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US6014631A Expired / Lapsed US ⏱️ 0.0 years remaining

Computer implemented patient medication review system and process for the managed care, health care and/or pharmacy industry

Assignee: Express Scripts Strategic Development Inc
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Filing: 1998-04-02
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Granted: 2000-01-11
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Expires: 2018-04-02
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Abstract

Abstract An interactive computer assisted method reviews, and analyzes, a patient who needs one or more medications using a computer and a user associated therewith. The method includes the steps of pre-selecting patients to obtain a preliminary set of patients eligible for the interactive computer assisted method responsive to first predetermined criteria, and filtering the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from the interactive computer assisted method responsive to second predetermined criteria. The method also includes the steps of enrolling a patient from the secondary set of patients, and communicating with the patient to obtain information to assist the user in determining whether therapy and/or medication issues are relevant. The method also includes the steps of preliminarily evaluating whether the therapy and medication issues are relevant responsive to the information, and communicating to a physician same. The method also includes the steps of determining whether the therapy and/or medication issues are relevant, and suggesting therapy changes, medication changes, or no changes for the patient.

Inventors

  • 👤 J. Russel Teagarden
  • 👤 Michael Clotz
  • 👤 David Angaran
  • 👤 Charlotte Kenreigh

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-30 20:11
CPC Classifications
G; G06; G06Q; G06Q30/00; G06Q30/02; G06Q99/00; G16; G16H; G16H20/00; G16H20/10; G16H10/00; G16H10/60; G16H40/00; G16H40/60; G16H40/63; G16H50/00; G16H50/20; Y; Y10; Y10S; Y10S128/00; Y10S128/92; Y10S706/00; Y10S706/902; Y10S706/924

Claims Analysis

Total Claims: 25
Claim 1
Independent Claim 249 words
An interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, said method comprising the steps of: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by the user using the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the user using the computer, at least one patient from the secondary set of patients; (d) communicating, by the user, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate; (e) preliminarily evaluating, by the user, whether the at least one of therapy and medication changes are appropriate responsive to the information; (f) communicating, by the user, to a physician, the at least one of therapy and medication changes and the information; and (g) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient.
Claim 2
Dependent Claim 249 words
An interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, said method comprising the steps of: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by the user using the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the user using the computer, at least one patient from the secondary set of patients; (d) communicating, by the user, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate; (e) preliminarily evaluating, by the user, whether the at least one of therapy and medication changes are appropriate responsive to the information; (f) communicating, by the user, to a physician, the at least one of therapy and medication changes and the information; and (g) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient.
Claim 3
Dependent Claim 26 words
An interactive computer assisted method according to claim 1, further comprising the step of confirming, by the user, the prescribing by the physician with the patient.
Claim 4
Dependent Claim 30 words
An interactive computer assisted method according to claim 1, further comprising the step of confirming, by the user, the prescribing by the physician with a pharmacist for possible medication changes.
Claim 5
Dependent Claim 44 words
An interactive computer assisted method according to claim 1, further comprising the step of communicating, by the user, to a pharmacist, to obtain additional information to further assist the user in determining whether the at least one of therapy and medication changes are appropriate.
Claim 6
Dependent Claim 57 words
An interactive computer assisted method according to claim 1, wherein the information includes at least one of patient demographics, patient's physician(s), current medications, medication use pattern, over the counter medication use, patient understanding of treatment goals, adverse effects, compliance history, medical history, family history, hospitalization history, pertinent laboratory work, patient concerns and assessment, and patient satisfaction assessment.
Claim 7
Dependent Claim 41 words
An interactive computer assisted method according to claim 1, further comprising the steps of confirming, by the user, the prescribing by the physician with a pharmacist of a mail order pharmacy for possible medication changes, and mailing medication to the patient.
Claim 8
Dependent Claim 384 words
An interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, said method comprising the steps of: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by the user using the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the user using the computer, at least one patient from the secondary set of patients; (d) communicating, by the user, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate, the information including at least one of patient demographics, patient's physician(s), current medications, medication use pattern, over the counter medication use, patient understanding of treatment goals, adverse effects, compliance history, medical history, family history, hospitalization history, pertinent laboratory work, patient concerns and assessment, and patient satisfaction assessment; (e) communicating, by the user, to a pharmacist, to obtain additional information to further assist the user in determining whether the at least one of therapy and medication changes are appropriate; (f) preliminarily evaluating, by the user, whether the at least one of therapy and medication changes are appropriate responsive to the information and the additional information; (g) communicating, by the user, to a physician, the at least one of therapy and medication changes, the information, and the additional information; (h) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient; (i) confirming, by the user, the prescribing by the physician with the patient; (j) confirming, by the user, the prescribing by the physician with a pharmacist for possible medication changes; and (k) mailing medication to the patient responsive to at least one of the medication changes and the other medication changes.
Claim 9
Dependent Claim 384 words
An interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, said method comprising the steps of: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by the user using the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the user using the computer, at least one patient from the secondary set of patients; (d) communicating, by the user, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate, the information including at least one of patient demographics, patient's physician(s), current medications, medication use pattern, over the counter medication use, patient understanding of treatment goals, adverse effects, compliance history, medical history, family history, hospitalization history, pertinent laboratory work, patient concerns and assessment, and patient satisfaction assessment; (e) communicating, by the user, to a pharmacist, to obtain additional information to further assist the user in determining whether the at least one of therapy and medication changes are appropriate; (f) preliminarily evaluating, by the user, whether the at least one of therapy and medication changes are appropriate responsive to the information and the additional information; (g) communicating, by the user, to a physician, the at least one of therapy and medication changes, the information, and the additional information; (h) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient; (i) confirming, by the user, the prescribing by the physician with the patient; (j) confirming, by the user, the prescribing by the physician with a pharmacist for possible medication changes; and (k) mailing medication to the patient responsive to at least one of the medication changes and the other medication changes.
Claim 10
Dependent Claim 243 words
An interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, said method comprising the steps of: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the computer, at least one patient from the secondary set of patients; (d) communicating, by the computer, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate; (e) preliminarily evaluating, by the computer, whether the at least one of therapy and medication changes are appropriate responsive to the information; (f) communicating, by the computer, to a physician, the at least one of therapy and medication changes and the information; and (g) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient.
Claim 11
Dependent Claim 243 words
An interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, said method comprising the steps of: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the computer, at least one patient from the secondary set of patients; (d) communicating, by the computer, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate; (e) preliminarily evaluating, by the computer, whether the at least one of therapy and medication changes are appropriate responsive to the information; (f) communicating, by the computer, to a physician, the at least one of therapy and medication changes and the information; and (g) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient.
Claim 12
Dependent Claim 282 words
An interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, said method comprising the steps of: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by at least one of the user and the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the at least one of the user and the computer, at least one patient from the secondary set of patients; (d) communicating, by the at least one of the user and the computer, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate; (e) preliminarily evaluating, by the at least one of the user and the computer, whether the at least one of therapy and medication changes are appropriate responsive to the information; (f) communicating, by the at least one of the user and the computer, to a physician, the at least one of therapy and medication changes and the information; and (g) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient.
Claim 13
Dependent Claim 282 words
An interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, said method comprising the steps of: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by at least one of the user and the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the at least one of the user and the computer, at least one patient from the secondary set of patients; (d) communicating, by the at least one of the user and the computer, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate; (e) preliminarily evaluating, by the at least one of the user and the computer, whether the at least one of therapy and medication changes are appropriate responsive to the information; (f) communicating, by the at least one of the user and the computer, to a physician, the at least one of therapy and medication changes and the information; and (g) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient.
Claim 14
Dependent Claim 26 words
An interactive computer assisted method according to claim 9, further comprising the step of confirming, by the user, the prescribing by the physician with the patient.
Claim 15
Dependent Claim 30 words
An interactive computer assisted method according to claim 9, further comprising the step of confirming, by the user, the prescribing by the physician with a pharmacist for possible medication changes.
Claim 16
Dependent Claim 44 words
An interactive computer assisted method according to claim 9, further comprising the step of communicating, by the user, to a pharmacist, to obtain additional information to further assist the user in determining whether the at least one of therapy and medication changes are appropriate.
Claim 17
Dependent Claim 57 words
An interactive computer assisted method according to claim 9, wherein the information includes at least one of patient demographics, patient's physician(s), current medications, medication use pattern, over the counter medication use, patient understanding of treatment goals, adverse effects, compliance history, medical history, family history, hospitalization history, pertinent laboratory work, patient concerns and assessment, and patient satisfaction assessment.
Claim 18
Dependent Claim 41 words
An interactive computer assisted method according to claim 9, further comprising the steps of confirming, by the user, the prescribing by the physician with a pharmacist of a mail order pharmacy for possible medication changes, and mailing medication to the patient.
Claim 19
Dependent Claim 289 words
A computer program memory, storing computer instructions to implement an interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, the computer instructions including: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by at least one of the user and the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the at least one of the user and the computer, at least one patient from the secondary set of patients; (d) communicating, by the at least one of the user and the computer, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate; (e) preliminarily evaluating, by the at least one of the user and the computer, whether the at least one of therapy and medication changes are appropriate responsive to the information; (f) communicating, by the at least one of the user and the computer, to a physician, the at least one of therapy and medication changes and the information; and (g) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient.
Claim 20
Dependent Claim 289 words
A computer program memory, storing computer instructions to implement an interactive computer assisted method of reviewing, analyzing, and prescribing a patient one or more medications using a computer and a user associated therewith, the computer instructions including: (a) pre-selecting, by the computer, patients to obtain a preliminary set of patients eligible for said interactive computer assisted method responsive to first predetermined criteria; (b) filtering, by at least one of the user and the computer, the preliminary set of patients to identify and form a secondary set of patients from the preliminary set of patients having a greater likelihood of benefiting from said interactive computer assisted method responsive to second predetermined criteria; (c) enrolling, by the at least one of the user and the computer, at least one patient from the secondary set of patients; (d) communicating, by the at least one of the user and the computer, with the at least one patient to obtain information to assist the user in determining whether at least one of therapy and medication changes are appropriate; (e) preliminarily evaluating, by the at least one of the user and the computer, whether the at least one of therapy and medication changes are appropriate responsive to the information; (f) communicating, by the at least one of the user and the computer, to a physician, the at least one of therapy and medication changes and the information; and (g) determining, by the physician, whether the at least one of therapy and medication changes are appropriate responsive to the information, and prescribing at least one of the at least one of therapy and medication changes, at least one of other therapy and medication changes, and no therapy and medication changes for the at least one patient.
Claim 21
Dependent Claim 25 words
A computer program memory according to claim 15, further comprising the instruction of confirming, by the user, the prescribing by the physician with the patient.
Claim 22
Dependent Claim 29 words
A computer program memory according to claim 15, further comprising the instruction of confirming, by the user, the prescribing by the physician with a pharmacist for possible medication changes.
Claim 23
Dependent Claim 43 words
A computer program memory according to claim 15, further comprising the instructions of communicating, by the user, to a pharmacist, to obtain additional information to further assist the user in determining whether the at least one of therapy and medication changes are appropriate.
Claim 24
Dependent Claim 56 words
A computer program memory according to claim 15, wherein the information includes at least one of patient demographics, patient's physician(s), current medications, medication use pattern, over the counter medication use, patient understanding of treatment goals, adverse effects, compliance history, medical history, family history, hospitalization history, pertinent laboratory work, patient concerns and assessment, and patient satisfaction assessment.
Claim 25
Dependent Claim 40 words
A computer program memory according to claim 15, further comprising the instructions of confirming, by the user, the prescribing by the physician with a pharmacist of a mail order pharmacy for possible medication changes, and mailing medication to the patient.

References Cited (Backward Citations)

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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2003-01-10 2003-07-12 2004-01-11 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2007-01-10 2007-07-12 2008-01-11 $3760.00 Window Closed / Lapsed
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