MULTI-SITE CLINICAL DECISION SUPPORT FOR SEPSIS
Methods are provided for the surveillance and monitoring of a patient's medical care when the patient is treated at two or more medical organizations having different medical record systems. Patient information is received from a first medical organization and populated into an active risk assessment array that monitors the patient's risk for developing Sepsis. Patient information is then received from a second medical organization and populated into the array. It is determined that actionable criteria have been met, and in response, a notification or alert is sent to the medical organizations indicating that the patient is at risk for developing Sepsis.
1 . A method for detecting sepsis in a patient based on multi-site surveillance, the method comprising:
receiving, from a first medical organization, a first set of patient information corresponding to a patient who has received medical treatment at the first medical organization;
determining that an active risk assessment array exists for the patient, wherein the active risk assessment array represents the patient's risk of developing sepsis;
for a first node of the active risk assessment array corresponding to the first set of patient information, populating a value of the first node with at least a portion of the first set of patient information;
receiving, from a second medical organization, a second set of patient information, wherein the patient has received medical treatment at the second medical organization, and wherein the first medical organization and the second medical organization maintain separate medical record systems;
for a second node of the active risk assessment array corresponding to at least a portion of the second set of patient information, populating the value of the second node with the at least the portion of the second set of patient information;
determining that sepsis-specific actionable criteria have been met based on at least the values of the first node and the second node of the active risk assessment array; and
providing a notification that the sepsis-specific actionable criteria have been met.
2 . The method of claim 1 , wherein each of the first node and the second node represent one or more of a heart rate, a body temperature, a respiration rate, a white blood cell count, glucose, bands, lactate level, systemic blood pressure, mean arterial pressure, oxygen saturation, creatinine, bilirubin, platelet count, partial thromboplastin time (PTT), or the PaO 2 /FiO 2 ratio.
3 . The method of claim 1 , wherein the active risk assessment array representing the patient's risk of developing sepsis remains active for 24 to 72 hours.
4 . The method of claim 1 , wherein the first and second nodes each represent a distinct parameter for the patient's risk of developing sepsis.
5 . The method of claim 1 , wherein the notification is provided to each of the first medical organization and the second medical organization such that providers who treated the patient at each of the first and second medical organizations are alerted as to the patient meeting the sepsis-specific actionable criteria.
6 . The method of claim 1 , wherein the notification is provided to the patient so that the patient can take further action.
7 . The method of claim 1 , wherein the notification is provided to a primary care provider associated with the patient.
8 . The method of claim 1 , further comprising accessing a database associated with the first medical organization to retrieve the first set of patient information.
9 . The method of claim 1 , further comprising:
determining that the actionable criteria set by the first medical organization have been met;
determining that the actionable criteria set by the second medical organization have not been met; and
providing the notification to the first medical organization that the actionable criteria have been met.
10 . The method of claim 1 , wherein the notification is provided by communicating the notification to all providers with documented patient contact during a period of time that the active risk assessment array has been active.
11 . The method of claim 1 , further comprising providing a recommended care plan to one or more providers based on the first and second sets of patient information.
12 . One or more computer storage media having computer-executable instructions embodied thereon, that when executed by a computing system having a processor and memory, cause the computing system to perform a method for detecting sepsis in a patient based on multi-site surveillance, the method comprising:
receiving a first set of patient information for a patient from a first medical organization;
based on the first set of patient information, determining that the patient is to be monitored for developing sepsis;
creating an active risk assessment array for the patient, wherein the active risk assessment array comprises one or more nodes that allow for population of patient information that is specific to sepsis;
populating values of a first set of nodes of the active risk assessment array with at least a portion of the first set of patient information;
receiving a second set of patient information for the patient from a second medical organization;
determining that the active risk assessment array that is specific to sepsis is currently active;
populating the values of a second set of nodes of the active risk assessment array with at least a portion of the second set of patient information;
based on the values of the first set of nodes and the second set of nodes, determining that the patient has met actionable criteria for being at risk for developing sepsis; and
notifying one or more of a primary care physician associated with the patient, the patient, the first medical organization, or the second medical organization that the patient has met the actionable criteria for developing sepsis, wherein the notification is one or more of a flag in the patient's medical record, a message sent to a pager, an email, a text message, a message received at a message center, a telephone call, or a fax.
13 . The computer storage media of claim 12 , wherein the determination that the patient has met the actionable criteria for developing sepsis is made by execution of an algorithm.
14 . The computer storage media of claim 12 , wherein the first medical organization and the second medical organization each have different sets of actionable criteria for a patient being at risk for developing sepsis.
15 . The computer storage media of claim 14 , wherein once the actionable criteria set by the first medical organization have been met, the first medical organization is notified.
16 . The computer storage media of claim 15 , wherein the second medical organization is not notified if the actionable criteria set by the second medical organization have not yet been met.
17 . The computer storage media of claim 12 , wherein the actionable criteria for the patient being at risk for developing sepsis is met when numerical values of a predetermined quantity of nodes of the active risk assessment array exceed a predetermined threshold.
18 . The computer storage media of claim 12 , wherein the actionable criteria for the patient being at risk for developing sepsis are met when a predetermined quantity of nodes are in an on state.
19 . One or more computer storage media having computer-executable instructions embodied thereon, that when executed by a computing system having a processor and memory, cause the computing system to perform a method for detecting sepsis in a patient based on multi-site surveillance, the method comprising:
receiving a first set of patient information from a first medical organization for a patient;
determining that, based on the first set of patient information, that the patient is to be monitored for developing sepsis;
determining whether an active risk assessment array corresponding to the patient's risk of developing sepsis currently exists for the patient;
(1) if the active risk assessment array currently exists for the patient, accessing the active risk assessment array, and
(2) if the active risk assessment array currently does not exist for the patient, creating the active risk assessment array corresponding to the patient's risk of developing sepsis;
populating values of a first set of nodes of the active risk assessment array with the first set of patient information;
receiving a second set of patient information from a second medical organization that maintains a different medical record system than the first medical organization;
associating the first set of patient information with the second set of patient information based on knowledge that they correspond to a common patient;
populating the values of a second set of nodes of the active risk assessment array with the second set of patient information;
based on the active risk assessment array, algorithmically determining that actionable criteria set by the first medical organization for performing escalation actions have been met, wherein the actionable criteria are met when the patient has a particular high risk for developing sepsis; and
in response to the actionable criteria being met, performing the escalation actions, wherein the escalation actions comprise notifying the first medical organization that the actionable criteria has been met for the patient.
20 . The computer storage media of claim 19 , further comprising:
receiving a third set of patient information from a third medical organization that maintains the different medical record system than the first and second medical organizations;
associating the third set of patient information with the first and second sets of patient information based on the knowledge that they correspond to the common patient; and
populating the values of a third set of nodes of the active risk assessment array with the third set of patient information.