Cross-Organization Clinical Decision Support for Early Risk Alerts
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Solution Overview
Problem
Current clinical decision support systems operate within the parameters of a single medical organization, leading to a lack of sharing of patient information across different healthcare facilities, which impairs clinicians' ability to see the full scope of a patient's medical conditions, potentially delaying timely treatment.
Innovation Solution
A method for multi-site clinical decision support that integrates patient information from multiple, disparate medical organizations with different record systems to assess a patient's risk for developing a particular disease or condition, using an active risk assessment array to notify relevant healthcare providers and patients in near real-time.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If patient information is shared across multiple medical organizations, then clinicians can see the full scope of patient conditions and provide timely treatment, but system complexity and integration challenges increase
Solution Approach 1:
The patent introduces a central monitoring system that acts as an intermediary between multiple medical organizations' record systems. This monitoring system receives patient information from various sources, maintains risk assessment arrays, and distributes alerts to relevant clinicians, thereby enabling information sharing without direct integration between all participating systems.
Solution Approach 2:
The system segments the complex multi-organization information sharing problem into manageable components: individual medical organizations maintain their own record systems, the central monitoring system collects and processes data from these separate sources, and risk assessment arrays evaluate specific conditions independently. This modular approach reduces overall system complexity while enabling comprehensive patient monitoring.
2Loss of information
If a central monitoring system integrates data from multiple organizations, then comprehensive patient risk assessment is achieved, but information security and privacy management become more challenging
Solution Approach 1:
The central monitoring system serves as a secure intermediary that receives, processes, and manages patient information from multiple organizations. It implements controlled access mechanisms where only authorized clinicians can view relevant patient data, and information is transmitted through secure channels, thereby maintaining security while achieving comprehensive data aggregation.
3Loss of time
If real-time monitoring and alerts are implemented across multiple sites, then earlier disease detection and treatment are achieved, but system operational complexity and resource requirements increase
Solution Approach 1:
The system performs preliminary risk assessment by continuously monitoring patient data against predefined risk criteria and maintaining active risk assessment arrays. When patients meet specific risk thresholds, alerts are automatically generated in advance of actual disease manifestation, enabling proactive intervention before conditions deteriorate.
Data Source
AI summary
Methods are provided for the surveillance and monitoring of a patient's medical care when the patient is treated at two or more medical organizations having different medical record systems. Patient information is received from a first medical organization and populated into an active risk assessment array that monitors the patient's risk for developing a particular disease or condition. Patient information is then received from a second medical organization and populated into the array. It is determined that actionable criteria have been met, and in response, a notification or alert is sent to the medical organizations indicating that the patient is at risk.