SYSTEM AND METHOD FOR MONITORING AND MEASURING QUALITY PERFORMANCE OF HEALTH CARE DELIVERY AND SERVICE
First Claim
1. A computer implemented healthcare quality management system comprising:
- at least one health information data module configured to process health information data and present processed health information data to a user at plan, practice, individual practice association, physician group, individual physician and enrollee levels.
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Accused Products
Abstract
A software driven health care quality management system is disclosed. This system is user friendly, allowing easy navigation through various screens that enable the user to identify drivers of Star Rating System performance. The present invention offers easy drill-down functionality from a plan level, to a provider group, individual provider, and member level to provide actionable data that can improve the quality of care and ultimately a plan'"'"'s star ratings. This system addresses each of the drivers that influence overall plan revenue, by providing an enterprise business intelligence system, designed to maximize process quality measures, promote value-based purchasing, and maximize risk-adjusted revenue for such health plans and health provider organizations.
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Citations
12 Claims
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1. A computer implemented healthcare quality management system comprising:
at least one health information data module configured to process health information data and present processed health information data to a user at plan, practice, individual practice association, physician group, individual physician and enrollee levels. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
Specification