US20140278521A1

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Publication number: US20140278521A1
Application number: US14/290,616
Authority: US
Inventors: Steven J. Larsen
Original assignee: Epic Systems Corp
Current assignee: Epic Systems Corp
Priority date: 2007-04-12
Filing date: 2014-05-29
Publication date: 2014-09-18
Also published as: US20080255876A1; US8768720B2

Abstract

A method and system for helping a patient check in for a scheduled activity wherein activities occur proximate corresponding locations, respectively, the method comprising the steps of providing a check in resource at the second location for checking clients in for the second subset of activities, associating at least a first electronic kiosk with the first subset activities, positioning the first kiosk at the first location for use by clients to check in for first subset activities, via the first kiosk, receiving identifying information from a first client, identifying at least a first currently scheduled activity for the first client, determining that the first currently scheduled activity is one of the second subset activities and via the first kiosk, indicating that the first client cannot check in for the first currently scheduled activity via the first kiosk.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No. 11/786,572, filed Apr. 12, 2007, which is incorporated herein by reference.

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

Not applicable.

BACKGROUND OF THE INVENTION

The present invention relates to automated check in kiosks for use by clients to access health care related self-service options and more specifically to a system of kiosks where distinct subsets of self-service options are to be provided at different kiosks and where each system kiosk is aware of which options are to be provided at different kiosks and is capable of providing guidance for patients that attempt to perform an activity at incorrect kiosks.

In the health care industry profits are extremely important. As in most industries, one generally effective way to increase profits has been through growth such that many health care service providers have become, in effect, one stop shops for virtually all medical needs of patients. Thus, large service providers may have several hundreds or even thousands of physicians that specialize in different medical services and that work in many different medical facilities despite their common affiliation. In fact, some service providers are so large that they have complete campuses or even several separate campuses that each includes many buildings that house different health care specialty departments or clinics. Herein the term “enterprise” will be used to refer to service providers that have either geographically dispersed facilities or campuses (e.g., multiple campuses located at different locations about a metropolitan area), or multiple departments/clinics located in the same physical location. In some cases multiple departments or clinics are located in a large single building or in attached buildings.

Where departments are spaced apart within a facility or throughout a campus or at separate campuses, separate patient check in resources are typically located proximate each of the departments so that patients can check in for appointments proximate the locations at which their appointments are to occur. Historically medical facility check in resources have included receptionists that use check in terminals to register patients prior to appointments. Where a check in receptionist is provided, when a first patient arrives at a department to attend a previously scheduled appointment and a receptionist is not attending to another patient, the receptionist greets the first patient, obtains patient identifying information from the patient, confirms that the patient has an appointment at the department, may confirm or update insurance information, checks the patient in for the appointment and typically directs the patient to a waiting area associated with and proximate the department until a physician and/or other resources (e.g., equipment, examination or procedure rooms, etc.) required for the patient's appointment are available. In some cases patients may wait in a waiting area for an extended period (e.g., 30-45 minutes) prior to commencement of their appointment either because the patient arrived for the appointment well in advance of the time slot reserved for the appointment or because the physician and/or other resources required for their appointment are occupied longer than anticipated.

Another effective way to increase profits has been to use technology to increase efficiency and productivity whenever possible. Recently, as in other industries such as the air travel or hotel industries, technology has been applied to the check in process. To this end, check in kiosks have been developed that allow patients to self-check in for appointments, thereby alleviating or substantially reducing the need for receptionists at each department within a large facility. In some cases it has been contemplated that check in kiosks may be placed proximate a main entry into a medical facility or campus where, at the end of a check in process, the kiosk provides directions to a physician's office, department, or other location where a patient's appointment is to occur. In other cases it has been contemplated that patient check in kiosks may be placed at various locations throughout a provider facility or campus. The placement and distribution of kiosks within or across an organization is a matter of implementation, and the invention contemplates countless variations; the primary requirement is that the locations exist and a record of relative location to each other and to the services provided exists.

When a patient arrives at a check in kiosk to check in, the patient provides patient identifying information via the kiosk. After the patient is identified, patient appointments are presented to the patient, the patient selects appointments to check in for and is then checked in for the appointments. At the end of the check in process the kiosk instructs the patient to wait in a waiting area until called for the appointment.

While check in kiosks have reduced the need for receptionist services, in some cases patient check in kiosks can result in patient confusion and missed or delayed appointments. For instance, where kiosks are placed at main facility or campus entries, a patient may check in and then, despite receiving directions to an appointment location via the kiosk, may lose his way or be delayed along his way to an appointment location and thus may be late for the appointment. Patient confusion and delay is particularly likely in the case of large facilities and/or campuses where there may be long and circuitous travel paths between entry points and appointment locations.

As another instance, in any case where each kiosk in a facility or on a campus can be used to check in appointments for multiple departments, a patient may end up waiting for an appointment in a wrong waiting area (i.e., a waiting area that is remote from a location at which the appointment is to take place). Where a patient checks in using a kiosk that is remote from the department where the patient's appointment is to take place, even in cases where directions are presented to the patient that instruct the patient to travel to a different part of a facility/campus to attend the appointment, the patient may assume that the patient is to wait in the waiting area proximate the kiosk used to check in and hence may wait in the wrong waiting area and completely miss his appointment. In this regard, in the past, where receptionists have been stationed proximate each department in a large facility to check patients in, it was normal to wait in the waiting area adjacent the check in location (i.e., adjacent the check in receptionist) and therefore, it would be natural for a patient to assume that the patient should wait in the waiting area adjacent to a kiosk used to check in. In addition, while waiting for their appointment in the wrong waiting area, the patient may naturally assume that any delay in being called for his appointment is attributable to routine resource overbooking and therefore may not question a delay until after the patient's appointment time has come and gone. Missed and delayed appointments frustrate patients and service providers and waste valuable health care resources.

BRIEF SUMMARY OF THE INVENTION

It has been recognized that the patient confusion and missed or delayed appointments that can result from use of check in kiosks can be avoided by limiting kiosk capabilities as a function of kiosk location, and further by making kiosks aware of their location relative to each other and to the locations where specific services are provided in the facility. To this end, according to one aspect of the present invention, in cases where kiosks are located at many different locations within a facility or on a campus and where each kiosk is proximate one or a small number of departments, it is contemplated that each kiosk may be programmed such that the kiosk can only be used to check in patients for appointments at proximate departments. Here, where a patient attempts to check in using a kiosk that is remote from his appointment, a warning is provided that the kiosk cannot be used to check in for the appointment and, in at least some cases, instructions are provided that identify a facility and/or campus location at which the patient may check in for his appointment. In some cases directions are provided to a patient to guide the patient to a kiosk for check in.

It has also been recognized that in some cases a kiosk and related system components may be programmed to, when a patient that attempts to check in for an appointment at a location remote from the location at which the appointment is to take place, provide notice to a receptionist or the like that the patient is in a facility or on a campus and that the patient is likely in transit to the appointment location. Here, the kiosk and related system components may also be programmed to account for the likely travel time from the kiosk used to attempt to check in to the appointment location and may provide notice to one or both of the patient and the receptionist regarding likelihood that the patient will be late for the appointment.

In some cases where estimated travel time from a kiosk to a location at which an appointment is to take place will likely cause the patient to miss his appointment, notice may be provided to one or both of the patient and the receptionist. In cases where estimated travel time will definitely cause the patient to miss the appointment, notice can be provided to one or both of the patient and receptionist. Where a patient will miss his appointment the kiosk may be programmed to present the patient with an option to reschedule the appointment for the same day or for a subsequent day. Here, long estimated travel times may occur in the case of large facilities and/or campuses or in cases where a patient is completely at a wrong facility or campus (i.e., where a patient may have to drive to another geographic location associated with a health care service provider).

According to at least one embodiment the invention includes a method for helping a client check in for a scheduled activity wherein at least first and second subsets of activities occur proximate first and second locations, respectively, the method comprising the steps of providing a check in resource at the second location for checking clients in for the second subset of activities, associating at least a first electronic kiosk with the first subset activities, positioning the first kiosk at the first location for use by clients to check in for first subset activities, via the first kiosk, receiving identifying information from a first client, identifying at least a first currently scheduled activity for the first client, determining that the first currently scheduled activity is one of the second subset activities and, via the first kiosk, indicating that the first client cannot check in for the first currently scheduled activity via the first kiosk.

In at least some embodiments the method further includes the step of, after determining that the first currently scheduled activity is one of the second subset activities, indicating that the first client must check in for the first currently scheduled activity at the second location. In some cases the method further includes the steps of identifying an estimated travel time for the first client to travel from the first location to the second location and presenting the estimated travel time to the first client via the kiosk. In some cases the method further includes the step of, after determining that the first currently scheduled activity is one of the second subset activities, providing notice to a receptionist indicating that the first client is at the first location.

In some embodiments the first activity is scheduled to commence at a first time, the method further including the steps of using the current time and the estimated travel time to identify a predicted arrival time of the first client at the second location and, when the predicted arrival time is subsequent to the first time, providing notice to a receptionist. In some embodiments the first activity is scheduled to commence at a first time, the method further including the steps of using the current time and the estimated travel time to identify a predicted arrival time of the first client at the second location and, when the predicted arrival time is subsequent to the first time, providing notice to the first client via the first kiosk.

In some embodiments the at least a first resource is required to perform the first activity, the method further including the steps of, when the predicted arrival time is substantially subsequent to the first time, indicating that the client should reschedule the first activity for a time subsequent to the first time. In some embodiments the at least a first resource is required to perform the first activity, the method further including the steps of, when the predicted arrival time is substantially subsequent to the first time, accessing a resource schedule for the first resource and attempting to identify an open schedule time slot subsequent to the first time for performing the first activity for the first client.

In at least some embodiments the method further includes the steps of, when at least one open schedule time slot is identified, presenting the time slot to the first client via the kiosk and facilitating rescheduling of the first activity. In some embodiments the method further includes the step of providing instructions via the kiosk directing the client from the first location to the second location. In some cases the step of providing instructions includes providing a graphical map via the kiosk. In some cases the kiosk includes a printer and wherein the step of providing a graphical map includes printing out a hard copy of the graphical map. In some cases the first and second locations are in a single facility. In some cases the step of providing check in resources at the second location includes providing a second electronic kiosk at the second location for checking clients in for second subset activities.

In some embodiments the method further includes the steps of, via the second kiosk, receiving identifying information from a second client, identifying at least a first currently scheduled activity for the second client, determining that the first currently scheduled activity for the second client is one of the first subset activities and, via the second kiosk, indicating that the second client must check in for the first currently scheduled activity for the second client at the first location.

In some cases the at least a third subset of activities occur proximate a third location, the method further including the steps of providing at least a third electronic kiosk at the third location for checking clients in for third subset activities, when the first currently scheduled activity is one of the third subset activities, indicating via the first kiosk that the first client must check in for the first currently scheduled activity at the third location and, when the first currently scheduled activity for the second client is one of the third subset activities, indicating via the second kiosk that the second client must check in for the first currently scheduled activity for the second client at the third location. In some cases the method further includes the steps of, via the first kiosk, identifying at least a second currently scheduled activity for the first client, determining that the second currently scheduled activity for the first client is one of the first subset activities and via the first kiosk, enabling the first client to check in for the second currently scheduled activity via the first kiosk. In some cases the clients are patients and wherein the kiosks are associated with a medical facility.

According to some embodiments the invention includes a method for helping a client check in for a scheduled activity wherein at least first and second subsets of activities occur proximate first and second locations, respectively, wherein clients use wireless communication devices (WCDs) to communicate with a wireless communication system, the method comprising the steps of providing a wireless location determining system, receiving identifying information from a first client via a first WCD used by the first client, identifying at least a first currently scheduled activity for the first client, determining that the first currently scheduled activity is one of the second subset activities, identifying the location of the first WCD, when the first WCD is located at the first location, indicating via the first WCD that the client must be at the second location to check in for the first currently scheduled activity.

In some cases the method further includes the steps of receiving identifying information from a second client via a second WCD used by the second client, identifying at least a first currently scheduled activity for the second client, determining that the first currently scheduled activity for the second client is one of the first subset activities, identifying the location of the second WCD, when the second WCD is located at the second location, indicating via the second WCD that the second client must be at the first location to check in for the first currently scheduled activity for the second client.

According to still other embodiments the invention may include a method for helping a client check in for a scheduled activity wherein first through Nth subsets of activities occur proximate first through Nth locations, respectively, the method comprising the steps of, providing a check in resource at the second location for checking clients in for the second subset of activities, associating first through Nth electronic kiosks with the first through Nth subsets of activities, respectively, positioning the first through Nth kiosks at the first through Nth locations for use by clients to check in for first through Nth subsets of activities, respectively, via at least the first kiosks: receiving identifying information from a first client, identifying at least a first currently scheduled activity for the first client, determining that the first currently scheduled activity is one of an Xth subset activities associated with an Xth kiosk and that occur proximate an Xth location where X is between 2 and N and indicating that the first client must check in for the first currently scheduled activity at the Xth location.

In some cases the method further includes the steps of identifying an estimated travel time for the first client to travel from the first location to the Xth location and presenting the estimated travel time to the first client via the first kiosk. In some embodiments the first activity is scheduled to commence at a first time, the method further including the steps of using the current time and the estimated travel time to identify a predicted arrival time of the first client at the Xth location and, when the predicted arrival time is subsequent to the first time, providing notice to the first client via the first kiosk. Some cases further include the step of providing instructions via the kiosk directing the client from the first location to the second location. Still other embodiments further include the steps of, via the first kiosk: identifying at least a second currently scheduled activity for the first client, determining that the second currently scheduled activity for the first client is one of the first subset activities and enabling the first client to check in for the second currently scheduled activity via the first kiosk.

Some embodiments include a system for helping a client check in for a scheduled activity wherein at least first and second subsets of activities occur proximate first and second locations, respectively, the system comprising a database storing currently scheduled appointments for clients, a processor, a check in resource located at the second location for checking clients in for the second subset of activities, a first interface device associated with the first subset activities and located at the first location for receiving client identifying information and providing information to clients and also for use by clients to check in for first subset activities, a processor programmed to, when client identifying information is provided via the first interface device, identify the client as a first client, identify at least a first currently scheduled activity for the first client, determine that the first currently scheduled activity is one of the second subset activities and, via the first interface device, indicate that the first client cannot check in for the first currently scheduled activity via the first interface device.

In some cases the processor is further programmed to, after determining that the first currently scheduled activity is one of the second subset activities, indicate that the first client must check in for the first currently scheduled activity at the second location. In some cases the processor is further programmed to identify an estimated travel time for the first client to travel from the first location to the second location and present the estimated travel time to the first client via the first interface device. In some cases the first activity is scheduled to commence at a first time, the processor further programmed to use the current time and the estimated travel time to identify a predicted arrival time of the first client at the second location and, when the predicted arrival time is subsequent to the first time, provide notice to the first client via the first interface device.

In some cases the at least a first resource is required to perform the first activity, the processor further programmed to, when the predicted arrival time is substantially subsequent to the first time, indicate that the first client should reschedule the first activity for a time subsequent to the first time via the first interface device. In some cases the processor is further programmed to provide instructions via the first interface device directing the first client from the first location to the second location. In some cases the first and second locations are in different buildings. In some cases the check in resource at the second location includes a second interface device at the second location for checking clients in for second subset activities and wherein the second interface device can be used to input client identifying information.

In some embodiments the processor is further programmed to, when client identifying information is provided via the second interface device identify the client as a second client, identify at least a first currently scheduled activity for the second client, determine that the first currently scheduled activity for the second client is one of the first subset activities and via the second interface device, indicate that the second client must check in for the first currently scheduled activity for the second client via the first interface device.

In some cases the processor is further programmed to perform the steps of identifying at least a second currently scheduled activity for the first client, determining that the second currently scheduled activity for the first client is one of the first subset activities and, via the first interface device, enabling the first client to check in for the second currently scheduled activity using the first interface device. In some cases the clients are patients and wherein the interface devices are associated with a medical facility.

To the accomplishment of the foregoing and related ends, the invention, then, comprises the features hereinafter fully described. The following description and the annexed drawings set forth in detail certain illustrative aspects of the invention. However, these aspects are indicative of but a few of the various ways in which the principles of the invention can be employed. Other aspects, advantages and novel features of the invention will become apparent from the following detailed description of the invention when considered in conjunction with the drawings.

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS

FIG. 1 is a schematic diagram illustrating an exemplary check in system for a medical facility according to at least some aspects of the invention;

FIG. 2 is an exemplary patient appointments database that may be used by the system ofFIG. 1;

FIG. 3 is an exemplary kiosk functionality database that may be used by the system ofFIG. 1;

FIG. 4 is an exemplary way finder database that may be used by the system ofFIG. 1;

FIG. 5 is a flow chart illustrating a method whereby one of the kiosks inFIG. 1 is used to facilitate a patient check in process where the kiosk limits the appointments that can be checked-in thereby by as function of the location of the kiosk and the locations of the appointments to be checked in;

FIG. 6 is a screen shot that may be presented during a portion of the method ofFIG. 5 via one of the kiosk displays shown inFIG. 1;

FIG. 7 is a kiosk screen shot that may be presented during one of the process steps shown inFIG. 5 to indicate to a patient that the patient cannot use the current kiosk to check in for an appointment;

FIG. 8 is a kiosk screen shot that may be presented during one of the process steps shown inFIG. 5 for providing a map or directions to a patient to find a check in kiosk for checking in for specific appointments;

FIG. 9 is a kiosk screen shot that may be presented to a patient during one the process steps ofFIG. 5 to facilitate patient check in for an appointment;

FIG. 10 is a kiosk screen shot that may be presented during one of the process steps shown inFIG. 5 to facilitate patient check in of another appointment;

FIG. 11 is a flow chart illustrating a subprocess that may be added to the process shown inFIG. 5 so that an estimated travel time for a patient can be provided;

FIG. 12 is a kiosk screen shot that may be presented during one of the process steps shown inFIG. 11 to indicate an estimated travel time from a kiosk to a location at which an appointment is to occur;

FIG. 13 is a flow chart illustrating a subprocess that may be added to the process ofFIG. 5 for estimating tardiness of a patient for an appointment and for canceling the appointment when appropriate;

FIG. 14 is a kiosk screen shot that may be presented during one of the process steps shown inFIG. 13 to indicate that the patient will miss an appointment and to facilitate rescheduling of the appointment;

FIG. 15 is a flow chart illustrating a process by which kiosk functions are associated with facility locations;

FIG. 16 is a screen shot that may be presented to a system administrator during one of the process steps shown inFIG. 15 for selecting a facility location for which kiosk functions are to be specified;

FIG. 17 is a screen shot that may be presented to a system administrator via one of the process steps shown inFIG. 15 for specifying functions to be enabled for a specific location;

FIG. 18 is a flow chart illustrating a process by which a system administrator specifies a kiosk location and the server ofFIG. 1 assigns functionality to the kiosk based on the kiosk's location; and

FIG. 19 is a screen shot that may be presented to a system administrator during one of the process steps shown inFIG. 18 for specifying a kiosk location.

DETAILED DESCRIPTION OF THE INVENTION

Referring now to the drawings wherein like reference numerals correspond to similar elements throughout the several view and, more specifically, referring toFIG. 1, the present invention will be described in the context of an exemplary health carefacility information system10 that includes, among other components, a server/processor22, adatabase72, a plurality of patient accessible and useable kiosks or interface devices26a1,26a2,26b,26c, etc., at least one receptionist/administrator terminal90 and acommunication network24.Server22 runs software programs that perform various methods and processes that are contemplated by the present invention, to provide browser-type screen shots to the kiosks26a1,26a2,26b, etc., and to receive input from the kiosks. Each of kiosks26a1,26a2,26b, etc., may take any of several forms including workstations, personal computers, lap tops, thin client-type devices, etc. Where the kiosks are more than thin clients, in at least some embodiments, each kiosk may perform all or at least a subset of the steps required to perform the inventive processes. When the kiosks are thin client-type devices, each kiosk operates primarily as a human-server interface device for input/output between a patient andserver22 whereserver22 performs most or all of the inventive process steps. Hereinafter, unless indicated otherwise and the interest of simplifying this explanation, it will be assumed that each kiosk26a1,26a2,26b, etc., is a thin client-type device.

Each of the kiosks26a1,26a2,26b, etc., is similarly constructed and operates in a similar fashion and therefore, in the interest of simplifying this explanation, only kiosk26a1 will be described here in any detail. Kiosk26a1 includes aflat panel display21, aninput device27, a card reader19 andprinter17.Input device27 is shown as a keyboard but may include other input devices such as a mouse device, a trackball-type device, etc., and, is generally provided for, as the label implies, entering information intosystem10 for use byserver22. In the present case, it will be assumed that input device(s)27 includes a keyboard for entering text-type information and a mouse-type device (not illustrated) for moving a mouse-controlled cursor (see214 inFIG. 7) around ondisplay21.

Card reader19 includes a slot for receiving identification cards from patients for identification purposes. In this regard,card29 may be a credit card, a drivers license, a dedicated insurance card, a health care card, etc., from which, when slipped into the reader19, information can be read to uniquely identify a patient using the card. To this end, prior to using one of the kiosks to check in for an appointment, it is contemplated that patient identities will be associated with patient unique cards indatabase72.

Receptionist/administrator terminal90 may take any of several forms including a workstation, a personal computer, a thin client, etc. and, in general, includes a display and one or more types of input devices (not labeled, e.g., a keyboard, a mouse controlled cursor). As the label implies, terminal90 is used by a receptionist in some applications and by a system administrator in other applications.

Referring still toFIG. 1,network24 is a communication network and may include one or all of local area networks (LANs), wide area networks (WANs), the Internet, etc.Network24 may include hardwired components and/or components that communicate wirelessly using Bluetooth and/or 802.11b or other communication protocols.Network24 links kiosks26a1,26a2,26b, etc., and terminal90 toserver22.

Database

72 is linked toserver22 andstores programs74 performed byserver22 and various sub-databases (also referred to as “databases” hereinafter) that may be used by the server software to perform inventive methods. To this end, exemplary sub-databases include apatient appointments database76 and akiosk functionality database78. In addition, in at least some inventive embodiment,database72 will include away finder database80 and/or aresource schedule database82 which are described in greater detail below.

Here, while each of the

databases

74,76,78,80 and82 is described as a separate database, it should be appreciated that, in at least some embodiments, all or subsets of the described databases may be combined into one or a smaller group of databases. In addition, it should be appreciated, that while all of the databases described herein are described as being part ofdatabase72, each of the databases may be stored completely separately from the other databases.

Referring once again toFIG. 1, in the present description, in the interest of simplifying this explanation, it will be assumed thatsystem10 is used within a single large building facility that includes different departments spread out throughout the facility. It will also be assumed that a separate waiting area is provided for each facility department. InFIG. 1, exemplary department waiting areas are identified by labels27a1,27a2,27b,27c, etc. Hereafter, labels27a1,27a2,27b,27c, etc., will be used to refer to distinct facility departments. Moreover, it will be assumed that each of the departments will be associated with a specific location or zone within the facility where exemplary locations inFIG. 1 are labeled25a,25b,25c, etc. Thus, inFIG. 1, exemplary departments27a1 and27a2 are both associated withlocation25a. Similarly,department27bis associated withlocation25banddepartment27cis associated withlocation25c.

While the system and example described herein is described in the context of a large facility with multiple departments, it should be appreciated thatsystem10 may be employed in other larger environments including, but not limited to, large health care service provider campuses that include multiple related buildings and larger enterprises where, for instance, an exemplary enterprise may include a plurality of geographically spaced apart campuses or building facilities (e.g., campuses at spaced apart locations in a metropolitan area, within a state, etc.).

Referring still toFIG. 1 and now also toFIG. 2, an exemplary patient appointments oractivities database76 is shown inFIG. 2 that includes several different types of information that are presented in a table format. Here, while information indatabase76 and other databases described with respect toFIGS. 3 and 4 are shown in table format, it should be appreciated that each one of the databases may take any of several different forms. Here, the important aspect of each of the databases is the substance of the database and not the format thereof.

InFIG. 2,patient appointments database76 includes apatient column102, anappointment description column105, an appointment date/time column104, a requiredappointment resources column106 and anappointment department column108.Patient column102 as the label implies, lists all facility patients that currently have scheduled appointments at the facility. Exemplary patients incolumn102 includeBruce Johnson104 and Sophia Carea103.

Appointment description column

105 lists a subset of appointments for each one of the patients incolumn102. To this end, exemplary appointments for Bruce Johnson include a follow up visit related to a hernia operation and an examination regarding chest pain. Appointment date/time column104 lists the date and time of each one of the appointments incolumn104. Each of the appointments for Bruce Johnson is scheduled for Mar. 12, 2007 where the hernia operation follow up is to occur at 8:00 a.m. and the chest pain examination is to occur at 8:45 a.m.

Requiredappointment resources column106 lists each one of the facility resources or multiple resources that are required for each one of the appointments incolumn105. Exemplary resources incolumn106 include Dr. White who is required for the hernia operation follow up and Dr. Jones who is required for the chest pain examination. Other resources may include equipment, exam rooms, employee specialists, etc., that are required for an appointment.Appointment department column108 lists separate facility department for each one of the appointments incolumn105. In this regard,column108

lists departments

27cand27a(see againFIG. 1) for the hernia operation follow up and chest pain exam, respectively.

Referring now toFIG. 1 and also toFIG. 3, an exemplarykiosk functionality database78 is shown inFIG. 3 that includes akiosk column112, alocation column114, a departments that can be checked incolumn116, aninsurance function column118 and another functions column112.Kiosk column112 lists each facility kiosk. Exemplary kiosks incolumn112 include kiosks26a1,26a2,26b,236c, etc.Location column114 indicates the location of each one of the kiosks incolumn112. Thus,location column114 indicates that kiosk26a1 is atlocation25awhich is consistent withFIG. 1. Similarly,column114 indicates thatkiosk26bis atlocation25band thatkiosk26cis atlocation25c.

Departments that can be checked incolumn116, as the label implies, indicates departments for which appointments can be checked in using one of the kiosks incolumn112. As shown inFIG. 3, kiosk26a1 can be used to check in patients for appointments in departments27a1 and27a2. Similarly,kiosk26bandkiosk26ccan be used to check patients for appointments in

departments

27band27c, respectively. Insurance and

other functions columns

118 and120 are described below.

Referring once again toFIG. 1 and now also toFIG. 4, exemplaryway finder database80 inFIG. 4 includes information that can be presented to a patient to help the patient travel to a facility location at which the patient appointment is to occur.Database80 includes acurrent kiosk column142, adestination kiosk column144, amap column146, adirections column148 and an estimated time of travel (ETOT)column150.Current kiosk column142 lists all facility kiosks.Destination kiosk column144 lists all facility kiosks separately for each one of the kiosks in column142 (except for the associated kiosk in column142). Thus, each ofkiosks26,26c. . .26zare listed for kiosk26a1. Similarly, all ofkiosks26bthrough26zare listed for kiosk26a2, and so on.

Referring still toFIG. 4,map column146, as the label implies, provides a separate graphical map for each one of the kiosk-kiosk combinations in

columns

142 and144. Incolumn146, exemplary maps are labeled “M (current kiosk identifier-destination kiosk identifier)”. Thus, for instance, the map corresponding to current kiosk26a1 anddestination kiosk26bin

columns

142 and144 is labeled M (26a1-26b). Each of the maps graphically shows facility features such as examination rooms, departments, hallways, etc., in plan format showing the location of the associated current kiosk and the destination kiosk and an optimal travel path to get from the current kiosk to the destination kiosk.Directions column148 provides textual or, in some cases, verbal, directions for a patient for each one of the kiosk-kiosk combinations in

columns

142 and144. Each set of directions is identified by “D (current kiosk identifier-destination kiosk identifier)”. Thus, the directions corresponding to kiosk26a1 andkiosk location26bare identified incolumn148 by the label D (26a1-26b).

TheETOT column150 indicates an estimated time of travel for each one of the kiosk-destination kiosk combinations in

columns

142 and144. For instance, the estimated time of travel between kiosk26a1 anddestination kiosk26bis seven minutes incolumn150 while the estimated time of travel betweenkiosk26zand destination kiosk26a1 is estimated to be 28 minutes.

In the interests of simplifying this explanation, various aspects of the inventive methods, processes and systems will be described in a context of an exemplary patient check in procedure wherein, referring once again toFIG. 2, patient Bruce Johnson (hereinafter “Mr. Johnson”)124 arrives at a medical facility on the morning of March 12 for his appointments at 8:00 a.m. and 8:45 a.m. with Dr. White and Dr. Jones, respectively. It will also be assumed that Mr. Johnson attempts to check in via kiosk26a1. Moreover, it will be assumed that entry of patient identifying information is via apatient identification card29 and card reader19.

Referring now toFIG. 5, anexemplary method160 that is consistent with at least some aspects of the present invention that may be performed bysystem10 inFIG. 1 is illustrated whereby patients are guided to specific kiosks to check in for appointments at specific facility departments. Referring also toFIG. 1, atblock162 inFIG. 5, kiosks26a1,26a2,26b,26c, etc. are provided at locations throughout the facility. In the present example, it is assumed that kiosks26a1 and26a2 are provided proximate it each other and at afirst location25a,kiosk26bis provided atlocation25bandkiosk26cis provided atlocation25c. Atblock164, each of the kiosks is associated with appointments or activities that can be checked in at the kiosk. An exemplary process for associating kiosks with appointments or activities that can be checked in at the kiosk is described below. Atblock166, a patient124 (seeFIG. 1) uses a first kiosk26a1 to enter patient identifying information which is used byserver22 to identify the patient that is using kiosk26a1.

Referring also toFIG. 6, to obtain patient identifying information atblock166,server22 causes a kiosk screen shot190 to be presented viakiosk display21. Exemplary screen shot190 includes a welcoming andinstruction statement192 and acard reader image194. In the present example, theinstructions192 andimage194 are meant to guide Mr. Johnson to slip his patient identification card into reader19 so thatserver22 can obtain identifying information from Mr. Johnson.

Referring toFIGS. 1,2 and5, afterserver22 identifies Mr. Johnson,server22 accessespatient appointments database76 and identifies Mr. Johnson's scheduled appointments for the current day. As shown inFIG. 2, current appointments forMr. Johnson124 include his follow up visit for a hernia operation with Dr. White at 8:00 a.m. and his chest pain examination with Dr. Jones at 8:45 a.m.

Atblock170,server22 identifies kiosks that can be used to check in Mr. Johnson's next appointment (i.e., the 8:00 a.m. appointment) for the current day. To this end,server22 again accesses thepatient appointments database76 and identifies the department incolumn108 at which the appointment incolumn105 is to take place. InFIG. 2, Mr. Johnson's hernia operation follow up (i.e., the next appointment) is to take place atdepartment27c. In addition, after identifying the appointment department for the next appointment viadatabase76,server22 accesseskiosk functionality database78 and identifies, for the department at which Mr. Johnson's next appointment is to occur, each instance of a department identifier incolumn116 and then identifies the kiosk incolumn112 that corresponds to the department instance incolumn116. Thus, for example, for Mr. Johnson's hernia operation follow up that is to occur indepartment27cas indicated incolumn108,server22 identifiesinstance115 ofdepartment identifier27cincolumn116 and associatedkiosk26cincolumn112 to determine thatkiosk26ccan be used by Mr. Johnson to check in for his 8:00 a.m. hernia operation follow up with Dr. White.

Referring still toFIGS. 1 and 5, atblock172, for Mr. Johnson's next appointment identified atblock168,server22 determines whether or not Mr. Johnson can check in via the kiosk he is currently using (i.e., kiosk26a1). Consistent with the example above, because Mr. Johnson's 8:00 a.m. appointment is to occur atdepartment25c, Mr. Johnson cannot check in for that appointment at kiosk26a1. For the 8:00 a.m. appointment that has to be checked in viakiosk26c, control passes to block178 whereserver22 indicates, viakiosk display21, that Mr. Johnson cannot use the kiosk he is currently using to check in for his 8:00 a.m. appointment. Atblock182,server22 accesses way finder database80 (see alsoFIG. 4) and identifies a map and/or directions in

column

146 or148, respectively, for instructing Mr. Johnson on the best way to travel from the kiosk Mr. Johnson is currently using26a1 to one of the kiosks that was identified atblock170 that can be used to check in for the 8:00 a.m. appointment. The map and/or directions are provided atblock182.

In addition, atblock170

server

22 may determine that kiosk26a1 can be used to check in Mr. Johnson's 8:45 a.m. appointment and provide notice to Mr. Johnson that kiosk26a1 can be used for that purpose. Here, however, because Mr. Johnson has to travel tolocation25cfor his first appointment prior to the 8:45 a.m. appointment, in at least some embodiments,server22 will not allow check in for the 8:45 a.m. appointment until the 8:00 a.m. appointment has been completed. By refusing check in for the 8:45 a.m. appointment prior to completion of the 8:00 a.m. appointment, the system will force Mr. Johnson to travel back tolocation25aand kiosk26a1 (or kiosk26a2 in the present example) to check in for the 8:45 a.m. appointment.

Referring now toFIG. 7, an exemplary screen shot200 that may be presented viakiosk display21 is shown that is consistent with the example above where Mr. Johnson uses kiosk26a1 to attempt to check in for both of his 8:00 a.m. and 8:45 a.m. appointments. Screen shot200 includes aninformational header202 that lets Mr. Johnson know his location (e.g., department27a1) and that he has two appointments scheduled for the current day. Mr. Johnson's 8:00 a.m. appointment is described in afirst appointment field204 and his second appointment is described in asecond appointment field206. In addition to describing the first appointment,field204 also includes awarning message216 indicating that Mr. Johnson's 8:00 a.m. appointment cannot be checked in from the current kiosk. In addition, a selectable DIRECTIONS/MAP TO KIOSK TO CHECK IN THISAPPOINTMENT button212 is presented infield204 which, as the label implies, can be selected to obtain directions and/or a map tokiosk26cto check in for the 8:00 a.m. appointment.

Field

206 describes the 8:45 a.m. appointment and includesinformation218 indicating that, while current kiosk26a1 can be used to check in the 8:45 a.m. appointment, that the 8:45 a.m. appointment cannot be checked-in until after the 8:00 a.m. appointment has been completed. This precautionary information ensures that Mr. Johnson will not wait atlocation25cfor his 8:45 a.m. appointment and instead will have to return tolocation25ato check in for the second appointment.

In addition to

fields

204 and206, screen shot200 includes aBACK icon208 and anEXIT icon210.BACK icon208 is selectable to move to a previously displayed screen shot (e.g.,190 in the present example).EXIT icon210 is selectable to exit or log off kiosk26a1. Hereinafter, BACK and EXIT icons that appear on exemplary screen shots operate in a fashion similar to that described here and therefore they will not again be described in detail.

Referring still toFIG. 7, when Mr. Johnson selectsicon212, the screen shot240 shown inFIG. 8 may be provided. Screen shot240 includesinformation242 indicating that a map appears below for guiding Mr. Johnson to the kiosk that Mr. Johnson has to use to check in for his 8:00 a.m. appointment. In addition, screen shot240 includesinformation244 clearly specifying the appointment and map246 which can be viewed viascreen21. Exemplarytextual directions248 are also included in screen shot240. APRINT icon250 is provided near the bottom of screen shot240 which may be selected to print themap246,directions248 and/or other screen shot240 information.

Now assume that Mr. Johnson prints out directions from kiosk26a1 tokiosk26c(i.e., tolocation25c) and travels tokiosk26c. After Mr. Johnson logs on tokiosk26c,server22 performs theFIG. 5 process again and this time generatesscreenshot260 shown inFIG. 9. Screen shot260 includesinformation266 indicating Mr. Johnson's location as well as appointment fields262 and264 for Mr. Johnson's 8:00 a.m. and 8:45 a.m. appointments, respectively. Nowfield262 includesinstructions268 guiding Mr. Johnson to select a CHECK INicon269 to check in for his 8:00 a.m. appointment atdepartment27c.Field264 includes a warning that the 8:45 a.m. appointment cannot be checked-in atkiosk26cand anicon273 for receiving directions to a kiosk (e.g., kiosk26a1) that can be used to check in for the 8:45 a.m. appointment.

When Mr. Johnson selectsicon269 to check in, referring to block174 inFIG. 5, control passes to block176 whereserver22 instructs Mr. Johnson to wait in the waiting area associated withdepartment27c.

Next, assume that after the 8:00 a.m. appointment is completed Mr. Johnson travels back to kiosk27a1 and logs on to register for his 8:45 a.m. appointment. Now, because the 8:00 a.m. appointment has been completed,server22 presents screen shot270 inFIG. 10 that confirms272 that Mr. Johnson only has one more appointment and that provides asingle appointment field274 describing the 8:45 a.m. appointment and includinginstructions276 and a CHECK INicon278.

In at least some embodiments it is contemplated that, in addition to providing warnings and directions to specific check in kiosks,server22 may use the estimated times of travel incolumn150 of way finder database80 (seeFIG. 4) to identify the estimated amount of time for a patient to travel from a currently used kiosk to the location at which an appointment is to occur and may provide that estimated time to the patient. To this end, referring now toFIG. 11, a sub-process280 that may be added toprocess160 inFIG. 5 is shown. Referring also toFIGS. 1 and 5, afterblock178, control may pass to block282 inFIG. 11 whereserver22 usesway finder database80 and, more specifically, information incolumn150, to estimate the travel time between the currently used kiosk (i.e., first kiosk) and the kiosk that has to be used to check in a specific appointment (i.e., a second kiosk). In the present example,server22 estimates the travel time from kiosk26a1 tokiosk26cwhich,column150 indicates is 16 minutes. Atblock284,server22 indicates the estimated travel time to Mr. Johnson viadisplay21. In addition, atblock284,server22 may provide information to a receptionist via receptionist's terminal90 indicating that Mr. Johnson has attempted to check in for his 8:00 a.m. appointment via kiosk26a1 and the estimated travel time for Mr. Johnson from kiosk26a1 tokiosk26c. Where information is provided to a receptionist, the receptionist may take steps to expedite other patients' appointments when appropriate or to fill in Dr. White's time with another patient if appropriate.

Referring now toFIG. 12, an exemplary screen shot290 is shown for providing information to Mr. Johnson in the present example including an estimated travel time from kiosk26a1 tokiosk26c. To this end, screen shot290 includesfield293 associated with Mr. Johnson's 8:00 a.m. appointment which includes awarning294 that the appointment cannot be checked in using kiosk26a1 and that it will take 16 minutes for Mr. Johnson to get from his current location to the location at which his appointment is to occur. Once again, abutton296 is provided that can be selected to receive a map or instructions from Mr. Johnson's current location to the location at which his appointment is to occur. InFIG. 11, aMORE APPOINTMENTS button298 is provided that can be selected to view other appointments (i.e., the 8:45 a.m. appointment) Mr. Johnson has on the current day.

In at least some embodiments it is contemplated that, in addition to identifying the amount of time required to travel from a current location to the location at which an appointment is to occur,server22 may be programmed to determine whether or not, given the estimated travel time, a patient will miss his appointment and, where a patient will likely miss his appointment,server22 may be programmed to cancel the appointment. In at least some embodiments whereserver22 cancels an appointment, the server may also be programmed to facilitate a rescheduling of the appointment when appropriate.

Referring now toFIG. 13, anexemplary sub-process310 that may be added toprocess160 inFIG. 5 is illustrated for canceling and rescheduling a missed appointment. Referring also toFIGS. 1 and 5, afterblock178 inFIG. 5, control may pass to block312 inFIG. 13 whereserver22 estimates the travel time from the currently used kiosk to the kiosk that has to be used to check in an appointment. Again, in the present example,server22 estimates the travel time from kiosk26a1 tokiosk26cas being 16 minutes. Atblock314

server

22 identifies the current time. Atblock316,server22 identifies the estimated patient time of arrival (PTOA) atkiosk26c. Estimating the PTOA is as simple as adding the estimated travel time from kiosk26a1 tokiosk26cto the identified current time.

Referring still toFIGS. 1 and 13, at block318,server22 determines whether or not the estimated PTOA is subsequent to the start time of the appointment. Thus, in the present example,server22 determines whether or not the estimated PTOA is subsequent to the 8:00 a.m. start time for Mr. Johnson's first appointment. Where the estimated PTOA time is not subsequent to the start time of the appointment, control passes back to block182 inFIG. 5 whereserver22 provides a map and directions for findingkiosk26c.

Referring still toFIGS. 1 and 13, where the estimated PTOA is subsequent to the appointment start time, control passes to block320 whereserver22 determines whether or not the estimated PTOA time is substantially late. Here, substantially late may mean that the estimated PTOA time is subsequent to an end time for the appointment. In other cases, substantially late may mean that the estimated PTOA time is later than one-half the anticipated duration of the appointment. Other measures for the qualifier “substantially late” are contemplated. Where the estimated PTOA time is not substantially late, control passes to block322 whereserver22 indicates to the patient and, perhaps, to a receptionist viaterminal90, that the patient will be late for the appointment after which control passes back to block182 inFIG. 5.

Referring still toFIGS. 1 and 13, where the estimated PTOA time is substantially late, control passes to block326. Atblock326,server22 indicates that the patient will miss his appointment. Here, the missed appointment indication is provided to both the patient and the receptionist. Atblock328, an option to reschedule the missed appointment is presented to Mr. Johnson viadisplay21 and the appointment may be rescheduled. Here, to determine rescheduling options,server22 accesses resource schedule database82 (see once againFIG. 1) whereserver22 can determine which resources are required for the appointment, access resource schedules and use the accessed schedules to identify rescheduling options. The rescheduling options may be provided to Mr. Johnson and one may be selected to reschedule the missed appointment. Afterblock328 the process ends.

Referring now toFIG. 14, an exemplary screen shot340 that may be presented viadisplay21 when an appointment has been missed is illustrated. Screen shot340 includes anappointment field341 that includes a missedappointment notice342 as well as a RESCHEDULEbutton344. Wherebutton344 is selected,server22 commences a rescheduling procedure.

Referring now toFIG. 15, anexemplary method390 for associating facility locations with specific functions that can be performed by kiosks at those locations is illustrated. Referring also toFIG. 1, receptionist/administrator terminal90 may be used as an interface to communicate withserver22 and carry outmethod390. Atblock392,server22 provides tools viaterminal90 that can be used by an administrator or the like to specify facility locations. Referring also toFIG. 16, an exemplary screen shot400 that may be presented viaterminal90 for selecting facility locations is shown. Screen shot400 includesinstructions402 indicating that the user should select a facility location for which kiosk functions are to be specified. In addition, screen shot400 includes agraphical map404 where different facility locations are identified by labels L-25 followed by small case letters. Thus, for instance,location25ainFIG. 1 is identified by label L-25a(see406),location25cinFIG. 1 is identified by label L-25c(see408), etc. Here, each of the labels is selectable via a mouse-controlled cursor and, when selected,server22 presents a screen shot420 that allows the administrator to specify various functions that may be performed by a kiosk associated with or located in the selected location.

Referring still toFIGS. 1 and 15 and also toFIG. 17, atblock394, the administrator specifies kiosk functions to be enabled at each location. In this regard, exemplary screen shot320 inFIG. 17 includes instructions that instruct the administrator to select kiosk functions for the location selected via screen shot400 inFIG. 17. Here, it is assumed that the administrator selected location406 (i.e., location L-25a) inFIG. 15 and therefore screen shot420 can be used to select kiosk functions forlocation25a(see alsoFIG. 1).

Screen shot420 also includes various types of functions that may be performed via kiosk associated withlocation25aincluding check infunctions424, insurance functions426 andother functions428. Under the check infunction section424, screen shot420 lists each of the facility departments in alist430 and, for each department in thelist430, provides a binary button, three of which are collectively identified bynumeral432. Eachbutton432 may each be individually selected to indicate that check in should be allowed via kiosks atlocation25afor the corresponding department. Consistent with thekiosk functionality database78 shown inFIG. 3, it can be seen inFIG. 17 that, forlocation25a, check in is allowed for each of departments27a1 and27a2.

Referring still toFIG. 17,insurance functions section426, as the label implies, allows an administrator to customize insurance functions that can be facilitated via kiosks associated withlocation25a. Exemplary insurance function options include an “All” option, a “Provider A-All” option and a “Provider B-All” option. Here, it is contemplated that each of the insurance function options would be distinct and allow different functionality. Thus, the “All” option would mean that a full suite of insurance functionality is provided while the “Provider-A-All” option may mean that all insurance functions for an insurance company A are to be supported while only limited functionality is to be provided in the case of other insurers.

Theother functions sections428 allows the administrator to specify other kiosk functions that may be performed via kiosks associated withlocation25a. For example, another function listed insection428 may include a check out function that enables a patient to check out after appointment has been completed. Other functions may also include scheduling functions, functions that allow a patient to update personal information stored by the facility, information that allows a user to access billing related matters, rescheduling functions, functions related to notices to patient, etc. After an administrator has specified kiosk functions viabinary buttons432, the administrator can select COMPLETE ANDSTORE button436 to store the specified kiosk functions in the kiosk functionality database78 (seeFIG. 3). Theexemplary database78 inFIG. 3 stores the locations and related functions in

columns

114,116,188 and120.

Referring now toFIG. 18, aprocess450 is illustrated for configuring specific kiosks within a facility. Here,process450 may be performed using the receptionist/administrator terminal90 in the alternative, may be performed using specific kiosks (e.g.26a1,26b, etc.). Referring also toFIG. 1, kiosks26a1,26a2,26b, etc., are provided at different locations throughout the facility atblock452. Atblock454, an administrator uses a specific kiosk (e.g.,26a1) to access commissioning tools that allow the administrator to identify the location of the kiosk. To this end, see exemplary screen shot470 inFIG. 19 that includes afacility map474 where different locations/

zones

476,478, etc., are shown. In this example a kiosk location can be specified by selecting a map location via the mouse controlled cursor.

Atblock456,server22 accesseskiosk functionality database78 inFIG. 3 and identifies functions in

columns

116,118 and120 associated with the specified location. Atblock458,server22 enables the kiosk to facilitate the functions associated with the location. To associate a kiosk with functions a kiosk identifier is added tocolumn112 indatabase78.

In at least some embodiments kiosk location within a facility may be determined automatically either via the actual physical location onnetwork24 to which the kiosk is linked or via wireless location determining methods where the kiosk includes a wireless transceiver (see41 inFIG. 1) and wireless access points (see169a,169b, etc) are located throughout the facility. Triangulation and other statistical methods for wirelessly determining device location within a facility are well known. Thus, in someembodiments server22 and the access points may form a wireless location determining system. Here it is contemplated that when a kiosk is moved within the facility, kiosk functionality may change automatically as a function of kiosk location. Thus, for instance, where kiosk26a1 is atlocation25a, kiosk26a1 may be useable to check in for appointments for either of departments27a1 or27a2 but not fordepartment27cappointments and when kiosk26a1 is atlocation25c, kiosk26a1 may be usable to check in fordepartment27cappointments but not for department27a1 and27a2 appointments.

Furthermore, where kiosks26a1,26a2, etc., are wireless, in some embodiments it is contemplated that each of the kiosks may take the form of a personal digital assistant (PDA) or portable wireless communications device (WCD) or the like that the patient can carry around within the facility or on a providers campus. To this end, see hand helddevice30 inFIG. 1. Here, it is contemplated that location ofdevice30 can be determined essentially in real time asdevice30 is moved about in the facility and location specific check in functions can be facilitated as described above. Moreover, in at least some embodiments, it is contemplated thatdevice30 may be a patient's own PDA, a cell phone, a Blackberry device, etc. and location specific check in may be facilitated thereby.

One or more specific embodiments of the present invention have been described above. It should be appreciated that in the development of any such actual implementation, as in any engineering or design project, numerous implementation-specific decisions must be made to achieve the developers' specific goals, such as compliance with system-related and business related constraints, which may vary from one implementation to another. Moreover, it should be appreciated that such a development effort might be complex and time consuming, but would nevertheless be a routine undertaking of design, fabrication, and manufacture for those of ordinary skill having the benefit of this disclosure.

Thus, the invention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the following appended claims. For example, whilesystem10 inFIG. 1 is shown as having a single receptionist/administrator terminal90, in some embodimentsmultiple terminals90 may be provided, at least one terminal for each

area

25a,25b, etc., or at least one terminal for each department27a1,27a2, etc. Where each department includes a terminal90, notice of late and/or canceled appointments may be provided to the terminal90 at the department affected. In addition, in at least some embodiments kiosk functionality may only be controllable/settable locally via department terminals. Thus, for instance, it may be that only thedepartment terminal90 associated with department27acan be used to select and/or change functions performed by kiosk associated withlocation25a(i.e., kiosks26a1 and26a2).

As another example, while the system described above works well where kiosks are located throughout a facility, in at least some embodiments it is contemplated that more conventional check in resources (e.g., a receptionist) may be located at some facility locations/departments. In these cases the location limited kiosks described above would operate in a similar fashion to that described above to direct patients to whatever check in resources are available proximate the correct location of an appointment. Thus, a kiosk may present instructions to prompt a patient to travel to another location when appropriate.

To apprise the public of the scope of this invention, the following claims are made:

Claims

What is claimed is:

1. A system for helping a patient check in for a scheduled activity at a health care facility wherein scheduled activities occur proximate corresponding locations, wherein patients use wireless communication devices (WCDs) to communicate with a wireless communication system and a database, the system comprising:

a wireless communications network in communication with a processor and a memory storing a database, wherein the processor is programmed to:

receive identifying information from a patient via a WCD used by the patient;

retrieve data from the database to identify a scheduled activity for the patient;

determine a location of the scheduled activity;

identify a location of the WCD; and

indicate via the WCD the location for the patient to check in for the scheduled activity.

2. The system ofclaim 1, wherein the wireless communications network comprises a plurality of wireless access points, and the processor is programmed to identify the location of the WCD by triangulation.

3. The system ofclaim 1, wherein the processor is further programmed to:

receive identifying information from a second patient via a second WCD used by the second patient;

retrieve data from the patient appointment database to identify a scheduled activity for the second patient;

determine a location for the scheduled activity for the second patient;

identify the location of the second WCD; and

indicate via the second WCD the location that the second patient must be at to check in for the scheduled activity for the second patient.

4. The system ofclaim 1, wherein the processor is further programmed to retrieve way finder data from the database to provide directions to the second location on the WCD

5. The system ofclaim 4, wherein the directions comprise a graphical map.

6. The system ofclaim 1, wherein the processor is further programmed to calculate a travel time for the patient between location of the WCD and the location of the scheduled activity.

7. The system ofclaim 1, wherein the processor is further programmed to calculate an estimated patient time of arrival at the location of the scheduled activity.

8. The system ofclaim 7, wherein the processor is further programmed to display the estimated patient time of arrival to at least one of the patient using the WCD to check in for a scheduled activity, and a receptionist.

9. The system ofclaim 7, wherein the processor is further programmed to cancel an appointment from the database if the estimated patient time of arrival is after the scheduled activity and to notify at least one of the patient and a receptionist that the appointment has been cancelled.

10. The system ofclaim 1, wherein the processor is further programmed to identify a resource for the scheduled appointment from the database.

11. The system ofclaim 10, wherein the identified resource comprises at least one of equipment, an examination room, and a specialist.

12. The system ofclaim 1, wherein the processor is further programmed to provide a check out function for the patient at the WCD.

13. The system ofclaim 1, wherein the processor is further programmed to prompt the patient to access at least one of personal information, billing data, and scheduling data through the WCD.

14. A method for helping a patient check in for a scheduled activity at a health care facility wherein scheduled activities occur proximate predetermined locations, and wherein patients use wireless communication devices (WCDs) to communicate with a wireless communication system and a database storing patient data, the method comprising the steps of:

providing a wireless location determining system for identifying the location of WCDs in the health care facility;

receiving patient identifying information from a patient using a WCD;

retrieving data from the database to identify a scheduled activity for the patient;

determining a location corresponding to check in for the scheduled activity;

identifying the location of the WCD;

indicating to the patient via the WCD the location to check in for scheduled activity and prompting the patient to check in for the scheduled activity at the identified location.

15. The method ofclaim 14, further including the steps of:

receiving identifying information from a second patient via a second WCD used by the second patient;

identifying a scheduled activity for the second patient;

determining a location corresponding to the scheduled activity for the second patient;

identifying the location of the second WCD;

indicating to the second patient via the second WCD the location of the scheduled activity and prompting the second patient to check in for the scheduled activity at the identified location.

16. The method ofclaim 14, further comprising the step of accessing way finder data in the database to provide directions to the second location.

17. The method ofclaim 14, further comprising the step of calculating a travel time for the patient between the location of the WCD and the location of the scheduled activity,

18. The method ofclaim 14, further comprising the step of calculating an estimated patient time of arrival at the location of the scheduled activity, and displaying the estimated patient time of arrival to at least one of the patient using the WCD and a receptionist.

19. The method ofclaim 14, further comprising the steps of calculating an estimated patient time of arrival at the location of the scheduled activity, canceling the scheduled activity from the database if the estimated patient time of arrival is after the appointment time, and notifying at least one of the patient and a receptionist that the appointment has been cancelled.

20. The method ofclaim 14, further comprising the step of identifying a resource corresponding to the scheduled activity, and wherein the identified resource comprises at least one of an examination room, a specialist, and equipment.