System and method for analyzing and presenting physician quality information

• US 20080133290A1
• Filed: 12/22/2006
• Published: 06/05/2008
• Est. Priority Date: 12/04/2006
• Status: Abandoned Application

• Current Assignee: WebMD Health Corporation
• Original Assignee: WebMD Health Corporation
• Inventors: Siegrist, Donald, Gambs, Brian, Kleinfelter, William, Siegrist, Richard B.
• Application Number:
  US11/644,577
• Publication Number:
  US 20080133290A1
• Time in Patent Office: Days
• US Class Current: 705/7
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

Systems and methods for compiling and presenting physician quality information to consumers are provided. The physician quality information system aggregates data from data sources such as claims data, patient satisfaction data, and public discharge data and computes metrics based on definitions. These metrics can be things such as mortality rate, patient wait time after the scheduled appointment, and whether a physician performed a certain test when a specified set of symptoms were present. The consumer is presented with the physician quality information system through a website. The consumer can enter his or her preferences regarding the physician search into the website and these preferences are used to customize the report that is generated from the information that is computed and complied by the physician quality information system.

Claims

1. A method comprising:

obtaining from one or more data sources data about health care that was provided by a plurality of physicians;

from the data, computing a set of metrics for the plurality of physicians;

receiving preferences that are specified by a consumer, the preferences identifying physician attributes that are desired by the consumer;

deriving from the specified consumer preferences a set of weights for the set of metrics; and

for a group of physicians that is selected by the consumer from among the plurality of physicians, computing a ranking of those physicians based upon the computed set of metrics and the derived set of weights.

2. The method of claim 1, wherein obtaining from one or more data sources involves at least one of claims data, patient satisfaction data, and public discharge data.

3. The method of claim 1, further comprising:

applying the derived set of weights to a subset of metrics;

ranking the group of physicians based upon the subset of metrics and a derived subset of weights;

applying weights to a set of categories, wherein each category is the ranking of the group of physicians based upon the subset of metrics; and

ranking the physicians in an overall ranking based upon the set of categories.

4. The method of claim 1, wherein computing a set of metrics involves adjusting the metrics to account for severity.

5. The method of claim 1, further comprising:

calculating a benchmark for a selected geography; and

calculating a ratio of actual performance to benchmark performance for a metric.

6. The method of claim 1, further comprising:

checking data in at least one of claims data, patient satisfaction data, and public discharge data to determine if the data is acceptable for use in building a database; and

checking if the data includes information used for computing the set of metrics.

7. The method of claim 1, wherein computing a set of metrics involves using definitions for measuring physician performance provided by an association.

8. A method comprising:

receiving a consumer selection of a geographic location and at least one of a physician type and a medical procedure;

displaying a list of physicians based on the consumer selection;

receiving preferences that are specified by a consumer, the preferences identifying physician attributes that are desired by the consumer; and

for a group of physicians that is selected by the consumer from among the plurality of physicians, displaying a report that presents metrics on the group of physicians, presents a summary of a group of metrics in a category, and presents an overall ranking of the group of physicians customized to the preferences specified by the consumer.

9. The method of claim 8, further comprising:

calculating benchmarks based on the consumer preferences; and

displaying the group of physicians adjusted for severity based on a direct standardization approach.

10. The method of claim 9, further comprising:

adjusting the metrics on the group of physicians in relation to the benchmark information; and

displaying the overall ranking based on an indirect standardization approach.

11. The method of claim 8, wherein displaying a report involves displaying an overall ranking based on regional benchmarks.

12. The method of claim 8, wherein displaying a report involves at least one of displaying a report for at least one of a physician type and a medical procedure.

13. A system comprising:

a claims database and a public discharge database;

a quality rules application engine in communication with the claims database and the public discharge database, wherein the quality rules engine computes a set of metrics for the plurality of physicians;

a consumer preferences module that receives consumer preferences, the preferences identifying physician attributes that are desired by the consumer, and that derives from the specified consumer preferences a set of weights for the set of metrics; and

a physician quality website that displays a ranking of those physicians based upon the computed set of metrics and the derived set of weights for a group of physicians that is selected by the consumer from among the plurality of physicians.

14. The system of claim 13, further comprising:

a patient satisfaction database in communication with the quality rules engine; and

the quality rules engine determining a set of metrics for performance, outcome and satisfaction information from the claims database, the public discharge database, and the patient satisfaction database.

15. The system of claim 13, further comprising a metric weighting module that is in communication with the consumer preferences module and the physician quality website, wherein the metric weighting module applies severity adjustments and applies the set of weights to the set of metrics.

16. The system of claim 13, further comprising a database that is loaded with the set of metrics for the plurality of physicians.

17. The system of claim 13, wherein at least one of a new search, a change of physicians, and a change of consumer preferences links are provided to allow re-generation of the display of physician quality information.

18. A system comprising:

means for providing a data source;

means for providing an engine in communication with the means for providing a data source, wherein the means for providing an engine computes a set of metrics for the plurality of physicians;

consumer preferences means for receiving consumer preferences, the preferences identifying physician attributes that are desired by the consumer, and for deriving from the specified consumer preferences a set of weights for the set of metrics; and

means for displaying a ranking of those physicians based upon the computed set of metrics and the derived set of weights for a group of physicians that is selected by the consumer from among the plurality of physicians.

19. The system of claim 18, further comprising metric weighting means for applying severity adjustments and applies the set of weights to the set of metrics.