System for Clinical Workflow and Information Management

Problem-Driven Order Entry (PDOE) is a novel process for computerized physician order entry (CPOE) that dynamically generates problem-specific CPOE pick-lists without the need for static order sets or a formal, pre-determined knowledge base. Through its simple yet unique workflow, it provides highly useful CPOE pick-lists while greatly aiding physicians in maintaining accurate, up-to-date coded problem lists. The Problem-Driven Medical Record (PDMR) is a novel clinical information environment that leverages the power of Problem-Driven Order Entry to tightly integrate CPOE, results review, and clinical documentation into a single, uniquely problem-oriented interface. Both PDOE and PDMR can greatly aid in increasing physician efficiency, increasing quality of care, and decreasing medical errors. Description (Set) Problem-Driven Order Entry: 1) explicit recording of controlled-terminology-coded problems as the first step in clinical workflow upon which downstream processes depend 2) mandatory computerized entry of any given order in the explicit context of its single most-relevant indicating problem 3) generation of problem-specific order pick-lists dynamically using database-stored problem-order linkage knowledge (POLK) as opposed to dynamically from 4) Problem-Order Linkage Knowledge Acquisition in Real-Time (POLKA-RT): real-time, dynamic capture of explicit problem-order linkage knowledge (POLK) in the process of normal clinical workflow The Problem-Driven Medical Record: 1) tight integration of CPOE (via PDOE), results review, order review (e.g., computerized Kardex and medication administration record review and procedure scheduling information), and clinical documentation into a single, semi-problem-oriented interface 2) a computerized, semi-problem-oriented approach where only certain data (i.e., not all clinical data) are explicitly recorded in the context of a problem and those data that are explicitly recorded in the context of a problem are only explicitly recorded in the context of their single most-relevant problem (as opposed to every relevant problem in a full Problem-Oriented approach) 3) automatic display of order-initiated information in the context of the problem for which the order was explicitly placed 4) the requirement of explicitly-defined, controlled terminology coded problems for the portion of its organization that is problem-oriented strong dependence on PDOE Proposed Use (Set) Whether underlying CPOE technology is independently developed or achieved via interfacing to an existing product, a PDOE system could easily stand on its own as a product, although its utility would be maximized when combined with a PDMR-based electronic medical record. PDMR is essentially a user interface concept for integrating into a single interface several types of distinct but related clinical information and workflow processes that are currently served by disparate systems including but not limited to CPOE, clinical documentation, and results review. As PDMR largely depends on problem list and problem-order linkage information from PDOE, it would only reach its full potential when implemented in combination with PDOE. While a working PDMR system would require data-stream interfaces to a hospital�s current information systems, PDMR would probably be most easily and logically developed into a product as a full-fledged electronic medical record system.

Inventor(s): Rothschild, Adam Scott

Type of Offer: Licensing



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