Certain embodiments of the present invention relate to healthcare. More particularly, certain embodiments of the present invention relate to on-line systems and methods to facilitate extended care planning and management.
Today, the U.S. healthcare delivery system consists of several interactive and interdependent processes that connect patients, families, doctors, nurses, technicians, specialized care and service providers, administrators, and insurance payors in a complex continuum of care. The primary goal of this continuum is to help ensure the best possible outcomes for all participants, especially the patient.
The army of people and resources that must be enlisted to care for a single patient requires a strong chain of command that can pass timely, accurate information from one process to the next and enable coherent, strategic and tactical care decisions that maintain and enhance the continuum. The increased voluntary and mandated use of information technology, such as billing automation and Electronic Medical Records (EMRs), has improved communication and streamlined logistics at many points along the decision-making chain. However, one of the weak links has always been the transition process between the hospital and what comes next on the continuum of care.
What comes next is usually a wide range of extended care options. The decision to select the precise option is absolutely critical to achieving optimal continuity of patient care, as well as the highest quality outcomes for all participants. The specific, even unique needs of the patient and the family drive the selection process. However, the sheer number of choices, each with different capability, suitability, and availability, can make this critical decision even more difficult. It often requires extensive research and consideration, as well as an educational dialogue between the hospital, the patient, and the family caregiver(s).
Further limitations and disadvantages of conventional, traditional, and proposed approaches will become apparent to one of skill in the art, through comparison of such systems and methods with embodiments of the present invention as set forth in the remainder of the present application with reference to the drawings.
Embodiments of the present invention facilitate the on-line planning and management of extended care for patients.
An embodiment of the present invention comprises an internet-accessible system for facilitating extended care planning and management for patients. The system includes at least one server computer and an interactive website hosted on the server computer. The interactive website includes a shared or common section being accessible to customers, hospitals, and extended care providers. The interactive website also includes a hospital section being accessible to hospitals registered to the system. The interactive website further includes an extended care provider (ECP) section being accessible to extended care providers registered to the system. The system also includes at least one searchable database operatively connected to the at least one server computer and storing searchable listings of hospitals and extended care providers. The shared section may include computer-executable instructions configured to: facilitate the searching and comparing of ECPs via the internet; facilitate the searching and comparing of hospitals via the internet; facilitate the playing of digital media stored on the system via the internet; facilitate linking to other determined websites via the internet; facilitate the showcasing of comments of visitors to the interactive website via the internet; provide access to news stories stored on the system via the internet. The hospital section may include computer-executable instructions configured to: facilitate the creation of a hospital provider profile (using marketing tools), via the internet, which can be accessed by visitors to the interactive website; facilitate the searching and comparing of ECPs via the internet; facilitate the pre-certifying of patient medical conditions and insurance eligibility with one or more ECPs via the internet; facilitate the determining of the availability of services and facilities at one or more ECPs via the internet; facilitate the scheduling of services and the reserving of facilities at a selected ECP via the internet; facilitate the assembling and editing of patient electronic medical record (EMR) information; facilitate the secure, real-time transmission of the patient EMR information between a hospital computer and an ECP computer via the internet; facilitate the two-way communication of electronic notifications and information between a hospital computer and an ECP computer via the internet; facilitate the training of a hospital discharge planner via the internet. The ECP section may include computer-executable instructions configured to: facilitate the creation of an ECP provider profile (using marketing tools), via the internet, which can be accessed by visitors to the interactive website; facilitate the updating of available facility openings and care and service offerings of an ECP via the internet; facilitate the assembling and editing of patient electronic medical record (EMR) information; facilitate secure, real-time transmission of the patient EMR information between and ECP computer and a hospital computer via the internet; facilitate the two-way communication of electronic notifications and information between an ECP computer and a hospital computer via the internet; facilitate the training of ECP admissions coordinators and marketing personnel via the internet.
Another embodiment of the present invention comprises a non-transitory computer-readable medium having computer-executable instructions recorded thereon and capable of being executed by an internet-accessible server computer hosting an interactive website to facilitate extended care planning and management for patients. The instructions include instructions for the pre-certifying of patient medical conditions and insurance eligibility with one or more extended care providers (ECPs) via the internet. The instructions further include instructions for determining the availability of services and facilities at one or more ECPs via the internet, and instructions for scheduling services and reserving facilities at a selected ECP via the internet. The instructions may further include instructions for facilitating the searching and comparing of ECPs via the internet and instructions for facilitating the searching and comparing of hospitals via the internet. The instructions may also include instructions for facilitating the creation of a hospital provider profile, via the internet, which can be accessed by visitors to the interactive website. The instructions may also include instructions for facilitating the creation of an extended care provider profile, via the Internet, which can be accessed by visitors to the interactive website. The instructions may further include instructions for facilitating the assembling and editing of patient electronic medical record (EMR) information and for facilitating secure, real-time transmission of the patient EMR information between a hospital computer and an ECP computer via the internet. The instructions may further include instructions for facilitating the training of a hospital discharge planner via the internet, and instructions for facilitating the training of ECP admissions coordinators and marketing personnel via the internet.
Another embodiment of the present invention comprises a method to facilitate finding an extended care provider (ECP) for a patient. The method includes receiving patient information via the internet at an interactive website hosted on a server computer, from a remote computer system, for a patient to be admitted to an ECP facility. The remote computer system may be a hospital computer system located at a hospital, or a patient computer system operated by, for example, a patient or a friend or family member of the patient. The method also includes, sending a request for approval, on behalf of the patient, from the server computer via the Internet to one or more ECP computer systems of one or more ECP facilities. The method further includes receiving ECP approval information associated with the patient via the internet, at the interactive website, from at least one of the one or more ECP computer systems, wherein the ECP approval information indicates the acceptance of the patient by one or more of the ECP facilities based on a review of the patient information on the interactive website by the one or more ECP facilities. The method also includes sending at least one ECP acceptance communication from the server computer to the remote computer system via the internet, wherein the at least one ECP acceptance communication indicates the acceptance of the patient by one or more of the ECP facilities. The method may also include receiving patient acceptance information at the interactive website via the internet, corresponding to one of the ECP facilities, from the remote computer system, wherein the patient acceptance information indicates the acceptance of one of the ECP facilities by the patient. The method may further include sending a patient acceptance communication from the server computer to the one or more ECP systems via the internet, wherein the patient acceptance communication indicates the acceptance of an ECP facility by the patient. The patient information may include information extracted from an electronic medical record (EMR) of the patient. The patient information may include information identifying one or more ECP facilities selected by the patient. The method may further include receiving an ECP search request, having ECP search criteria, at the interactive website via the internet from the remote computer system. The method may also include performing a search of at least one searchable database operatively connected to the at least one server computer in response to the ECP search request, wherein the at least one searchable database stores searchable listings of ECP facilities. The method may further include sending search results from the server computer to the remote computer system via the internet, wherein the search results include information corresponding to ECP facilities that match the ECP search criteria.
A further embodiment of the present invention comprises a non-transitory computer-readable medium having computer-executable instructions recorded thereon and capable of being executed by an internet-accessible server computer hosting an interactive website to facilitate finding an extended care provider (ECP) for a patient. The instructions include instructions for receiving patient information via the internet at an interactive website hosted on a server computer, from a remote computer system, for a patient to be admitted to an ECP facility. The instructions further include instructions for sending a request for approval, on behalf of the patient, for the server computer via the Internet to one or more ECP computer systems of one or more ECP facilities. The instructions also include instructions for receiving ECP approval information associated with the patient via the internet, at the interactive website, from at least one of the one or more ECP computer systems, wherein the ECP approval information indicates the acceptance of the patient by one or more of the ECP facilities based on a review of the patient information on the interactive website by the one or more ECP facilities. The instructions further include instructions for sending at least one ECP acceptance communication from the server computer to the remote computer system via the internet, wherein the at least one ECP acceptance communication indicates the acceptance of the patient by one or more of the ECP facilities. The instructions may also include instructions for receiving patient acceptance information at the interactive website via the internet, corresponding to one of the ECP facilities, from the remote computer system, wherein the patient acceptance information indicates the acceptance of one of the ECP facilities by the patient. The instructions may further include instructions for sending a patient acceptance communication from the server computer to the one or more ECP computer systems via the internet, wherein the patient acceptance communication indicates the acceptance of an ECP facility by the patient. The instructions may also include instructions for receiving an ECP search request, having ECP search criteria, at the interactive website via the internet from the remote computer system. The instructions may further include instructions for performing a search of at least one searchable database operatively connected to the server computer in response to the ECP search request, wherein the at least one searchable database stores searchable listings of ECP facilities. The instructions may also include instructions for sending search results from the server computer to the remote computer system via the internet, wherein the search results include information corresponding to ECP facilities that match the ECP search criteria.
A further embodiment of the present invention comprises a system to facilitate the generation of revenue via an interactive website. The system includes an interactive website hosted on at least one server computer and maintained by a service provider, wherein the interactive website is configured to link patients and hospital entities to extended care provider (ECP) entities. The system also includes means for facilitating the development and hosting of a multimedia ECP profile on the interactive website by a registered ECP entity in exchange for a fee to be paid by the registered ECP entity to the service provider in accordance with a determined fee arrangement. The system further includes means for facilitating the development and hosting of a multimedia hospital profile on the interactive website by a registered hospital entity in exchange for a fee to be paid by the registered hospital entity to the service provider in accordance with a determined fee arrangement. The system may also include means for registering an ECP entity as a member of the interactive website and configuring the interactive website to be accessed by the registered ECP entity in exchange for a fee to be paid by the ECP entity to the service provider in accordance with a determined fee arrangement. The system may further include means for registering a hospital entity as a member of the interactive website and configuring the interactive website to be accessed by the registered hospital entity in exchange for a fee to be paid by the hospital entity to the service provider in accordance with a determined fee arrangement. The system may also include means for facilitating the assembling and editing of patient electronic medical record (EMR) information by a third party using the interactive website, and means for facilitating the secure, real-time transmission of the patient EMR information to the third party, in exchange for a fee to be paid by the third party to the service provider in accordance with a determined fee arrangement. The system may further include means for performing a preventative analysis for a registered ECP entity in exchange for a fee to be paid by the ECP entity to the service provider in accordance with a determined fee arrangement, wherein the preventative analysis identities at least one of improper charges to patients by the ECP entity, duplicate payments by patients to the ECP entity, mistakes by fiscal intermediaries on behalf of patients of the ECP entity, and medical necessity and coding errors of patients of the ECP entity. The system may also include means for performing a preventative analysis for a registered hospital entity in exchange for a fee to be paid by the hospital entity to the service provider in accordance with a determined fee arrangement, wherein the preventative analysis identifies at least one of improper charges to patients by the hospital entity, duplicate payments by patients to the hospital entity, mistakes by fiscal intermediaries on behalf of patients of the hospital entity, and medical necessity and coding errors of patients of the hospital entity. The system may further include means for posting an advertisement of an advertising entity to the interactive website in exchange for a fee to be paid by the advertising entity to the service provider in accordance with a determined fee arrangement.
Another embodiment of the present invention comprises a non-transitory computer-readable medium having computer-executable instructions recorded thereon and capable of being executed by an internet-accessible server computer hosting an interactive website to facilitate the generation of revenue via the interactive website. The instructions include instructions for facilitating the development and hosting of a multimedia ECP profile on the interactive website by a registered ECP entity of the interactive website in exchange for a fee to be paid by the registered ECP entity to a service provider of the website in accordance with a determined fee arrangement. The instructions also include instructions for facilitating the development and hosting of a multimedia hospital profile on the interactive website by a registered hospital entity of the interactive website in exchange for a fee to be paid by the registered hospital entity to the service provider of the website in accordance with a determined fee arrangement. The instructions may further include instructions for registering an ECP entity as a member of the interactive website and configuring the interactive website to be accessed by the registered ECP entity in exchange for a fee to be paid by the ECP entity to the service provider in accordance with a determined fee arrangement. The instructions may also include instructions for registering a hospital entity as a member of the interactive website and configuring the interactive website to be accessed by the registered hospital entity in exchange for a fee to be paid by the hospital entity to the service provider in accordance with a determined fee arrangement. The instructions may further include instructions for facilitating the assembling and editing of patient electronic medical record (EMR) information by a third party using the interactive website, and facilitating the secure, real-time transmission of the patient EMR information to the third party in exchange for a fee to be paid by the third party to the service provider in accordance with a determined fee arrangement. The instructions may also include instructions for performing a preventative analysis for a registered ECP entity in exchange for a fee to be paid by the ECP entity to the service provider in accordance with a determined fee arrangement, wherein the preventative analysis identifies at least one of improper charges to patients by the ECP entity, duplicate payments by patients to the ECP entity, mistakes by fiscal intermediaries on behalf of patients of the ECP entity, and medical necessity and coding errors of patients of the ECP entity. The instructions may further include instructions for performing a preventative analysis for a registered hospital entity in exchange for a fee to be paid by the hospital entity to the service provider in accordance with a determined fee arrangement, wherein the preventative analysis identifies at least one of improper charges to patients by the hospital entity, duplicate payments by patients to the hospital entity, mistakes by fiscal intermediaries on behalf of patients of the hospital entity, and medical necessity and coding errors of patients of the hospital entity.
These and other advantages and novel features of the present invention, as well as details of illustrated embodiments thereof, will be more fully understood from the following description and drawings.
The term “computer”, as used herein, refers to a hardware platform having at least one processor, and which is programmed to execute software instructions (e.g., a personal computer or a workstation). The term “server computer”, as used herein, refers to a combination of hardware and software configured to run as a service on a network, to serve the needs or requests of other programs (i.e., clients) which may or may not be running on the same computer hardware. The term “section”, as used herein with respect to a website hosted on a server computer, refers to service-related elements of the website including but not limited to text, graphics, menus, interfaces, links, and computer-executable instructions. The term “software module” as used herein refers to a collection of functionally-related computer-executable instructions.
In general, computer network 100 services the healthcare industry by providing access to information from extended care providers (ECP), hospitals facilities, and patients or interested parties (customers) and integrating it into a searchable database. In one embodiment, the computer network 100 includes an extended care planning and management system (PMS) 200, and at least one remote computer. The remote computer, as showing in
The PMS 200 allows hospital and ECP administrative end-users to upload, modify and update text, images and other multimedia content. The PMS 200 also enables users to manage data within their dedicated sections via a dedicated or remote location. The PMS 200 may further include security measures for accessing information thereon by requiring password-protected logins or other secured connections known to persons of ordinary skill in the art. In one embodiment, the PMS 200 may includes at least a first server computer 210. The first server computer 210 may operatively communicate with at least a first database system 220. The database system 220 may reside on the first server 210, or may reside on a separate stand-alone computer. In the embodiment shown in
The interactive website 300 hosted on the server computer 210 may include at least one section for accessing specific information within the PMS 200. In the embodiment shown in
Additionally, in one embodiment, the common section 400 includes a plurality (two or more) of software modules for providing information related to ECPs and Hospitals. In the embodiment shown in
As further illustrated in the embodiment of
In one embodiment, the hospital-specific section 500 includes a dashboard with plurality of modular components for managing and communicating information with the ECPs. In the embodiment shown in
The hospital-specific section 500 may also include a hospital training module 512. The hospital training software module 512 may include forms, media, as well as an FAQ section to assist hospital personnel in learning about the functionality of the PMS 200, and for providing assistance in navigating through the PMS 200. The hospital training software module 512 may also include recertification information for hospital personnel previously trained for utilizing the PMS 200. Use of the hospital training software module 512 may further be used for updating the user on recent changes and new features to the PMS 200. In yet a further embodiment, the hospital-specific section 500 may include a preventative analysis software module 514. The preventative analysis software module 514 is available to assist the hospital facility in analyzing financial transactions for accuracy. For example, the preventative analysis software module 514 may process information pertaining to the patient services provided and the associated costs to manage generate billing statements or other financial statements. The preventative analysis software module 514 may also serves as a final Quality Assurant (QA) tool, to verify the accuracy of the financial information entered by the user into the preventative analysis software module 514.
In one embodiment, the ECP-specific section 600 includes a dashboard with plurality of modular components for managing and communicating information with interests parties, i.e., customers and hospitals. In the embodiment shown in
As further shown in the embodiment of
In step 702, the PMS 200 receives patient information via the internet at an interactive website hosted on a server computer, from a remote computer system, for a patient to be admitted to an ECP facility. In step 704, the PMS 200 sends a request for approval, on behalf of the patient, from the server computer via the internet to one or more ECP computer systems of one or more ECP facilities. In step 706, the PMS 200 receives ECP approval information indicating the acceptance of the patient by one or more ECP facilities based on a review of the patient information on the interactive website by one or more ECP facilities. In step 708, the PMS 200 sends at least one ECP acceptance indicating the acceptance of the patient by one or more ECP facilities from the server computer to the remote computer system via the internet.
The method 800 may begin with the step of receiving an ECP search request, based on ECP search criteria, using the interactive website via the internet from a remote computer system. The method 800 also includes the step of performing a search of at least one searchable database system with searchable listings of ECP facilities, and operatively connected to at least one server computer in response to the ECP search request. The method 800 further includes the step of sending search results, with information corresponding to ECP facilities that match the ECP search criteria, from the server computer to the remote computer system via the internet.
The steps of the method 800 generally allows for the hospital end user to enter patient information, e.g., information from the patient's EMR or pre-admission information, for transmitting the information to possible ECPs. The PMS 200 processes this information, and compares the information to ECPs store in the database system(s) 220. The ECPs review the information and transmits its acceptance or denial of the patient based on this information. The PMS 200 then processes the ECP(s) indicating acceptance of the patient and displays the results to the hospital end user. The hospital end user then reviews the information, possibly with the patient, to determine the patients options. Thereafter, the patient/family member or hospital make a selection as to which ECP will service the patient. The chosen ECP may then be flagged and provided exclusive access to additional information regarding the patient. The PMS 200 may then notify all ECPs of their pending status (selected or not selected to provide service), and transmit the patients additional information to the selected ECP. The ECP will then utilize the PMS 200 for accessing the patient EMR for the admission process.
The steps of method 900 generally allows for interested customers (e.g., patients or their family members/friends) to search for ECP information using the PMS 200. The patient may begin by first entering select criteria specific to their needs or desires of a specific ECP. The information is received by the PMS 200, and displays one or more facilities meeting the select criteria. The patient may then pre-approve, or approve one more ECPs by selecting an acceptance command on a form displayed to the patient, or by other means of receiving acceptance known to persons of ordinary skill in the art, e.g., a check box, or voice input etc. The patient may also request to visit the accepted facility. The PMS 200 then processes the patients acceptance, and transmits the acceptance to the selected ECPs. The information transmitted to the ECPs may include patient contact information e.g., cell phone, address etc., in addition to select information on the patients needs. The ECP will then review the information and if the ECP approves and wishes to admit this patient, the ECP transmits, and the PMS 200 receives this approval and processes the results to the patient, or the hospital facility. In the instance where there are multiple ECPs which accept, the patient may then make a final selection, at which time the final (selected) ECP may then be flagged and provided exclusive access to additional information regarding the patient. The PMS 200 may then notify all ECPs of their pending status (selected or not selected to provide service), and transmit the patients additional information to the selected ECP. The ECP will then utilize the PMS 200 for accessing the patient EMR for the admission process. Thereafter, a record of this transaction will then be archived by the PMS 200 for possible subsequent access.
The steps of method 1000 generally allows for the hospitals and ECPs to securely exchange electronic medical records (EMRs) through a secure communication path using a computer or other device capable of transmitting EMRs. This exchange may be initiated (i.e., sent or requested) by either the hospital or the ECP in real-time, thereby reflecting the most up-to-date EMR information for a particular patient. In step 1002, the initiating party selects a particular patient from a listing which may be reflective of patient information gathered from a searchable database. After selecting the patient, in step 1004, the patient's EMR is populated on a first device. At this time, the initiating person may update the EMR with information related to the patient's current condition, treatment or needs, or in the alternative correct any errors found in the EMR. After confirming that the EMR is reflective of the selected patient, and that the information is correct, in step 1006, the EMR is transmitted from the first device to a second device through a secure communication pathway or portal. The secure communication pathway may be representative of a secured infrared connection, Bluetooth, a local or wide area network, or any other means known or accepted by person of skill in the art. In step 1008, the successful transmission of the EMR is confirmed. In one embodiment, the first device generates a confirmation that the EMR was successfully transmitted and may close the secured connection with the second device. In another embodiment, the confirmation may be generated from the second device, or a third monitoring device operatively communicating with either the first device, the second device, or the communication pathway.
In summary, systems, methods, and non-transitory computer-readable media for facilitating extended care planning and management for patients are disclosed. An interactive website is hosted on a server computer, where the interactive website provides a shared or common section being accessible to customers (e.g., patients or other interested parties), hospitals, and extended care providers, a hospital-specific section being accessible to hospitals registered to the system, and an extended care provider (ECP)-specific section being accessible to registered ECP providers. A searchable database is operatively connected to the server computer. The database stores searchable listings of hospitals and ECPs which may be searched via the interactive website by users. The various sections of the website provide interactive capabilities, allowing various types of users of the website to become informed and to subsequently plan and manage the care they need or provide.
It should be appreciated that the steps of the method embodiments described herein are for exemplary purposes, and are not required to be performed in a particular sequence.
While the claimed subject matter of the present application has been described with reference to certain embodiments, it will be understood by those skilled in the art that various changes may be made and equivalents may be substituted without departing from the scope of the claimed subject matter. In addition, many modifications may be made to adapt a particular situation or material to the teachings of the claimed subject matter without departing from its scope. Therefore, it is intended that the claimed subject matter not be limited to the particular embodiments disclosed, but that the claimed subject matter will include all embodiments falling within the scope of the appended claims.