Implantable cardiac devices, including pacemakers and implantable cardioverter-defibrilators, are sometimes used in the care of patients having cardiac conditions. During operation, these devices typically generate and store device data that records information about the device's operation and the patient's condition.
Device data can be obtained from an implantable cardiac device by interrogating the device. Interrogation can occur at home, such as through a home monitoring device, or at a point of care, such as at a hospital or clinic. Home monitoring typically occurs on a periodic or occasional basis, while point of care interrogations are typically ordered by a requesting physician, as part of a patient's visit to a care facility.
Device data is typically routed through the device manufacturer's own systems, which generates the manufacturer's interrogation report. Such manufacturer's interrogation reports often vary from company to company.
Once the manufacturer's report is obtained, it may be printed out or otherwise sent to a physician for review, such as in an e-mail message. The physician may choose to review the report, and if so, may also pull up and navigate through the patient's medical record to assist in his study of the report and to investigate any noticeable issues or concerns relating to this patient. Once completed, the physician may also choose to make a record of his or her findings. The process can consume a considerable amount of time, and as a result the physician may choose to complete the process only in exceptional circumstances.
Sometimes an interrogation report reveals clinically relevant information. A health care facility may face liability if a physician chooses not to review the interrogation report, or simply forgets, or if the physician does not understand the report and overlooks the clinically relevant information.
In general terms, this disclosure is directed to management of implantable cardiac device interrogation data and reports. In one possible configuration and by non-limiting example, a reading system manages the interrogation data and reports, such as to assign the interrogation data to one or more physicians for formal review. Various aspects are described in this disclosure, which include, but are not limited to, the following aspects.
One aspect is a method of generating a report relating to an implantable cardiac device, the method being implemented by one or more computing devices, and comprising: receiving, using the one or more computing devices, an implantable cardiac device manufacturer's report associated with the implantable cardiac device; generating, using the one or more computing devices, a summary report from the implantable cardiac device manufacturer's report; generating, using the one or more computing devices, a reading physician note relating to the implantable cardiac device; and generating, using the one or more computing devices, a report relating to the implantable cardiac device, the report including the implantable cardiac device manufacturer's report, the summary report, and the reading physician note.
Another aspect is a method of reviewing interrogation data of an implantable cardiac device, the method comprising: receiving the interrogation data of the implantable cardiac device; assigning, using a computing device, reading of the interrogation data to a first reader; and when the reading of the interrogation data by the first reader does not occur within a predetermined period of time, assigning reading of the interrogation data to a second reader.
A further aspect is a method of generating a reading physician's note associated with an implantable cardiac device, the method comprising: receiving an implantable cardiac device manufacturer's report containing device data associated with the implantable cardiac device; extracting the device data from the implantable cardiac device manufacturer's report; and using the device data to automatically populate one or more fields of the reading physician's note.
Another aspect is a method of electronically signing an implantable cardiac device report, the method comprising: receiving interrogation data at a server computing device associated with an implantable cardiac device; sending data from the server computing device to a remote computing device to generate a user interface for displaying the interrogation data to a physician; and receiving at the server computing device, and from the remote computing device, an input from the physician electronically signing the interrogation data.
Yet another aspect is a method of distributing interrogation data associated with implantable cardiac devices to a physician, the method comprising: receiving interrogation data associated with a first implantable cardiac device, the interrogation data identifying a first medical facility; receiving interrogation data associated with a second implantable cardiac device, the interrogation data identifying a second medical facility different than the first medical facility; and assigning reading of the interrogation data associated with the first and second implantable cardiac devices to a first physician.
A further aspect is a method of formally reviewing implantable cardiac device data, the method comprising: designating a physician as a reader; receiving implantable cardiac device data; and when the implantable cardiac device data is not read according to one or more predetermined criteria, assigning the implantable cardiac device data to be read by the designated reader using a computing device.
Another aspect is a system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive an implantable cardiac device manufacturer's report associated with the implantable cardiac device; generate a summary report from the implantable cardiac device manufacturer's report; generate a reading physician note relating to the implantable cardiac device; and generate a report relating to the implantable cardiac device, the report including the implantable cardiac device manufacturer's report, the summary report, and the reading physician note.
Yet another aspect is a system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive interrogation data of an implantable cardiac device; assign reading of the interrogation data to a first reader; and when the reading of the interrogation data by the first reader does not occur within a predetermined period of time, assign reading of the interrogation data to a second reader.
A further aspect is a system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive an implantable cardiac device manufacturer's report containing device data associated with an implantable cardiac device; extract the device data from the implantable cardiac device manufacturer's report; and use the device data to automatically populate one or more fields of a reading physician's note.
Another aspect is a system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive interrogation data associated with an implantable cardiac device; send data to a remote computing device to generate a user interface for displaying the interrogation data to a physician; and receive from the remote computing device an input from the physician electronically signing the interrogation data.
A further aspect is a system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive interrogation data associated with a first implantable cardiac device, interrogation data identifying a first medical facility; receive interrogation data associated with a second implantable cardiac device, the interrogation data identifying a second medical facility different than the first medical facility; and assign reading of the interrogation data associated with the first and second implantable cardiac devices to a first physician.
Another aspect is a system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: designate a physician as a reader; receive implantable cardiac device data; and when the implantable cardiac device data is not read according to one or more predetermined criteria, assign the implantable cardiac device data to be read by the designated reader.
Another aspect is any one of the methods illustrated and/or described herein.
Yet another aspect is any one of the systems illustrated and/or described herein.
A further aspect is a system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to execute any one or more of the engines illustrated and/or described herein.
Various embodiments will be described in detail with reference to the drawings, wherein like reference numerals represent like parts and assemblies throughout the several views. Reference to various embodiments does not limit the scope of the claims attached hereto. Additionally, any examples set forth in this specification are not intended to be limiting and merely set forth some of the many possible embodiments for the appended claims.
Examples of medical care facilities 106 include a hospital system 106A, a hospital 106B, and a clinic 106C. A hospital system 106A typically includes multiple hospitals. One or more administrators A are associated with the medical care facilities 106 and interact with the interrogation data management system 140, as described herein. The medical care facilities 106 typically include numerous computing devices 107 (and at least one computing device) through which the administrator A and medical professionals MP can access the interrogation data management system 140 through the data communication network 110, for example. The medical professionals MP can access the interrogation data management system 140 through the data communication network 110, at the numerous computing devices 105. Specifically, administrator A1 located at the hospital system 106A interacts with the interrogation data management system 140 at the computing device 107A. Administrator A2 located at the hospital 106B interacts with the interrogation data management system 140 at the computing device 107B. Administrator A3 located at the clinic 106C interacts with the interrogation data management system 140 at the computing device 107C.
Patients P having implantable cardiac devices 102 (IDCs) are cared for by the medical care facilities 106 and the medical professionals MP associated with those facilities. In some cases the implantable cardiac devices 102 permit remote monitoring, such as by wirelessly communicating device data to a remote monitoring device at the patient's home or work. The transfer of data from the implantable cardiac device 102 to another device is often referred to as an interrogation, and the data obtained therefrom is often referred to as the interrogation data. Interrogations may also occur when the patient P visits a medical care facility 106. For example, when a medical professional MP learns that the patient P has an implantable cardiac device 102, the medical professional MP may order an interrogation of that device 102.
The medical professionals MP are people with medical training, including physicians and nurse practitioners, for example. Some medical professionals MP provide direct care to patients P, while other medical professionals MP may not interact directly with the patient P but may be involved in other ways, such as reviewing the interrogation data, for example. In either case, the medical professionals MP can all be said to be caregivers who are providing care to the patient P in one form or another. One example of a physician is an electrophysiologist (EPs) who specializes in diagnosing and treating problems with the heart's electrical system. Other physicians can be involved as well, such as an emergency room physician, a primary caregiver, and the like. In some embodiments nurse practitioners assist physicians with certain tasks, such as some of the tasks described herein.
One or more server computing devices 108 are in data communication with a data communication network 110. In this example, the one or more server computing devices 108 generate an interrogation data management system 140. An example of the interrogation data management system 140 is illustrated and described with reference to
The data communication network 110 may include a local area network, or a wide area networking environment. When used in a local area networking environment or a wide area networking environment (such as the Internet), the interrogation data management system 140 is typically connected to the network 110 through a network interface, such as an Ethernet interface. Other possible embodiments use other communication devices. For example, some embodiments of the interrogation data management system 140 include a modem for communicating across the network 110.
The computing device 170 includes, in some embodiments, at least one processing device 180, such as a central processing unit (CPU). A variety of processing devices are available from a variety of manufacturers, for example, Intel or Advanced Micro Devices. In this example, the computing device 170 also includes a system memory 182, and a system bus 184 that couples various system components including the system memory 182 to the processing device 180. The system bus 184 is one of any number of types of bus structures including a memory bus, or memory controller; a peripheral bus; and a local bus using any of a variety of bus architectures.
Examples of computing devices suitable for the computing device 170 include a desktop computer, a laptop computer, a tablet computer, a mobile computing device (such as a smart phone, an iPod® or iPad® mobile digital device, or other mobile devices), or other devices configured to process digital instructions.
The system memory 182 includes read only memory 186 and random access memory 188. A basic input/output system 190 containing the basic routines that act to transfer information within computing device 170, such as during start up, is typically stored in the read only memory 186.
The computing device 170 also includes a secondary storage device 192 in some embodiments, such as a hard disk drive, for storing digital data. The secondary storage device 192 is connected to the system bus 184 by a secondary storage interface 194. The secondary storage devices 192 and their associated computer readable media provide nonvolatile storage of computer readable instructions (including application programs and program modules), data structures, and other data for the computing device 170.
Although the exemplary environment described herein employs a hard disk drive as a secondary storage device, other types of computer readable storage media are used in other embodiments. Examples of these other types of computer readable storage media include magnetic cassettes, flash memory cards, digital video disks, Bernoulli cartridges, compact disc read only memories, digital versatile disk read only memories, random access memories, or read only memories. Some embodiments include non-transitory media. Additionally, such computer readable storage media can include local storage or cloud-based storage.
A number of program modules can be stored in secondary storage device 192 or memory 182, including an operating system 196, one or more application programs 198, other program modules 200 (such as the software engines described herein), and program data 202. The computing device 170 can utilize any suitable operating system, such as Microsoft Windows™, Google Chrome™, Apple OS, and any other operating system suitable for a computing device.
In some embodiments, a user provides inputs to the computing device 170 through one or more input devices 204. Examples of input devices 204 include a keyboard 206, mouse 208, microphone 210, and touch sensor 212 (such as a touchpad or touch sensitive display). Other embodiments include other input devices 204. The input devices are often connected to the processing device 180 through an input/output interface 214 that is coupled to the system bus 184. These input devices 204 can be connected by any number of input/output interfaces, such as a parallel port, serial port, game port, or a universal serial bus. Wireless communication between input devices and the interface 214 is possible as well, and includes infrared, BLUETOOTH® wireless technology, 802.11a/b/g/n, cellular, or other radio frequency communication systems in some possible embodiments.
In this example embodiment, a display device 216, such as a monitor, liquid crystal display device, projector, or touch sensitive display device, is also connected to the system bus 184 via an interface, such as a video adapter 218. In addition to the display device 216, the computing device 170 can include various other peripheral devices (not shown), such as speakers or a printer.
When used in a local area networking environment or a wide area networking environment (such as the Internet), the computing device 170 is typically connected to the network 112 through a network interface 220, such as an Ethernet interface. Other possible embodiments use other communication devices. For example, some embodiments of the computing device 170 include a modem for communicating across the network.
The computing device 170 typically includes at least some form of computer readable media. Computer readable media includes any available media that can be accessed by the computing device 170. By way of example, computer readable media include computer readable storage media and computer readable communication media.
Computer readable storage media includes volatile and nonvolatile, removable and non-removable media implemented in any device configured to store information such as computer readable instructions, data structures, program modules or other data. Computer readable storage media includes, but is not limited to, random access memory, read only memory, electrically erasable programmable read only memory, flash memory or other memory technology, compact disc read only memory, digital versatile disks or other optical storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other medium that can be used to store the desired information and that can be accessed by the computing device 170. Computer readable storage media does not include computer readable communication media.
Computer readable communication media typically embodies computer readable instructions, data structures, program modules or other data in a modulated data signal such as a carrier wave or other transport mechanism and includes any information delivery media. The term “modulated data signal” refers to a signal that has one or more of its characteristics set or changed in such a manner as to encode information in the signal. By way of example, computer readable communication media includes wired media such as a wired network or direct-wired connection, and wireless media such as acoustic, radio frequency, infrared, and other wireless media. Combinations of any of the above are also included within the scope of computer readable media.
The computing device illustrated in
In this example, the method 230 includes operations, including: receiving implantable cardiac device interrogation data 232, generating a preliminary device interrogation report 234; assigning to a reading physician 236, generating a final device interrogation report 238, saving in an electronic medical record 240, sending billing information 242, and generating reports and running analytics 244.
The operation 232 is performed to receive all data relevant to a specific implantable cardiac device. In some embodiments, the implantable cardiac device interrogation data is received at the one or more computing devices. The interrogation data may include a manufacturer's report associated with the implantable cardiac device.
The operation 234 is performed to generate a preliminary device interrogation report. In some embodiments, a summary report is generated, using one or more computing devices 170 (
The operation 236 is then performed to assign the report generated in S234 to a physician to review. In some embodiments, the physician tasked to read the report generated in S234 may include medical professionals MP (i.e. physicians MP1 or MP2, or nurse practitioner MP3). It is imperative that the report be reviewed in a timely manner, as point of care interrogations can be related to time-sensitive procedures. After the interrogation data of the implantable cardiac device is received, the reading of the interrogation data task is assigned to a first reader. In the event the first reader does not read the interrogation data within a predetermined period of time, the task is then reassigned to a second reader.
The operation 238 is then performed to generate a final device interrogation report. In some embodiments, the final device interrogation report includes the reading physician's note associated with an implantable cardiac device, a summary report, and an implantable cardiac device manufacturer's report. Once the implantable cardiac device manufacturer's report containing device data associated with the implantable cardiac device is received, the device data from the implantable cardiac device manufacturer's report can be extracted. The physician can use the device data to automatically populate one or more fields of the reading physician's note. Once the reading physician's note is completed, the physician can electronically sign the implantable cardiac device report.
The operation 240 is then performed to save the final device interrogation report in an electronic medical record. The electronic medical record is associated with a specific implantable cardiac device and accessible using one or more computing devices 170 (
The operation 242 is then performed to send billing information derived from the physician note. Once the billing information is determined, a billing report is generated using the billing information. An operation is then performed to send the billing report to a billing system of the medical care facility, or another billing system.
The operation 244 is then performed to performed analytics on the data collected by the interrogation data management system. For example, analytics could be used to identify high risk populations. Physicians could then be alerted to the high risk patients to ensure that proper care is being provided for those patients. Examples of high risk populations may include those with atrial fibrillation and those at risk of stroke. A device manufacturer can obtain this information from the interrogation data management system, for example, to permit manufacturer's representatives to contact the physicians managing those patients.
In some embodiments one or more of the operations shown in
The interrogation data input interface operates to receive interrogation data from the implantable cardiac device, such as from a manufacturer's system.
The preliminary device interrogation report generator operates to generate a preliminary device interrogation report. An example of the preliminary device interrogation report is shown in
The administrative interface engine operates to interact with an administrator at a medical care facility. An example of the administrative interface engine is illustrated and described in more detail with reference to
The automatic routing engine operates to apply a set of routing rules to automatically route interrogation data reports to reading physicians. Examples of the automatic routing engine are illustrated and described in further detail with reference to
The reader interface engine operates to interact with medical care professionals to formally review the interrogation data reports. Examples of the reader interface engine are illustrated and described in further detail with reference to
The final device interrogation report generator operates to generate the final device interrogation report. An example of the final device interrogation report is illustrated and described in further detail with reference to
The electronic medical records interface engine operates to transfer the final device interrogation report to an electronic medical records system. In some embodiments the report is stored in the patient's medical record and becomes a formal part of the medical record.
The billing interface engine 156 operates to capture and define proper billing information, and to generate and transfer a billing report based on the billing information to a billing system of the medical care facility. An example of the billing interface engine 156 is illustrated and described in further detail with reference to
The reporting and/or analytics engine operates to run searches and perform analytical processing on data generated by the interrogation data management system. Examples of a reporting engine are illustrated and described in further detail with reference to
In some embodiments the preliminary device interrogation report 260 is sent to and stored in the electronic medical record in a preliminary state where it can be viewed by medical professionals MP that have access to the patient's medical record.
In this example, the summary report display 272 provides a graphical display of key device information. For example, the summary report display 272 presents information in multiple different categories. In some embodiments the categories include device details 272A, battery status 272B, lead status 272C, arrhythmia log 272D, ventricular tachycardia (VT) therapies 272E, magnet mode 272F, and MRI safety 274E. Some embodiments further include congestive heart failure watch category. In this example, the summary report display 272 graphically displays a tab for each category. In some embodiments the tab is color coded to identify a status of that category of information, such as green for normal, yellow for abnormal, and red for critically abnormal. In some embodiments a size of the tab is enlarged for abnormal or critically abnormal statuses to further draw the medical professional's attention to that information. Within each tab is a brief description of the status, such as having a range from 1 to 10 words, or 1 to 5 words. Additional details and examples of the summary report display 272 are illustrated and described in further detail with reference to Applicant's co-pending U.S. Publication No. 2013/0317852.
Some embodiments include a timeline display 274 that graphically illustrates the dates one which recorded events of the implantable cardiac device occurred.
Some embodiments further include a details display 276. In this example, a detailed listing of interrogation data is displayed for each category of information shown in the summary report display.
One example of an implantable cardiac device manufacturer's report is a cardiac rhythm management company report. The report contains a detailed listing of interrogation data obtained from an implantable cardiac device.
In this example, the operations include 252, 254, 256, and 258. Specifically, operation 252 includes determining whether routing rules identify a reader. Where the routing rules identifies the reader, method 250 advances to operation 254, and automatically assigns the reader. In a case where the routing rules do not identify the reader, method 250 advances to operation 256, flagging for administrative review and manual assignment. Alternatively, where the routing rules do not identify the reader, method 250 advances to operation 258 where a reading panel is automatically assigned.
In some embodiments the reading panel includes one or more medical professionals MP that are designated to perform the reading of interrogation data for a medical care facility 106 when one or more assigned medical professionals MP do not complete the reading within designated time periods.
The operation 372 is performed to add an assignment to read interrogation data to a reader's reading inbox. The operation 374 is performed to send an alert to the assigned reader, such as by sending an e-mail message to an e-mail address associated with the assigned reader. In some embodiments the assignment and the alert identify a deadline for reading the interrogation data. The operation 376 is then performed to monitor whether or not the reader completes the reading of the assigned interrogation data. If the reading does not occur by predetermined time before a deadline, the operation 378 is performed to send a second alert to the assigned reader. The operation 380 is then performed to continue to monitor whether or not the reader completes the reading of the assigned interrogation data. If the reading does not occur by the deadline, the operation 382 is performed to assign the reading to a next reader. The process can be repeated as many times as desired. In some embodiments the process ends when the interrogation data is assigned to a reading panel or when the assigned reader completes the reading of the assigned interrogation data.
Some examples of summary reports are illustrated and described in further detail in Applicant's co-pending patent application, U.S. Publication No. 2013/0317852. For example,
In some embodiments the reader interface engine 150 is provided by a web server, such as the server 108 shown in
Further, in some embodiments the reader interface presents to the medical professional MP the complete device interrogation report, as discussed herein, which provides the medical professional MP with all device information needed to prepare a complete reading physician note.
In this example, the physician note interface display 430 includes a set of pre-populated fields. Pre-populating fields of the reading physician note saves the reading physician a lot of time by not requiring the reading physician to manually enter information already known by the interrogation data management system 140. The reading physician can then focus on reviewing the information, confirming it is correct, adding or modifying the information as desired, and quickly completing and electronically signing the report. Further, in addition to pre-populated fields, in some embodiments the physician note interface 430 provides a set of selectable options for each of the available categories of information to be documented within the reading physician note. This further saves the physician time and reduces the chance of errors by allowing the physician to quickly select from the selectable options. Examples of selectable options are shown in
Specifically, operation 482 is performed to receive search criteria. Examples of a report interface are illustrated and described in further detail with reference to
Additional analytics can be performed on data collected by the interrogation data management system 140. For example, analytics could be used to identify high risk populations. Physicians MP could then be alerted to the high risk patients P to ensure that proper care is being provided for those patients P. Examples of high risk populations may include those with atrial fibrillation and those at risk of stroke. Device manufacturer's can obtain this information from the interrogation data management system 140, for example, to permit manufacturer's representatives to contact the physicians MP managing those patients P.
The foregoing detailed description describes a variety of possible embodiments to the present disclosure. For the sake of clarity, the following clauses identify some of these embodiments. Additional embodiments include combinations of these clauses, and further can be combined with any of the other embodiments described herein to arrive at further embodiments that are within the scope of the present disclosure.
Clause 1. A method of generating a report relating to an implantable cardiac device, the method being implemented by one or more computing devices, and comprising: receiving, using the one or more computing devices, an implantable cardiac device manufacturer's report associated with the implantable cardiac device; generating, using the one or more computing devices, a summary report from the implantable cardiac device manufacturer's report; generating, using the one or more computing devices, a reading physician note relating to the implantable cardiac device; and generating, using the one or more computing devices, a report relating to the implantable cardiac device, the report including the implantable cardiac device manufacturer's report, the summary report, and the reading physician note.
Clause 2. The method of clause 1, wherein the reading physician note comprises findings/interpretations and a conclusion.
Clause 3. The method of clause 1, wherein the implantable cardiac device manufacturer's report is a cardiac rhythm management company report.
Clause 4. The method of clause 1, wherein the report presents implantable cardiac device data in a clear and concise manner allowing one or more medical professionals to better treat and care for the patient with the implantable cardiac device.
Clause 5. The method of clause 1, wherein the summary report is a dashboard summary report.
Clause 6. A method of reviewing interrogation data of an implantable cardiac device, the method comprising: receiving the interrogation data of the implantable cardiac device; assigning, using a computing device, reading of the interrogation data to a first reader; and when the reading of the interrogation data by the first reader does not occur within a predetermined period of time, assigning reading of the interrogation data to a second reader.
Clause 7. The method of clause 6, further comprising: when the reading of the interrogation data to the second reader does not occur within a second predetermined period of time, assigning reading of the interrogation data to a third reader.
Clause 8. The method of clause 7, wherein the third reader is a reading panel.
Clause 9. The method of clause 8, wherein the reading panel includes one or more medical professionals that are designated to perform the reading of interrogation data for a medical facility when one or more assigned medical professionals do not complete the reading within designated time periods.
Clause 10. The method of clause 8, wherein the first reader is an ordering physician, and the second reader is a following physician.
Clause 11. The method of clause 6, further comprising alerting the first reader when the reading of the interrogation data is assigned to the first user, and further comprising alerting the first reader again before the predetermined period of time has elapsed.
Clause 12. The method of clause 11, further comprising alerting the second reader when the reading of the interrogation data is assigned to the second user, and further comprising alerting the second reader again before the second predetermined period of time has elapsed.
Clause 13. The method of clause 6, further comprising receiving inputs from a physician to complete a reading physician note after reading of the interrogation data has been completed by the second reader.
Clause 14. The method of clause 13, wherein the reading physician note is formally signed by the second reader as the reading physician.
Clause 15. The method of clause 14, wherein the reading physician note is electronically signed by the second reader.
Clause 16. The method of clause 13, further comprising generating and sending billing information for the second reader, the billing information being associated with the reading of the interrogation data by the second reader.
Clause 17. The method of clause 6, further comprising generating and sending billing information for a reading physician that completed the reading of the interrogation data.
Clause 18. The method of clause 6, wherein the assigning occurs automatically according to one or more rules.
Clause 19. The method of clause 18, wherein the assigning is based at least in part upon one or more of: a role of a physician, a qualification of a physician, an availability of a physician, an order of priority of readers, and a designation of a physician to a reading panel.
Clause 20. The method of clause 13, further comprising: storing the physicians notes in an electronic medical records system.
Clause 21. The method of clause 13, further comprising: receiving an implantable cardiac device manufacturer's report associated with the implantable cardiac device; generating a summary report from the implantable cardiac device manufacturer's report; and generating, using the one or more computing devices, a report relating to the implantable cardiac device, the report including the implantable cardiac device manufacturer's report, the summary report, and the reading physician note.
Clause 22. The method of clause 13, further comprising sending the report to an electronic medical records system.
Clause 23. A method of generating a reading physician's note associated with an implantable cardiac device, the method comprising: receiving an implantable cardiac device manufacturer's report containing device data associated with the implantable cardiac device; extracting the device data from the implantable cardiac device manufacturer's report; and using the device data to automatically populate one or more fields of the reading physician's note.
Clause 24. The method of clause 23, further comprising: presenting the reading physician's note to a reading physician for review, the physician's note including the one or more automatically populated fields; and receiving an electronic signature input from the reading physician for the reading physician's note.
Clause 25. The method of clause 24, further comprising: receiving additional information from the reading physician and updating the reading physician's note based on the additional information, and before receiving the electronic signature.
Clause 26. The method of clause 25, wherein receiving additional information from the reading physician comprises receiving selections from the physician from a set of predefined options.
Clause 27. The method of clause 25, wherein receiving additional information from the reading physician comprises receiving information into a free text entry field, wherein the free text entry field is associated with a particular category of information for the reading physician's note.
Clause 28. The method of clause 27, further comprising prompting the reading physician to select a status code associated with the free text entry field information.
Clause 29. The method of clause 27, wherein the status code is selected from normal, abnormal, and critically abnormal.
Clause 30. The method of clause 24, further comprising sending the physician's note to an electronic medical records system for storage in an electronic record associated with a patient with the implantable cardiac device.
Clause 31. The method of clause 24, sending billing information associated with a reading of the device data.
Clause 32. The method of clause 23, further comprising: generating a summary report from the extracted device data, and presenting the summary report to the physician before receiving the electronic signature input.
Clause 33. The method of clause 23, further comprising: presenting the implantable cardiac device manufacturer's report to the physician before receiving the electronic signature input.
Clause 34. The method of clause 23, wherein the physician's note is a formal record containing the reading physician's findings/interpretations and conclusions based on the reading physician's reading of the implantable cardiac device's device data.
Clause 35. The method of clause 34, wherein the physician's note comprises: device details, battery status, lead status, arrhythmia log, ventricular tachycardia (VT) therapies, magnet mode, and MRI safety.
Clause 36. The method of clause 35, wherein the physician's note further comprises a summary diagram graphically depicting status information in a summary form.
Clause 37. The method of clause 36, further comprising a timeline display graphically illustrating dates at which implantable cardiac device events occurred.
Clause 38. A method of electronically signing an implantable cardiac device report, the method comprising: receiving interrogation data at a server computing device associated with an implantable cardiac device; sending data from the server computing device to a remote computing device to generate a user interface for displaying the interrogation data to a physician; and receiving at the server computing device, and from the remote computing device, an input from the physician electronically signing the interrogation data.
Clause 39. The method of clause 38, wherein the data sent to the remote computing device comprises web page data, wherein the web page data is configured to generate a web page display through a browser software application running on the remote computing device.
Clause 40. The method of clause 38, wherein the data sent to the remote computing device comprises one or more messages configured to be received by an app running on the remote computing device, wherein the app generates a user interface to display the data to the physician.
Clause 41. A method of distributing interrogation data associated with implantable cardiac devices to a physician, the method comprising: receiving interrogation data associated with a first implantable cardiac device, the interrogation data identifying a first medical facility; receiving interrogation data associated with a second implantable cardiac device, the interrogation data identifying a second medical facility different than the first medical facility; and assigning reading of the interrogation data associated with the first and second implantable cardiac devices to a first physician.
Clause 42. The method of clause 41, wherein the first implantable cardiac device is manufactured by a first implantable cardiac device manufacturer and the second implantable cardiac device is manufactured by a second implantable cardiac device manufacturer.
Clause 43. A method of formally reviewing implantable cardiac device data, the method comprising: designating a physician as a reader; receiving implantable cardiac device data; and when the implantable cardiac device data is not read according to one or more predetermined criteria, assigning the implantable cardiac device data to be read by the designated reader using a computing device.
Clause 44. A system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive an implantable cardiac device manufacturer's report associated with the implantable cardiac device; generate a summary report from the implantable cardiac device manufacturer's report; generate a reading physician note relating to the implantable cardiac device; and generate a report relating to the implantable cardiac device, the report including the implantable cardiac device manufacturer's report, the summary report, and the reading physician note.
Clause 45. A system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive interrogation data of an implantable cardiac device; assign reading of the interrogation data to a first reader; and when the reading of the interrogation data by the first reader does not occur within a predetermined period of time, assign reading of the interrogation data to a second reader.
Clause 46. A system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive an implantable cardiac device manufacturer's report containing device data associated with an implantable cardiac device; extract the device data from the implantable cardiac device manufacturer's report; and use the device data to automatically populate one or more fields of a reading physician's note.
Clause 47. A system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive interrogation data associated with an implantable cardiac device; send data to a remote computing device to generate a user interface for displaying the interrogation data to a physician; and receive from the remote computing device an input from the physician electronically signing the interrogation data.
Clause 48. A system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: receive interrogation data associated with a first implantable cardiac device, interrogation data identifying a first medical facility; receive interrogation data associated with a second implantable cardiac device, the interrogation data identifying a second medical facility different than the first medical facility; and assign reading of the interrogation data associated with the first and second implantable cardiac devices to a first physician.
Clause 49. A system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to: designate a physician as a reader; receive implantable cardiac device data; and when the implantable cardiac device data is not read according to one or more predetermined criteria, assign the implantable cardiac device data to be read by the designated reader.
Clause 50. Any one of the methods illustrated and/or described herein.
Clause 51. Any one of the systems illustrated and/or described herein.
Clause 52. A system comprising: one or more processing devices; and one or more computer readable media, wherein the one or more computer readable media store data instructions, which when executed by the one or more processing devices cause the one or more processing devices to execute any one or more of the engines illustrated and/or described herein.
The various embodiments described above are provided by way of illustration only and should not be construed to limit the claims attached hereto. Those skilled in the art will readily recognize various modifications and changes that may be made without following the example embodiments and applications illustrated and described herein, and without departing from the true spirit and scope of the following claims.
This application claims priority to U.S. Application No. 61/990,064 filed on May 7, 2014, titled MANAGEMENT OF IMPLANTABLE CARDIAC DEVICE INTERROGATION DATA AND REPORTS, the disclosure of which is hereby incorporated by reference in its entirety.
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