Quality Management Of Patient Data For Health Care Providers
First Claim
1. A method of identifying need to modify data entries in a database containing healthcare admissions data, comprising the steps of:
- providing a first computer system for performing analysis of patient data generated by a health care provider and stored in a second computer system under the control of the health care provider;
repeatedly receiving, from the second computer system into the first computer system, one or more editions of code for applying error-checking rules to at least a portion of the admissions data, the code being received at the first computer system in a first form;
also repeatedly receiving into the first computer system information present in the health care admissions data for performing analysis thereon;
each time, after receiving a set of information present in the health care admissions data, converting the most recently received edition of the code into executable code for applying the rules; and
applying the rules to evaluate the most recently received information.
3 Assignments
0 Petitions
Accused Products
Abstract
A system and a method of identifying a need to modify data entries in a database containing healthcare admissions data. An exemplary data quality management system is useful for managing healthcare admissions data. According to an embodiment the system can include a first computer system comprising at least one server and having storage media. The media may contain a plurality of sets of patient data each assembled by a different health care provider and useful in relation to filing of insurance claims. A plurality of rules engines may each be customized for a different health care provider with each stored in human readable code. A program, which when run on the first computer system, compiles a first of the rules engines customized for a first of the health care providers wherein rules associated with the first rules engine are applied to identify needs for modifying a set of patient data received from the first health care provider.
-
Citations
18 Claims
-
1. A method of identifying need to modify data entries in a database containing healthcare admissions data, comprising the steps of:
-
providing a first computer system for performing analysis of patient data generated by a health care provider and stored in a second computer system under the control of the health care provider; repeatedly receiving, from the second computer system into the first computer system, one or more editions of code for applying error-checking rules to at least a portion of the admissions data, the code being received at the first computer system in a first form; also repeatedly receiving into the first computer system information present in the health care admissions data for performing analysis thereon; each time, after receiving a set of information present in the health care admissions data, converting the most recently received edition of the code into executable code for applying the rules; and applying the rules to evaluate the most recently received information. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
-
-
9. A data quality management system for managing healthcare admissions data, the system comprising:
-
a first computer system comprising at least one server and having storage media containing; a plurality of sets of patient data each assembled by a different health care provider and useful in relation to filing of insurance claims, a plurality of different rules engines each customized for a different health care provider and each stored in human readable code; and a program which when run on the first computer system compiles a first of the rules engines customized for a first of the health care providers wherein rules associated with the first rules engine are applied to identify needs for modifying a set of patient data received from the first health care provider. - View Dependent Claims (10, 11, 12, 13, 14)
-
-
15. A computer system including a data processor and memory and software for evaluating healthcare admissions data file quality, comprising:
-
a system router configured to receive multiple files each containing information extracted from healthcare provider patient data files stored in a database remote from the computer system; one or more database servers including storage for retaining each of the patient data files distinct from the other; and multiple versions of rules code each simultaneously stored in source code form on the one or more servers and each associated with a different provider file, characterized in that when each version is compiled and executed by the data processor, the code evaluates information from the associated provider file relative to a set of predetermined validation rules. - View Dependent Claims (16, 17, 18)
-
Specification