided between various terminals in system 10.
  • Terminals 12 may be placed at any point in a health care system.
  • terminals 12 are at least provided within pharmacies, GP and other primary healthcare practices, and DHB's. Patients themselves may also have a terminal 12 or access thereto.
  • all information entered into the system is stored at server 11 or at a memory associated therewith. Note that the invention does not preclude the storage of information locally. For example, a pharmacy may locally store information for all patients registered with that pharmacy.
  • Server 11 may be managed and in the control of a third party or alternatively may be incorporated in the computing system of one of the entities within system 10.
  • each DHB may control and manage their own server for all patients registered therewith.
  • Figure 2 shows a flow chart of a method according to an embodiment of the invention.
  • the example shows a pharmacy as the user of the system but it should be noted that the invention is not limited to use by pharmacies.
  • An operator at the pharmacy may access the homepage of the invention through their terminal.
  • the user is first requested to log in and is then presented with a main menu.
  • the pharmacy selects MRS (Medicine Review Services) on the toolbar and is presented with DHB forms, which may be stored on the server. Only forms that are relevant to the DHB which the pharmacy is registered under are preferably presented.
  • MRS Medical Review Services
  • the pharmacy either registers a patient or selects MRS service criteria.
  • the pharmacy is then able to complete general health and chronic condition questionnaires and/or is able to go to MRS services to complete MUR questionnaires.
  • Pre-populated digitised MUR care plan forms are presented and the pharmacy is prompted to complete the MUR questionnaire before completing the MUR care plan forms.
  • the pharmacy then completes the Complete Care Plan which is submitted and archived on the server.
  • the patient's GP is notified manually or automatically, by means which may include email and/or fax and/or via internet or intranet interface.
  • the GP registration form is in the form of an edi (Electronic Data Interchange) file or otherwise configured such that information is structured to facilitate it being exchanged electronically between different computer systems.
  • terminals at pharmacies may communicate with a GP's terminal via the network of the invention.
  • Users at pharmacies engage with their patients through the MUR Care Plan process which involves various steps concluded by a report form page.
  • Users may have the option of sending the report form to the patient's respective GP.
  • the user may be provided with an immediate notification that the message has been sent.
  • the report form will include a time stamp of the last time the GP was messaged through the system of the invention for the current patient undertaking the consultation.
  • a record may be kept of sent messages and message receipt acknowledgements so as to keep track of the history of information exchange.
  • the GP can log in, such as via the internet, to access their patient's graphs and MUR Care Plan results.
  • the GP is preferably only able to view the graphs and MUR Care Plan results.
  • the patients are also able to log in via the internet to view their own results.
  • the DHB's can log in to the system and view patient MUR questionnaire results under NHI and/or Patient Record Number.
  • Automated DHB quarterly reports, per pharmacy, are available and pre-populated with details which may include reporting period, Claimant
  • Crystal Reports or the like may be available from a web database.
  • the reports may be for demographics per DHB, PHO, GP, and/or pharmacy. For example, ethnicity vs. drug group adherence issues, monetary value of unused medicines, specific drug group causing adherence problems vs. monetary value etc.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Business, Economics & Management (AREA)
  • Public Health (AREA)
  • Primary Health Care (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Strategic Management (AREA)
  • Human Resources & Organizations (AREA)
  • Biomedical Technology (AREA)
  • Entrepreneurship & Innovation (AREA)
  • General Business, Economics & Management (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Operations Research (AREA)
  • Marketing (AREA)
  • Economics (AREA)
  • Quality & Reliability (AREA)
  • Physics & Mathematics (AREA)
  • Data Mining & Analysis (AREA)
  • Tourism & Hospitality (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

L'invention concerne un appareil pour recueillir et/ou représenter des données de santé. L'appareil comprend des moyens pour inciter un utilisateur à répondre à une ou plusieurs questions relatives aux soins de santé, lesdites une ou plusieurs questions pouvant être sélectionnées à partir d'une mémoire contenant une pluralité de questions relatives aux soins de santé; des moyens de réception de données en réponse aux questions; et des moyens de traitement d'au moins un sous-ensemble des données reçues. L'invention fournit également des systèmes et des procédés correspondants.
PCT/NZ2008/000154 2007-06-29 2008-06-27 Surveillance de données de soins de santé WO2009005372A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
NZ556294 2007-06-29
NZ55629407 2007-06-29
NZ564227 2007-12-11
NZ56422707 2007-12-11

Publications (1)

Publication Number Publication Date
WO2009005372A1 true WO2009005372A1 (fr) 2009-01-08

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PCT/NZ2008/000154 WO2009005372A1 (fr) 2007-06-29 2008-06-27 Surveillance de données de soins de santé

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WO (1) WO2009005372A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7970865B2 (en) 2009-04-30 2011-06-28 International Business Machines Corporation Data retrieval method and system
US20210375411A1 (en) * 2020-05-26 2021-12-02 Nneka Obiajulu Sederstrom Digital advance healthcare directive management

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000052604A1 (fr) * 1999-03-05 2000-09-08 Stayhealty. Com Systeme et procede de surveillance et de conseils en ligne pour la sante
JP2001325360A (ja) * 2000-05-18 2001-11-22 Higashi Nihon Medicom Kk 電子薬歴管理システム
US20020019746A1 (en) * 2000-03-16 2002-02-14 Rienhoff Hugh Y. Aggregating persons with a select profile for further medical characterization
EP1736925A1 (fr) * 2005-06-13 2006-12-27 Linax Holdings Ltd., Livret de santé électronique

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000052604A1 (fr) * 1999-03-05 2000-09-08 Stayhealty. Com Systeme et procede de surveillance et de conseils en ligne pour la sante
US20020019746A1 (en) * 2000-03-16 2002-02-14 Rienhoff Hugh Y. Aggregating persons with a select profile for further medical characterization
US20030208454A1 (en) * 2000-03-16 2003-11-06 Rienhoff Hugh Y. Method and system for populating a database for further medical characterization
JP2001325360A (ja) * 2000-05-18 2001-11-22 Higashi Nihon Medicom Kk 電子薬歴管理システム
EP1736925A1 (fr) * 2005-06-13 2006-12-27 Linax Holdings Ltd., Livret de santé électronique

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7970865B2 (en) 2009-04-30 2011-06-28 International Business Machines Corporation Data retrieval method and system
US20210375411A1 (en) * 2020-05-26 2021-12-02 Nneka Obiajulu Sederstrom Digital advance healthcare directive management

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