Rating system, process and algorithmic based medium for treatment of medical conditions in cost effective fashion utilizing best treatment protocols and financial assessment tools for determining a maximum cutoff point for assessing healthcare return on investment and to provide for improved clinical/functional outcomes
First Claim
1. A non-transitory computer readable medium for incentivizing service providers comprising instructions that, upon execution by a hardware processor, cause the hardware processor to:
- execute a first subroutine for assembling a best practices model in the form of a best practices database interfacing with the hardware processor and which presents series of treatment options ranging from desirable to undesirable associated with a given type of service;
execute a second subroutine providing a decision support system interfacing with the best practices database and hardware processor, the support system providing any of a grading or awarding system for scoring, in real time, performance metrics for each of any number of providers of the service;
execute a third subroutine for outputting to a plurality of devices assigned to each of the providers, real time and continuously updated scoring of their performance metrics based upon the grading or awarding system and as a result of the treatment options selected and inputted by the providers;
execute a fourth subroutine for incentivizing adherence by the providers to the best practices model by tying desirable performance metrics to financial incentives which are scaled to each treatment option;
execute a fifth subroutine for designating a sum of funds representative of an operating budget for a service provider and for disbursement on a percentage basis to each of any number of subset service providers based upon adherence to the best practices model; and
execute a sixth subroutine for subdividing said sum between different practice groups and sub-specialties associated with a given class of service providers.
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Abstract
The present invention discloses a system, method and non-transitory software based computer writeable medium usable with a processor driven device for incentivizing service providers. A first subroutine assembles a best practices model in the form of a database downloadable to the processor device and which presents series of treatment options ranging from desirable to undesirable associated with a given type of service. A second subroutine provides a decision support system interfacing with the best practices database and processor device, the support system providing any of a grading or awarding system for scoring, in real time, performance metrics for each of any number of providers of the service. A third subroutine outputs to each of the providers, real time and continuously updated scoring of their performance metrics based upon the grading/awarding system. A fourth subroutine for incentivizing adherence by the providers to the best practices model by tying desirable performance metrics to financial incentives which are scaled to each treatment option.
31 Citations
17 Claims
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1. A non-transitory computer readable medium for incentivizing service providers comprising instructions that, upon execution by a hardware processor, cause the hardware processor to:
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execute a first subroutine for assembling a best practices model in the form of a best practices database interfacing with the hardware processor and which presents series of treatment options ranging from desirable to undesirable associated with a given type of service; execute a second subroutine providing a decision support system interfacing with the best practices database and hardware processor, the support system providing any of a grading or awarding system for scoring, in real time, performance metrics for each of any number of providers of the service; execute a third subroutine for outputting to a plurality of devices assigned to each of the providers, real time and continuously updated scoring of their performance metrics based upon the grading or awarding system and as a result of the treatment options selected and inputted by the providers; execute a fourth subroutine for incentivizing adherence by the providers to the best practices model by tying desirable performance metrics to financial incentives which are scaled to each treatment option; execute a fifth subroutine for designating a sum of funds representative of an operating budget for a service provider and for disbursement on a percentage basis to each of any number of subset service providers based upon adherence to the best practices model; and execute a sixth subroutine for subdividing said sum between different practice groups and sub-specialties associated with a given class of service providers. - View Dependent Claims (2, 3, 4, 5, 14, 15, 16, 17)
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6. A system for incentivizing service providers to participate in a best practices and outcome determinant model for providing healthcare, comprising:
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a processor device incorporating a best practices model in the form of a best practices database interfacing with the processor device and which presents series of treatment options ranging from desirable to undesirable associated with each of a number of relevant healthcare services; a decision support system interfacing with the best practices database and processor device, the support system providing any of a grading or awarding system for scoring, in real time, performance metrics for each of any number of providers of the service; a plurality of subset processor devices assigned to each of the service providers, each of the subset devices recording each selected treatment option provided to a patient, said subset devices interfacing with said processor device and receiving, in real time, continuously updated scoring of their performance metrics based upon the grading or awarding system, including tying desirable performance metrics to financial incentives which are scaled to each treatment option; and the decision support system designating a sum of funds representative of an operating budget for a service provider and for disbursement on a percentage basis to each of any number of subset service providers based upon adherence to the best practices model and subdividing said sum between different practice groups and sub-specialties associated with a given class of service providers. - View Dependent Claims (7, 8)
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9. A method for incentivizing service providers to participate in a best practices and outcome determinant model for providing healthcare, comprising:
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creating a best practices model in the form of a best practices database interfacing with a processor device incorporating a software based algorithmic medium, the model presenting a series of treatment options ranging from desirable to undesirable associated with a given type of service; establishing a decision support system interfacing with the best practices database and processor device, the support system providing any of a grading or awarding system for scoring, in real time, performance metrics for each of any number of providers of the service; outputting to a plurality of subset devices associated with each of a plurality of service providers real time and continuously updated scoring of performance metrics based upon the grading or awarding system and as a result of the treatment options selected and inputted by the providers; incentivizing adherence by the providers to the best practices model by tying desirable performance metrics to financial incentives which are scaled to each treatment option; designating a sum of funds representative of an operating budget for a service provider and for disbursement on a percentage basis to each of any number of subset service providers based upon adherence to the best practices model; and subdividing said sum between different practice groups and sub-specialties associated with a given class of service providers. - View Dependent Claims (10, 11, 12, 13)
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Specification