Patent Publication Number: US-2022238240-A1

Title: Telehealth service delivery system

Description:
I. RELATED APPLICATIONS 
     This application is a continuation-in-part of U.S. application Ser. No. 15/184,208, filed on Jun. 16, 2016. 
    
    
     II. FIELD OF THE INVENTION 
     This application discloses claims and embodiments generally related to a telehealth delivery system, and more particularly, a telehealth delivery system for synchronous connectivity between patient and multiple health care providers. 
     III. BACKGROUND OF THE INVENTION 
     Medical services are traditionally provided to individuals at a designated health care provider facility, such as a physician&#39;s office, a physician group facility, and/or a hospital, among other variants. Typically, an individual contacts the provider when medical assistance or advice is sought. Upon request, the provider-side sets up an appointment time and date. Because of the demand for provider services, flexibility and convenience are often quickly sacrificed for immediacy. However, such scheduling often represents a poor accommodation to the patient. In addition to the inconvenience of the time and date, travel is often required (especially for rural or remotely located individuals), and wait times are unavoidable. And, because of the size and configuration of waiting rooms, transmission of infectious disease(s) is an increased concern. 
     For rural residents, in which distance and/or travel time to a suitable provider facility can often be at least 30 minutes and up to 2 hours. In non-emergent situations or for pre-scheduled appointments, the travel and distance often requires the patient to clear significant blocks of time. Many patients will schedule multiple appointments for a single day to best optimize time off and/or away from work or home, resulting in long, exhausting days. Depending upon the age of the patient, such extended days can have short-term effects that carry over for one or more additional days post-appointment. In emergent situations, even emergency medical service vehicles may require more time than is ideal or preferred and can exacerbate a medical condition or problem and causing resolution to be delayed. 
     Telehealth and/or telemedicine have been limited to videoconferencing as the most common form of synchronous consultation. Yet, telehealth enables a patient to be monitored more frequently and conveniently obviating the need for physical visitation and increasing convenience while reducing travel. Research has indicated that continued and preventative care via telehealth has a net positive impact on the reduction of physical visitations to provider facilities. Additionally, telehealth enables consultation, diagnosis, and/or treatment via providers and specialists regardless of the geographic location relative to the patient(s). This enhances the healthcare experience, increases quality of patient care, and lowers costs associated with healthcare. 
     Despite these improvements in telehealth and telemedicine, there remains a need for improvements to telehealth delivery systems. 
     IV. SUMMARY OF THE INVENTION 
     In one embodiment, a synchronous telehealth service delivery system comprises a web portal having a plurality of interfaces for facilitating a synchronous patient health evaluation session via an online connection, wherein at least one of the plurality of interfaces is a patient interface and accommodates accessibility by a patient and/or a patient custodian, and wherein at least one of the plurality of interfaces is a health care provider interface and accommodates accessibility by two or more health care providers, and wherein the synchronous patient health evaluation session includes a maintenance or treatment plan for the patient. The system also includes the patient interface accessible by a remote first terminal digitally interconnected with the web portal using an online connection, the patient interface having one or more log-in fields to evaluate the patient and/or patient custodian credentials before allowing patient and/or patient custodian access to the web portal, and after patient and/or patient custodian credentials are approved the patient interface launches a patient window for audio/video transmission utilizing an associated camera and microphone. The system also includes the health care provider interface accessible by a remote second terminal digitally interconnected with the web portal using an online connection, the health care provider interface having one or more log-in fields to evaluate the first health care provider credentials and the second health care provider credentials before allowing the first health care provider and the second health care provider access to the web portal, and after the first health care provider and the second health care provider credentials are approved the health care provider interface launches at least one health care provider window for audio/visual transmission utilizing associated camera(s) and microphone(s). The system also includes the patient window and the at least one health care provider window enabling audio/video transmission between the patient and the plurality of health care providers through the web portal, wherein the web portal displays multiple video windows across multiple remote terminals accessed by the patient and/or patient custodian and the plurality of health care providers, wherein each separate remote terminal comprises a two-way camera transmission for sending and receiving video signals with at least one microphone and at least one audio speaker for sending and receiving audio signals. The system also includes one or more remote patient monitoring instruments configured for use with the patient to provide synchronous audible and/or visual biotelemetry information to the health care providers enabling synchronous medical advice from the health care providers to the patient and/or patient custodian, the one or more remote patient monitoring instruments operably coupled and in communication through the web portal via the online interconnectivity. 
     In another embodiment, a synchronous telehealth service delivery system comprises a web portal having a plurality of interfaces for facilitating a synchronous patient health evaluation session via an online connection, wherein at least one of the plurality of interfaces is a patient interface and accommodates accessibility by a patient and/or a patient custodian, and wherein at least one of the plurality of interfaces is a health care provider interface and accommodates accessibility by two or more health care providers, and wherein the synchronous patient health evaluation session includes a coordinated maintenance or treatment plan for the patient developed by the plurality of health care providers. The system also includes the patient interface accessible by a remote first terminal digitally interconnected with the web portal using an online connection, the patient interface having one or more log-in fields to evaluate the patient and/or patient custodian credentials before allowing patient and/or patient custodian access to the web portal, and after patient and/or patient custodian credentials are approved the patient interface launches a patient window for audio/video transmission utilizing an associated camera and microphone. The system also includes the health care provider interface accessible by a separate remote second terminal and a separate remote third terminal, the second terminal and the third terminal digitally interconnected with the web portal using an online connection, the health care provider interface having one or more log-in fields to evaluate the first health care provider credentials and the second health care provider credentials before allowing the first health care provider and the second health care provider access to the web portal, and after the first health care provider and the second health care provider credentials are approved the health care provider interface launches a first health care provider window and a separate second health care provider window, the first health care provider window and the second health care provider window providing audio/visual transmission utilizing associated camera(s) and microphone(s). The system also includes the patient window and the at least one health care provider window enabling audio/video transmission between the patient and the plurality of health care providers through the web portal, wherein the web portal displays multiple video windows across multiple remote terminals accessed by the patient and/or patient custodian and the plurality of health care providers, wherein each separate remote terminal comprises a two-way camera transmission for sending and receiving video signals with at least one microphone and at least one audio speaker for sending and receiving audio signals. The system also includes one or more remote patient monitoring instruments configured for use with the patient to provide synchronous audible and/or visual biotelemetry information to the health care providers enabling synchronous medical advice from the health care providers to the patient and/or patient custodian, the one or more remote patient monitoring instruments operably coupled and in communication through the web portal via the online interconnectivity. 
    
    
     
       V. BRIEF DESCRIPTION OF THE DRAWING(S) 
       The advantages and features of the invention and the respective embodiments will become better understood with reference to the following more detailed description and claims taken in conjunction with the accompanying drawings, in which like elements are identified with like symbols, and in which: 
         FIG. 1  is a schematic of the system  100  described and disclosed that provides a synchronous patient evaluation session  106 . 
     
    
    
     VI. DETAILED DESCRIPTION OF THE EMBODIMENT(S) 
     It will be readily understood that the components of the present invention, as generally described and illustrated in the figures herein, may be arranged and designed in a wide variety of different configurations. Thus, the following detailed description of the embodiments, as represented in the attached figures, is not intended to limit the scope of the invention as claimed, but is merely representative of selected embodiments of the invention. 
     The features, structures, or characteristics of the invention described throughout this specification may be combined in any suitable manner in one or more embodiments. For example, the usage of the phrases “example embodiments”, “some embodiments”, or other similar language, throughout this specification refers to the fact that a particular feature, structure, or characteristic described in connection with the embodiment may be included in at least one embodiment of the present invention. Thus, appearances of the phrases “example embodiments”, “in some embodiments”, “in other embodiments”, or other similar language, throughout this specification do not necessarily all refer to the same group of embodiments, and the described features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. 
     Consistent with the illustration in  FIG. 1 , included herewith, a telehealth delivery system  100  comprising a web portal  102  having a plurality of interfaces  104  for facilitating a synchronous patient health evaluation session  106  via an online connection  103  is described herein. The synchronous patient health evaluation session  106  may be initiated by either the patient (or patient custodian) or one of several health care providers associated with the patient and/or invited for temporary or limited association as initiated by one of the several health care providers associated with the patient. 
     Within the system  100 , at least one of the plurality of interfaces  104  is a patient interface  104   a  and accommodates accessibility by a patient and/or a patient custodian, and wherein at least one of the plurality of interfaces  104  is a health care provider interface  104   b . In one embodiment, the patient interface  104   a  includes a remote first terminal  107   a  and the health care provider interface  104   b  accommodates accessibility by two or more health care providers via a single remote second terminal  107   b . In another embodiment, the patient interface  104   a  incudes a remote first terminal  107   a  and the health care provider interface  104   b  accommodates accessibility by two or more health care providers via a remote second terminal  107   b  and a remote third terminal  107   c . In either embodiment, the synchronous patient health evaluation session  106  includes a coordinated maintenance or treatment plan  110  for the patient developed by the plurality of health care providers interconnected via the web portal  102 . It is envisioned that as part of the plan  110  is the inclusion of the transmission of electronic dispensing of a prescription request(s) to an identified pharmacy via the web portal  102 . 
     The patient interface  104   a  accessible by the remote first terminal  107   a  digitally interconnected with the web portal  102  using an online connection  103 , the patient interface  104   a  comprises one or more log-in fields  112   a  to evaluate the patient and/or patient custodian credentials before allowing patient and/or patient custodian access to the web portal  102 . If and after patient and/or patient custodian credentials are approved the patient interface  104   a  launches a patient window  120   a  for audio/video transmission utilizing an associated camera  122   a  and microphone  124   a.    
     For either of the embodiments described above concerning the health care provider interface  104   b , the interface  104   b  comprises one or more log-in fields  112   b  to evaluate the first health care provider credentials and the second health care provider credentials before allowing the first health care provider and the second health care provider access to the web portal  102 . If and after the first health care provider and the second health care provider credentials are approved the health care provider interface  104   b  launches a first health care provider window  120   b  and a separate second health care provider window  120   c , the first health care provider window and the second health care provider window  120   b ,  120   c  providing audio/visual transmission utilizing associated camera(s)  122   b ,  122   c  and microphone(s)  124   b ,  124   c.    
     The credentialing of the patient (or patient custodian) and the one or more health care providers provides the requisite security and privacy necessary to conduct a telehealth session without fear of disclosure, broadcast, and/or dissemination. In particular, it is envisioned that the credentialing of each entryway into the system  100  (via the patient-side and the health care provider-side) is consistent and in compliance with HIPAA. Via HIPAA compliance, confidence and integrity in the system  100  will be improved. HIPAA compliance also promotes secure preservation of electronic health records (EHR) and electronic medical records (EMR) as well as all such records and entries related to such records, data, and information. Initiation of the session  106  by the patient and/or patient custodian may include prompts for patient and/or patient custodian to update patient information, including non-health information and health-related information. 
     The patient window  120   a  and the at least one health care provider window  120   b  (and/or  120   c ) enable audio/video transmission between the patient and the plurality of health care providers through the web portal  102 . The web portal  102  displays multiple video windows across multiple remote terminals accessed by the patient and/or patient custodian and the plurality of health care providers. Each separate remote terminal  107   a ,  107   b ,  107   c  comprises a two-way camera transmission for sending and receiving video signals with at least one microphone and at least one audio speaker for sending and receiving audio signals. It is envisioned that each separate remote terminal  107   a ,  107   b ,  107   c  may comprise one or combinations of a PC terminal, a laptop terminal, a smartphone, a smartwatch, a tablet, a television, and/or other similar technology that enables a user or users to remotely access the web portal  102 . 
     The system  100  may include one or more remote patient monitoring instruments  130  configured for use with the patient to provide synchronous audible and/or visual biotelemtry information to the health care providers and enabling synchronous medical advice from the health care providers to the patient and/or patient custodian. The one or more remote patient monitoring instruments  130  are operably coupled and in communication through the web portal via the online interconnectivity. 
     It is envisioned that the one or more remote patient monitoring instruments (devices)  130  may include the following instruments and/or devices used for monitoring vital signs and/or chronic illness/disease. More particularly, vital sign remote patient monitoring instruments (devices)  130  may include such devices utilized for collecting data for blood pressure, glucose levels (e.g., glucometer), pulse oxygen data (e.g., pulse oximeter), cardio data (e.g., ECG, stethoscope), body temperature and/or body weight, as well as such devices for monitoring and controlling insulin levels and other chronic disease or illness. It is envisioned that these instruments  130  may be single-data instruments, multi-data instruments, wearable devices (e.g., wearables), and/or a combination of these items. 
     It is envisioned that the synchronous patient health evaluation session  106  may include advertising and/or promotion. In one embodiment, the advertisement/promotion may be included at the initiation of the session  106 . In another embodiment, the advertisement/promotion may be included at the conclusion of the session  106 . In another embodiment, the advertisement/promotion may be included at the initiation and conclusion of the session  106 . The advertisement/promotion may assume a variety of forms, including a fixed image, fixed image with voiceover, video, video with voiceover, and/or a combination thereof. 
     It is also envisioned that the system  100  may be utilized in delivery of a number of telehealth services, including general health maintenance, annual exams, and/or specialized medical services. For example, including but limited to the following specialized medical services and/or areas of concern, the system  100  may include cardiology, dentistry, dermatology, endocrinology, gastroenterology, genetics, gerontology, gyneology, hematology, hepatology, immunology, infectious disease, internal medicine, nephrology, neurology, obstetrics, oncology, ophthalmology, orthopedics, otolaryngology, pallitative medicine, pathology, pediatrics, podiatry, psychiatry, pulmonology, radiology, rheumatology, serology, toxicology, urology, general and specific surgical cases, and emergency and/or disaster medicine. Other umbrella services, including athletic training and/or sports medicine, aviation, family medicine, intensive care, military medicine, rehabilitation services, rural medicine, space medicine, transplantation medicine, tropical medicine, and/or wilderness medicine, may be encompassed by the system  100 . 
     It is envisioned that specific health care and/or medical services may be delivered through the telehealth system  100  described above. For example, these services may include providing advice and/or recommendations related to an existing or a new medical condition, diagnosing and/or treating an existing or a new medical condition, providing immediate or concurrent referral service(s) based on an existing or new medical condition, prescribing medication or other treatment measures, periodic medical monitoring of one or more existing medical condition(s), providing follow-up monitoring and/or routine examination(s) and/or check-ups, mental health counseling and/or referral, providing general health or health-related information, and/or wellness information and/or counseling. 
     It is envisioned that the system  100  may include entry and/or verification of credentials utilizing a variety of personal information related to the patient. For example, including but not limited to, patient name, address, contact information (e.g., cell or phone number, email address), age, gender, height, weight, medical history, current medicine(s), insurance information, medical power of attorney, allergy information, general or specific health or medical records, and/or pharmacy information. Additional information that may be used (but not necessarily required) to initiate a telehealth system  100  synchronous patient health evaluation session  106  may include request for session, patient symptom(s), specific health care request(s), and/or other related information. 
     It is to be understood that the embodiments and claims are not limited in its application to the details of construction and arrangement of the components set forth in the description and illustrated in the drawings. Rather, the description and the drawings provide examples of the embodiments envisioned, but the claims are limited to the specific embodiments. The embodiments and claims disclosed herein are further capable of other embodiments and of being practiced and carried out in various ways. Also, it is to be understood that the phraseology and terminology employed herein are for the purposes of description and should not be regarded as limiting the claims. 
     Accordingly, those skilled in the art will appreciate that the conception upon which the application and claims are based may be readily utilized as a basis for the design of other structures, methods, and systems for carrying out the several purposes of the embodiments and claims presented in this application. It is important, therefore, that the claims be regarded as including such equivalent constructions. 
     Furthermore, the purpose of the foregoing Abstract is to enable the U.S. Patent and Trademark Office and the public generally, and especially including the practitioners in the art who are not familiar with patent and legal terms or phraseology, to determine quickly from a cursory inspection the nature and essence of the technical disclosure of the application. The Abstract is neither intended to define the claims of the application, nor is it intended to be limiting to the scope of the claims in any way. It is intended that the application is defined by the claims appended hereto.