Multi-site clinical decision support

One or more non-transitory 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 enabling multi-site surveillance and decision support for medical care for a patient, the method comprising, at a cloud computing platform:

• receiving a first set of patient information for the patient from a first client application residing on at least one computing device associated with a first medical organization that treated or is treating the patient, wherein the first set of information includes a first actionable criteria for being at risk for a particular disease or condition;
• receiving a second set of patient information for the patient from a second client application residing on at least one computing device associated with a second medical organization that is separate and distinct from the first medical organization that also treated or is treating the patient, wherein the first medical organization and the second medical organization are disparate and maintain different medical record systems, wherein the second set of information includes a second actionable criteria for being at risk for the particular disease or condition, and wherein the first medical organization and the second organization send information to the cloud computing platform and not typically directly between one another;
• using a cross-venue recognition algorithm, reconciling the first set of patient information and the second set of patient information as corresponding to the patient, wherein the reconciling is done by processing the first set of information and the second set of information to enable the multi-site surveillance and decision support for medical care for the patient;
• determining that a triggering event has occurred based on at least one of the first set of patient information and the second set of patient information;
• determining that a multi-site risk assessment array does not exist for the patient;
• based on the occurrence of the triggering event and the determination that the multi-site risk assessment array does not exist for the patient, creating a multi-site risk assessment array for the patient that is related to the triggering event, wherein the multi-site risk assessment array comprises one or more nodes, wherein the multi-site risk assessment array represents the patient's risk of developing a particular condition or disease for which the patient needs to be monitored, and wherein each node of the one or more nodes represents a distinct health parameter for the particular disease or condition, wherein the multi-site risk assessment array for the patient is currently open and active for a specific duration of time within which the particular disease or condition associated with the multi-site risk assessment array can occur in the patient;
• continuously monitoring and populating at least a first portion of the one or more nodes of the multi-site risk assessment array with the reconciled first set of patient information;
• continuously monitoring and populating at least a second portion of the one or more nodes of the multi-site risk assessment array with the reconciled second set of patient information;
• based on the one or more nodes populated in the multi-site risk assessment array, determining that the patient has met an actionable criteria for being at risk for the particular disease or condition;
• triggering an escalation logic for electronically communicating a near real-time electronic notification to one or more of a primary care physician of the patient, the patient, the first medical organization, or the second medical organization that the actionable criteria have been met, wherein the actionable criteria met is the first actionable criteria and a first near real-time electronic notification including the alert is communicated to the first medical organization via the first client application residing on at least one computing device associated with the first medical organization and a second near real-time electronic notification is sent to the second medical organization via the second client application indicating that the first near real-time electronic notification including the alert was sent to the first medical organization based on the first actionable criteria;
• and
• modifying a system of a present medical provider to visually flag the patient, and automatically and proactively assembling previous records of the patient for immediate review by the present medical provider.

A computerized multi-site decision support system employing one or more arrays having one or more nodes for surveillance of one or more disparate medical record systems from different medical organizations treating a patient, to determine that the patient has met an actionable criteria relating to a particular disease or condition, the system comprising:

• one or more processors;
• and
• one or more computer storage media storing computer-useable instructions that, when executed by the one or more processors, implement a method comprising:
• receiving a first set of patient information from a first client application residing on at least one computing device associated with a first medical organization that treated or is treating the patient, wherein the first set of information includes a first actionable criteria for being at risk for a particular disease or condition;
• receiving a second set of patient information from a second client application residing on at least one computing device associated with a second medical organization that maintains a different medical record system than the first medical organization, that also treated or is treating the patient, wherein the second set of information includes a second actionable criteria for being at risk for the particular disease or condition, and wherein the first medical organization and the second organization send information to the cloud computing platform and not typically directly between one another;
• using a cross-venue recognition algorithm, determining that the second set of patient information correspond to the patient and reconciling the first set of patient information with the second set of patient information, wherein the reconciling is done by processing the first set of patient information and the second set of patient information by the multi-site decision support system;
• determining that a triggering event has occurred based on at least one of the first set of patient information and the second set of patient information;
• determining whether an open and active multi-site risk assessment array for a particular disease or condition associated with the triggering event currently exists for the patient;
• if the open and active multi-site risk assessment array for the particular disease or condition associated with the triggering event currently exists for the patient, accessing the multi-site risk assessment array;
• if the open and active multi-site risk assessment array for the particular disease or condition associated with the triggering event currently does not exist for the patient, building a multi-site risk assessment array for the particular disease or condition for which the patient needs to be monitored and activating and opening the multi-site risk assessment array wherein the multi-site risk assessment array is open and active for a specific duration of time within which the particular disease or condition can occur in the patient;
• populating values of a first set of nodes of the multi-site risk assessment array with the reconciled first set of patient information;
• populating values of a second set of nodes of the multi-site risk assessment array with the reconciled second set of patient information;
• based on the multi-site risk assessment array, algorithmically determining that actionable criteria set by the first medical organization indicating that the patient is at risk for developing the particular disease or condition have been met;
• and
• electronically communicating a first electronic notification to the first medical organization in near real-time including an alert that the patient is at risk for the particular disease or condition and electronically communicating a second electronic notification to the second medical organization in near real-time indicating that the first electronic notification including the alert was sent to the first medical organization based on the actionable criteria set by the first medical organization indicating that the patient is at risk for developing the particular disease or condition have been met.