137 results about "Care plan" patented technology

A system and method are provided for automatically developing and implementing, a comprehensive customized care plan for a patient, to address all of the patient medical and non-medical (e.g., social, quality-of-life, personal) needs, utilizing a wide variety of information: both gathered both personally from a patient by a medical professional and also collected automatically by one or more telemedicine systems. The system and method of the present invention also continually re-assess and dynamically modify the comprehensive care plan, and additionally enable a wide variety of services and benefits to be made available to the patients in a manner automatically customized for their specific needs, with the offered services and benefits being dynamically adjusted as the patient needs change or evolve. In addition, the inventive system provides platform-independent capabilities so that diagnostic systems and devices from various vendors may be freely mixed to provide patients with customized diagnostic monitoring at the lowest possible cost.

A system and method for the efficient administration of health care plans, particularly as to the reduction and/or elimination of avoidable medical costs for select individuals who participate in the plan, is disclosed. Existing health care data is processed to determine an indication as to the relative desirability of an intervention in a plan participant's health care regimen. The data is also processed to determine the status of one or more flags, each of which potentially indicates the relative desirability of an intervention in a plan participant's health care regimen. A predictive model is used to determine the status of a flag relating to the likelihood of an insurance plan participant making a disability claim within a certain period of time. The information relating to desirability of an intervention in a plan participant's health care regimen, as well as a plan participant's medical information and claim history, is presented to case managers and/or health care providers in a user-friendly format

Certain embodiments provide systems and methods for providing personalized, interconnected digital health services. Certain embodiments provide a digital health services system. The system includes an access portal providing access to health information for a patient from a plurality of clinical data sources. The system also includes a shared registry and repository storing information from the plurality of clinical data sources for interconnection and access via the access portal. The system further includes digital health information and services generating a personalized care plan for the patient based on health information from the shared registry and repository in conjunction with one or more rules applied to the health information to match the care plan with the health information for the patient and to track patient outcomes based upon compliance with the recommended care plan.

A smart bed apparatus adapted to retain a patient and a smart bed system are disclosed herein. The smart bed apparatus includes a plurality of output devices, a smart bed computer operatively connected to the output devices, and a care plan stored on the smart bed computer. The smart bed computer is adapted to control one or more of the plurality of output devices in response to the care plan such that the patient is automatically cared for. The smart bed system includes a remotely accessible server such that one or more remotely located caregivers can control one of the plurality of output devices from a remote location in order to care for the patent.

A method and system for managing customer service processes for individual customers and populations of customers. In a specific embodiment within the health care field, a clinician creates or updates a draft care plan for a patient using generic or locally-adapted template metadata and tailors the draft care plan to the particular patient. The draft care plan includes a list of specific services (health care interventions) to be provided to the patient. The draft care plan can be routed to members of an inter-disciplinary team for input. Once finalized, workflow processes are instantiated for each intervention on the care plan. An itinerary is created for any required patient encounters, optimized using an algorithm that considers pre-existing process instances. A workflow automation server manages the execution of each workflow process instance, invoking resources according to workflow process specification metadata and workflow task type metadata. Care plans and encounter itineraries are automatically translated to a patient-understandable form and made available to patients online and via printed copy. Clinical practice and outcomes data are analyzed to identify opportunities for improvement of the metadata. The method and system also allows for the selection of a population of patients, the analysis of population data to identify opportunities for interventions (needed services), and the initiation of population interventions through batch updates to individual care plans.

Embodiments presented herein describe techniques for administering a care plan that describes an overall treatment regimen for a patient. Embodiments include receiving a care plan specifying a plurality of assigned tasks for the patient to perform, timing information specifying when each of the plurality of assigned tasks should be performed, and a plurality of observation metrics that each indicate a type of biometric data to monitor. At least one monitoring device available to collect biometric data to compare against observation metrics specified in the care plan is identified. Biometric data is collected using the at least one monitoring device. Embodiments further include, upon determining that the collected biometric data satisfies at least one threshold condition specified in the care plan, initiating at least one treatment plan specified in the care plan and corresponding to the satisfied at least one threshold value.

In a system and method for estimating medical costs under at least one health plan, one or more user devices provide user health data entered by one or more users to a processor, and the processor provides estimated health plan cost data to the user device(s) to enable the user(s) to compare the costs and benefits of various health plan options available to the user(s). The processor includes an administrative module for receiving user account data and health plan data entered by an administrator; a calculation module for providing estimated cost data based upon the user health data; a user module for generating the estimated health plan cost data based upon the user health data, user account data, health plan data and estimated cost data and providing the estimated health plan cost data to the user device; and a database for storing the estimated health plan cost data, user health data, user account data, health plan data and estimated cost data. The user health data may include medical condition data, prescription data, prescription cost saving option data, healthcare provider selection data, historical user data, expected medical procedure data and/or expected durable medical equipment data. The user module calculates the estimated health plan cost data by adding all estimated cost data corresponding to the user health data and applying the health plan data and user account data to determine expected costs to the user under each health plan option available to the user. The user module may further calculate a recommended contribution to a flexible spending account or health savings account based upon the estimated health plan cost data and a tax savings amount associated with the recommended contribution to the flexible spending account or health savings account using income and tax status data provided by the user.

The present invention provides a system and method for measuring the relative economic benefits from services offered by health care plans. The present invention quantifies value of health care quality by indicating an economic return on the investment in health care quality, enabling organizations and businesses to view health care quality in a familiar paradigm that extends health plan differentiation beyond premium and benefits. Businesses may employ the present invention to compare different health care plans or classes of plans, such as accredited versus non-accredited plans. Specifically, a particular plan or class of plans may provide improved monitoring, treatment and control of various medical conditions, and the present invention quantifies the economic benefits to employers from the improved health care for employees. In one embodiment, the present invention looks to a set of specific medical conditions and is based on three key steps. First, the present invention identifies the overall level of employees at the organization affected by these conditions. Second, the present invention uses the reduction in absenteeism and low productivity days made possible by improved monitoring and control of the medical conditions. Third, the present invention calculates a monetary valuation to the firm of the reduction in absenteeism and low productivity days based on the firm's average revenue per employee, average daily wage, and other parameters.

A method comprises the steps of: receiving, at a host computer, a request from a purchaser for payment authorization for a charge for an item; determining whether said item qualifies for payment of a discounted amount of the item charge; receiving at the host computer a request from a provider for payment of the item charge; identifying a funding source of the purchaser from which to draw funds for payment of the item charge; and causing the funding source to be debited for at least a portion of the discounted amount of the item charge based on the payment authorization.

Methods and apparatuses to assist a user in the performance of a plurality of tasks are provided. The method may comprise storing at least one care plan in a voice assistant, the care plan defining a plurality of tasks to be performed, capturing speech input from the user, determining, from the speech input, a selected interaction with a care plan, and in response to the selected interaction, providing a speech dialog with the user reflective of the care plan. Alternatively, the method may comprise capturing speech input from a user, determining from the speech input, a first weight associated with a resident, associating the first weight with a care plan in turn associated with the resident, comparing the first weight to a second weight associated with the resident and the care plan, and providing a speech dialog regarding reweighting the resident based on the comparison.

A patient treatment planning system includes at least one repository of medical information of a plurality of different patients. A data processor acquires patient data from the at least one repository for presentation in a user interface display and storing patient data acquired into the at least one repository. A user interface initiates generation of data representing a composite display image presenting patient data acquired from the at least one repository using the data processor, the composite display image enabling user initiation of execution of a plurality of different executable applications by the data processor including, a care planning application and a medication administration scheduling application. In response to user entry of data scheduling a care plan event for a particular patient, the care planning application automatically initiates medication conflict checking in response to scheduling the medication administration for the particular patient and the care planning application automatically conveying data identifying the care plan event and associated context data to the medication administration scheduling application for population of a medication administration schedule for display by the user interface.

A method of purchasing products and services utilizes a service provider system. The service provider system offers products for sale through the service provider system directly, and also through associated merchants that are authorized to be associated with the service provider system. Members are enrolled in the service provider system. Points are awarded to members for purchases of products through the service provider system and the associated merchants. Points utilized by members, through the service provider system or associated merchants, are tax free for federal income tax purposes when the points are applied for, (i) health related products and services, (ii) payment of health insurance premiums, (iii) deposit into a Health Savings Account or a similarly approved account, and purchase of a (iv)health care plan.

Disclosed herein is an invention that is a medical treatment method for diabetes, its comorbidities and its complications where their treatment requires lifestyle modification. The invention changes or alters lifestyle by identifying what is valuable or harmful to the health-related determinants of the pattern-of-life of a person, modifying the such determinants of health of the person as the person navigates their pattern of life, applying the resulting insights to modify the lifestyle of the person, promoting and improving therapy adherence and compliance and thereby improving the health of the person. The method is intended to prevent diabetes, to increase the early detection of diabetes, to diagnose diabetes, to delay the progression of diabetes, to reduce the severity of diabetes and to operationalize the insights from lifestyle modification through disease risk assessment, medical decision-making, comprehensive care plan management and patient outreach, engagement and retention in the care plan.

A computer-implemented method and system to facilitate a purchase. A request for payment for a charge by a provider to a customer having a plurality of accounts is received at a host computer. At least one of the accounts qualifies for pre-tax treatment and at least one account does not qualify for pre-tax treatment. A hold is placed on funds in one or more of the plurality of accounts sufficient to cover the charge. The host determines whether the charge qualifies for pre-tax treatment. If the charge qualifies for pre-tax treatment, then at least the account qualifying for pre-tax treatment is debited for some or all of the charge.

Embodiments presented herein describe techniques for generating a care plan tailored for an individual. According to one embodiment of the present disclosure, a care platform receives a selection of one or more care protocol templates to assign to a patient. Each care protocol template is associated with a medical condition to be treated. The care platform generates tasks to be performed by the patient, observation metrics specifying types of patient biometrics to monitor, and thresholds associated with each selection. The care platform receives one or more customizations to the tasks, observation metrics, and thresholds and determines whether any of the tasks or the customizations to the tasks conflict with one another. Upon identifying one or more conflicts, the conflicts are resolved based on specified rules associated with each conflicting task. The care plan is generated based on the observation metrics, thresholds, customizations, and resolved tasks.

Embodiments presented herein provide a dynamically adaptive care plan. More specifically, embodiments presented herein describe techniques for modifying a care plan assigned to a patient based on data observed from the patient. According to one embodiment of the present disclosure, data corresponding to one or more types of biometric data for the patient is received. One or more reported symptoms for the patient is received. The care plan includes one or more conditions corresponding to the one or more reported symptoms. Upon determining that at least one of the received data satisfy at least one of the biometric thresholds and the one or more reported symptoms satisfy at least one of the conditions, an event rule for modifying the care plan is identified. The care plan is modified based on the event rule.

A software method of determining and treating psychiatric disorders by prompting a user is disclosed. The method includes the steps of defining the decline; assessing potential contributing factors leading to the decline; connecting the potential contributing factors to the decline; diagnosing the decline; addressing the decline and identifying potential contributing factors, and developing a care plan; ensuring adequate management of medical and medication factors; and addressing psychotropic management.

A method and system for improving care and reducing adverse events and cost by identifying patent care opportunities and integrating them directly into electronic hospital records and the provider's routine workflow. The invention enables clinicians, care managers and users to improve care and efficiency by assembling data from disparate sources, identifying care opportunities and integrating them directly into the EHR system and their routine workflow, while tracking that the recommended action was taken.

An apparatus, method, and system for the design, administration and implementation of integrated disease management. The integrated disease management (“IDM”) system maximizes contact and enrollment rates of traditional remote disease management alone. This is accomplished through the creation of a system that combines telephonic-delivered disease management (i.e. traditional disease management) with work-site based health center clinician (“trusted clinician”). The IDM program is characterized by the involvement of a trusted clinician who actively participates in the disease management program by being involved in the stratification process, the contact step and the process of creating and updating the patient's individualized care plan. Therefore, the IDM program also allows the clinician to be involved in both contact and enrollment phases of the program. The IDM program further increases the efficiency of the disease management program by allowing employers to realize higher returns on their investment into such programs.

The present invention relates to a method and system for enhanced medical triage in managed care plans that streamlines the conventional medical triage process and referral logic, sends only those insurance claims to an integrated case management system that require medical intervention, matches claims to the right resource at the right time, reduces the time needed to review lost time cases, lessens the number of unnecessary referrals or re-referrals, and further tailors the assignment process of medical insurance claims to medical personnel based on specific market and/or employer dedication.

Embodiments of the invention include a system for helping a patient adhere to a care plan, the care plan designed to be followed by the patient in order to improve the patient's health, the system comprising: a task scheduling module configured to schedule one or more tasks included in the care plan, wherein a scheduled task is intended to be completed by the patient at the scheduled time; a task adherence estimation module configured to estimate the likelihood that the scheduled task will be completed by the patient at the scheduled time; and an alternative task presentation module configured to present the patient an alternative task, wherein the alternative task is intended to replace the scheduled task when the task adherence estimation module determines the patient is unlikely to complete the scheduled task and when the alternative task is accepted by the patient. Other embodiments are also included herein.