Patent Issued for Intelligent touch care corresponding to a patient reporting a change in condition (USPTO 11398313): Cerner Innovation Inc.

2022 AUG 11 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- From Alexandria, Virginia, NewsRx journalists report that a patent by the inventors Brown, Georgia (Kansas City, KS, US), Brown, Stacey (Kansas City, KS, US), Farley, Sheila (Kansas City, KS, US), filed on December 31, 2018, was published online on July 26, 2022.

The patent’s assignee for patent number 11398313 is Cerner Innovation Inc. (Kansas City, Kansas, United States).

News editors obtained the following quote from the background information supplied by the inventors: “Early warning systems are often used in the clinical setting (e.g., acute care) to detect patient deterioration and drive clinical decision-making. For example, the early warning system may detect that a particular condition a patient has been diagnosed with or a particular medication the patient is being treated with makes the patient a higher risk for a particular negative outcome. Unfortunately, these systems are limited to the clinical setting and do not account for, for example, a patient in a community care setting (e.g., in person visit in the community, in person visit at a clinic, clinical video visit, telephonic assessment or follow-up, electronic assessment via a patient portal or a voice system, upstream transition to a higher level of care setting, or a referral for an outside service such as transportation, meal service, or behavioral health evaluation). Moreover, these systems fail to consider additional patient information that is particularly relevant outside of a clinical facility (e.g., social determinant of health risk factors such as transportation limitations or food insecurity). This results in overlooked risk factors for the patient that increases the risk of deterioration or an acute event, resulting in an overall increase in health care costs.

“Various touch points may be needed based on the needs of a particular patient in a community care setting. For example, based on demographics corresponding to the patient, a particular condition the patient has been diagnosed with or the particular medication the patient is being treated with, or other factors, the patient may need follow-ups at particular time intervals. However, in the community care setting, in-person follow-ups are not always needed and are over-utilized which results in inefficient workforce management and fewer patient touch points. This results in unnecessary or missed touch points, unnecessary in-person appointments, and an overall increase in health care costs.”

As a supplement to the background information on this patent, NewsRx correspondents also obtained the inventors’ summary information for this patent: “This summary is provided to introduce a selection of concepts in a simplified form that are further described below in the Detailed Description. This summary is not intended to identify key features or essential features of the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the claimed subject matter.

“Embodiments of the present disclosure relate to systems, methods, and user interfaces for providing intelligent touch care. More particularly, embodiments of the present disclosure utilizes contributing data elements in a community early warning score (CEWS) to predict touchpoint discipline and to recommend frequency, modality, and upstream transitions of care and outside service referrals for a patient in a community care setting. In response to a touch point (e.g., a change in condition or medication, a scheduled or unscheduled appointment, or a patient question), the CEWS can be utilized along with data in an EHR of a patient, data from a patient device, or data from a patient portal to initiate a follow-up (e.g., personal health question or encounter).

“Notification tools and scheduling functionality are provided via a user interface of the patient device to improve clinical workforce capacity, increase the number of patient touches, and encourage heightened patient engagement. Moreover, the ability to capture dynamic rising risk provides clinical insight into changing risk outside of the controlled environment of a clinical facility. Overall, outcomes for the patient can be improved, touch points can be increased, and unnecessary in-person appointments and overall health care costs can be reduced.”

The claims supplied by the inventors are:

“1. One or more computer storage media having computer-executable instructions embodied thereon that, when executed by a computer, causes the computer to perform operations, the operations comprising: receiving, at a mobile device, a touch point indicating a patient in a community care setting has a change in a condition to report to a clinician; in response to the touch point, automatically communicating data corresponding to the touch point to an electronic health record (EHR) for the patient; dynamically crawling data in the EHR for the patient, the data including a community early warning score (CEWS); and based on the touch point and the data in the EHR, initiating, at the mobile device, a follow-up with the clinician, the follow-up comprising a telephone clinical assessment.

“2. The media of claim 1, further comprising, upon completing the telephone clinical assessment, determining a second follow-up is needed.

“3. The media of claim 2, wherein the second follow-up comprises a video visit.

“4. The media of claim 3, initiating the video visit between the patient and the clinician.

“5. The media of claim 4, providing a recommendation to the clinician performing the video visit to address the change in the condition of the patient.

“6. The media of claim 5, further comprising scheduling a third follow-up, the third follow-up being a second video visit.

“7. The media of claim 6, further comprising, upon the clinician performing the second video visit, determining whether the change in the condition of the patient has been resolved.

“8. The media of claim 7, further comprising, upon determining the change in the condition of the patient has been resolved, generating a second touch point indicating the change in the condition of the patient has been resolved.

“9. The media of claim 7, further comprising, upon determining the change in the condition of the patient has not been resolved, scheduling a fourth follow-up, the fourth follow-up being an in-person visit.

“10. The media of claim 9, further comprising receiving an indication a new order has been provided for the patient.

“11. The media of claim 10, further comprising triggering a fifth follow-up, the fifth follow-up being an electronic assessment to be completed by the patient.

“12. The media of claim 11, further comprising determining whether an issue corresponding to the change in the condition of the patient has been resolved.

“13. The media of claim 12, further comprising, upon determining the issue corresponding to the change in the condition of the patient has been resolved, generating a second touch point indicating the change in the condition of the patient has been resolved.

“14. The media of claim 12, further comprising upon determining the issue corresponding to the change in the condition of the patient has not been resolved, scheduling a fifth follow-up, the fifth follow-up comprising a video visit, an in-person visit, or a clinician visit.

“15. The media of claim 14, further comprising generating a second touch point for the patient, the second touch point scheduling the fifth follow-up.

“16. A computerized method comprising: receiving, at a mobile device, a touch point indicating a patient in a community care setting has a change in a condition to report to a clinician; in response to the touch point, automatically communicating data corresponding to the touch point to an electronic health record (EHR) for the patient; dynamically crawling data in the EHR for the patient, the data including a community early warning score (CEWS); based on the touch point and the data in the EHR, initiating, at the mobile device, a follow-up with the clinician comprising initiating a telephone clinical assessment; upon receiving an indication the telephone clinical assessment is completed, determining a second follow-up comprising a video visit is needed; initiating the video visit between the patient and the clinician; and providing a recommendation to the clinician performing the video visit to address the change in the condition of the patient.

“17. The method of claim 16, further comprising: scheduling a third follow-up, the third follow-up being a second video visit; upon the clinician performing the second video visit, determining whether the change in the condition of the patient has been resolved; upon determining the change in the condition of the patient has been resolved, generating a second touch point indicating the change in the condition of the patient has been resolved; upon determining the change in the condition of the patient has not been resolved, scheduling a fourth follow-up, the fourth follow-up being an in-person visit; receiving an indication a new order has been provided for the patient; triggering a fifth follow-up, the fifth follow-up being an electronic assessment to be completed by the patient; and determining whether an issue corresponding to the change in the condition of the patient has been resolved.

“18. The method of claim 17, further comprising: upon determining the issue corresponding to the change in the condition of the patient has been resolved, generating a second touch point indicating the changed in the condition of the patient has been resolved; or upon determining the issue corresponding to the change in the condition of the patient has not been resolved, scheduling a fifth follow-up, the fifth follow-up comprising a video visit, an in-person visit, or a clinician visit.

“19. The method of claim 17, further comprising generating a second touch point for the patient, the second touch point scheduling the fifth follow-up.

“20. A system comprising: a processor; and a computer storage medium storing computer-usable instructions that, when used by the processor, cause the processor to: receive, at a mobile device, a touch point indicating a patient in a community care setting has a change in a condition to report to a clinician; in response to the touch point, automatically communicate data corresponding to the touch point to an electronic health record (EHR) for the patient; dynamically crawl data in the EHR for the patient, the data including a community early warning score (CEWS); based on the touch point and the data in the EHR, initiate, at the mobile device, a follow-up with the clinician comprising initiating a telephone clinical assessment; upon receiving an indication the telephone clinical assessment is completed, determine a second follow-up comprising a video visit is needed; initiate the video visit between the patient and the clinician; and provide a recommendation to the clinician performing the video visit to address the change in the condition of the patient.”

For additional information on this patent, see: Brown, Georgia. Intelligent touch care corresponding to a patient reporting a change in condition. U.S. Patent Number 11398313, filed December 31, 2018, and published online on July 26, 2022. Patent URL: http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PALL&p=1&u=%2Fnetahtml%2FPTO%2Fsrchnum.htm&r=1&f=G&l=50&s1=11398313.PN.&OS=PN/11398313RS=PN/11398313

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