PHYSICIAN PERFORMANCE AND RECOMMENDATION INTERFACE

• US 20180308189A1
• Filed: 06/26/2018
• Published: 10/25/2018
• Est. Priority Date: 06/19/2014
• Status: Active Grant

• Current Assignee: Advisory Board Company (UnitedHealth Group Incorporated)
• Original Assignee: Advisory Board Company (UnitedHealth Group Incorporated)
• Inventors: Lachs, Marc, Zhou, Cheng, Thompson, Nathan
• Granted Patent: US 10,672,091 B2
• Time in Patent Office: Days
• CPC Class Codes: G06Q 10/0639 Performance analysis of employees; Performance analysis of enterprise or organisation operations
• CPC Class Codes: G06Q 50/22 Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

The technology provides for utilizing and displaying physician analytics. For example, a result metric for a physician is based on a value metric, a quality metric, and/or a quantity metric. The value metric, quality metric, and/or quantity metric may all be received from different sources. The result metric may be displayed on a chart, or the result metric may be utilized for determining referral recommendations for a physician. The result metric may be displayed as a physician indicator on the chart. An insight for the physician may also be determined from the result metric. The insight may be based on the location of the physician indicator on the chart, and the insight may be represented by the color or other visual attribute of the physician indicator. For referral recommendations, the result metric may be used to adjust the rank of a physician in a referral search result.

Claims

1-21. -21. (canceled)

21. A computer-implemented method for displaying physician analytics, the method comprising:

receiving, at one or more servers on an electronic network, a value metric for a physician;

receiving, at the one or more servers, a quality metric for the physician;

determining, at the one or more servers, a result metric for the physician based on the value metric and the quality metric for the physician; and

displaying, at a display, the result metric.

22. The method of claim 21, wherein displaying the result metric comprises:

displaying, at the display, the result metric as an indicator on a chart, wherein one axis of the chart represents the value metric for the physician and another axis of the chart represents the quality metric for the physician.

23. The method of claim 21, further comprising:

receiving, at the one or more servers, a quantity metric for the physician; and

displaying, at the display, the quantity metric for the physician.

24. The method of claim 23, wherein:

displaying, at the display, the result metric comprises;

displaying, at the display, the result metric as an indicator on a chart, wherein one axis of the chart represents the value metric for the physician and another axis of the chart represents the quality metric for the physician; and

displaying, at the display, the quantity metric comprises;

displaying, at the display, the quantity metric by a size of the indicator to represent a corresponding value of the quantity metric.

25. The method of claim 21, further comprising:

determining, at the one or more servers, an insight regarding the physician based on the value metric and the quality metric; and

displaying, at the display, the insight regarding the physician.

26. The method of claim 25, wherein:

displaying, at the display, the result metric comprises;

displaying, at the display, the result metric as an indicator on a chart, wherein one axis of the chart represents the value metric for the physician and another axis of the chart represents the quality metric for the physician; and

displaying, at the display, the insight for the physician comprises;

displaying, at the display, the insight by a color of the indicator to represent the insight; and

displaying an insight legend correlating the color representing the insight to text representing the recommendation.

27. The method of claim 26, wherein the insight is based on a location of the indicator on the chart.

28. The method of claim 26, wherein the chart comprises multiple segments, and wherein each segment corresponds to a different insight.

29. The method of claim 21, further comprising:

receiving a quantity metric for the physician;

receiving a second value metric associated with a second physician;

receiving a second quality metric associated with the second physician;

receiving a second quantity metric associated with the second physician;

determine a second result metric for the second physician based on the second value metric and the second quality metric; and

simultaneously displaying the result metric as a first indicator on a chart, and the second result metric as a second indicator on the chart, wherein a size of the first indicator is based on the quantity metric, and a size of the second indicator is based on the quantity metric for the second physician.

30. The method of claim 21, wherein the value metric is based on at least one or more of the group comprising:

contribution margin and revenue share.

31. The method of claim 21, wherein the quality metric indicates a quality of care provided by the physician.

32. The method of claim 21, wherein the quality metric comprises:

readmission rate, mortality rate, and/or complications rate.

33. The method of claim 23, wherein the quantity metric comprises:

a number of patients of the physician, a case volume for the physician, a number of operations for the physician, revenue share for the physician, the volume for the physician, and/or the revenue for the physician.

34. The method of claim 21, wherein the value metric is received from a first source over the network, and the quality metric is received from a second source over the network, wherein the first source is different from the second source.

35. The method of claim 23, further comprising:

displaying a user interface operable to receive user selections of at least one of the value metric, the quality metric, and the quantity metric.

36. The method of claim 22, further comprising:

determining a referral recommendation for a physician based on the result metric by ranking a plurality of result metrics.

37. The method of claim 21, further comprising:

receiving a value metric for a second physician;

receiving a quality metric for the second physician;

based on the value metric and the quality metric for the second physician, determining a result metric for the second physician; and

displaying, the result metric for the second physician concurrently with the result metric for the first physician.

38. The method of claim 37, wherein the result metric for the first physician and the result metric for the second physician are displayed on a chart.

39. A system for displaying physician analytics, the system comprising:

a data storage device storing instructions for displaying physician analytics; and

a processor configured to execute the instructions to perform a method including;

receiving a value metric for a physician;

receiving a quality metric for the physician;

determining a result metric for the physician based on the value metric and the quality metric for the physician; and

displaying the result metric.

40. A non-transitory computer-readable medium storing instructions that, when executed by at least one processor, cause the at least one processor to perform a method of displaying physician analytics, the method including:

receiving, at one or more servers on an electronic network, a value metric for a physician;

receiving, at the one or more servers, a quality metric for the physician;

determining, at the one or more servers, a result metric for the physician based on the value metric and the quality metric for the physician; and

displaying, at a display, the result metric.