U.S. patent application number 13/189599 was filed with the patent office on 2011-11-17 for interactive web based system in support of bariatric procedures.
Invention is credited to Nitin K. Jain, Kristin L. Jambor, DUSTIN R. JENSEN, Richard I. Lauf.
Application Number | 20110282683 13/189599 |
Document ID | / |
Family ID | 41257838 |
Filed Date | 2011-11-17 |
United States Patent
Application |
20110282683 |
Kind Code |
A1 |
JENSEN; DUSTIN R. ; et
al. |
November 17, 2011 |
INTERACTIVE WEB BASED SYSTEM IN SUPPORT OF BARIATRIC PROCEDURES
Abstract
The present invention is directed to a computer-based weight
loss system for supporting bariatric treatment of obesity that is
accessible to both the patient and the medical practitioner. The
system has a central server maintaining a library of information
related to the treatment of obesity and a patient interface and a
medical practitioner interface linked to the central server for
uploading and downloading of information. The patient interface
also provides access to information selected from the group
consisting of bariatric care pathway, behavioral modification
planning, fitness, preoperative diet, postoperative diet,
monitoring of a gastric band, monitoring of a patient's weight,
monitoring caloric intake and nutritional information. The uploaded
information is processed by the central server and then made
available to the medical practitioner and the patient.
Inventors: |
JENSEN; DUSTIN R.;
(Loveland, OH) ; Jambor; Kristin L.; (Cincinnati,
OH) ; Jain; Nitin K.; (Cincinnati, OH) ; Lauf;
Richard I.; (Cincinnati, OH) |
Family ID: |
41257838 |
Appl. No.: |
13/189599 |
Filed: |
July 25, 2011 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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12112312 |
Apr 30, 2008 |
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13189599 |
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Current U.S.
Class: |
705/2 |
Current CPC
Class: |
G16H 20/60 20180101;
G16H 40/67 20180101; G16H 70/20 20180101 |
Class at
Publication: |
705/2 |
International
Class: |
G06Q 50/00 20060101
G06Q050/00 |
Claims
1. A computer-based weight loss system for supporting bariatric
treatment of obesity that is accessible to both the patient and the
medical practitioner, comprising: a central server maintaining a
library of information related to the treatment of obesity; a
patient interface linked to the central server, wherein the patient
interface provides for uploading and downloading of information to
the central server, the uploaded information is processed by the
central server and then made available to the medical practitioner
and the patient, the patient interface also providing access to
information selected from the group consisting of bariatric care
pathway, behavioral modification planning, fitness, preoperative
diet, postoperative diet, monitoring of a gastric band, monitoring
of a patient's weight, monitoring caloric intake, nutritional
information.
2. The computer-based weight loss system according to claim 1,
further including a medical practitioner interface linked to the
central server, wherein the medical practitioner interface provides
for uploading and downloading of information to the central server,
the uploaded information is processed by the central server and
then made available to the medical practitioner and the
patient.
3. The computer-based weight loss system according to claim 2,
wherein the central server integrates information from a plurality
of medical practices.
4. The computer-based weight loss system according to claim 2,
wherein the computer-based weight loss system generates data alert
to the patient and medical practitioners via the respective patient
interface and the medical practitioner interface.
5. The computer-based weight loss system according to claim 2,
wherein the medical practitioner interface also provides a means
for the medical practitioner to retrieve, edit and control
information uploaded by the patient.
6. The computer-based weight loss system according to claim 2,
wherein the patient interface includes tools selected from the
group consisting of tools designed to assist the patient in
continuing to develop personalized eating and fitness plans, tools
designed for envisioning the new person the patient will become,
tools allowing access to healthy recipes, tools for setting up
appointments and reminders, and tools for developing strategies for
meeting personal challenges.
7. The computer-based weight loss system according to claim 2,
wherein the patient interface includes a homepage and the homepage
provides the user with access to tools respectively grouped in a
personal plan focused section, a nutrition focused section, a
fitness focused section, and a progress focused section relating to
a patient's weight.
8. The computer-based weight loss system according to claim 7,
wherein the progress focused section includes a tool allowing the
patient to identify and focus on results that mean the most to him
or her, a tool allowing the patient to record his or her weight and
measurements and view a visual representation of his or her
progress to date, a tool allowing the patient to record filling of
his or her gastric band and participate in band adjustment surveys,
a tool allowing the patient to store a plurality of photos and
create a photo journal of progress of the patient as he or she
loses weight, and a tool allowing the patient to create virtual
images based on height, weight and body type.
9. The computer-based weight loss system according to claim 7,
wherein the nutrition focused section includes a food diary tool
and a recipes tool.
10. The computer-based weight loss system according to claim 9,
wherein the food diary tool allows patients to track what and where
they eat, their mood during meals, how well food was tolerated and
if the food was planned.
11. The computer-based weight loss system according to claim 9,
wherein the recipes tool includes access to gastric band-friendly
recipes.
12. The computer-based weight loss system according to claim 7,
wherein the fitness focused section includes a fitness planning
tool and a fitness diary tool.
13. The computer-based weight loss system according to claim 7,
wherein the personal plan focused section includes a tool allowing
patients to elect to be notified of appointments and reminded of
tasks critical to success by electronic means, a tool encouraging
patients to focus on preplanned meals, a tool allowing patients to
identify times they are most apt to eat for reasons other than
hunger, a tool allowing patients to develop coping strategies for
potential stumbling blocks, and a tool allowing patients to
identify family, friends and healthcare providers they rely upon
the most.
14. The computer-based weight loss system according to claim 2,
wherein the medical practitioner interface includes a medical
practice homepage where the medical practitioner is provided with
practice statistics and navigation tools including information on
patient registration, alerts, frequency of use, and how many pounds
patients have lost using a designated gastric band procedure.
15. The computer-based weight loss system according to claim 2,
wherein the medical practitioner interface includes a patient's
food diary tool, an alert tool, a gastric band adjustment tool and
a patient activity level tool.
16. The computer-based weight loss system according to claim 2,
wherein the medical practitioner interface provides an alert
tool.
17. The computer-based weight loss system according to claim 16,
wherein the alert tool allows medical practitioners to identify
issues they may want to address with their patients.
18. The computer-based weight loss system according to claim 17,
wherein the alert tool includes alerts relating to a band
adjustment survey, a predetermined increment of weight loss, a
weight gain over a predetermined time period, a weight plateau for
a predetermined time period, no band adjustment for a predetermined
time period after surgery, a changed practice affiliation, no
logged weight for a predetermined time period, or no logged site
access for a predetermined time period.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This present application is a continuation of application of
U.S. patent application Ser. No. 12/112,312 entitled: "Interactive
Web Based System In Support of Bariatric Procedures" filed on Apr.
30, 2008;
BACKGROUND OF THE INVENTION
[0002] 1. Field of the Invention
[0003] The invention relates to a computer system providing
assistance in bariatric treatment, for example, procedures aimed at
treating obesity. More particularly, the invention relates to a
computer system working in conjunction with gastric (or other
bariatric) procedures to assist patients and medical practitioners
in the treatment of obesity.
[0004] 2. Description of the Related Art
[0005] Obesity has become a major problem in our society.
Activities which previously required substantial manual exertion
now are accomplished with minimal effort. Processed food is also
more plentiful and provides people with ready access to high
calorie food, and often times, facilitates over eating.
[0006] A portion of the population requires surgical intervention
to address and alleviate the problems associated with their
obesity. These surgical procedures may range from restriction of
the stomach to a complete rearrangement of the digestive system.
Each of these procedures comes with its own host of complications
and advantages.
[0007] One procedure that has recently grown in popularity is
adjustable gastric band application employed in reducing stomach
volume and ultimately reducing food intake. Regardless of which
procedure is chosen to address a person's obesity problem, these
people require support both before and after the procedure. The
present invention provides a system for supporting both the patient
undergoing obesity related procedures and the medical practitioner
assisting them in achieving their goal of losing weight and
ultimately improving their quality of life.
SUMMARY OF THE INVENTION
[0008] It is, therefore, an object of the present invention to
provide a computer-based weight loss system for supporting
bariatric treatment of obesity that is accessible to both the
patient and the medical practitioner. The system includes a central
server maintaining a library of information related to the
treatment of obesity. The system also includes a patient interface
linked to the central server, wherein the patient interface
provides for uploading and downloading of information to the
central server. The uploaded information is processed by the
central server and then made available to the medical practitioner
and the patient. The patient interface also provides access to
information selected from the group consisting of bariatric care
pathway, behavioral modification planning, fitness, preoperative
diet, postoperative diet, monitoring of a gastric band, monitoring
of a patient's weight, monitoring caloric intake and nutritional
information. It is another object of the present system to provide
a system including a medical practitioner interface linked to the
central server. The medical practitioner interface provides for
uploading and downloading of information to the central server. The
uploaded information is processed by the central server and then
made available to the medical practitioner and the patient.
[0009] It is also an object of the present invention to provide a
computer-based weight loss system wherein the central server
integrates information from a plurality of medical practices.
[0010] It is another object of the present invention to provide a
computer-based weight loss system wherein the system generates
alerts to the patient and medical practitioners via the respective
patient interface and the medical practitioner interface.
[0011] It is a further object of the present invention to provide a
computer-based weight loss system wherein the medical practitioner
interface also provides a means for the medical practitioner to
retrieve, edit and control information uploaded by the patient.
[0012] It is also an object of the present invention to provide a
computer-based weight loss system wherein the patient interface
includes tools selected from the group consisting of tools designed
to assist the patient in continuing to develop personalized eating
and fitness plans, tools designed for envisioning the new person
the patient will become, tools allowing access to healthy recipes,
tools for setting up appointments and reminders, and tools for
developing strategies for meeting personal challenges.
[0013] It is another object of the present invention to provide a
computer-based weight loss system wherein the patient interface
includes a homepage and the homepage provides the user with access
to tools respectively grouped in a personal plan focused section, a
nutrition focused section, a fitness focused section, and a
progress focused section relating to a patient's weight.
[0014] It is a further object of the present invention to provide a
computer-based weight loss system wherein the personal plan focused
section includes a tool allowing the patient to identify and focus
on the results that mean the most to him or her, a tool allowing
the patient to record their weight and measurements and view a
visual representation of their progress to date, a tool allowing
the patient to record filling of the gastric band and participate
in band adjustment surveys, a tool allowing the patient to store a
plurality of photos and create a photo journal of the patient's
progress as he or she loses weight, and a tool allowing the patient
to create virtual images based on height, weight and body type.
[0015] It is also an object of the present invention to provide a
computer-based weight loss system wherein the nutrition focused
section includes a food diary tool and a recipes tool.
[0016] It is another object of the present invention to provide a
computer-based weight loss system wherein the food diary tool
allows patients to track what and where they eat, their mood during
meals, how well the food was tolerated and if the food was
planned.
[0017] It is a further object of the present invention to provide a
computer-based weight loss system wherein the recipes tools
includes access to gastric band-friendly recipes.
[0018] It is also an object of the present invention to provide a
computer-based weight loss system wherein the fitness focused
section includes a fitness planning tool and a fitness diary
tool.
[0019] It is another object of the present invention to provide a
computer-based weight loss system wherein the personal plan focused
section includes a tool allowing patients to elect to be notified
of appointments and reminded of tasks critical to success by
electronic means to wired or wireless devices, such as, email, text
message or at log-in, a tool encouraging patients to focus on
preplanned meals, a tool allowing patients to identify times they
are most apt to eat for reasons other than hunger, a tool allowing
patients to develop coping strategies for potential stumbling
blocks, and a tool allowing patients to identify the family,
friends and healthcare providers they rely upon most.
[0020] It is a further object of the present invention to provide a
computer-based weight loss system wherein the medical practitioner
interface includes a medical practice homepage where the medical
practitioner is provided with practice statistics and navigation
tools including information on patient registration, alerts,
frequency of use, and how many pounds patients have lost using the
designated gastric band procedure.
[0021] It is also an object of the present invention to provide a
computer-based weight loss system wherein the medical practitioner
interface includes a patient's food diary tool, an alert tool, a
gastric band adjustment tool and a patient activity level
tools.
[0022] It is another object of the present invention to provide a
computer-based weight loss system wherein the medical practitioner
interface provides an alert tool.
[0023] It is a further object of the present invention to provide a
computer-based weight loss system wherein the alert tool allows
medical practitioners to identify issues they may want to address
with their patients.
[0024] It is also an object of the present invention to provide a
computer-based weight loss system wherein the alert tool include
alerts relating a band adjustment survey, a predetermined increment
of weight loss, a weight gain over a predetermined time period, a
weight plateau for a predetermined time period, a no band
adjustment for a predetermined time period after surgery, a changes
practice affiliation, a no logged weight for a predetermined time
period, a no logged site access for a predetermined time
period.
[0025] Other objects and advantages of the present invention will
become apparent from the following detailed description when viewed
in conjunction with the accompanying drawings, which set forth
certain embodiments of the invention.
BRIEF DESCRIPTION OF THE DRAWINGS
[0026] FIG. 1 is a schematic of the present computer-based weight
loss system.
[0027] FIG. 2 is a flow chart relating to patient registration in
accordance with the present invention.
[0028] FIGS. 3A and 3B are a flow chart relating to operation of
the present computer based weight loss system.
[0029] FIGS. 4-46 are various screen shots of the interfaces
employed in accordance with the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0030] The detailed embodiments of the present invention are
disclosed herein. It should be understood, however, that the
disclosed embodiments are merely exemplary of the invention, which
may be embodied in various forms. Therefore, the details disclosed
herein are not to be interpreted as limiting, but merely as the
basis for teaching one skilled in the art how to make and/or use
the invention.
[0031] In accordance with the present invention, and with reference
to FIGS. 1 to 46, a computer-based weight loss system 10 for
assisting patients and medical practitioners in the treatment of
obesity is provided. As used herein, the term medical practitioner
is considered to include surgeons, doctors, dieticians,
physiologists, nurses, etc. The present computer-based weight loss
system 10 applies system intelligence to up-to-date
patient-reported data, enabling medical practitioners to
proactively intervene before minor setbacks in behavior
modification turn into patient hopelessness, guilt, and ultimately
failure. The present computer-based weight loss system 10 aids the
patient and medical practitioner throughout the entire process,
providing tools which assist with regard to both preoperative
issues and postoperative issues.
[0032] Although the present computer-based weight loss system 10 is
particularly adapted for medical practitioners focusing on the
treatment of obesity through the utilization of gastric band
treatment, access thereto may be provided to other medical
practitioners in consideration of the fact much of the treatment
for obesity overflows into other medical specialties and the
information available via the present computer-based weight loss
system 10 would certainly be of interest to a variety of medical
practitioners not only those specializing in bariatric procedures.
For example, it might be advantageous to integrate data from
practice electronic record or Centers of Excellence (an ASMBS
(American Society for Metabolic and Bariatric Surgery)
certification) database to facilitate two-way communication
potential.
[0033] Referring to the network diagram shown in FIG. 1, the system
10 includes a central server 12 maintaining a library of
information 14 related to the treatment of obesity. In accordance
with a preferred embodiment of the present invention, the central
server 12 is a computer database allowing for the input and
retrieval of information in a highly efficient manner. The system
10 further includes a patient interface 16 linked to the central
server 12. In accordance with a preferred embodiment of the present
invention, the patient interface 16 is a graphical user interface
accessed via a computer connected to a global communication
network, for example, the Internet 18, for interaction with the
central server 12. The patient interface 16 provides for uploading
and downloading information to and from the central server 12. The
uploaded information is processed by the central server 12 and then
made available to the medical practitioner and the patient. The
patient interface 16 also provides access to information stored
within the central server 12. The information is selected from the
group consisting of bariatric care pathway, behavioral modification
planning, fitness, preoperative diet, postoperative diet,
monitoring of a gastric band, monitoring of a patient's weight,
monitoring caloric intake, nutritional information, as well as
other information sources discussed throughout the present
disclosure. As will be discussed below in greater detail, the
present computer-based system 10 generates data that is available
to medical practitioners and similarly issues relevant alerts to
the patient via the patient interface 16.
[0034] The computer-based weight loss system 10 also includes a
medical practitioner interface 20 linked to the central server 12.
In accordance with a preferred embodiment of the present invention,
the medical practitioner interface 20 is a graphical user interface
accessed via a computer connected to a global communication
network, for example, the Internet 18 for interaction with the
central server 12. The medical practitioner interface 20 provides
for uploading and downloading information to and from the central
server 12. The information is processed by the central server 12
and then made available to the medical practitioner (and
particularly the patient). The medical practitioner interface 20
also provides access to information selected from the group
consisting of bariatric care pathway, preoperative diet,
postoperative diet, monitoring of a gastric band, monitoring of a
patient's weight, monitoring caloric intake, a list of appropriate
foods, as well as other information sources discussed throughout
the present disclosure.
[0035] The medical practitioner interface 20 also provides a
mechanism for the medical practitioner to access, monitor and
modify all information available throughout the present
computer-based weight loss system 10; that is, the medical
practitioner is provided with "back end" access via the medical
practitioner interface 20 allowing for retrieval, editing and
control of information input and accessed by the patient. In
addition, and as will be discussed through out the present
disclosure, the medical practitioner interface 20 allows the
medical practitioner to access patient information for the purpose
of improving successful outcomes and associated benefits,
optimizing the utilization of the present computer-based weight
loss system 10 in assisting the patient in his or her weight loss.
As will be discussed below in greater detail, the present
computer-based weight loss system 10 generates data that is made
available to medical practitioners via the medical practitioner
interface 20. In addition, it is contemplated medical practitioners
may have the ability to contact the patient using email addresses
and/or contact information stored by the central server 12.
[0036] As those skilled in the art will appreciate, the present
weight loss system 10 is computer-based and relies upon the
protocols of the Internet 18, or other global communication
network, to allow for the transfer of information between the
patient interface 16, medical practitioner interface 20 and the
central server 12 to achieve the purposes and functionalities
discussed below in accordance with a preferred embodiment of the
present invention. While a preferred mode of implementation is
discussed below, those skilled in the art will appreciate data
transfer via various networks is quickly developing and it is
contemplated various modes of implementation may be employed
without departing from the spirit of the present invention.
[0037] In use, and in accordance with a preferred embodiment of the
present invention as disclosed with reference to FIGS. 2, 3A and
3B, a medical practice initiates use of the present computer-based
weight loss system 10 by undergoing a training procedure in the use
of gastric bands 22 complying with the requirements of the present
computer-based weight loss system 10, as well as the use of the
computer-based weight loss system 10 itself. The medical
practitioner then registers with the web service database of the
central server 12. Thereafter patients are provided access to the
present computer-based weight loss system 10 for use in
facilitating weight reduction through consultation with approved
medical practices.
[0038] After meeting with a medical practitioner specializing in
the field of bariatric surgery, the patient is provided with
limited access to the present computer-based weight loss system 10
for accessing information regarding pre-operative information
relevant to the patient's specific situation. In accordance with a
preferred embodiment, the medical practitioner presents a limited
access ID code 24 to the patient. The limited access ID code 24
allows the patient access to information specifically designed for
that medical practitioner and useful to the patient as he or she
makes treatment decisions. The ID code 24 may also allow the
patient to access information developed specifically for a medical
practice group. Ultimately, the operators of the computer-based
weight loss system 10 and/or the medical practitioner control the
amount of information to which the patient may receive access.
[0039] In accordance with a preferred embodiment, to register a new
user on the present computer-based weight loss system 10, the
patient will need a valid email address and a surgeon's practice ID
code (that is, the limited access ID code) 24, which is supplied by
the medical practitioner. Each time an ID code 24 is generated, it
is printed on a letter 26 given to a patient with instructions to
complete the registration process. New ID codes (and letters) may
be printed for patients who have lost or forgotten theft original
ID code. The medical practitioner need not record a patient's ID
code 24. It should be understood that these ID codes 24 are unique
both for the medical practitioner and the patient. As such, each
patient wishing to register for the present computer-based weight
loss system 10 must have a separate ID code 24 generated from the
medical practice of the medical practitioner with whom the patient
consulted regarding potential weight loss treatment. Patients may
not share the same ID code 24.
[0040] With the access ID code 24 in hand, the patient registers
on-line with the computer-based weight loss system 10 using the
access ID code 24 provided by their medical practitioner. Once
registered, the patient is provided with access to various tools of
the present computer-based weight loss system 10, including, but
not necessarily limited to, information on preparing for surgery
and what to expect during surgery, myFoodDiary (that is, a diary
focused tool) 28, myStats (that is, a statistic focused tool) 30,
myGoals (that is, a goals focused tool) 32, and mySupportNetwork
(that is a support network focused tool) 34, all of which will be
discussed below in greater detail.
[0041] On the day surgery is performed (or after surgery is
performed), the patient is provided with a patient ID card 36
granting the patient full access to the computer-based weight loss
system 10 of the present invention. Thereafter, the patient may,
and is urged to, fully use the complete computer-based weight loss
system 10 to enhance his or her recovery and future weight loss
based upon the tools provided in conjunction with the
computer-based weight loss system 10. As will be appreciated as the
computer-based weight loss system 10 is described below in greater
detail, this includes updating the patient's profile and utilizing
various tools, including, tools designed to assist the patient in
continuing to develop personalized eating and fitness plans
(myPersonalPlan (that is, a personal planning focused section) 38
and myNutrition (that is, a nutrition focused section) 40),
envisioning the new person the patient will become (myProgress
(that is, a personal progress focused section) 42), accessing
healthy recipes (Recipes) and maintaining a food and diary (myFood
Diary) via the myNutrition 40 section, setting up appointments and
reminders (myPersonalPlan 38), and developing strategies for
meeting personal challenges (myPersonalPlan 38 and myProgess
42).
[0042] As discussed above, the present computer-based weight loss
system 10 provides both a patient interface 16 and a medical
practitioner interface 20. With regard to the patient interface 16,
it is initiated with the presentation of a log-in page 43 (see FIG.
4) which leads the patient to a personalized homepage 44 (see FIG.
5) once the log-in is completed. Once logged into the present
computer-based weight loss system 10, the patient is provided with
access to his or her personalized homepage 44 containing
information specifically intended for the patient, as well as
general information appropriate for all people taking advantage of
the present computer-based weight loss system 10. The homepage 44
is designed to provide quick access to features and functions of
the present computer-based weight loss system 10, as well as an
overview of the present computer-based weight loss system 10.
[0043] More specifically, once the patient has completed the log-in
page 43 of the patient interface 16, the patient is directed to his
or her personalized homepage 44 providing the patient with access
to various tools grouped in sections under the names myPersonalPlan
38, myNutrition 40 (including Recipes 68), What to Expect 130,
myFitness (that is, a fitness focused section) 48, and myProgress
42 (including Goals Achieved 50 and Goals in Progress 52). It is
contemplated this list of functionalities may expand over time. A
variety of linking methodologies are provided in accordance with
the patient interface 16 including a tool bar 53 and hyperlinks 55
contained within the main portion of the personalized homepage
44.
[0044] Referring now to the myProgress section 42 (see FIGS. 6 to
15), it is employed in a manner allowing patients to celebrate
successes, envision the future, track weight loss and record
gastric band adjustments. The myProgress section 42 includes links
to various tools under the headings Goals Achieved and Goals in
Progress (myGoals) 50, 52 (see FIGS. 7 and 8), My Weight Loss
(myStats) 54 (see FIG. 9), Band Adjustments (myBandFills (that is,
a tool focused upon gastric band adjustment information) 56) (see
FIGS. 10 and 11), myPics (that is, a picture focused tool) 58 and
theNewMe (that is, a tool allowing a patient to visualize his or
her future appearance) 60 (see FIGS. 12 to 15).
[0045] In the myGoals tool 32, the patient identifies and focuses
on the results that mean the most to him or her. In the myStats
tool 30, the patient is able to record their weight and
measurements and view a visual representation of their progress to
date. With reference to the myBandFills tool 56, filling of the
gastric band 22 is recorded and band adjustment surveys are taken.
With regard to the myPics tool 58, a plurality of photos is stored,
creating a photo journal of the patient's progress as he or she
loses weight. Finally, and with regard to theNewMe tool 60, the
patient can create virtual images based on height, weight and body
type.
[0046] When utilizing theNewMe tool 60 of the myProgress section
42, the user is guided through a variety of menus allowing the user
to construct a virtual image of their current body type and then
adjust the computer generated image body type to create a patient
avatar showing how they will look once their weight is reduced via
obesity treatment. A virtual image, that is, a patient avatar, of
the patient's body is displayed on the myModel tool 62. The patient
avatar may be rotated so the patient can see body views from a
variety of angles. Included among the many characteristics that may
be adjusted in accordance with the present invention are the
patient's name, the clothing in which the patient avatar is
dressed, the patient avatar's face, the patient avatar's body
shape, the patient avatar's height, the patient avatar's weight,
the patient avatar's bust size, the patient avatar's waist, as well
as various features relating to the eyes, nose and lips. In
addition to the input criteria, an adjustment mechanism, including
plus and minus buttons is provided for readily adjusting the
patient avatar's figure as shown in the exemplary screen (FIGS. 12
to 15).
[0047] With reference to the myBandFill tool 56, patients record
their band adjustment dates and the amount of saline added or
removed from the gastric band 22. In addition, four to six days
after the filling of a gastric band 22, patients may complete a
band adjustment survey with key questions designed to monitor the
effectiveness of each gastric band filling. Depending on the
responses given by the patient, the medical practitioner may
receive an on TrackAlert (that is, an alert issued in accordance
with the present system 10) 64, providing the medical practitioner
with feedback regarding the input provided by the patient.
[0048] The myProgress section 42 also includes a myPics tool 58 in
which the user may upload and display a variety of pictures as his
or her weight is reduced during the obesity treatment process.
[0049] As the patient treats his or her obesity and loses weight,
the patient will be encouraged to establish lifestyle goals. The
myGoals tool 32 begins by allowing the user to create specific
personal goals, providing access to goals achieved 50 and goals in
progress 52. The interface of the myGoals tool 32 provides a
dashboard presenting charts, updating the patient's weight,
updating the patient's measurements, updating the dress and pant
size of the patient, updating medication the patient is taking and
updating the patient's goals. The user is then provided with an
edit weight and measurement tool 66 in which he or she may input
dated information regarding his or her weight on current days and
his or her current dress or pant size on current days. This
measurement data will calculate total inches lost for the patient.
The user may also edit the medications he or she is taking as well
as the costs associated therewith. Patients may also be able to
record body fat % or lean body mass. In addition to this
information being important to a patient, this information is also
available to the medical practitioner via the medical practitioner
interface 20 and will allow the medical practitioner to actively
monitor the patient's progress.
[0050] The treatment of obesity is not merely a function of losing
weight, but adds to the physical enjoyment of ones life. As such,
the myGoals tool 32 provides a mechanism for inputting and editing
goals of the user. Finally, the myGoals tool 32 allows the user to
create a journal of various input information for his or her review
and to see whether he or she is meeting goals set out early in the
process. As discussed above, in addition to this information being
important to a patient, this information is also available to the
medical practitioner and will allow the medical practitioner to
actively monitor the patient's progress.
[0051] In addition to the myProgress section 42, the patient may
also utilize the myNutrition section 40 (see FIGS. 16 to 19). The
myNutrition section 40 is intended to provide patients with access
to food information and recipe information in a convenient easy to
use format.
[0052] As such, the myNutrition section 40 is divided into two main
areas; that is a myFoodDiary tool 28 (see FIGS. 18 and 19) and a
Recipes tool (that is, a recipes tool) 68 (see FIG. 17). With the
wide variety of choices in the Recipes tool 68 and proactive
planning in myFoodDiary tool 28, the myNutrition section 40
provides the powerful combination of information about wholesome
foods and healthy habits to last a lifetime. Briefly, and as will
be discussed below in greater detail, the myFoodDiary tool 28
allows patients to track what and where they eat, and their mood
during meals, their tolerance of a specific food and whether the
food was planned or unplanned. Patients are also provided with
access to nutritional information on more than 5,000 foods. As to
the Recipes tool 68, 400 plus gastric band-friendly recipes are
provided for access by users of the present computer-based weight
loss system.
[0053] The myNutrition section 40 allows the user to gather
relevant information regarding various foods he or she may wish to
eat. The information relating the foods he or she may wish to eat
is readily accessed through the utilization of links to various
food types the user may wish to eat, including, information
relating to appetizers and snacks, breakfast, lunch, dinner,
desserts, meat and poultry, seafood, pasta, fruits and vegetables.
In addition, the user may collect favorite recipes for ready
access. All of this information is accessed via a series of menus
and links, that is, via a tree text search, which quickly and
conveniently allows for retrieval of personally oriented
information for the patient.
[0054] As briefly mentioned above, the patient interface 16 also
includes a myFoodDiary tool 28. Research has shown that people who
experience long-term weight loss often self monitor with a food
diary. In the myFoodDiary tool 28 patients enter what and where
they eat, as well as their mood during meals. They also keep track
of fluid intake, vitamin/supplement intake, monitor gastric band
restriction level and note food tolerance issues. Reviewing
information input into the myFoodDiary tool 28 can also help
patients identify eating patterns that may sabotage weight loss.
For example, seeing the caloric intake `on paper` helps a patient
see where extra calories are coming from (i.e., fluids like mocha
coffee or high calorie foods). Patients then see trends and totals
that they don't think about unless it is written down.
[0055] In accordance with a preferred embodiment of the present
invention, myFoodDiary tool 28 allows the individual user to
maintain a food log 70. The food log 70 provides a chart showing
various nutritional characteristics of the foods eaten by the
patient on various days. In accordance with a preferred embodiment,
the eaten food is provided in a chart format and includes
information relating to how the user felt as he or she ate the
food, the location of the meal, the quantity of the various foods
eaten and the caloric intake, the fat content of the meal and the
protein content of the meal.
[0056] As the user eats, updates to the myFoodDiary tool 28 are
made easier through the add a food tool 72 that allows users to
access food information via the My Favorites tool (that is, a
listing of a patient's favorite foods) 74 of the myFoodDiary tool
28. The add a food tool 72 allows the user to readily add various
foods to the myFoodDiary tool 28 through the utilization of a
search engine by browsing foods maintained on the database, by
reviewing a listing of recently eaten foods of the patient, by
accessing a listing of foods which the patient has indicated as
being favorite foods and/or by using a custom food screen to add
foods to the system 10 that are not otherwise listed for ready
retrieval by the user. If a food is not found, the user may
manually enter a custom food through an input screen allowing for
input of information relating to the food, the main nutrients of
the food, as well as the vitamin and mineral content of the food.
This information is then added to the stored information for
subsequent addition to the food log 70. The convenient location and
identification of foods for the myFoodDiary tool 28 allows the
patient to readily and conveniently add foods to his or her
myFoodDiary tool 28.
[0057] Finally, the myFoodDiary tool 28 allows the user to view
charts and graphs of the input information (see FIG. 18). The
charts and graphs provide relevant information using various views
taking into account such things as caloric intake and the
percentage of calories from structured meals. In accordance with a
preferred embodiment, the charts and graphs provide summaries of
food consumption on a given day, and the interface is provided with
drop down menus facilitating the easy entering of dates for
consideration. As those skilled in the art will certainly
appreciate, the information input through the myFoodDiary tool 28
may be utilized in a variety of ways to create various charts.
[0058] For example, dietician/nutritionist annotated recipes
(specific preparation techniques to facilitate the tolerance by the
patient) are retrieved with nutritional information useful to the
patient in making decisions concerning his or her diet. In
accordance with a preferred embodiment and with reference to FIG.
19, the recipes are displayed in chart form with information
regarding the course for which the recipe is intended, the protein
content of the recipe and the calorie content of the recipe. The
chart also includes links for adding the recipe to the myFoodDiary
tool 28 in the event a patient consumes a meal made from such
recipe and would like to add it to the myFoodDiary tool 28. This
patient interface 16 also allows users to rate recipes they try and
add these recipes to their list of favorite recipes.
[0059] The myNutrition section 40 further provides a mechanism for
searching various meals. The search mechanism 76 provides drop down
menus and keyword searching allowing the user to input various
criteria selected from the group consisting of recipe course, main
ingredient, dish type, calories per serving, cuisine type,
preparation time, average user rating and protein serving. After
inputting relevant information, the user is given a list of
potential products and/or recipes that fit the criteria set forth
in the search terms. The search results may also be used to locate
celebrity videos demonstrating the preparation of foods fitting the
criteria set forth by the patient. As shown in the various screen
shots, the searching feature may be combined with various recipe
sections, for example, "Breakfast", so as to focus the search upon
a meal of interest. In addition, and in accordance with a preferred
embodiment of the present invention, the search results are
organized based upon caloric intake, protein content and various
other ratings which might make use of the present computer-based
weight loss system 10 more beneficial to the patient.
[0060] An additional feature of the Recipe tool 68 is the provision
of very specific recipes. In addition to the recipes suggested,
cooking techniques are also provided. As the user prepares meals
suggested through the Recipe tool 68, he or she may add information
to the myFoodDiary tool 28 which is discussed below and provides
the patient (and medical practitioner) with a convenient way to
monitor the patient's food intake. The information may be added
through a myFoodDiary input menu 78 that accounts for information
such as the date the food was eaten, how the patient felt as they
ate the food, the meal setting, the recipe course, the quantity of
the food and the serving size. In addition, specified foods,
vitamins and fluids may be flagged to indicate an unplanned food or
difficulty tolerating certain foods. This information would be used
to identify food, vitamin and fluid restrictions as a further
diagnostic tool for use in treating patients in accordance with the
present computer-based weight loss system 10.
[0061] In addition to the provision of various recipes, the
myNutrition section 40 also provides web casts from famous chefs.
The web casts provide the user with food preparation techniques
that may assist in further facilitating the preparation of healthy
foods for consumption by patients.
[0062] The present computer-based weight loss system 10 also allows
for the addition of an activity the user participated in to the
myFitness section 48 (see FIGS. 20 to 23). As anyone who has ever
attempted to lose weight knows, weight loss is oftentimes based
upon a combination of how many calories are eaten and how many
calories are used (or burned) in a given time period. As such, by
keeping track of the activities in which a patient participates,
one may readily keep a thorough log of all relevant activities.
[0063] More particularly, the myFitness section 48 helps patients
incorporate activities they enjoy into their daily routine. With a
variety of options, including traditional exercises (walking,
cycling, swimming), as well as everyday activities (cleaning,
gardening), each patient can develop a personalized fitness plan.
The myFitness section 48 is divided into two main areas; a
myFitnessPlan tool (that is, a fitness planning tool) 80 and a
myFitnessDiary tool (that is, a fitness diary tool) 82. The
myFitnessPlan tool 80 allows patients to track activity sections,
including the duration of each activity and the calories burned.
The myFitness section 48 may also include exercise programs
designed for bariatric patients of varying levels of fitness. The
patient may be able to asses their ability to determine the program
appropriate for their level of fitness. The myFitnessDiary tool 80
allows access to detailed information regarding each activity
(including, but not limited to, muscles used, appropriate form and
steps for the exercise, equipment required, pictures and
videos).
[0064] The present computer-based weight loss system 10 also
provides a mechanism for patient planning via the myPersonalPlan
section 38 (see FIGS. 24 to 32). One important aspect of obesity
treatment involves personal planning as a behavioral modification
tool. As such, the Personal Plan section 38 is provided with the
patient interface 16. The Personal Plan section 38 allows the user
to readily access sections relating to a personal eating plan,
taking control of my eating triggers, appointments and reminders,
post-operation diet schedule, support networks, handling tough
situations and activities under the tool headings of myReminders 84
(see FIG. 32), myNutritionalPlan (that is, a tool providing a guide
to proper nutrition) 86 (see FIGS. 24 to 26), myTemptations (that
is, a tool focused upon dealing with temptations) 88 (see FIG. 27),
mySuccessStrategies (that is, a tool for implementing strategies to
successfully achieve goals in accordance with the present system
10) 90 (see FIGS. 28 and 29) and mySupportTeam (that is, a tool
providing the patient with ready access to people willing to
provide support and encouragement as the patient works to lose
weight) 92 (see FIGS. 30 and 31).
[0065] As briefly discussed above, the myPersonalPlan section 38
contains a variety of tools that help patients customize their
program and proactively plan for success. The five areas of the
myPersonalPlan section 38 include a myReminders tool 84, a
myNutritionPlan tool 86, a myTemptations tool 88, a
mySuccessStrategies tool 90 and a mySupportTeam tool 92. Briefly,
and as will be discussed below in greater detail, the myReminders
tool 84 allows patients to elect to be notified of appointments and
reminded of tasks critical to success by email, text message or at
log-in. The myNutritionPlan tool 86 encourages patients to focus on
preplanned meals and healthy eating strategies. The myTemptations
tool 88 allows patients to identify times they are most apt to eat
for reasons other than hunger. The mySuccessStrategies tool 90
allows patients to develop coping strategies for potential
stumbling blocks. Finally, the mySupportTeam tool 92 allows
patients to identify the family, friends and healthcare providers
they rely upon most.
[0066] With reference to myNutritionPlan tool 86, myTemptations
tool 88, and mySuccessStrategies tool 90, the patient is provided
with a mechanism allowing for the input of goals, as well as
specific steps, the user will undertake to accomplish in achieving
his or her plan. It is contemplated the input goals may be
suggested goals or personal goals. For example, and with reference
to the myNutritionPlan tool 86, the user will be required to
specify steps he or she will take to eat three meals a day, steps
he or she will undertake to drink 8 cups of water per day, steps he
or she will take to eliminate high fat snacks from his or her diet,
and steps he or she will take to ensure daily supplements are
taken. The patient will then be reminded of this personal eating
plan as he or she moves through the program. This information, as
well as the other input information will then be available for the
medical practitioner to review and/or edit via the medical
practitioner interface 20 as discussed below in greater detail.
[0067] As most people will appreciate, eating is often triggered by
various external influences. As such, and with reference to the
myTemptations tool 88, and the mySuccessStrategies tool 90, the
user will take steps to identify his or her eating triggers and
specify ways in which he or she may address these eating triggers.
For example, the user may specify how he or she will deal when
confronted with anxiety, boredom, work related events and
activities. As with the goals for eating properly, the user (and
medical practitioner) will be regularly provided with reminders of
the ways in which he or she can reach preestablished goals.
[0068] Referring to the myReminders tool 84, appointments and
reminders are selectively input through a convenient interface
composed of various menus from which the user can select for
inputting information. The appointments and reminders can then be
retrieved by the patient for use in complying with the obesity
treatment program. In accordance with a preferred embodiment of the
present invention, the appointment and reminders are organized and
issued to the patient in a manner specifically designed to address
the patient's needs depending upon the stage of obesity treatment
in which the patient is participating.
[0069] The diet plan of the user is also presented in a convenient,
straight forward manner so the user may understand what foods are
to be eaten on which days. For example, and as discussed below in
greater detail, where a postoperative diet schedule is provided,
the user will initially consume only clear liquids, then move on to
all liquids, then move on to pureed foods and finally, move back to
solid foods.
[0070] In addition to other support mechanisms and content provided
by the Personal Plan section 38, the Personal Plan section 38 may
also provide post-operation wound care information 94 and
post-operative diet schedule 96. It should be understood this
information may be available outside of the Personal Plan section
38. This allows the patient to access information for assisting in
the physical recovery process. As will be discussed below with
regard to the medical practitioner interface 20, this information
will cover both general information and patient specific
information input by the medical practitioner.
[0071] People also are readily aware that support is important to
achieving any goal. As such, the user may indicate various support
resources which will be readily available for access by the patient
to assist him or her in dealing with obesity.
[0072] The user will also be presented with a mechanism for
handling tough situations via the myTemptations tool 88, the
mySuccessStrategies tool 90 and the mySupportTeam tool 92. This
will be achieved by allowing the user to input how he or she will
handle various events. For example, using the mySuccessStrategies
tool 90 the user will be required to identify how he or she will
host or attend a party or a sporting event where chips and snacks
are available; attend a birthday party where unhealthy desserts are
served; go out with a group of friends who might stop by a fast
food restaurant on the way home; stop at a local coffee shop in the
morning where high calorie sugar filled drinks are served; deal
with a cookout where hamburgers, hotdogs and other high fat foods
are served; and/or deal with situations where doughnuts, pastries
and bagels are left out in a shared dining area at work.
[0073] Finally, the myPersonalPlan section 38 provides a scheduled
Reminder tool 98. The scheduled Reminder tool 98 includes a
mechanism for viewing all reminders. These reminders may be input
by the patient, come from the medical practitioner as he or she
monitors the patient's progress or from preset system alerts
relating to the condition and data input of the patient. In
particular, the system algorithm sends on TrackAlerts to patients
based upon specific data patterns identified by the central server
12. For example, reminders are not sent through system algorithm.
Only on TrackAlerts are sent through system algorithm. Reminders
are only sent via patient request or practice inputs.
[0074] In addition, the scheduled Reminders tool 98 includes an
interface for adding reminders. The addition of reminders is
achieved via an interface composed of input sections combined with
drop down menus. As such, it is very easy for a user to input
various reminders that he or she would like to view during the
course of the obesity treatment. The scheduled Reminders tool 98
also allows the user to view reminders by week or other
information. Reminders may be received via email, text messaging,
telephone or any other mechanism desired by a user.
[0075] It is contemplated a journal may be added to the patient
interface for recording thoughts, feelings and notes of the day.
The journal would also combine the notes with other relevant
information for that day (i.e., exercise notes, weight, food diary
entry, etc.) to provide a complete set of information at a glance.
It is contemplated a system of rewards and recognitions may be
added that will encourage, motivate and allow the patient to
achieve "levels" or attain "rewards" for doing specific activities
in the site such as logging their weight weekly. The ability to
compete with other users or form "teams" based on achieving
"levels" may also be added.
[0076] The present system provides information to the patient based
on the surgery stage of the patient (i.e., pre-op, post-op 0-1
week, post-op 1-3 weeks, post-op 4-6 weeks, beyond, etc.). This
content is also available at any stage in the Help section of the
site. There is also an audio help feature in the site to provide
overviews of the site and the features within the site.
[0077] As discussed above, the present computer-based weight loss
system 10 also provides a medical practitioner interface 20. The
medical practitioner interface 20 first includes a medical practice
homepage 100, or practice dashboard, where the medical practitioner
is provided with practice statistics and navigation tools.
[0078] Each time a medical practitioner logs onto (see FIG. 33) the
medical practitioner interface 20, the homepage 100 (see FIG. 34)
will display up to date statistics regarding patients and their use
of the present computer-based weight loss system 10. The statistics
provided may include information on patient registration, on Track
Alerts, frequency of use, and how many pounds patients have lost
using the surgical weight loss (or other bariatric) procedure. From
the practice homepage 100, and as will be discussed below in
greater detail, a variety of tools are readily accessed.
[0079] The readily available patient information may include
information regarding patient weight history, patient information
(i.e., surgery data, surgeon, etc.), patient log-ins to the system
10 and completion of a personal plan by the patient. The medical
practitioner interface 20 provides the medical practitioner with
access to tools relating to a patient's food diary 28, on Track
Alerts 64, gastric band adjustment 56 and patient activity levels
80, 82.
[0080] The medical practitioner interface 20 further includes a
mechanism for patient management 102 (see FIGS. 36 to 41). This
portion of the medical practitioner interface 20 provides users
with an overview of each patient, food, weight, adjustments, alerts
and exercise diary for each patient, a listing of patient
reminders, a listing of patient plans, and a listing of lifestyle
goals. Currently, all of this information is put in by the patient
via the patient interface 16 as discussed above. However, it is
contemplated such information may be input by the medical
practitioner. The patient management section 102 further provides
charts allowing the medical practitioner to readily monitor and/or
edit the information input by the patient and/or by the medical
practitioner (as contemplated in accordance with the present
invention).
[0081] The medical practitioner interface 20 is also provided with
a user administration section 124 (see FIG. 43) designed to allow
the practice administrator to set up the medical practitioner
interface 20 for the specific use of the medical practice. The user
administration section 124 also provides for system set up allowing
the medical practitioner to input appointment information and
appointment recurrence options. The system set up also allows the
medical practitioner to initiate first band-fill appointment,
support group meetings, monthly check-ins and semi-annual
check-ins. The personal plan editor also allows the medical
practitioner to input and edit a personal eating plan, a mechanism
for controlling eating triggers, an appointment and reminders
section, a postoperative diet schedule, a postoperative wound care
schedule, a support network and a situation for handling tough
situations.
[0082] The medical practitioner interface 20 is further provided
with a newsletter editor. This allows the medical practitioner to
create a newsletter from which the patients may receive information
regarding their treatment.
[0083] In accordance with a preferred embodiment of the present
invention, the practice homepage 100 of the medical practitioner
interface 20 includes links to on TrackAlerts 64, new Patient Codes
116, myPatients 118, Patient Content 120, Using REALIZE MYSUCCESS
(that is, the present computer-based weight loss system 10) 122,
User Administration 124 and HELP 126. Each of these areas can be
accessed through appropriate links located on the left side of each
main page. The last link "HELP" 126 provides access to frequently
asked questions. Referring to the Using REALIZE MYSUCCESS section
122 (see FIGS. 44 and 45), this section provides links to
informative articles on features and functions, as well as tips on
how to integrate the present computer-based weight loss system 10
into patient care.
[0084] The medical practitioner interface 20 provides an alert
mechanism for use by the medical practitioner. In accordance with a
preferred embodiment of the present invention, this tool is the on
TrackAlert tool 64 of the present computer-based weight loss system
10. In particular, when potential problems are identified, an alert
tool, that is the on TrackAlert tool 64 (see FIG. 46) of the
present computer-based weight loss system 10 is activated. The on
TrackAlert tool 64 allows medical practitioners to identify issues
they may want to address with their patients. These alerts may
include weight gain or plateaus, medication reviews, gastric band
adjustment survey information, and whether patients are utilizing
the present computer-based weight loss system 10 on a regular
basis. The on TrackAlerts are displayed by type and are searchable
using drop-down menus at the top of each screen. To review a
suggested course of action, the medical practitioner need only
click the suggestion link following each on TrackAlert. At this
time, detailed patient information is accessed by clicking a
patient's name. The practice may contact the patient directly or
electronically through the site interface.
[0085] By catching problem periods early, the patient can be
redirected on the path to success. The following list indicates
various on TrackAlerts contemplated for use in accordance with
implementation of the present invention and what each on TrackAlert
means and offers some possible actions to take. [0086] Band
Adjustment Survey: This on TrackAlert is issued when a patient
response in the band adjustment survey indicates another band
adjustment may be warranted. The survey is made available to the
patient four days after a patient-entered gastric band adjustment
appointment. The survey consists of four yes/no questions: [0087]
1. Do you feel your restriction is giving you a feeling of fullness
after eating? [0088] 2. Were you able to progress back to a regular
meal without difficulty? [0089] 3. Are you experiencing any
significant events when eating (vomiting, unable to swallow,
excessive productive burping, etc.)? [0090] 4. Have you noticed any
serious reflux, pain when eating or recurrent or frequent reflux or
vomiting? [0091] If the patient answers "no" to either of the first
two questions, or "yes" to the third or fourth questions, an on
TrackAlert is sent to the medical practitioner. [0092] Suggestion:
Check the chart and decide if the patient should be seen before the
next scheduled appointment. [0093] Twenty-five pound weight loss
increments: This on TrackAlert notifies the medical practitioner
every time a patient loses 25 pounds. The specific on TrackAlert
will let the medical practitioner know the cumulative weight loss
from the patient's starting weight. (i.e., OnTrackAlerts are
issued, for example, after a patient loses 25 lbs, 50 lbs, 75 lbs,
etc.) [0094] Suggestion: Check or adjust medication levels for
those medications the medical practitioner is prescribing or refer
the patient to the prescribing physician for evaluation. [0095]
Three-week weight gain: This on TrackAlert indicates that over the
past three weeks, a patient has reported at least a seven-pound
weight gain. [0096] Suggestion: Contact the patient or schedule an
early appointment to diagnose the reason for the gain. Intervene as
indicated with a gastric band adjustment, a request for the
patient's food diary, or an appointment with the nutritionist or
mental health practitioner. [0097] Four-week weight plateau: This
on TrackAlert lets the medical practitioner know that a patient has
stopped losing weight and is within plus or minus two pounds of the
weight entered 28 days ago. [0098] Suggestion: Contact the patient
or schedule an early appointment to diagnose the reason for the
plateau. Intervene with a gastric band adjustment, a request for
the patient's food diary, or an appointment with the nutritionist
or mental health practitioner. [0099] No band adjustment eight
weeks after surgery: This on TrackAlert is triggered when a patient
has not entered a gastric band adjustment 56 days after the surgery
date. Either the patient has failed to have a gastric band
adjustment or he or she has not entered data from the appointment
into his or her record. [0100] Suggestion: Check the medical
practitioner records to see if the appointment has occurred. If
not, remind the patient of the importance of the gastric band
adjustment process and schedule an appointment. If he or she has
had a gastric band adjustment, remind the patient to enter the data
as part of taking personal control of his or her weight loss
process. [0101] Changed practice affiliation: This on TrackAlert
lets the medical practitioner know that a patient has indicated he
or she is no longer associated with the practice of the medical
practitioner. This is initiated either when the patient dissociates
from a medical practitioner's medical practice or enters a
Surgeon's Practice ID code from a new medical practice. [0102]
Suggestion: Contact patient to verify the change and reduce the
incidence of "lost patients" in the medical practitioner's practice
statistics. [0103] No logged weight for two weeks: This on
TrackAlert occurs when the patient has not entered a weight for 14
days, even though he or she has logged onto the present
computer-based weight loss system 10. [0104] Suggestion: Call the
patient to stress the importance of weekly weight entry as part of
monitoring progress between office visits. [0105] No logged site
access for four weeks: This on TrackAlert indicates that the
patient has not logged into the present computer-based weight loss
system 10 for 28 days. [0106] Suggestion: Call the patient to
understand why he or she is no longer using the resources
provided.
[0107] As discussed above, the present computer-based weight loss
system 10 includes an on TrackAlerts tool 64. The on TrackAlerts
tool 64 provides pertinent information that enables the medical
practitioner to track patient progress, address issues as they
arise, and integrate care between appointments. The on TrackAlerts
tool 64 also serves to extend the presence of the medical practice
and the expertise of the medical practitioners into the patient's
everyday life, reinforcing the feeling of supportive relationship.
The present computer-based weight loss system 10 provides patients
with a structured approach to compliance and behavior modification.
Moreover, it saves medical practice time and effort by focusing a
medical practitioner's attention on patients who need help the
most.
[0108] The myPatients section 118 of the medical practitioner
interface 20 provides a list of patients who have opted to share
their information with the medical practice. The list of patients
may be sorted by patient name, surgery date, surgeon and last
log-in by clicking by an appropriate column title. The patient list
can also be browsed alphabetically, using the letter links above
the list. A particular last name may be searched for using the text
box and clicking search. In addition, a patient's name may be
clicked upon to reveal complete details.
[0109] When a medical practitioner clicks on a patient's name,
basic information and weight history are displayed by default.
There are links to access the patient's food diary, band
adjustments and on TrackAlerts. This page of the myPatients section
118 also provides options to disassociate a patient from your
medical practice. However, if a medical practitioner disassociates
from a patient, the medical practitioner will no longer receive the
patient's on TrackAlerts or have access to any of the patient's
input information. The patient cannot be reactivated by the medical
practice. If the medical practitioner wishes to begin receiving on
TrackAlerts again or to access the patient's data, the patient
needs to be re-associated with the medical practice by entering a
surgeon's practice ID code 24 on his or her user profile. In
addition and with reference to another portion of the myPatients
section 118, a screen displays a snapshot of the patient's food
diary. The food diary displays what was eaten, including details on
calories, fat, protein, tolerance issues and whether eating the
food was planned or unplanned. By reviewing a patient's food
diaries, the medical practitioner can help the patient identify
problem areas and suggest nutritious alternatives. In accordance
with a preferred embodiment, a daily view of the food diary is
shown by default. However, a weekly view may also be shown by
simply clicking upon an appropriate link. In addition, different
days of the food diary may be displayed by simply clicking on date
links.
[0110] The myPatients section 118 also provides a gastric band
adjustment screen 128 that displays patient entered data regarding
gastric band adjustment dates, the amount of saline added or
removed, the calculated cumulative fill amount, and band adjustment
survey date and results. This information allows the medical
practitioner to monitor patient reaction to gastric band
adjustments, even when the responses to survey questions may not
trigger an on TrackAlert. As those skilled in the art should
appreciate, the patient entered data may or may not be consistent
with the clinical records maintained by a medical practitioner.
[0111] As discussed above, an on TrackAlerts tool 64 is also
provided by the present computer-based weight loss system 10. The
on TrackAlerts tool 64 may be reviewed for particular patients.
Reviewing on TrackAlerts can assist the medical practitioner in
identifying specific areas to target for behavior modification. The
information can be sorted by alert type or alert date by simply
clicking on an appropriate column title.
[0112] In addition, the medical practitioner interface 20 also
allows the medical practitioner to identify articles for review by
patients. If the medical practitioner would like to identify
articles related to the health and wellness of the patient, the
patient may review the content available from his or her homepage
44, myProgress page 42, myPersonalPlan page 38, myNutrition page 40
or myFitness page 48 by clicking on an appropriate link.
[0113] As briefly discussed above, the medical practitioner
interface 20 also includes a User Administration section 124. The
User Administration section 124 serves as an access point for
experts within the office. These experts may be responsible for
establishing and maintaining user accounts. As a result, the User
Administration section 124 allows the administrator to create a new
user by entering all requested information at the bottom of the
screen and clicking create new user. The User Administration
section 124 also allows an administrator to grant access to
different areas of the computer-based weight loss system 10 using
patient information, user administration information, code
generation, and all site features check boxes. The User
Administration section 124 also allows the administrator to delete
a user, or edit a user's name by clicking the appropriate link in
the actions column; change a user's password, using the change
password link in the password column; and save the changes through
the utilization of the save changes button.
[0114] The tools provided by the present computer-based weight loss
system 10 are designed to accelerate patient progress in adjusting
their lifestyle to support weight loss goals after surgery. It is
also designed to help healthcare professionals use their time with
patients to focus quickly on areas where they could use some
additional support. Medical practitioners will integrate the
present computer-based weight loss system 10 into their current
professional practice and, over time, find ways to use its features
to increase patient success.
[0115] To get started, the following are suggested implementations
leveraging the benefits of the present computer-based weight loss
system 10 as a medical practitioner interacts with patients in
various settings.
[0116] During preoperative dietary consultations the medical
practitioner should: ask patients to maintain their myFoodDiary 28
on the present computer-based weight loss system 10 prior to
surgery; review the analyzed myFoodDiary 28 with the patient (as
with any food diary); review data on meal settings, moods, and the
planned or unplanned nature of meals to help patients identify
possible areas for improvement; and/or identify any particular
areas they should address postoperatively when they build the
myPersonalPlan section 38.
[0117] During the first appointment after surgery the medical
practitioner should: make sure patients have their Patient Card ID
36 for the present computer-based weight loss system 10 as it
relates to their gastric band; ask if they have successfully logged
on to the present computer-based weight loss system 10; remind
patients to complete the areas in the myPersonalPlan section 38;
and/or emphasize the importance of entering weekly weights on the
present computer-based weight loss system 10.
[0118] During gastric band adjustment appointments or nurse visits
the medical practitioner should: review weekly weight charts with
patients and help identify any patterns; remind patients to
complete and continually review their specific actions and plans in
the myPersonalPlan section 38; suggest the use of patient entered
alerts to help stay on track; emphasize the importance of entering
weekly weights on the present computer-based weight loss system 10
under the myStats tool 30; ask them about any on TrackAlerts they
have received and reinforce the importance of taking action on
them; when gastric band adjustments are made, remind patients of
the importance of completing the Band Adjustment Survey when it
appears four days after the gastric band fill; and/or also see
suggestions below on exercise and psychological consultations. If
the medical practitioners medical practice does not have these
specialists on staff, consider if a referral would be helpful.
[0119] When a patient hits a plateau or gains weight the medical
practitioner should: ask patients to keep a food diary using the
myFoodDiary tool 28; ask patients to identify any patterns in
entries to the myFoodDiary tool 28, including food choices, times,
settings and moods when eating; reinforce the need to plan meals;
review weekly weight charts with patients; identify and discuss any
different behaviors that were in place when weight loss was
successful; ask patients to review areas in the myPersonalPlan
section 38 and ask if they are executing the plans if so, work
alternative plans; if not, ask how they will get back on track);
and/or suggest patient entered alerts and reminders to help stay on
track.
[0120] During postoperative dietary consultation the medical
practitioner should: ask patients to keep their food diary
(myFoodDiary 28) on the present computer-based weight loss system
10; do the medical practitioner's usual review of myFoodDiary data;
review any foods flagged as tolerance issues and provide guidance
on evaluating tolerance issues and introducing new foods into a
patient's menus; review the setting, moods, and planned/unplanned
data to help patients identify possible areas for improvement;
review patients' plans for maintaining their new lifestyle in the
myNutritionPlan tool 86, mySuccessStrategies tool 90 and
myTemptations tool 88; ask if they have found themselves in one of
the situations listed in their plans; ask if patients are using the
Recipes tools 68; remind patients to look for healthful recipes on
the present computer-based weight loss system 10 and be sure to
check portion sizes; and/or ask how the present computer-based
weight loss system 10 is helping them.
[0121] Postoperative psychological consultation should include the
following: ask patients to bring along personal plans for
professional review and guidance by the medical practitioner; ask
patients to review progress on the goals set in the myGoals tool
32; discuss plans patients have created in the myTemptations tool
88 and mySuccessStrategies tool 90; help patients connect
myPersonalPlan section 38 entries with goal accomplishment; use
myPersonalPlan section 38 information to discuss whether problem
areas arise from insufficient planning or inadequate execution; ask
what they have learned about themselves by using the present
computer-based weight loss system 10 since their last visit.
[0122] In suggesting support groups for patients undergoing weight
loss in accordance with the present computer-based weight loss
system 10 the medical practitioner should: remind patients to log
weight weekly; ask patients to bring copies of their personal plans
to the support group to note any new ideas on areas they are
working on and to share ideas with others; ask patients to report
successes on the goals they set in the present computer-based
weight loss system 10; and/or remind them to review the materials
on the present computer-based weight loss system 10 and update any
plans based on new learning in the support group.
[0123] During exercise physiologist visits the medical practitioner
should: encourage patients to increase activities using the
myFitnessPlan tool 80. If they already have a plan, assess their
execution of the plan; encourage patients to use the myFitnessDiary
tool 82 to log fitness activities and to track progress. Evaluate
myFitnessDiary 82 entries compared to myFitnessPlan tool 80; for
patients who are not yet as active as needed, suggest they look
through the 50+ possible activities listed to find appropriate
activities that fit their lifestyle.
[0124] The present computer-based weight loss system 10 helps
patients establish a tailored plan to develop new, healthy habits
in the areas of physical activity, nutrition, and emotional
wellbeing. Through utilization of the present computer-based weight
loss system 10, medical practitioners and patients can set goals
and continuously monitor their progress, especially for the first
three years as they adjust to their new gastric band lifestyle. The
present system also allows users to apply the data to query for
reports and research purposes.
[0125] In addition, it is contemplated that the present system will
be modified to provide for the ability to send and receive data
from the central server via a mobile device or desktop application.
For example, this will allow one to log their weight via mobile
phone such as, cell phones, personal digital assistants, etc. In
addition, patients may receive an SMS (short message service) and
they input their weight into the site using this interface. In
addition, the present system may provide a reward feature wherein
patients are provided with rewards or points for compliance with
utilization of the site. The points would serve as a competition or
incentive to incorporate the behavior modification features of the
present invention into their lives. The system further provides for
mapping (or grouping) people to create a spirit of teamwork and/or
competition. This will support and challenge individuals using the
system as they work together toward a common goal. The present
invention also provides the ability for information to be
transmitted from the gastric band to the server via a mobile
device.
[0126] While the preferred embodiments have been shown and
described, it will be understood that there is no intent to limit
the invention by such disclosure, but rather, is intended to cover
all modifications and alternate constructions falling within the
spirit and scope of the invention.
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