Patent EP0813155A1 successfully refreshed from Google Patents.
EP0813155A1
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EP
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Disease management method and system
Assignee: SmithKline Beecham Corp
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Filing: 1997-04-02
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Granted: —
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Expires: 2017-04-02
Abstract
Abstract A method for managing disease treatment in a population of patients undergoing drug therapy which comprises monitoring the patients' drug consumption through claims for pharmaceutical cost reimbursement and intervening in the disease treatment in accordance with predetermined intervention strategies, the particular intervention being dependent upon each patient's drug consumption.
Inventors
- 👤 Henry F. Blissenbach
- 👤 Bruce E. Edgren
- 👤 Frederick N. Chomilo
- 👤 Kathleen M. Eyer
Bibliographic Details
Application Number
—
Jurisdiction
EP
Data Source
google_patents
Last Synchronized
2026-11-08 19:21
CPC Classifications
G; G16; G16H; G16H10/00; G16H10/60; G06; G06Q; G06Q10/00; G06Q10/10; G16H20/00; G16H20/10; G16H70/00; G16H10/20
Claims Analysis
Total Claims: 18
Claim 1
Independent Claim
48 words
A method for managing the treatment of patients having a given disease which comprises (a) analyzing pharmaceutical cost reimbursement claims of a population of patients to identify the subpopulation of patients who are at risk and (b) intervening in the treatment of such subpopulation of at risk patients.
Claim 2
Dependent Claim
22 words
The method of claim 1 wherein the pharmaceutical cost reimbursement claims are monitored by analyzing claims data from a pharmaceutical claims database.
Claim 3
Dependent Claim
22 words
The method of claim 2 which comprises a program for managing disease treatment in a patient population of at least 500 patients.
Claim 4
Dependent Claim
48 words
The method of claim 3 wherein the database comprises discreet patient records and each record has at least the following searchable fields: a) patient identifier b) drug prescribed c) drug dosage d) amount of drug e) duration of therapy f) dates of recent prescription fills/refills g) provider identifier.
Claim 5
Dependent Claim
31 words
The method of claim 4 wherein the database is operatively linked to a computer wherein the computer is preprogrammed to analyze the data and to effect a case management intervention strategy.
Claim 6
Dependent Claim
38 words
The method of claim 5 wherein the database is programmed to eliminate entries for patients who have become ineligible and to silence records for which a case management intervention has been undertaken within a preset period of time.
Claim 7
Dependent Claim
16 words
The method of claim 6 wherein the case management intervention is effected through a case manager.
Claim 8
Dependent Claim
17 words
The method of claim 6 wherein the case management intervention is effected directly by the preprogrammed computer.
Claim 9
Dependent Claim
28 words
The method of claim 7 wherein the case management intervention comprises prompting a case manager to advise a physician or optionally directly issuing such advice to a patient.
Claim 10
Dependent Claim
27 words
The method of claim 8 wherein the case management intervention comprises prompting a case manager to advise a physician (or directly issuing such advice) to a patient.
Claim 11
Dependent Claim
28 words
The method of claim 9 wherein the advice is issued to a patient to comply with the prescribed treatment regimen or to submit to examination by a physician.
Claim 12
Dependent Claim
28 words
The method of claim 10 wherein the advice is issued to a patient to comply with the prescribed treatment regimen or to submit to examination by a physician.
Claim 13
Dependent Claim
31 words
The method of claim 11 wherein the advice is issued to the healthcare provider and is to modify the prescribed treatment regimen or to submit the patient to a physician's examination.
Claim 14
Dependent Claim
31 words
The method of claim 12 wherein the advice is issued to the healthcare provider and is to modify the prescribed treatment regimen or to submit the patient to a physician's examination.
Claim 15
Dependent Claim
37 words
The method of claim 1 which further comprises monitoring medical costs reimbursement data for the patient and wherein the medical claims data together with the pharmaceutical claims data are jointly used to determine the disease treatment intervention.
Claim 16
Independent Claim
61 words
A method for managing disease treatment in a patient undergoing drug therapy which comprises: (a) monitoring the patient's ongoing drug utilization patterns through claims for pharmaceutical cost reimbursement to determine the efficacy of the patient's treatment regimen and (b) intervening in the disease treatment in accordance with a predetermined intervention strategy, the particular intervention being dependent upon the patient's drug utilization.
Claim 17
Dependent Claim
56 words
A computer-based system for managing disease treatment in a patient undergoing drug therapy for a given disease state which comprises: a) a pharmaceutical claims database having discreet patient records showing pharmaceutical reimbursement claims b) means for analyzing the data for presence of intervention triggers and for identifying a corresponding intervention c) means for effecting the intervention.
Claim 18
Dependent Claim
128 words
A computational device which can output a product useful to a physician or healthcare provider in managing the treatment of a disease in an identified patient population, wherein the device comprises at least one computer and one or more algorithms which: a) collects pharmaceutical claims data and related patient data, b) organizes said claims according to a predetermined disease state following a pre-programmed algorithm, c) selects patient data for the predetermined disease state from said data using a pre-programmed algorithm, d) outputs the selected patient data to a second database which contains pre-existing information on intervening in the treatment of the selected patients, and wherein said second database outputs physical or electronic information for intervening in the treatment of said patients, optionally pre-addressed to the patients' healthcare provider.
References Cited (Backward Citations)
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