Schemes for scheduling patients for a time period

• US 20040243436A1
• Filed: 05/30/2003
• Published: 12/02/2004
• Est. Priority Date: 05/30/2003
• Status: Abandoned Application

• Current Assignee: Alok Rawat, Christopher Starr
• Original Assignee: Alok Rawat, Christopher Starr
• Inventors: Rawat, Alok, Starr, Christopher
• Application Number:
  US10/448,716
• Publication Number:
  US 20040243436A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 30/0283 Price estimation or determination
• CPC Class Codes: G06Q 40/02 Banking, e.g. interest calculation or account maintenance credit or loans G06Q40/03
• 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

Schemes for scheduling patients for a time period are described herein. These schemes can compute a financial consequence associated with a medical service provided to a patient. These schemes can determine a schedule of patients for a time period based on one or more criteria selected by a healthcare provider, such as a clinical practice standard and a financial consequence associated with the schedule.

Claims

1. A method of determining a schedule of patients for a time period, the method comprising:

providing a profit scheme capable of computing a profit associated with a procedure of a patient,

based on the profit scheme, computing profits associated with different schedules of procedures of the patients for the time period, and

based on the computed profits, selecting one of the different schedules of procedures of patients for the time period.

2. The method of claim 1, wherein providing a profit scheme comprises:

providing an earnings component representing at least one computed insurance reimbursement for the procedure, and

providing a costs component representing at least one computed value of unbillable healthcare provider time for the procedure.

3. The method of claim 2, wherein providing an earnings component comprises:

representing, in the earnings component, the at least one computed insurance reimbursement based on at least one empirical relationship between the maximum insurance reimbursement for the procedure and at least one historical reimbursement for the procedure.

4. The method of claim 2, wherein providing an earnings component comprises:

representing, in the earnings component, the at least one computed insurance reimbursement based on at least one empirical relationship among

the maximum insurance reimbursement for the procedure,

at least one patient factor comprising at least one of an age, a diagnosis, an employer, a level of impairment, a past medical history, and a monetary consequence for an unattended procedure, and

at least one historical reimbursement for the procedure.

5. The method of claim 2, wherein providing an earnings component further comprises:

providing an earnings component representing at least one computed patient co-payment for the procedure.

6. The method of claim 5, wherein providing an earnings component comprises:

representing, in the earnings component, the at least one computed patient co-payment based on at least one empirical relationship between the maximum patient co-payment for the procedure and at least one historical patient co-payment for the procedure.

7. The method of claim 5, wherein providing an earnings component comprises:

representing, in the earnings component, the at least one computed patient co-payment based on at least one empirical relationship among

a maximum patient co-payment for the procedure,

at least one patient factor comprising at least one of an age, a diagnosis, an employer, a level of impairment, a past medical history, and a monetary consequence for an unattended procedure, and

at least one historical patient co-payment for the procedure.

8. The method of claim 2, wherein providing an earnings component further comprises:

providing an earnings component based on at least one compensation type comprising at least one of a base salary, a bonus, a fee for a service, and an hourly wage.

9. The method of claim 2, wherein the at least one computed value of unbillable healthcare provider time is based on at least one of:

at least one non-patient interaction comprising at least one of at least one healthcare provider telephone call, at least one healthcare provider documentation, and at least one healthcare provider laboratory report, and

at least one unattended procedure comprising at least one of at least one patient-cancelled procedure, and at least one patient-missed procedure.

10. The method of claim 2, wherein providing a costs component comprises:

representing, in the costs component, the at least one computed value of unbillable healthcare provider time based on at least one product of;

at least one healthcare provider hourly rate, and

at least one amount of unbillable healthcare provider time for the procedure.

11. The method of claim 10, wherein the at least one amount of unbillable healthcare provider time is based on at least one average of amounts of historical unbillable healthcare provider time for the procedure.

12. The method of claim 10, wherein the at least one amount of unbillable healthcare provider time is based on at least one empirical relationship between

at least one patient factor comprising at least one of an age, a diagnosis, an employer, a level of impairment, a past medical history, and a monetary consequence for an unattended procedure, and

at least one amount of historical unbillable healthcare provider time for the procedure.

13. The method of claim 2, wherein providing a costs component further comprises:

providing a costs component representing at least one computed business cost for the procedure.

14. The method of claim 13, wherein providing a costs component comprises:

representing, in the costs component, the at least one computed business cost based on at least one proportional relationship between

at least one outlay comprising at least one of

a rent payment,

a utilities payment,

a labor cost, and

a malpractice insurance premium, and

at least one duration of at least one procedure.

15. The method of claim 1, wherein computing profits comprises:

based on the profit scheme, computing profits associated with different procedures of at least one patient.

16. The method of claim 15, wherein the different procedures comprise at least one of:

at least one clinically-indicated procedure, and

at least one insurer-authorized procedure.

17. The method of claim 1, further comprising:

based on at least one of

at least one clinically-indicated procedure, and

at least one insurer-authorized procedure,

generating the different schedules of procedures of the patients.

18. A method of determining a procedure of a patient, the method comprising

providing a profit scheme based on

at least one computed insurance reimbursement, and

at least one computed value of unbillable healthcare provider time

for a procedure of a patient,

based on the profit scheme, computing profits associated with different procedures of the patient, and

based on the computed profits, selecting one of the different procedures of the patient.

19. The method of claim 18, wherein providing a profit scheme further comprises:

providing a profit scheme based on at least one compensation type comprising at least one of a base salary, a bonus, a fee for a service, and an hourly wage.

20. The method of claim 18, wherein the at least one computed insurance reimbursement is based on at least one empirical relationship between the maximum insurance reimbursement for the procedure and at least one historical reimbursement for the procedure.

21. The method of claim 18, wherein the at least one computed value of unbillable healthcare provider time is based on at least one of:

at least one non-patient interaction comprising at least one of at least one healthcare provider telephone call, at least one healthcare provider documentation, and at least one healthcare provider laboratory report, and

at least one unattended procedure comprising at least one of at least one patient-cancelled procedure and at least one patient-missed procedure.

22. The method of claim 18, wherein the at least one computed value of unbillable healthcare provider time is based on at least one product of:

at least one healthcare provider hourly rate, and

at least one amount of unbillable healthcare provider time for the procedure.

23. The method of claim 22, wherein the at least one amount of unbillable healthcare provider time is based on one of:

at least one average of amounts of historical unbillable healthcare provider time for the procedure, and

at least one empirical relationship between

at least one patient factor comprising at least one of an age, a diagnosis, an employer, a level of impairment, a past medical history, and a monetary consequence for an unattended procedure, and

at least one amount of historical unbillable healthcare provider time for the procedure.

24. The method of claim 18, wherein the different procedures comprise at least one of:

at least one clinically-indicated procedure, and

at least one insurer-authorized procedure.

25. A method of computing a profit associated with a schedule of patients, the method comprising:

providing a profit scheme based on

at least one computed insurance reimbursement, and

at least one computed value of unbillable healthcare provider time

for a procedure of a patient,

based on the profit scheme, computing profits associated with the procedures of the patients of the schedule, and

based on the computed profits, computing the profit associated with the schedule.

26. The method of claim 25, wherein providing a profit scheme further comprises:

providing a profit scheme based on at least one compensation type including at least one of a base salary, a bonus, a fee for a service, and an hourly wage.

27. The method of claim 25, wherein the at least one computed insurance reimbursement is based on at least one empirical relationship between the maximum insurance reimbursement for the procedure and at least one historical reimbursement for the procedure.

28. The method of claim 25, wherein the at least one computed value of unbillable healthcare provider time is based on at least one of:

at least one non-patient interaction comprising at least one of at least one healthcare provider telephone call, at least one healthcare provider documentation, and at least one healthcare provider laboratory report, and

at least one unattended procedure comprising at least one of at least one patient-cancelled procedure and at least one patient-missed procedure.

29. The method of claim 25, wherein the at least one computed value of unbillable healthcare provider time is based on at least one product of:

at least one healthcare provider hourly rate, and

at least one amount of unbillable healthcare provider time for the procedure.

30. The method of claim 29, wherein the at least one amount of unbillable healthcare provider time is based on one of:

at least one average of amounts of historical unbillable healthcare provider time for the procedure, and

at least one empirical relationship between

at least one patient factor comprising at least one of an age, a diagnosis, an employer, a level of impairment, a past medical history, and a monetary consequence for an unattended procedure, and

at least one amount of historical unbillable healthcare provider time for the procedure.

31. A processor program for determining a schedule of patients for a time period, the processor program being stored on a processor readable medium and comprising instructions to cause a processor to:

based on a profit scheme capable of computing a profit associated with a procedure of a patient, compute profits associated with different schedules of procedures of patients for the time period, and

based on the computed profits, select one of the different schedules of procedures of patients for the time period.

32. The processor program of claim 31, wherein the profit scheme is based on:

at least one computed insurance reimbursement for a procedure of a patient, and

at least one computed value of unbillable healthcare provider time for a procedure of a patient.

33. The processor program of claim 31, wherein the profit scheme is further based on at least one compensation type comprising at least one of a base salary, a bonus, a fee for a service, and an hourly wage.

34. The processor program of claim 32, wherein the at least one computed insurance reimbursement is based on at least one empirical relationship between the maximum insurance reimbursement for the procedure and at least one historical reimbursement for the procedure.

35. The processor program of claim 32, wherein the at least one computed value of unbillable healthcare provider time is based on at least one of:

at least one non-patient interaction comprising at least one of at least one healthcare provider telephone call, at least one healthcare provider documentation, and at least one healthcare provider laboratory report, and

at least one unattended procedure comprising at least one of at least one patient-cancelled procedure and at least one patient-missed procedure.

36. The processor program of claim 32, wherein the at least one computed value of unbillable healthcare provider time is based on at least one product of:

at least one healthcare provider hourly rate,(and

at least one amount of unbillable healthcare provider time for the procedure.

37. The processor program of claim 36, wherein the at least one amount of unbillable healthcare provider time is based on one of:

at least one average of amounts of historical unbillable healthcare provider time for the procedure, and

at least one empirical relationship between

at least one patient factor comprising at least one of an age, a diagnosis, an employer, a level of impairment, a past medical history, and a monetary consequence for an unattended procedure, and

at least one amount of historical unbillable healthcare provider time for the procedure.

38. The processor program of claim 31, wherein the instructions to compute profits comprise instructions to:

based on the profit scheme, compute profits associated with different procedures of at least one patient.

39. The processor program of claim 38, wherein the different procedures comprise at least one of:

at least one clinically-indicated procedure, and

at least one insurer-authorized procedure.

40. The processor program of claim 31, further comprising instructions to:

based on at least one of

at least one clinically-indicated procedure, and

at least one insurer-authorized procedure,

generate the different schedules of procedures of the patients.