Program optimization system

• US 9,734,298 B2
• Filed: 02/04/2014
• Issued: 08/15/2017
• Est. Priority Date: 02/04/2013
• Status: Active Grant

• Current Assignee: C-HCA, Inc.
• Original Assignee: HCA Holdings Incorporated (HCA Healthcare, Inc.)
• Inventors: Hall, Charles J., Marks, Michael A., Manoukian, Steven V., Perez, Elio, Perez Rodriguez, Gabriel O.
• Primary Examiner(s): Sorey, Robert
• Application Number:
  US14/172,736
• Publication Number:
  US 20140222451A1
• Time in Patent Office: 1,288 Days
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

Program optimization systems are provided herein. The program optimization system can include a plurality of data sources that can be mined for information relating to one or several patients. The format and content of the information from the data sources can be evaluated and can be conformed to formats and content types used by the program optimization system. The information retrieved from the data sources can be evaluated for one or several trigger events. If a trigger event is identified in the retrieved data, a treatment protocol can be selected.

Claims

1. A computer-implemented method for dynamically selecting navigator devices, the method comprising:

identifying, by a computing device with a processor, a set of data sources that is associated with a program optimization system, wherein the set of data sources includes one or more data sources that store clinical data, and wherein the program optimization system is associated with a defined parameter condition used for determining whether to include additional data sources into the set of data sources;

receiving, by the computing device with the processor, a communication from a first data source not included in the set of data sources, wherein the communication includes;

data representing a request to include the first data source into the set of data sources, and

a report metric from the first data source, wherein the report metric identifies a type of the first data source and a result of the first data source;

in response to receiving the communication, automatically determining, by the computing device with the processor, whether the report metric satisfies the defined parameter condition;

including, by the computing device with the processor, the first data source into the set of data sources based on the determination, wherein the inclusion of the first data source into the set of data sources indicates that the report metric satisfies with the defined parameter condition;

accessing, by the computing device with the processor, a database storing patient data, wherein;

the patient data identifies a plurality of patients,

the database stores first patient data associated with a first patient and second patient data associated with a second patient, the stored first patient data including a first priority indicator representing a first priority and the second patient data including a second priority indicator representing a second priority, and

the first patient data being prioritized over the second patient data based on, at least in part, the first priority indicator and the second priority indicator;

identifying, by the computing device with the processor, a second data source from the set of data stores, wherein the second data source stores clinical data corresponding to one or more types of clinical result;

querying, by the computing device with the processor, the second data source for first clinical result data corresponding to the first patient data and second clinical result data corresponding to the second patient data;

selecting, by the computing device with the processor, a categorization rule in accordance with each of the first clinical result and the second clinical result, wherein;

the categorization rule is associated with a trigger protocol that triggers one or more workflows based on a comparison of the first clinical result or the second clinical result with a threshold, the threshold being determined using the categorization rule;

determining, by the computing device with the processor, that the first clinical result data and the second clinical result data are of the same type of clinical result, the determination being based on the categorization rule;

comparing, by the computing device with the processor, each of the first clinical result data and the second clinical result data with the threshold, wherein;

the comparison results in a first value indicating a difference between the first clinical result data and the threshold,

the comparison further results in a second value indicating a difference between the second clinical result data and the threshold, and

the first value corresponds to the first priority indicator and the second value corresponds to the second priority indicator;

determining, by the computing device with the processor, that one or more navigator devices are to be selected for performing workflows for each of the first patient data and the second patient data;

selecting, by a computing device with a processor, a first navigator device from a plurality of navigator devices, wherein the selection of the first navigator device includes;

identifying the plurality of navigator devices based on the determination that one or more navigator devices are to be selected for performing workflows, each of the plurality of navigator devices being associated with one or more attributes,

determining, for each navigator device of the plurality of navigator devices, whether the associated one or more attributes corresponds to the first value, and

selecting the first navigator device when the one or more attributes associated with the first navigator device correspond to the first value;

selecting, by a computing device with a processor, a first workflow protocol from a plurality of workflow protocols, wherein the selection of the first workflow protocol is based on the first value, wherein the first workflow protocol includes first workflow data that represents a plurality of first actions to be performed by the first navigator device for the first patient;

receiving, by a computing device with a processor, a first input indicating completion of at least one of the plurality of first actions, and updating the first patient data with a first indication corresponding to the completion of the at least one plurality of first actions;

selecting, by a computing device with a processor, a second navigator device from the plurality of navigator devices, wherein the selection of the second navigator device includes;

identifying the plurality of navigator devices,

determining, for each navigator device of the plurality of navigator devices, whether the associated one or more attributes corresponds to the second value, and

selecting the second navigator device when the one or more attributes associated with the second navigator device correspond to the second value,

wherein the selected first navigator device is different from the selected second navigator device due to the first value having a different magnitude than the second value;

selecting, by a computing device with a processor, a second workflow protocol from the plurality of workflow protocols, wherein;

the selection of the second workflow protocol is based on the second value,

the second workflow protocol includes second workflow data that represents a plurality of second actions to be performed by the second navigator device for the second patient, and

the second workflow protocol is different from the first workflow protocol; and

receiving, by a computing device with a processor, a second input indicating completion of at least one of the plurality of second actions represented in the second workflow data, and updating the second patient data with a second indication corresponding to the completion of the at least one plurality of second actions.

2. The computer-implemented method of claim 1, wherein retrieving the first clinical result data from the first data source comprises determining the units of the first clinical result data.

3. The computer-implemented method of claim 1, wherein the categorization rule is associated with a plurality of triggers having different units.

4. The computer-implemented method of claim 1, further comprising selecting the trigger having units matching the units of the first clinical result data.

5. The computer-implemented method of claim 1, wherein each of the first and second values indicates if the threshold has been exceeded.

6. The computer-implemented method of claim 1, further comprising, providing the first clinical result data, the first value, and the patient data for the identified patient to the first navigator device.

7. The computer-implemented method of claim 1, further comprising:

providing the first clinical result data, the first value, and the patient data for the identified patient to a physician;

providing the first workflow protocol to the physician; and

receiving an input from the physician selecting the first workflow protocol.

8. The computer-implemented method of claim 1, wherein selecting the first navigator device further comprises:

identifying a geographical region associated with the first patient;

determining that the first navigator device is located within the geographical region; and

selecting the first navigator device based on the determination that the first navigator device is located within the geographical region.

9. A system, comprising:

one or more data processors; and

a non-transitory computer-readable storage medium containing instructions which, when executed on the one or more data processors, cause the one or more data processors to perform operations including;

identifying a set of data sources that is associated with a program optimization system, wherein the set of data sources includes one or more data sources that store clinical data, and wherein the program optimization system is associated with a defined parameter condition used for determining whether to include additional data sources into the set of data sources;

receiving a communication from a first data source not included in the set of data sources, wherein the communication includes;

data representing a request to include the first data source into the set of data sources, and

a report metric from the first data source, wherein the report metric identifies a type of the first data source and a result of the first data source;

in response to receiving the communication, automatically determining whether the report metric satisfies the defined parameter condition;

including the first data source into the set of data sources based on the determination, wherein the inclusion of the first data source into the set of data sources indicates that the report metric satisfies with the defined parameter condition;

accessing a database storing patient data, wherein;

the patient data identifies a plurality of patients,

the database stores first patient data associated with a first patient and second patient data associated with a second patient, the stored first patient data including a first priority indicator representing a first priority and the second patient data including a second priority indicator representing a second priority, and

the first patient data being prioritized over the second patient data based on, at least in part, the first priority indicator and the second priority indicator;

identifying a second data source from the set of data stores, wherein the second data source stores clinical data corresponding to one or more types of clinical result;

querying the second data source for first clinical result data corresponding to the first patient data and second clinical result data corresponding to the second patient data;

selecting a categorization rule in accordance with each of the first clinical result and the second clinical result, wherein;

the categorization rule is associated with a trigger protocol that triggers one or more workflows based on a comparison of the first clinical result or the second clinical result with a threshold, the threshold being determined using the categorization rule;

determining that the first clinical result data and the second clinical result data are of the same type of clinical result, the determination being based on the categorization rule;

comparing each of the first clinical result data and the second clinical result data with the threshold, wherein;

the comparison results in a first value indicating a difference between the first clinical result data and the threshold,

the comparison further results in a second value indicating a difference between the second clinical result data and the threshold, and

the first value corresponds to the first priority indicator and the second value corresponds to the second priority indicator;

determining that one or more navigator devices are to be selected for performing workflows for each of the first patient data and the second patient data;

selecting a first navigator device from a plurality of navigator devices, wherein the selection of the first navigator device includes;

identifying the plurality of navigator devices based on the determination that one or more navigator devices are to be selected for performing workflows, each of the plurality of navigator devices being associated with one or more attributes,

determining, for each navigator device of the plurality of navigator devices, whether the associated one or more attributes corresponds to the first value, and

selecting the first navigator device when the one or more attributes associated with the first navigator device correspond to the first value;

selecting a first workflow protocol from a plurality of workflow protocols, wherein the selection of the first workflow protocol is based on the first value, wherein the first workflow protocol includes first workflow data that represents a plurality of first actions to be performed by the first navigator device for the first patient;

receiving a first input indicating completion of at least one of the plurality of first actions, and updating the first patient data with a first indication corresponding to the completion of the at least one plurality of first actions;

selecting a second navigator device from the plurality of navigator devices, wherein the selection of the second navigator device includes;

identifying the plurality of navigator devices,

determining, for each navigator device of the plurality of navigator devices, whether the associated one or more attributes corresponds to the second value, and

selecting the second navigator device when the one or more attributes associated with the second navigator device correspond to the second value,

wherein the selected first navigator device is different from the selected second navigator device due to the first value having a different magnitude than the second value;

selecting a second workflow protocol from the plurality of workflow protocols, wherein;

the selection of the second workflow protocol is based on the second value,

the second workflow protocol includes second workflow data that represents a plurality of second actions to be performed by the second navigator device for the second patient, and

the second workflow protocol is different from the first workflow protocol; and

receiving a second input indicating completion of at least one of the plurality of second actions represented in the second workflow data, and updating the second patient data with a second indication corresponding to the completion of the at least one plurality of second actions.

10. The system of claim 9, wherein retrieving the first clinical result from the first data source comprises determining the units of the first clinical result data.

11. The system of claim 9, wherein the categorization rule is associated with a plurality of triggers having different units.

12. The system of claim 9, wherein the operations further comprise selecting the trigger having units matching the units of the first clinical result data.

13. The system of claim 9, wherein each of the first and second values indicates if the threshold has been exceeded.

14. The system of claim 9, further comprising, providing the first clinical result data, the first value, and the patient data for the identified patient to the first navigator device.

15. The system of claim 9, wherein the operations further comprise:

providing the first clinical result data, the first value, and the patient data for the identified patient to a physician;

providing the first workflow protocol to the physician; and

receiving an input from the physician selecting the first workflow protocol.

16. A computer-program product tangibly embodied in a non-transitory machine-readable storage medium, including instructions configured to cause a data processing apparatus to perform operations including:

identifying a set of data sources that is associated with a program optimization system, wherein the set of data sources includes one or more data sources that store clinical data, and wherein the program optimization system is associated with a defined parameter condition used for determining whether to include additional data sources into the set of data sources;

receiving a communication from a first data source not included in the set of data sources, wherein the communication includes;

data representing a request to include the first data source into the set of data sources, and

a report metric from the first data source, wherein the report metric identifies a type of the first data source and a result of the first data source;

in response to receiving the communication, automatically determining whether the report metric satisfies the defined parameter condition;

including the first data source into the set of data sources based on the determination, wherein the inclusion of the first data source into the set of data sources indicates that the report metric satisfies with the defined parameter condition;

accessing a database storing patient data, wherein;

the patient data identifies a plurality of patients,

the database stores first patient data associated with a first patient and second patient data associated with a second patient, the stored first patient data including a first priority indicator representing a first priority and the second patient data including a second priority indicator representing a second priority, and

the first patient data being prioritized over the second patient data based on, at least in part, the first priority indicator and the second priority indicator;

identifying a second data source from the set of data stores, wherein the second data source stores clinical data corresponding to one or more types of clinical result;

querying the second data source for first clinical result data corresponding to the first patient data and second clinical result data corresponding to the second patient data;

selecting a categorization rule in accordance with each of the first clinical result and the second clinical result, wherein;

the categorization rule is associated with a trigger protocol that triggers one or more workflows based on a comparison of the first clinical result or the second clinical result with a threshold, the threshold being determined using the categorization rule;

determining that the first clinical result data and the second clinical result data are of the same type of clinical result, the determination being based on the categorization rule;

comparing each of the first clinical result data and the second clinical result data with the threshold, wherein;

the comparison results in a first value indicating a difference between the first clinical result data and the threshold,

the comparison further results in a second value indicating a difference between the second clinical result data and the threshold, and

the first value corresponds to the first priority indicator and the second value corresponds to the second priority indicator;

determining that one or more navigator devices are to be selected for performing workflows for each of the first patient data and the second patient data;

selecting a first navigator device from a plurality of navigator devices, wherein the selection of the first navigator device includes;

identifying the plurality of navigator devices based on the determination that one or more navigator devices are to be selected for performing workflows, each of the plurality of navigator devices being associated with one or more attributes,

determining, for each navigator device of the plurality of navigator devices, whether the associated one or more attributes corresponds to the first value, and

selecting the first navigator device when the one or more attributes associated with the first navigator device correspond to the first value;

selecting a first workflow protocol from a plurality of workflow protocols, wherein the selection of the first workflow protocol is based on the first value, wherein the first workflow protocol includes first workflow data that represents a plurality of first actions to be performed by the first navigator device for the first patient;

receiving a first input indicating completion of at least one of the plurality of first actions, and updating the first patient data with a first indication corresponding to the completion of the at least one plurality of first actions;

selecting a second navigator device from the plurality of navigator devices, wherein the selection of the second navigator device includes;

identifying the plurality of navigator devices,

determining, for each navigator device of the plurality of navigator devices, whether the associated one or more attributes corresponds to the second value, and

selecting the second navigator device when the one or more attributes associated with the second navigator device correspond to the second value,

wherein the selected first navigator device is different from the selected second navigator device due to the first value having a different magnitude than the second value;

selecting a second workflow protocol from the plurality of workflow protocols, wherein;

the selection of the second workflow protocol is based on the second value,

the second workflow protocol includes second workflow data that represents a plurality of second actions to be performed by the second navigator device for the second patient, and

the second workflow protocol is different from the first workflow protocol; and

receiving a second input indicating completion of at least one of the plurality of second actions represented in the second workflow data, and updating the second patient data with a second indication corresponding to the completion of the at least one plurality of second actions.

17. The computer-program product of claim 16, wherein the operations further comprise identifying a type of the first clinical result data generated by the second data source and a format and units of the first clinical result data.

18. The computer-program product of claim 16, wherein the operations further comprise determining if a type, format, and units of the first clinical result data generated by the second data source meet a first criteria, wherein the first patient data is updated if the type, format, and units of the first clinical result data generated by the second data source meet the first criteria.

19. The computer-program product of claim 16, wherein the operations further comprise:

retrieving third clinical result data from the second data source, wherein the third clinical result data relates to the health of a member of the healthcare organization;

generating a third value by comparing the third clinical result to a second threshold, wherein the third value indicates that the third clinical result exceeds the second threshold in the first direction, wherein exceeding the second threshold in the first direction is associated with a third workflow protocol; and

updating the patient data with an indicator identifying the member of a healthcare organization as a candidate for the third workflow protocol.