Systems and methods for providing a user engagement platform to support clinical decisions

Abstract

Systems and methods are disclosed for providing a user engagement platform to support clinical decisions. The user engagement platform is a point of care decision support platform for inpatients in an emergency department (ED), an intensive care unit (ICU), or other medical care department or facility that services patients with critical care needs. The user engagement platform is configured to receive and process data parameters obtained from a patient electronic health record (EHR), identify abnormalities based on such data parameters, prompt a user (e.g., clinician or other healthcare professional such as a nurse) to consider conditions common in ICU or ED patients that could result in patient death and update the patient EHR based on such user input.

1 - 26 . (canceled) 
     
     
         27 . A system for providing a user engagement platform to support clinical decisions, wherein the system comprising:
 one or more adapters configured to adapt patient electronic health records (EHR) data from clinical information systems having different data structures into EHR data having a standardized data structure for subsequent recognition of a medical condition of a patient;   an observation database for storing the data having standardized data structure adapted by the one or more adapters;   a clinical decision support engine configured to process the data received from the observational database and identify abnormal organ function of the patient;   one or more processors in communication with the observation database; and   memory in communication with the one or more processors, the memory including program instructions executable by the one or more processors that, when executed by the one or more processors, cause the one or more processors to:
 receive patient EHR data from an EHR system; 
 parse the patient EHR data to extract EHR data parameters from the patient EHR data; and 
 map the parsed EHR data parameters to established observation parameters that are used by the clinical decision support engine; 
 create a mapping configuration file based on the mapped data parameters; and 
 install the mapping configuration file in the one or more adapters. 
   
     
     
         28 . The system of  claim 27  wherein the mapping configuration file is created and installed before or at the same time as the system for providing a user engagement platform is deployed at an onsite facility. 
     
     
         29 . The system of  claim 27  wherein the clinical decision support engine comprises a plurality of modules, each of which is configured to identify an abnormal organ function of the patient and configured to generate an alert representing the abnormal organ function. 
     
     
         30 . The system of  claim 29  wherein each module of the plurality of modules is configured to analyze one or more EHR parameters that are stored in observation database to determine the functioning of an organ of the patient. 
     
     
         31 . A system for providing a user engagement platform to support clinical decisions, the system including one or more servers that communicate with a computer over a network, the system comprising:
 a rules database, wherein a plurality of rules for evaluating a plurality of conditions of a patient are stored, each rule associated with a condition of a patient and comprising a threshold value that functions as a guideline for evaluating one or more electronic health records (EHR) data parameters to determine whether the condition is present in the patient;   the one or more servers, communicating with the rules database, including a plurality of organ modules configured to apply rules from the rules database on the one or more EHR data parameters to identify abnormal organ function of a patient, the one or more servers configured to execute method steps, the method steps comprising:   generating one or more user interfaces, via a display connected to the computer, for displaying information concerning the one or more organs of the patient, wherein the one or more user interfaces includes ( 1 ) a viewing region in which a user may view information relating the one or more organs including alerts, indicators and/or conditions representing abnormalities of the one or more organs and ( 2 ) a data entry region for a user to input information relating to the organ or more organs;   receiving an EHR data parameter relating to the one or more organs of the patient;   evaluating the EHR data parameters to identify abnormalities in the one or more organs, wherein the evaluating includes comparing the EHR data parameter to a threshold value that functions as a guideline for evaluating the EHR data parameter so as to determine whether the condition is present in the patient; and   identifying at least one abnormality in the one or more organs if the difference value exceeds the threshold value.   
     
     
         32 . The system of  claim 31  wherein the method steps further comprising generating on the display an alert and/or indicator on the one or more user interfaces representing the abnormality. 
     
     
         33 . The system of  claim 31  further comprising:
 one or more adapters configured to adapt patient electronic health records (EHR) data having different data structures into data having a standardized data structure for subsequent recognition of a condition of a patient, wherein the EHR data includes a plurality of EHR parameters relating to one or more organs of a patient; and 
 an observation database, wherein EHR data having standardized data structure adapted by one or more adapters are stored, 
 wherein the EHR data parameter is received from the observational database that has been adapted by the one or more adapters. 
 
     
     
         33 . The system of  claim 31  wherein the method steps further comprising: updating, in response to a user input via the entry region, the rule associated with the threshold value in the rules database, thereby updating the condition associated with the rule. 
     
     
         34 . A system for providing a user engagement platform to support clinical decisions, the system including one or more servers that communicate with a computer over a network, the system comprising:
 a rules database, wherein a plurality of rules for evaluating a plurality of conditions of a patient are stored, each rule associated with a condition of a patient and comprising a threshold value that functions as a guideline for evaluating one or more EHR data parameters relating to one or more organs of a patient to determine whether the condition is present in the patient;   the one or more servers including a plurality of organ modules configured to apply rules from the rules database on the one or more EHR data parameters to identify abnormal organ function of a patient, the one or more servers configured to execute method steps, the method steps comprising:   generating one or more user interfaces, via a display connected to the computer, for displaying information concerning the one or more organs of the patient, wherein the one or more user interfaces includes ( 1 ) a viewing region in which a user may view information relating to the one or more organs including alerts, indicators and/or conditions representing abnormalities of the one or more organs and ( 2 ) an entry region for a user to input information relating to the organ or more organs;   receiving first and second data EHR parameters relating to the one or more organs of the patient;   evaluating the first and second EHR data parameters to identify abnormalities in the one or more organs, wherein the evaluating includes comparing the first and second EHR data parameters relating to the one or more organs and generating a difference value between the first and second EHR data parameters;   identifying at least one abnormality in the one or more organs if the difference value exceeds a threshold value that functions as a guideline for evaluating the first and second EHR data parameters to determine whether the condition is present in the patient; and   generating for display by the display, an alert and/or indicator on the one or more user interfaces representing the abnormality.   
     
     
         35 . The system of  claim 34  wherein the method steps further comprising receiving, via the one or more user interfaces, a user input relating to the alert and/or indicator. 
     
     
         36 . The system of  claim 34  further comprising:
 one or more adapters configured to adapt patient electronic health records (EHR) data having different data structures into data having a standardized data structure for subsequent recognition of a condition of a patient, wherein the EHR data includes a plurality of EHR parameters relating to one or more organs of a patient; and 
 an observation database, wherein EHR data having standardized data structure adapted by one or more adapters are stored, 
 wherein first and second EHR data parameters are received from the observational database that has been adapted by the one or more adapters. 
 
     
     
         37 . A system for providing a user engagement platform to support clinical decisions, the system comprising:
 one or more adapters configured to adapt patient electronic health records (EHR) data from clinical information systems having different data structures into data having a standardized data structure for subsequent recognition of a condition of a patient, wherein the EHR data includes a plurality of EHR parameters relating to one or more organs of a patient;   an observation database, wherein data having standardized data structure adapted by one or more adapters are stored;   a rules database, wherein a plurality of rules for evaluating a plurality of conditions of a patient are stored, each rule associated with a condition of a patient and comprises a threshold value that functions as a guideline for evaluating EHR data parameters relating to one or more organs of a patient to determine whether the condition is present in the patient;   a plurality of organ modules configured to apply the rules from the rules database to the EHR data parameters from the observation database so as to identify abnormal organ function of a patient,   one or more processors in communication with the observation database and the rules database; and   a memory in communication with the one or more processors, the memory including program instructions executable by the one or more processors that, when executed by the one or processors, cause the one or more processors to:   generate one or more user interfaces for displaying information concerning the one or more organs of the patient, wherein the one or more user interfaces includes (1) a viewing region in which a user may view information relating the one or more organs including alerts, indicators and/or conditions representing abnormalities of the one or more organs and (2) an entry region for a user to input information relating to the organ or more organs;   receive first and second EHR data parameters relating to an organ of the one or more organs from the observation database that have been adapted by the one or more adapters;   evaluate the first and second EHR data parameters to identify abnormalities in the one or more organs, wherein the evaluating includes comparing the first and second EHR data parameters relating to the one or more organs and generating a difference value between the first and second EHR data parameters;   identify at least one abnormality in the one or more organs if the difference value exceeds a threshold value that functions as a guideline for evaluating EHR data parameters relating to one or more organs of a patient; and   generate an alert and/or indicator on the one or more user interfaces for display representing the abnormality.