Physician performance and recommendation interface

• US 10,032,237 B1
• Filed: 06/19/2014
• Issued: 07/24/2018
• Est. Priority Date: 06/19/2014
• Status: Active Grant

• Current Assignee: Advisory Board Company (UnitedHealth Group Incorporated)
• Original Assignee: Advisory Board Company (UnitedHealth Group Incorporated)
• Inventors: Lachs, Marc, Zhou, Cheng, Thompson, Nathan
• Primary Examiner(s): Chng, Joy
• Application Number:
  US14/309,588
• Time in Patent Office: 1,496 Days
• Field of Search: 705 2- 3
• CPC Class Codes: G06Q 10/0639 Performance analysis of employees; Performance analysis of enterprise or organisation operations
• CPC Class Codes: G06Q 50/22 Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

The technology provides for utilizing and displaying physician analytics. For example, a result metric for a physician is based on a value metric, a quality metric, and/or a quantity metric. The value metric, quality metric, and/or quantity metric may all be received from different sources. The result metric may be displayed on a chart, or the result metric may be utilized for determining referral recommendations for a physician. The result metric may be displayed as a physician indicator on the chart. An insight for the physician may also be determined from the result metric. The insight may be based on the location of the physician indicator on the chart, and the insight may be represented by the color or other visual attribute of the physician indicator. For referral recommendations, the result metric may be used to adjust the rank of a physician in a referral search result.

Claims

1. A method for displaying physician analytics, the method comprising:

receiving, at a processor, a value metric associated with a first physician;

receiving, at the processor, a value metric associated with a second physician;

receiving, at the processor, a quality metric associated with the first physician and a quality metric associated with the second physician, wherein the value metric and the quality metric are based on data from at least one of internal and external data sources, wherein an Application Program Interface (API) is used to share the data between the processor and the at least one of the internal and external data sources while the internal and external data sources house the data separately from a system comprising the processor;

based on the value metric and the quality metric for the first physician, and based on the value metric and the quality metric for the second physician, automatically generating, using the processor, a result metric for the first physician;

based on the value metric and the quality metric for the second physician, and based on the value metric and the quality metric for the first physician, automatically generating, using the processor, a result metric for the second physician, wherein the result metric for the first physician and the result metric for second physician are represented by at least one of a coordinate and a one-by-two matrix entry in a database, wherein two values in the one-by-two matrix entry are the value metric and the quality metric;

based on the result metric for the first physician, and relative to the result metric for the second physician, automatically generating an insight for the first physician;

based on the result metric for the second physician, and relative to the result metric for the first physician, automatically generating an insight for the second physician;

automatically generating, using the processor, a display for a user interface, comprising;

a first axis representing the value metric;

a second axis representing the quality metric;

a first physician insight indicator, a visual characteristic of the first physician insight indicator representing the insight for the first physician, plotted with respect to the first and second axes, wherein a position of the first physician insight indicator represents the value metric for the first physician, the quality metric for the first physician, and the result metric for the first physician;

a second physician insight indicator, a visual characteristic of the second physician insight indicator representing the insight for the second physician, plotted with respect to the first and second axes, wherein a position of the second physician insight indicator represents the value metric for the second physician, the quality metric for the second physician, and the result metric for the second physician; and

a legend comprising a listing of at least one first physician insight and the at least one second physician insight; and

outputting the user interface.

2. The method of claim 1, wherein displaying the first axis is one axis of a chart and the second axis is another axis of the chart.

3. The method of claim 1, further comprising receiving, at the processor, a quantity metric for the first physician, wherein the display further comprises a display of the quantity metric for the first physician.

4. The method of claim 3, wherein:

the display of the quantity metric for the first physician comprises a size of the first physician insight indicator plotted with respect to the first and second axes, wherein the size of the first physician insight indicator corresponds to a value of the quantity metric for the first physician.

5. The method of claim 3, wherein the quantity metric is based on at least one piece of data selected from the group consisting of:

a number of patients of the first physician, a case volume for the first physician, a number of operations for the first physician, revenue share for the first physician, and the volume for the first physician, and the revenue for the first physician.

6. The method of claim 3, wherein the display further comprising displaying specific values for the value metric, the quality metric, and the quantity metric.

7. The method of claim 3, wherein the generated user interface is operable to receive user selections of at least one of the value metric, the quality metric, and the quantity metric.

8. The method of claim 1, wherein the insight for the first physician is based on one or more of:

a type of training for the first physician, a hiring decision for the first physician, or a profile for the first physician.

9. The method of claim 8, wherein:

the visual characteristic of the first physician insight indicator is a color of the first physician insight indicator; and

the legend correlates the color of the first physician insight indicator with a text description of the insight for the first physician.

10. The method of claim 9, wherein the visual characteristic of the first physician insight indicator insight is based on a location of the first physician insight indicator with respect to the first axis and the second axis.

11. The method of claim 9, wherein:

the first axis and the second axis are two axes of a chart;

the chart comprises multiple segments; and

each segment corresponds to a different insight.

12. The method of claim 1, wherein the value metric indicates the first physician'"'"'s value to a health system.

13. The method of claim 1, wherein the value metric is based on at least one or more of the group consisting of:

contribution margin and revenue share.

14. The method of claim 1, wherein the quality metric indicates a quality of care provided by the first physician.

15. The method of claim 1, wherein the quality metric is based on at least one or more pieces of data from the group consisting of:

30-day readmission rate, mortality rate, and complications of care rate.

16. The method of claim 1, further comprising receiving, at the processor, a selection of the first physician insight indicator and, in response, generating a display comprising additional metrics for the first physician.

17. The method of claim 1, wherein the value metric is received from a first source and the quality metric is received from a second source.

18. A computer storage media comprising instructions that, when executed by one or more processors, cause at least one of the one or more processors to execute a method comprising:

receiving, at the processor, a value metric associated with a first physician;

receiving, at the processor, a value metric associated with a second physician;

receiving, at the processor, a quality metric associated with the first physician and a quality metric associated with the second physician, wherein the value metric and the quality metric are based on data from at least one of internal and external data sources, wherein an Application Program Interface (API) is used to share the data between the processor and the at least one of the internal and external data sources while the internal and external data sources house the data separately from a system comprising the processor;

based on the value metric and the quality metric for the first physician, and based on the value metric and the quality metric for the second physician, automatically generating, using the processor, a result metric for the first physician;

based on the value metric and the quality metric for the second physician, and based on the value metric and the quality metric for the first physician, automatically generating, using the processor, a result metric for the second physician, wherein the result metric for the first physician and the result metric for second physician are represented by at least one of a coordinate and a one-by-two matrix entry in a database, wherein two values in the one-by-two matrix entry are the value metric and the quality metric;

based on the result metric for the first physician, and relative to the result metric for the second physician, automatically generating an insight for the first physician;

based on the result metric for the second physician, and relative to the result metric for the first physician, automatically generating an insight for the second physician;

automatically generating, using the processor, a display for a user interface, comprising;

a first axis representing the value metric;

a second axis representing the quality metric;

a first physician insight indicator, a visual characteristic of the first physician insight indicator representing the insight for the first physician, plotted with respect to the first and second axes, wherein a position of the first physician insight indicator represents the value metric for the first physician, the quality metric for the first physician, and the result metric for the first physician;

a second physician insight indicator, a visual characteristic of the second physician insight indicator representing the insight for the second physician, plotted with respect to the first and second axes, wherein a position of the second physician insight indicator represents the value metric for the second physician, the quality metric for the second physician, and the result metric for the second physician; and

a legend comprising a listing of at least one first physician insight and the at least one second physician insight; and

outputting the user interface.

19. A method for utilizing physician analytics, the method comprising:

receiving, at a processor, a value metric associated with a first physician;

receiving, at the processor, a value metric associated with a second physician;

receiving, at the processor, a quality metric associated with the first physician and a quality metric associated with the second physician, wherein the value metric and the quality metric are based on data from at least one of internal and external data sources, wherein an Application Program Interface (API) is used to share the data between the processor and the at least one of the internal and external data sources while the internal and external data sources house the data separately from a system comprising the processor;

based on the value metric and the quality metric for the first physician, and based on the value metric and the quality metric for the second physician, automatically generating, using the processor, a result metric for the first physician;

based on the value metric and the quality metric for the second physician, and based on the value metric and the quality metric for the first physician, automatically generating, using the processor, a result metric for the second physician, wherein the result metric for the first physician and the result metric for second physician are represented by at least one of a coordinate and a one-by-two matrix entry in a database, wherein two values in the one-by-two matrix entry are the value metric and the quality metric;

based on the result metric for the first physician, and relative to the result metric for the second physician, automatically generating an insight for the first physician;

based on the result metric for the second physician, and relative to the result metric for the first physician, automatically generating an insight for the second physician;

automatically generating, using the processor, a display for a user interface, comprising;

a first axis representing the value metric;

a second axis representing the quality metric;

a first physician insight indicator, a visual characteristic of the first physician insight indicator representing the insight for the first physician, plotted with respect to the first and second axes, wherein a position of the first physician insight indicator represents the value metric for the first physician, the quality metric for the first physician, and the result metric for the first physician;

a second physician insight indicator, a visual characteristic of the second physician insight indicator representing the insight for the second physician, plotted with respect to the first and second axes, wherein a position of the second physician insight indicator represents the value metric for the second physician, the quality metric for the second physician, and the result metric for the second physician; and

a legend comprising a listing of at least one first physician insight and the at least one second physician insight;

outputting the user interface;

automatically generating, using the processor, a referral recommendation for the first physician based on the result metric for the first physician; and

automatically displaying, on the display, the referral recommendation.

20. The method of claim 19, wherein automatically generating the referral recommendation comprises adjusting, using the processor, a rank of the first physician in a search results list for a search for physician referrals.