SYSTEM FOR ADAPTING HEALTHCARE DATA AND PERFORMANCE MANAGEMENT ANALYTICS
First Claim
1. A system for facilitating improved monitoring and managing healthcare performance, the system comprising:
- one or more network interfaces configured to provide access to a network and to enable communication with one or more healthcare manager devices; and
one or more data processing servers coupled to the one or more network interfaces, the one or more data processing servers configured to execute instructions for;
receiving healthcare data from a plurality of data source devices over the network;
extracting medical data from the received healthcare data regarding a plurality of patient procedures performed by a plurality of healthcare providers;
grouping the extracted medical data according to one or more predefined patterns;
executing an analytic engine for analyzing the grouped medical data to determine statistical variations in cost or quality of the patient procedures performed by the healthcare providers and to identify one or more of the healthcare providers responsible for statistically significant variations;
executing a plurality of opportunity advisor modules to generate prescriptive opportunities for reducing the determined statistical variations associated with the identified one or more healthcare providers;
storing the prescriptive opportunities as plays in a playbook module; and
generating output of the analytics engine and playbook module to transmit to the one or more healthcare manager devices.
1 Assignment
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Accused Products
Abstract
Methods and systems for monitoring and managing healthcare performance. The system comprises one or more network interfaces configured to provide access to a network and one or more data processing servers coupled to the one or more network interfaces to enable communication with one or more healthcare manager devices. The one or more data processing servers to execute instructions to receive healthcare data from a plurality of data source devices over the network, extract patient medical data from the received healthcare data, group the patient medical data according to episodes of care, analyze the patient medical data to determine variances, generate prescriptive opportunity scripts to reduce the determined variances, add the prescriptive opportunity scripts to a playbook, and generate output corresponding to the analysis and the playbook to the one or more healthcare manager devices.
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Citations
45 Claims
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1. A system for facilitating improved monitoring and managing healthcare performance, the system comprising:
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one or more network interfaces configured to provide access to a network and to enable communication with one or more healthcare manager devices; and one or more data processing servers coupled to the one or more network interfaces, the one or more data processing servers configured to execute instructions for; receiving healthcare data from a plurality of data source devices over the network; extracting medical data from the received healthcare data regarding a plurality of patient procedures performed by a plurality of healthcare providers; grouping the extracted medical data according to one or more predefined patterns; executing an analytic engine for analyzing the grouped medical data to determine statistical variations in cost or quality of the patient procedures performed by the healthcare providers and to identify one or more of the healthcare providers responsible for statistically significant variations; executing a plurality of opportunity advisor modules to generate prescriptive opportunities for reducing the determined statistical variations associated with the identified one or more healthcare providers; storing the prescriptive opportunities as plays in a playbook module; and generating output of the analytics engine and playbook module to transmit to the one or more healthcare manager devices. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
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20. A system for monitoring and managing healthcare performance, the system comprising:
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a data aggregator that collects healthcare data from one or more data source systems and groups the healthcare data into sets based on episodes of care; an analytic engine module configured to analyze the aggregated and grouped healthcare data to determine statistical variations in cost or quality of the patient procedures performed by the healthcare providers and to identify one or more of the healthcare providers responsible for statistically significant variations in the grouped episodes of care; a plurality of opportunity advisor modules configured to generate prescriptive opportunities for reducing the determined statistical variations associated with the identified one or more healthcare providers; a performance monitoring component configured to generate performance data based on the healthcare data, and generate graphical user interface data based on the performance data, the analysis of the healthcare data, execution of the at least one advisor logic, and a playbook, the graphical user interface accessible via a network and enables user access to the performance data, the at least one advisor logic, and the playbook; and a playbook module configured to generate scripts associated with the created opportunities, create the playbook, and add a selection of the scripts to the playbook. - View Dependent Claims (21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31)
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32. A method for monitoring and managing healthcare performance, the method performed by a server connected to a network and in communication over the network with a plurality of data source devices providing healthcare data and one or more healthcare manager devices, the method comprising:
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receiving healthcare data from the data source devices over the network; extracting medical data from the received healthcare data regarding a plurality of patient procedures performed by a plurality of healthcare providers; grouping the extracted medical data according to episodes of care based on clinically related activities in the extracted medical data and grouping the episodes of care into clinical pathways; executing an analytic engine for analyzing the grouped medical data to determine statistical variations in cost or quality of the patient procedures performed by the healthcare providers and to identify one or more of the healthcare providers responsible for statistically significant variations; executing a plurality of opportunity advisor modules to generate prescriptive opportunities for reducing the determined statistical variations associated with the identified one or more healthcare providers; and transmitting output of the analytics engine to the one or more healthcare manager devices. - View Dependent Claims (33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45)
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Specification