Clinical Cost Control Management Module
First Claim
1. A system enabling cost based treatment selection by providing a healthcare worker with patient specific treatment cost information during a treatment episode, comprising:
- an acquisition processor for automatically interrogating at least one information repository for data indicating cost to a healthcare organization of providing a Proposed treatment to a patient and expected cost reimbursement to said healthcare organization for said proposed treatment by initiating generation of at least one message including a patient identifier and treatment identification code for communication to said at least one information repository, in response to data indicating occurrence of a treatment related event; and
a display processor for initiating generation of data representing at least one display image including information indicating said proposed treatment is unprofitable for said healthcare organization in response to acquired data indicating cost of proposed treatment and expected cost reimbursement.
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Accused Products
Abstract
A system enables a healthcare organization to evaluate cost efficient treatment options early in a patient treatment process by automatic monitoring of profit or loss of a treatment, in real-time and enables a clinical user to screen, simulate and control treatment profit or loss during a patient visit, based on both expected reimbursement and the actual costs of performed services. A system enables cost based treatment selection by providing a healthcare worker with patient specific treatment cost information during a treatment episode. An acquisition processor automatically interrogates at least one information repository for data concerning cost to a healthcare organization of providing a proposed treatment to a patient and expected cost reimbursement to the healthcare organization for the proposed treatment. The acquisition processor initiates generation of at least one message including a patient identifier and treatment identification code for communication to the at least one information repository, in response to data indicating occurrence of a treatment related event. A display processor initiates generation of data representing at least one display image including information indicating the proposed treatment is unprofitable for the healthcare organization.
61 Citations
18 Claims
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1. A system enabling cost based treatment selection by providing a healthcare worker with patient specific treatment cost information during a treatment episode, comprising:
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an acquisition processor for automatically interrogating at least one information repository for data indicating cost to a healthcare organization of providing a Proposed treatment to a patient and expected cost reimbursement to said healthcare organization for said proposed treatment by initiating generation of at least one message including a patient identifier and treatment identification code for communication to said at least one information repository, in response to data indicating occurrence of a treatment related event; and a display processor for initiating generation of data representing at least one display image including information indicating said proposed treatment is unprofitable for said healthcare organization in response to acquired data indicating cost of proposed treatment and expected cost reimbursement. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A system enabling cost based treatment selection by providing a healthcare worker with patient specific treatment cost information during a treatment episode, comprising:
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an acquisition processor for automatically interrogating at least one information repository for data indicating cost to a healthcare organization of providing a proposed treatment to a patient and expected cost reimbursement to said healthcare organization for said proposed treatment by initiating generation of at least one message including a patient identifier and treatment identification code for communication to said at least one information repository, in response to entry of data indicating an order for said proposed treatment via a computerized treatment order entry system; a data processor for calculating expected profit or loss of said proposed treatment by subtracting said cost of proposed treatment from said expected cost reimbursement; and a display processor for initiating generation of data representing at least one display image including information indicating alternative treatments to said proposed treatment, said alternative treatments being more profitable for said healthcare organization in response to acquired data indicating cost of proposed treatment and expected cost reimbursement. - View Dependent Claims (16, 17)
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18. A system enabling cost based treatment selection by providing a healthcare worker with patient specific treatment cost information during a treatment episode, comprising:
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an acquisition processor for automatically interrogating at least one information repository for data indicating cost to a healthcare organization of providing a plurality of proposed treatments to a patient and expected cost reimbursement to said healthcare organization for said proposed treatments by initiating generation of at least one message including a patient identifier and treatment identification code for communication to said at least one information repository, in response to entry of data indicating orders for said proposed treatments via a computerized treatment order entry system; a data processor for calculating expected profit or loss of said proposed treatments by subtracting an accumulated total of said costs of said proposed treatments from an accumulated total of said expected cost reimbursements; and a display processor for initiating generation of data representing at least one display image including information indicating said plurality of proposed treatments are unprofitable for said healthcare organization in response to acquired data indicating cost of proposed treatments and expected cost reimbursements.
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Specification