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Method and apparatus for objectively monitoring and assessing the performance of health-care providers

  • US 5,706,441 A
  • Filed: 06/07/1995
  • Issued: 01/06/1998
  • Est. Priority Date: 06/07/1995
  • Status: Expired due to Term
First Claim
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1. A computer-implemented method for objectively assessing the complexity of health-care services delivered by each health-care provider within a group of health-care providers to patients serviced by said group of health-care providers, comprising the steps of:

  • (A) providing in-patient data records representative of in-patient health-care services performed for said patients by health-care providers with said group of health-care providers;

    (B) providing out-patient data records representative of out-patient health-care services performed for said patients by health-care providers with said group of health-care providers;

    (C) building a plurality of sickness episode data records by combining information from said in-patient and out-patient data records, each sickness episode data record within said plurality of sickness episode data records corresponding to an individual sickness episode for which health-care services were performed for one of said patients by at least one health-care provider from said group of health-care providers;

    (D) performing an objective severity assessment on a group of sickness episode data records and assigning, in response to said objective severity assessment, an episode severity score to each sickness episode data record within said group of sickness episode data records; and

    (E) objectively determining case load complexity levels for health-care providers within said group of health-care providers from said severity scores.

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