Methods for administering preventative healthcare to a patient population

• US 10,242,416 B2
• Filed: 12/14/2012
• Issued: 03/26/2019
• Est. Priority Date: 12/12/2012
• Status: Active Grant

• Current Assignee: Quality Standards, LLC
• Original Assignee: Quality Standards, LLC
• Inventors: Thesman, Debra
• Primary Examiner(s): Kanaan, Maroun P
• Application Number:
  US13/715,869
• Publication Number:
  US 20140164019A1
• Time in Patent Office: 2,293 Days
• Field of Search: 705 2, 705 3
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients

Abstract

Methods for administering preventative healthcare measures to a patient population are disclosed. A patient population eligible to receive certain healthcare benefits is defined and thereafter multiple sources of healthcare data are compiled and analyzed to create health profiles for each individual. An objective set of criteria for providing preventative care is provided to eligible members within the patient population and appropriate healthcare is administered to the degree necessary to make sure a sufficient percentage of the population receives adequate healthcare treatment consistent with the recognized, objective healthcare standards. Patients remaining non-compliant are sought for further administration of healthcare until requisite compliance standards are met.

Claims

1. A method of administering preventative healthcare to a patient population, the method comprising:

storing an aggregation of electronic health records, pharmacy data, lab data, and health insurance data in a central database for each of a plurality of patients;

updating the central database to reflect changes in the electronic health records, pharmacy data, lab data, and health insurance data at predetermined intervals;

storing a plurality of standardized preventative healthcare measures in one or more tables, each of the standardized preventative healthcare measures stored in association with corresponding criteria for compliance, non-compliance, and exclusion of a patient;

periodically updating the one or more tables to reflect changes in the standardized preventative healthcare measures;

for each of the plurality of patients, comparing the aggregation of electronic health records, pharmacy data, lab data, and health insurance data stored in the central database to the exclusion criteria of each of the plurality of standardized preventative healthcare measures to generate, for each of the plurality of standardized preventative healthcare measures, a set of eligible patients associated with the standardized preventative healthcare measure;

for each of the eligible patients associated with a standardized preventative healthcare measure from among the plurality of standardized preventative healthcare measures, comparing the aggregation of electronic health records, pharmacy data, lab data, and health insurance data stored in the central database to the compliance and non-compliance criteria of the standardized preventative healthcare measure;

generating a list of non-compliant patients for each of the plurality of standardized preventative healthcare measures, the list of non-compliant patients including each patient, from among the plurality of patients, whose aggregation of electronic health records, pharmacy data, lab data, and health insurance data meets the non-compliance criteria of the standardized preventative healthcare measure as determined by said comparing steps; and

administering a vaccination to a patient on the list of non-compliant patients for one of the plurality of standardized preventative healthcare measures.

2. A method of administering preventative healthcare to a patient population, the method comprising:

storing an aggregation of electronic health records, pharmacy data, lab data, and health insurance data in a central database for each of a plurality of patients;

updating the central database to reflect changes in the electronic health records, pharmacy data, lab data, and health insurance data at predetermined intervals;

storing a plurality of standardized preventative healthcare measures in one or more tables, each of the standardized preventative healthcare measures stored in association with corresponding criteria for compliance, non-compliance, and exclusion of a patient;

periodically updating the one or more tables to reflect changes in the standardized preventative healthcare measures;

for each of the plurality of patients, comparing the aggregation of electronic health records, pharmacy data, lab data, and health insurance data stored in the central database to the exclusion criteria of each of the plurality of standardized preventative healthcare measures to generate, for each of the plurality of standardized preventative healthcare measures, a set of eligible patients associated with the standardized preventative healthcare measure;

for each of the eligible patients associated with a standardized preventative healthcare measure from among the plurality of standardized preventative healthcare measures, comparing the aggregation of electronic health records, pharmacy data, lab data, and health insurance data stored in the central database to the compliance and non-compliance criteria of the standardized preventative healthcare measure;

displaying a summary report on a graphical user interface, the summary report including, for each of the plurality of standardized preventative healthcare measures, an indication of the number of patients, from among the plurality of patients, whose aggregation of electronic health records, pharmacy data, lab data, and health insurance data meets the non-compliance criteria of the standardized preventative healthcare measure as determined by said comparing steps;

generating, in response to user interaction with a link associated with one of the indications, a list of non-compliant patients for the corresponding standardized preventative healthcare measure, the list of non-compliant patients including each patient, from among the plurality of patients, whose aggregation of electronic health records, pharmacy data, lab data, and health insurance data meets the non-compliance criteria of the standardized preventative healthcare measure as determined by said comparing steps; and

administering a vaccination to a patient on the list of non-compliant patients.