ED Arrival Alerts for Alternative Care Routing and Follow-Up
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Solution Overview
Problem
There is an increasing trend of urgent and non-urgent emergency department (ED) visits that could be managed in primary care settings, leading to inefficiencies, higher costs, and delayed follow-up care due to individuals' lack of education about healthcare options and outdated contact information.
Innovation Solution
The Intelo computing framework provides real-time or near-real-time automated healthcare data communication and intelligent functionality, identifying alternative healthcare options and notifying primary care physicians and insurance providers about ED visits, facilitating timely follow-up care and reducing unnecessary ED visits through intelligent healthcare event detection and notification systems.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Loss of time
If automated real-time notification systems are implemented, then follow-up care timeliness is improved, but system complexity increases
Solution Approach 1:
The patent introduces an automated notification system that acts as an intermediary between healthcare providers and patients. This system receives ED visit data, processes it through evaluation criteria, and automatically generates notifications to primary care providers and insurance companies, eliminating manual communication delays while managing complexity through standardized protocols
Solution Approach 2:
The system enables self-service by automatically detecting ED visits through data integration, evaluating alternative healthcare options based on predefined criteria, and initiating follow-up care coordination without requiring manual intervention from healthcare providers, thus improving timeliness while containing complexity through automation
2Loss of energy
If alternative healthcare options are evaluated and notified, then healthcare costs are reduced, but information processing complexity increases
Solution Approach 1:
The system performs preliminary action by pre-evaluating alternative healthcare options and establishing notification protocols before ED visits occur. Alternative providers, urgent care centers, and primary care providers are pre-identified and pre-evaluated based on patient characteristics and healthcare needs, enabling cost-effective routing decisions without complex real-time processing
Solution Approach 2:
The system applies parameter changes by evaluating alternative healthcare options based on multiple variables including patient acuity level, insurance coverage, geographic location, and provider availability. These parameter-based evaluations enable cost reduction through appropriate care setting selection while managing processing complexity through standardized evaluation frameworks
3Reliability
If comprehensive healthcare data communication is implemented, then care coordination is improved, but data management complexity increases
Solution Approach 1:
The patent implements a universal notification framework that handles multiple communication functions through a single system. The same infrastructure notifies primary care providers, insurance companies, and alternative healthcare providers while managing different data types (ED visit information, patient demographics, insurance details) through standardized protocols, improving care coordination without proportionally increasing data management complexity
Data Source
AI summary
Timely data communications and intelligent functionalities in connection with healthcare events are described. An example computing device or system is configured to detect when a client device of a user arrives at an emergency department (ED) or emergency room (ER). The device is further configured to evaluate alternatives to the ED or ER for the user based on at least one of healthcare options available to the user, health-related data of the user, or geographic locations of alternative providers, among possibly other factors. The device is further configured to push a user notification to the client device. The notification can identify at least one alternative to the ED or ER based on the evaluation of the alternatives to the ED or ER.