System and method for facilitating outcome-based health care

1. A method carried out by a server, the server comprising a communication interface, a processor, and a data storage comprising instructions that, if executed by the processor, cause the server to carry out the steps comprising:

receiving from a communication device (i) an identifier of a patient and (ii) a login credential associated with an individual from a care team comprising a plurality of individuals authorized to access a patient record of the patient, wherein the plurality of individuals comprises a physician, a nurse, and a family member of the patient, wherein the physician, the nurse, and the family member of the patient are individuals other than the patient;

making a determination based on the login credential that the individual is authorized to access the patient record, wherein the patient record is stored in a database and is associated with the patient identifier;

subsequent to making the determination, preparing an assessment based on the patient record, and providing the assessment to the communication device, wherein the assessment comprises a measurement;

receiving a measurement result from the communication device, and updating the patient record based on the measurement result, wherein the measurement result is associated with the measurement;

preparing a care plan based on the updated patient record, a patient specific need, and a patient demographic, and providing the care plan to the communication device, wherein the care plan comprises a task;

receiving a task status from the communication device, and updating the updated patient record based on the task status, wherein the task status is associated with the task;

determining an outcome of the care plan based on the updated patient record, wherein the outcome is a positive outcome or a negative outcome;

identifying a correlation between the outcome, the care plan, and the patient demographic;

preparing a subsequent care plan based on the identified correlation, the updated patient record, the task status, the patient specific need, and a physician assessment, and providing the subsequent care plan to the communication device, wherein the subsequent care plan comprises a subsequent task;

receiving a subsequent task status from the communication device, and adjusting the updated patient record based on the subsequent task status, wherein the subsequent task status is associated with the subsequent task; and

preparing a discharge assessment based on the adjusted patient record, and providing the discharge assessment to the communication device.

2. The method of claim 1 , further comprising:

after preparing the care plan, preparing a subsequent assessment based on the patient record, and providing the subsequent assessment to the communication device, wherein the subsequent assessment comprises a subsequent measurement; and

receiving a subsequent measurement result from the communication device, and updating the patient record based on the subsequent measurement result, wherein the subsequent measurement result is associated with the subsequent measurement.

3. The method of claim 1 , wherein the communication device is a device selected from a group consisting of a personal computer, a telephone, a smartphone, and a feature phone.

4. The method of claim 1 , wherein the login credential comprises a username and password of the individual.

5. The method of claim 1 , wherein the database comprises a relational database management system.

6. The method of claim 1 , wherein the database comprises a flat-file representation.

7. The method of claim 1 , further comprising:

receiving from the physician an authorization to allow the individual to access the patient record.

8. The method of claim 1 , further comprising:

receiving from the family member an authorization to allow the individual to access the patient record.

9. The method of claim 1 , further comprising:

receiving from the patient an authorization to allow the individual to access the patient record.

10. The method of claim 1 , wherein identifying the correlation further comprises:

providing a plurality of assessments and a plurality of care plans to a health organization; and

receiving information regarding a correlation between one or more care plans and one or more positive outcomes.

11. The method of claim 10 , wherein determining the outcome further comprises:

the health organization comparing the care plans to the outcome to determine positive-outcome care plans.

12. The method of claim 1 , wherein receiving the measurement result comprises receiving text, visual media, or audio media.

13. The method of claim 1 , wherein the plurality of individuals further comprises the patient.

14. A system comprising:

a server; and

a communication device;

wherein the server is configured to:

receive from a communication device (i) an identifier of a patient and (ii) a login credential associated with an individual from a care team comprising a plurality of individuals authorized to access a patient record of the patient, wherein the plurality of individuals comprises a physician, a nurse, and a family member of the patient, wherein the physician, the nurse, and the family member of the patient are individuals other than the patient,

make a determination based on the login credential that the individual is authorized to access the patient record, wherein the patient record is stored in a database and is associated with the patient identifier,

subsequent to making the determination, prepare an assessment based on the patient record, and provide the assessment to the communication device, wherein the assessment comprises a measurement,

receive a measurement result from the communication device, and update the patient record based on the measurement result, wherein the measurement result is associated with the measurement,

prepare a care plan based on the updated patient record, a patient specific need, and a patient demographic, and provide the care plan to the communication device, wherein the care plan comprises a task, and

receive a task status from the communication device, and update the updated patient record based on the task status, wherein the task status is associated with the task,

determine an outcome of the care plan based on the updated patient record, wherein the outcome is a positive outcome or a negative outcome,

identify a correlation between the outcome, the care plan, and the patient demographic,

prepare a subsequent care plan based on the identified correlation, the updated patient record, the task status, the patient specific need, and a physician assessment, and providing the subsequent care plan to the communication device, wherein the subsequent care plan comprises a subsequent task,

receive a subsequent task status from the communication device, and adjusting the updated patient record based on the subsequent task status, wherein the subsequent task status is associated with the subsequent task, and

prepare a discharge assessment based on the adjusted patient record, and providing the discharge assessment to the communication device; and wherein the communication device is configured to:

provide to the server (i) the identifier of the patient and (ii) the login credential,

receive the assessment from the server,

provide the measurement result to the server,

receive the care plan from the server, and

provide the task status to the server.

15. The system of claim 14 , wherein the server is further configured to:

after preparing the care plan, prepare a subsequent assessment based on the patient record, and provide the subsequent assessment to the communication device, wherein the subsequent assessment comprises a subsequent measurement; and

receive a subsequent measurement result from the communication device, and update the patient record based on the subsequent measurement result, wherein the subsequent measurement result is associated with the subsequent measurement.

16. The system of claim 14 , wherein the server comprises a communication interface, a processor, and a data storage comprising instructions that, if executed by the processor, cause the server to carry out server functions.

17. The system of claim 14 , wherein the communication device comprises a communication interface, a processor, and a data storage comprising instructions that, if executed by the processor, cause the communication device to carry out communication-device functions.

18. The system of claim 14 , wherein the communication device is a device selected from a group consisting of a personal computer, a telephone, a smartphone, and a feature phone.

19. The system of claim 14 , wherein the login credential comprises a username and password of the individual.

20. The system of claim 14 , wherein the database comprises a relational database management system.

21. The system of claim 14 , wherein the database comprises a flat-file representation.

22. The system of claim 14 , wherein the server is further configured to:

receive from the physician an authorization to allow the individual to access the patient record.

23. The system of claim 14 , wherein the server is further configured to:

receive from the family member an authorization to allow the individual to access the patient record.

24. The system of claim 14 , wherein the server is further configured to:

receive from the patient an authorization to allow the individual to access the patient record.

25. The system of claim 14 , wherein the server is further configured to:

provide a plurality of assessments and a plurality of care plans to a health organization; and

receive information regarding a correlation between one or more care plans and one or more positive outcomes.

26. The system of claim 14 , wherein the measurement result comprises text, visual media, or audio media.

27. The system of claim 14 , wherein the plurality of individuals further comprises the patient.