Computerized system and method for managing personnel data in a healthcare environment

• US 7,885,823 B2
• Filed: 12/30/2004
• Issued: 02/08/2011
• Est. Priority Date: 12/30/2004
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Wager, Doug
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): Phongsvirajati; Sind
• Application Number:
  US11/027,369
• Publication Number:
  US 20060149593A1
• Time in Patent Office: 2,231 Days
• Field of Search: 705 2- 3, 705/10, 600/300, 702/182
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

The invention relates to a system and method in a computing environment for managing healthcare personnel data elements for at least one healthcare professional. In accordance with one method of the invention, first and second healthcare personnel data elements for a healthcare professional are received from first and second primary source providers. The first and second healthcare personnel data elements are associated with a profile for the healthcare professional. The profile is a repository for numerous pieces of healthcare personnel data elements for the healthcare professional and may be continuously updated with current healthcare personnel data elements. The first and second healthcare personnel data elements are stored with the profile for the healthcare professional.

Claims

1. One or more tangible computer storage media having stored thereon computer-readable instructions that, when executed, cause a computing device to perform a method for managing healthcare personnel data elements of a healthcare professional, the method comprising:

receiving from a patient a service rating that describes a quality of services provided by the healthcare professional;

receiving from a healthcare providing organization a description of outcomes of procedures that were performed by the healthcare professional;

receiving payor-plan membership information that includes a payor-insurance plan of which the healthcare professional is a member;

receiving association information that includes a professional-association certification achieved by the healthcare professional and that includes a professional-association membership held by the healthcare professional;

receiving education information that includes a degree earned by the healthcare professional;

receiving licensing information that includes a state licensee obtained by the healthcare professional;

receiving malpractice information that identifies a malpractice-insurance policy of the healthcare professional;

associating the service rating that was received, the payor-plan membership information, the association information, the education information, the licensing information, the malpractice information, and the description of outcomes with a profile of the healthcare professional, wherein the profile is a repository of a plurality of healthcare personnel data elements of the healthcare professional that is continuously updated with current healthcare personnel data elements; and

storing the received service rating, the payor-plan membership information, the association information, the education information, the licensing information, the malpractice information, and the description of outcomes.

2. The one or more tangible computer storage media of claim 1, wherein the method further comprises receiving from a continuing education provider an identification of continuing education courses completed by the healthcare professional and storing the received identification of continuing education courses in the profile.

3. The one or more tangible computer storage media of claim 1, further comprising:

creating a profile for the healthcare professional.

4. The one or more tangible computer storage media of claim 1, further comprising:

receiving an update to the at least one of the service rating and description of outcomes.

5. The one or more tangible computer storage media of claim 1, further comprising:

verifying the accuracy of at least one of the service rating and description of outcomes.

6. The one or more tangible computer storage media of claim 1, further comprising:

sending to at least one of the patient and the healthcare providing organization a request to submit at least one healthcare personnel data element of the healthcare professional, wherein the request is sent via a network.

7. The one or more tangible computer storage media of claim 1, wherein the healthcare professional is a physician, a physician assistant, a nurse, other credentialed healthcare professional, or a combination thereof.

8. The one or more tangible computer storage media of claim 1, further comprising:

receiving from a consuming entity a request to receive at least one healthcare personnel data element of the healthcare professional.

9. The one or more tangible computer storage media of claim 8, further comprising:

verifying that the consuming entity is authorized to receive the requested at least one healthcare personnel data element.

10. The one or more tangible computer storage media of claim 8, further comprising:

sending the requested at least one healthcare personnel data element to the consuming entity.

11. The one or more tangible computer storage media of claim 8, wherein the consuming entity is a healthcare professional, a patient, a peer, a payor, the Drug Enforcement Administration, a professional association, an accredited education provider, the American Medical Association, a state licensing board, the National Practitioner Data Bank, the Healthcare Integrity and Protection Data Bank, a continuing education provider, a malpractice insurance provider, a healthcare providing organization, a comparative database, or a combination thereof.

12. One or more tangible computer storage media having computer readable instructions stored thereon that, when executed, cause a computing device to perform a method for managing healthcare personnel data of a healthcare professional, the method comprising:

receiving payor-plan membership information that includes a payor-insurance plan of which the healthcare professional is a member;

receiving association information that includes a professional-association certification achieved by the healthcare professional and that includes a professional-association membership held by the healthcare professional;

receiving education information that identifies a degree earned by the healthcare professional;

receiving licensing information that identifies a state licensee obtained by the healthcare professional;

receiving malpractice information that identifies a malpractice-insurance policy of the healthcare professional;

receiving from a healthcare providing organization a set of quality indicators that includes one or more of treatments provided at the healthcare providing organization, treatment outcomes experienced at the healthcare providing organization, procedures provided at the healthcare providing organization, and procedure outcomes experienced at the healthcare providing organization;

associating by the computing device the payor-plan membership information, the association information, the education information, the licensing information, the malpractice information, and the set of quality indicators with a profile of the healthcare providing organization;

providing by the computer device the set of quality indicators to a comparative database, which compares the set of quality indicators to another set of quality indicators of another healthcare providing organization;

receiving from the comparative database a comparison of the set of quality indicators to the other set of quality indicators, wherein the comparison indicates how the healthcare providing organization is performing; and

storing by the computer device the comparison in the profile.