Apparatus and method for self-reporting medical information

• US 7,991,626 B2
• Filed: 02/26/2009
• Issued: 08/02/2011
• Est. Priority Date: 02/29/2008
• Status: Active Grant

• Current Assignee: IMS Software Services Ltd. (IQVIA Holdings, Inc.)
• Original Assignee: IMS Software Services Ltd. (IQVIA Holdings, Inc.)
• Inventors: Ramadan-Jradi, Zak, Hsu, Karen, Legorreta, Antonio
• Primary Examiner(s): Gilligan; Luke
• Assistant Examiner(s): BURGESS, JOSEPH D
• Application Number:
  US12/393,411
• Publication Number:
  US 20090222287A1
• Time in Patent Office: 887 Days
• Field of Search: 705 2- 3
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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

A patient list is provided to a medical provider. The medical provider may be prompted to review particular patients on the list or they may review these patients on their own. In any case, a patient is selected from the list and the provider determines if a medical metric associated with the patient is accurate or complete. The provider may then selectively enter self-report data concerning the accuracy or completeness of the medical metric. A provider assessment (e.g., score) is recalculated based at least in part on the self-reported data as well as the data that has already been collected. The re-calculated score may be provided to the medical plan.

Claims

1. A method of providing an accurate assessment for a medical provider comprising:

storing a plurality of medical records at an electronic data storage device;

at an electronic processing device, selecting at least one medical record from the plurality of medical records, the at least one medical record being associated with a medical patient, the at least one medical record having an associated initial performance assessment associated with the medical provider who provided medical services associated with the at least one medical record to the medical patient, the initial assessment being determined at the electronic processing device and stored at the electronic data storage device;

at the electronic processing device, identifying gaps in service associated with the selected record;

in real time and at an electronic presentation device, presenting at least portions of the at least one medical record to the provider;

at an electronic user interface associated with the electronic presentation device receiving supplemental information from the provider, the supplemental information relating to the medical patient and including information at least partially filling the identified gaps in service;

transmitting the supplemental information from the electronic user interface to the processing device over a communication link;

at the electronic processing device, receiving the transmitted supplemental information and automatically and in real-time re-calculating the assessment using the supplemental information without the need for a third-party to approve the reassessment.

2. The method of claim 1 further comprising analyzing the at least one medical record, forming at least one inquiry for the provider based upon the analyzing, and presenting the at least one inquiry to the provider.

3. The method of claim 1 further comprising applying a time limit during which the provider is allowed to supplement the information.

4. The method of claim 1 further comprising establishing a secure communication link with the provider.

5. The method of claim 4 wherein establishing a secure connection comprises requiring the provider to supply a password before communications via the communication link are allowed.

6. A system comprising:

an electronic database configured to store on a computer medium at least one patient record and an initial performance assessment related to the at least one patient record;

an electronic interface having an output and an input, the electronic interface being configured to receive self-reported medical data from at least one medical service provider via an Internet-based communication link;

an electronic self-reporting module coupled to the interface and the database, the electronic self-reporting module configured to receive the at least one patient record from the electronic data base and determine at least one inquiry for a medical provider at the output of the electronic interface based upon analyzing the at least one patient record, the self-reporting module being further configured to identify gaps in patient service based upon analyzing the at least one patient record;

an electronic performance evaluation module coupled to the electronic database, the electronic interface, and the electronic self-reporting module, the electronic performance evaluation module configured to calculate the initial performance assessment and to determine an updated assessment of the initial assessment without the need for a third-party to approve the updated assessment the updated assessment based upon the self-reported medical data received at the input of the interface, the self-reported medical data being received from the provider in response to the at least one inquiry and including data that at least partially fills the identified service gaps.

7. The system of claim 6 wherein the communication link comprises a secure connection.

8. The system of claim 7 wherein the secure connection is established by the use of a password supplied by the provider.

9. The system of claim 6 wherein the performance evaluation module allows receipt of self-reported medical data from the provider for a predetermined length of time.

10. The system of claim 6 wherein the self-reporting module provides customized screens to the provider.