System and method for peer-profiling individual performance

• US 8,285,585 B2
• Filed: 11/17/2011
• Issued: 10/09/2012
• Est. Priority Date: 04/26/2005
• Status: Active Grant

• Current Assignee: Advisory Board Company (UnitedHealth Group Incorporated)
• Original Assignee: Advisory Board Company (UnitedHealth Group Incorporated)
• Inventors: Chao, David Yung-Min, Chan, William Wyeleem, Kadyan, Mike Vineet
• Primary Examiner(s): Sterrett, Jonathan G
• Assistant Examiner(s): Delich, Stephanie
• Application Number:
  US13/298,659
• Publication Number:
  US 20120066031A1
• Time in Patent Office: 327 Days
• Field of Search: 705/2, 705/7.39, 705/7.42
• US Class Current: 705/7.39
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G06Q 10/06393 Score-carding, benchmarking or key performance indicator [KPI] analysis
• CPC Class Codes: G06Q 10/06398 Performance of employee with respect to a job function
• 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

Embodiments of the invention provide a comprehensive, automated system and method for evaluating the performance of individuals or entities employed by an organization, particularly useful in peer-profiling physician performance in multi-facility environments. Embodiments of the invention can dynamically compose a virtual peer or group of peers and perform peer-profiling on each individual or group of individuals to be evaluated. For example, a composite physician may be generated from system-wide and/or state-wide healthcare data as a benchmark against which a particular physician is profiled according to industry-standard measurements. The composite physician would have equivalent or similar job function(s) as well as patient population. The composite physician enables a comprehensive “apple to apple” comparison with the particular physician, giving meaning to and facilitating the usefulness of performance evaluation results.

Claims

1. A method for analyzing job performance, comprising:

at a server computer communicatively connected to a client computer over a network,

generating, by the server computer, a first performance profile for an entity, wherein said first performance profile for said entity comprises a plurality of measures, wherein each applicable measure of said plurality of measures comprises an entity average determined based on a group of cases that meet a set of criteria specific to said applicable measure, wherein said entity is responsible for said group of cases, and wherein if a case for which said entity is responsible does not meet said set of criteria specific to said applicable measure, it is not included in said group of cases;

constructing a second performance profile for a virtual peer with respect to said applicable measure, wherein said constructing step further comprises selecting, from a plurality of peer cases, a composite of cases that also meet said set of criteria specific to said applicable measure, wherein said second performance profile for said virtual peer comprises a peer average determined based on said composite of cases, wherein if a peer case does not meet said set of criteria specific to said applicable measure, it is not included in said composite of cases, wherein said group of cases is a subset of a plurality of cases for which said entity is responsible, wherein said composite of cases is a subset of said plurality of peer cases for which two or more peers of said entity are responsible, and wherein both subsets meet said set of criteria specific to said applicable measure, effectuating a meaningful analysis of said entity'"'"'s job performance with respect to said applicable measure; and

returning results including said first performance profile for said entity and said second performance profile for said virtual peer to said client computer over said network.

2. The method of claim 1, further comprising:

repeating said constructing for each applicable measure of said plurality of measures, effectuating a meaningful analysis of said entity'"'"'s job performance in all applicable measures.

3. The method of claim 1, further comprising:

performing statistical analyses on data associated with said plurality of peer cases, said data being collected from a plurality of sources; and

storing results of said statistical analyses in a central data repository.

4. The method of claim 1, wherein said applicable measure comprises a plurality of levels and wherein said results comprise comparisons of said first performance profile for said entity and said second performance profile for said virtual peer at said plurality of levels.

5. The method of claim 1, wherein said entity is representative of one or more individuals.

6. The method of claim 1, further comprising:

determining a distribution ratio of said group of cases for which said entity is responsible with regard to said plurality of measures; and

configuring said composite of cases over said distribution ratio.

7. The method of claim 1, further comprising:

determining said peer average for said applicable measure based on said composite of cases.

8. A computer program product comprising at least one non-transitory computer readable medium storing instructions translatable by a server computer to perform:

generating a first performance profile for an entity, wherein said first performance profile for said entity comprises a plurality of measures, wherein each applicable measure of said plurality of measures comprises an entity average determined based on a group of cases that meet a set of criteria specific to said applicable measure, wherein said entity is responsible for said group of cases, and wherein if a case for which said entity is responsible does not meet said set of criteria specific to said applicable measure, it is not included in said group of cases;

constructing a second performance profile for a virtual peer with respect to said applicable measure, wherein said constructing step further comprises selecting, from a plurality of peer cases, a composite of cases that also meet said set of criteria specific to said applicable measure, wherein said second performance profile for said virtual peer comprises a peer average determined based on said composite of cases, wherein if a peer case does not meet said set of criteria specific to said applicable measure, it is not included in said composite of cases, wherein said group of cases is a subset of a plurality of cases for which said entity is responsible, wherein said composite of cases is a subset of said plurality of peer cases for which two or more peers of said entity are responsible, and wherein both subsets meet said set of criteria specific to said applicable measure, effectuating a meaningful analysis of said entity'"'"'s job performance with respect to said applicable measure; and

returning results including said first performance profile for said entity and said second performance profile for said virtual peer to a client computer over a network.

9. The computer program product of claim 8, wherein said instructions are further translatable by said server computer to perform:

repeating said constructing for each applicable measure of said plurality of measures, effectuating a meaningful analysis of said entity'"'"'s job performance in all applicable measures.

10. The computer program product of claim 8, wherein said instructions are further translatable by said server computer to:

perform statistical analyses on data associated with said plurality of peer cases, said data being collected from a plurality of sources; and

store results of said statistical analyses in a central data repository.

11. The computer program product of claim 8, wherein said applicable measure comprises a plurality of levels and wherein said results comprise comparisons of said first performance profile for said entity and said second performance profile for said virtual peer at said plurality of levels.

12. The computer program product of claim 8, wherein said entity is representative of one or more individuals.

13. The computer program product of claim 8, wherein said instructions are further translatable by said server computer to perform:

determining a distribution ratio of said group of cases for which said entity is responsible with regard to said plurality of measures; and

configuring said composite of cases over said distribution ratio.

14. The computer program product of claim 8, wherein said instructions are further translatable by said server computer to perform:

determining said peer average for said applicable measure based on said composite of cases.

15. A system, comprising:

a server computer communicatively connected to a client computer over a network, said server computer comprising;

at least one processor; and

at least one non-transitory computer readable medium storing instructions translatable by said at least one processor to perform;

generating a first performance profile for an entity, wherein said first performance profile for said entity comprises a plurality of measures, wherein each applicable measure of said plurality of measures comprises an entity average determined based on a group of cases that meet a set of criteria specific to said applicable measure, wherein said entity is responsible for said group of cases, and wherein if a case for which said entity is responsible does not meet said set of criteria specific to said applicable measure, it is not included in said group of cases;

constructing a second performance profile for a virtual peer with respect to said applicable measure, wherein said constructing step further comprises selecting, from a plurality of peer cases, a composite of cases that also meet said set of criteria specific to said applicable measure, wherein said second performance profile for said virtual peer comprises a peer average determined based on said composite of cases, wherein if a peer case does not meet said set of criteria specific to said applicable measure, it is not included in said composite of cases, wherein said group of cases is a subset of a plurality of cases for which said entity is responsible, wherein said composite of cases is a subset of said plurality of peer cases for which two or more peers of said entity are responsible, and wherein both subsets meet said set of criteria specific to said applicable measure, effectuating a meaningful analysis of said entity'"'"'s job performance with respect to said applicable measure; and

returning results including said first performance profile for said entity and said second performance profile for said virtual peer to said client computer over said network.

16. The system of claim 15, wherein said instructions are further translatable by said at least one processor to perform:

repeating said constructing for each applicable measure of said plurality of measures, effectuating a meaningful analysis of said entity'"'"'s job performance in all applicable measures.

17. The system of claim 15, further comprising:

a central data repository, wherein said instructions are further translatable by said at least one processor to;

perform statistical analyses on data associated with said plurality of peer cases, said data being collected from a plurality of sources; and

store results of said statistical analyses in said central data repository.

18. The system of claim 15, wherein said applicable measure comprises a plurality of levels and wherein said results comprise comparisons of said first performance profile for said entity and said second performance profile for said virtual peer at said plurality of levels.

19. The system of claim 15, wherein said entity is representative of one or more individuals.

20. The system of claim 15, wherein said instructions are further translatable by said at least one processor to perform:

determining a distribution ratio of said group of cases for which said entity is responsible with regard to said plurality of measures; and

configuring said composite of cases over said distribution ratio.