Method and system for producing performance reports for payors

• US 20070214006A1
• Filed: 03/08/2006
• Published: 09/13/2007
• Est. Priority Date: 03/08/2006
• Status: Abandoned Application

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Duckert, David, Cincotta, James
• Application Number:
  US11/371,055
• Publication Number:
  US 20070214006A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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 method and system includes producing performance reports for payors that require performance evidence. The method and system collects a set of clinical data from the patient, combines the set of remote patient data with a set of EMR data, de-identifies this data, and produces a set of reports including compliance reports and outcomes reports, which can be tailored to a payor'"'"'s needs, and further delivered to the payor. The method may be implemented as software to be executed on the system.

Claims

1. A method of producing a set of performance reports for a payor, the method comprising:

collecting a set of remote patient data from a patient;

combining the set of remote patient data with a set of electronic medical record data to produce a set of combined data;

de-identifying the set of combined data to produce a set of de-identified data; and

compiling the set of de-identified data in a performance database to produce the set of performance reports.

2. The method as claimed in claim 1, wherein the set of remote patient data is directly collected in the set of electronic medical record data.

3. The method as claimed in claim 1, farther comprising storing the set of de-identified data in the performance database before the compiling step.

4. The method as claimed in claim 1, further comprising formatting the set of performance reports to comply with a set of payor specifications.

5. The method as claimed in claim 1, further comprising delivering the set of performance reports to the payor.

6. The method as claimed in claim 1, wherein the de-identifying step includes redacting all patient references and personal information from the set of combined data.

7. The method as claimed in claim 1, wherein the set of performance reports include a compliance report.

8. The method as claimed in claim 7, wherein the compliance report identifies a compliance level with a set of established treatment protocols.

9. The method as claimed in claim 7, wherein the compliance report tracks a level of compliance over time.

10. The method as claimed in claim 1, wherein the set of performance reports includes a clinical outcomes report.

11. The method as claimed in claim 10, wherein the clinical outcomes report is a comparative clinical outcome report.

12. The method as claimed in claim 10, wherein the clinical outcomes report is a tracking clinical outcome report.

13. A system for producing a set of performance reports for a payor, the system comprising:

a remote sensing system configured to collect a set of remote patient data from a patient;

a storage media for storing a computer application; and

a processing unit coupled to the remote sensing system and the storage media, the processing unit configured to execute the computer application, and further configured to receive the set of patient data from the remote sensing system,

wherein when the computer application is executed, the set of remote patient data is combined with a set of electronic medical record data from an electronic medical record database to produce a set of combined data, the set of combined data is de-identified to produce a set of de-identified data, and the set of de-identified data is compiled in a performance database to produce a set of performance reports.

14. The system as claimed in claim 13, wherein the set of remote data is directly collected in the set of electronic medical record data.

15. The system as claimed in claim 13, wherein the set of de-identified data is stored in the performance database before the set of det-identified data is compiled.

16. The system as claimed in claim 13, wherein the set of performance reports are formatted to comply with a set of payor specifications.

17. The system as claimed in claim 13, wherein the set of performance reports are delivered to the payor.

18. The system as claimed in claim 13, wherein the set of combined data is de-identified by redacting all patient references and personal information from the set of combined data.

19. The system as claimed in claim 13, wherein the set of performance reports include a compliance report.

20. The system as claimed in claim 19, wherein the compliance report identifies a compliance level with a set of established treatment protocols.

21. The system as claimed in claim 19, wherein the compliance report tracks a level of compliance over time.

22. The system as claimed in claim 13, wherein the set of performance reports includes a clinical outcomes report.

23. The system as claimed in claim 22, wherein the clinical outcomes report is a comparative clinical outcome report.

24. The system as claimed in claim 22, wherein the clinical outcomes report is a tracking clinical outcome report.

25. A method of providing a set of performance reports to a payor, the method comprising:

collecting a set of remote patient data from a patient;

combining the set of remote patient data with a set of electronic medical record data to produce a set of combined data;

redacting the set of combined data to produce a set of de-identified data;

storing the set of de-identified data in a performance database;

compiling the set of de-identified data to produce the set of performance reports;

formatting the set of performance reports to comply with a set of payor specifications; and

delivering the set of performance reports to the payor.