Flexible computer based pharmaceutical care cognitive services management system and method

{
  "publication_number": "US5666492A",
  "country": "US",
  "kind": "A",
  "title": "Flexible computer based pharmaceutical care cognitive services management system and method",
  "abstract": "A computer based pharmaceutical care cognitive services management system and method allows the transformation of a pharmacist from a vendor to a health care provider. The pharmaceutical care cognitive services management system and method captures all of the value added by a pharmacist to a patient encounter by permitting multiple RARs (Reasons, Actions, Results) to be associated with a single SOAP (Subjective, Objective, Assessment, Plan). This system enables the pharmacist to financially recover for each analytical or counseling session and/or service provided to the user associated with a single transaction. The pharmaceutical care cognitive services management system and method also enables the efficient processing of interruptions to cognitive and counseling sessions. When a pharmacist receives an interruption from a patient in the nature of a telephone call or an in-person interruption, or in the nature of a physician requesting a refill for a prescription by telephone, the pharmaceutical care cognitive services management system and method suspends the cognitive or counseling session for a first patient, processes the interrupt for the second patient or refill request, and upon completion of the processing of the interrupt for the second patient or refill request, resumes processing of the cognitive or counseling session for first patient.",
  "claims": [
    "1. A computer based pharmaceutical care cognitive services management method which executes on a computer system including processing means, data storage means, display means and input means, said computer based pharmaceutical care cognitive services management method comprising the steps of: prompting on said display means for user entry via said input means, and for storing in said data storage means, of identity and history information corresponding to a patient; prompting on said display means for user entry via said input means, and for storing in said data storage means, of subjective information relating to assessed characteristics of said patient and objective information relating to said patient's history of drug use; prompting on said display means for user entry via said input means, and for storing in said data storage means, of an assessment of said patient based upon said subjective information and said objective information; prompting on said display means for user entry via said input means, and for storing in said data storage means, of a plan to follow based on said assessment; prompting on said display means for user entry via said input means, and for storing in said data storage means, of a first reason for the assessment and the plan, a first action in response to the assessment and the plan, and a first result based on the first action; prompting on said display means for user entry via said input means, and for storing in said data storage means, of a second reason for the assessment and the plan, a second action in response to the assessment and the plan, and a second result based on the second action; associating the stored first reason, first action and first result and the stored second reason, second action and second result with the stored subjective information, objective information, assessment and plan, such that a plurality of reasons, actions and results are associated with the stored subjective information, objective information, assessment and plan for a patient; generating a first billing statement for said patient based on the stored first reason, first action and first result associated with the stored subjective information, objective information, assessment and plan for said patient; and generating a second billing statement for said patient based on the stored second reason, second action and second result associated with the stored subjective information, objective information, assessment and plan for said patient; such that two billing statements are generated for one patient based on the stored subjective information, objective information, assessment and plan.",
    "2. The computer based pharmaceutical care cognitive services management method of claim 1 further comprising the steps of: prompting on said display means for user entry via said input means, and for storing in said data storage means, of a third reason for the assessment and the plan, a third action in response to the assessment and the plan, and a third result based on the third action; associating the stored third reason, third action and third result with the stored first reason, first action and first result, the stored second reason, second action and second result, and the stored subjective information, objective information, assessment and plan, such that the stored first reason, first action and first result, the stored second reason, second action and second result and the stored third reason, third action and third result are each associated with the stored subjective information, objective information, assessment and plan for a patient.",
    "3. The computer based pharmaceutical care cognitive services management method of claim 2 further comprising the step of: generating a third billing statement for said patient based on the stored third reason, third action and third result associated with the stored subjective information, objective information, assessment and plan for said patient; such that a third billing statement is generated for one patient based on the stored subjective information, objective information, assessment and plan.",
    "4. The computer based pharmaceutical care cognitive services management method of claim 1 further comprising the steps of: prompting on said display means for user entry via said input means, and for storing in said data storage means, of an identification of a drug; and associating the identification of the drug stored in said data storage means with the identity of said patient stored in said data storage means.",
    "5. The computer based pharmaceutical care cognitive services management method of claim 4 further comprising the steps of: comparing the identification of the drug stored in said data storage means and the identity and history information corresponding to said patient stored in said data storage means; and prompting for user entry via said input means, and for storing in said data storage means, of alteration of said identification of said drug based on the result of said comparing step, and said stored subjective information, objective information, assessment and plan; such that the identification of said drug is changed by said user.",
    "6. The computer based pharmaceutical care cognitive services management method of claim 4 further comprising the step of: transferring the identification of the drug in association with the identity of said patient to a dispensing system; such that said drug is dispensed to said patient.",
    "7. The computer based pharmaceutical care cognitive services management method of claim 4 further comprising the step of: generating a billing statement for said patient based on the identification of the drug stored in said storage means; such that a billing statement is generated for said patient based on the stored subjective information, objective information, assessment and plan.",
    "8. The computer based pharmaceutical care cognitive services management method of claim 1 further comprising the step of generating a report for said patient based on said stored subjective information, objective information, assessment and plan, and said stored first reason, first action and first result, and said stored second reason, second action and second result associated with said stored subjective information, objective information, assessment and plan.",
    "9. A computer based pharmaceutical care cognitive services management system comprising: a computer system including processing means, data storage means, display means and input means; first prompting means, for prompting on said display means for user entry via said input means, and for storing in said data storage means, of identity and history information corresponding to a patient; second prompting means, for prompting on said display means for user entry via said input means, and for storing in said data storage means, of subjective information relating to assessed characteristics of said patient and objective information relating to said patient's history of drug use; third prompting means, for prompting on said display means for user entry via said input means, and for storing in said data storage means, of an assessment of said patient based upon said subjective information and said objective information; fourth prompting means, for prompting on said display means for user entry via said input means, and for storing in said data storage means, of a plan to follow based on said assessment; fifth prompting means, for prompting on said display means for user entry via said input means, and for storing in said data storage means, of a first reason for the assessment and the plan, a first action in response to the assessment and the plan, and a first result based on the first action; sixth prompting means, for prompting on said display means for user entry via said input means, and for storing in said data storage means, of a second reason for the assessment and the plan, a second action in response to the assessment and the plan, and a second result based on the second action; associating means, for associating the stored first reason, first action and first result and the stored second reason, second action and second result with the stored subjective information, objective information, assessment and plan, such that a plurality of reasons, actions and results are associated with the stored subjective information, objective information, assessment and plan for said patient; first generating means, for generating a first billing statement for said patient based on the stored first reason, first action and first result; and second generating means, for generating a second billing statement for said patient based on the stored second reason, second action and second result; such that two billing statements are generated for said patient based on the stored subjective information, objective information, assessment and plan.",
    "10. The computer based pharmaceutical care cognitive services management system of claim 9 further comprising: seventh prompting means, for prompting on said display means for user entry via said input means, and for storing in said data storage means, of an identification of a drug; and second associating means, for associating the identification of the drug stored in said data storage means with the identity of said patient stored in said data storage means.",
    "11. The computer based pharmaceutical care cognitive services management system of claim 10 further comprising: comparing means, for comparing the identification of the drug stored in said data storage means and the identify and history information corresponding to said patient stored in said data storage means to produce an indication of possible incompatibilities between said drug and said patient; and eighth prompting means, for prompting for user entry via said input means, and for storing in said data storage means, of alteration of said identification of said drug based on the indication of possible incompatibilities, and said stored subjective information, objective information, assessment and plan; such that the identification of said drug is changed by said user.",
    "12. The computer based pharmaceutical care cognitive services management system of claim 10 further comprising: a dispensing system; and transferring means, for transferring the identification of the drug in association with the identity of said patient to said dispensing system; such that said drug is dispensed to said patient.",
    "13. The computer based pharmaceutical care cognitive services management system of claim 10 further comprising: third generating means, for generating a billing statement for said patient based on the identification of the drug stored in said storage means; such that a billing statement is generated for said patient based on the stored subjective information, objective information, assessment and plan."
  ],
  "description_excerpt": "This invention relates to systems and methods used by pharmacists, and more particularly to computer based pharmaceutical care cognitive services management systems which allow a pharmacist to more efficiently conduct an encounter with pharmacy patients.\n\nThe role of pharmacists is quickly moving from that of a vendor to that of a health care provider. As a result, pharmacists are increasingly concerned about advising patients regarding the selection, use and side effects of over-the-counter and prescription drugs. A pharmacist typically obtains information relating to the patient's history directly from the patient, accepts orders for over-the-counter and prescription drugs; conducts an analysis in terms of a cognitive review of the drug and the patient's history, and conducts a counseling session with the patient during which the pharmacist advises the patient about substitute generic drugs, provides instructions for administering the drug, and advises the patient about possible side effects resulting from use of the drug. Thereafter, the pharmacy dispenses the prescribed drug or an equivalent generic drug.\n\nRecently, computer based systems have been introduced to automate this process. Pharmaceutical care systems, typically controlled by a microprocessor, assist a pharmacist in analyzing the impact of drugs with respect to particular patients and to correspondingly provide advice to particular patients based on particular over-the-counter or prescription drugs and specific patient histories. The computer based systems may include a processing unit, a keyboard, a display screen and a printer.",
  "cpc": [
    "G06Q 40/08",
    "G06Q 10/10",
    "G16H 10/60",
    "G16H 15/00",
    "G16H 20/13"
  ],
  "ipc": [
    "G06F 19/00"
  ],
  "assignees": [
    "Glaxo Wellcome Inc"
  ],
  "inventors": [
    "Keith Daniel Rhodes",
    "Kenneth Wayne Dunn",
    "Samir Ibrahim Abed",
    "Donald Collins Mullen, Jr.",
    "Jon Martin Schwartz"
  ],
  "filing_date": "1995-01-17",
  "publication_date": "1997-09-09",
  "grant_date": "1997-09-09",
  "priority_date": "1995-01-17",
  "application_number": "US-37310595-A",
  "family_id": "23470974",
  "cited_by_count": 196,
  "citations": [
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    "US4847764C1",
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  ]
}