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1. 发明申请

US20160358295A1 SYSTEM AND METHOD FOR ANALYZING A MEDICAL NETWORK 审中-公开
标题翻译：用于分析医疗网络的系统和方法
公开(公告)号：US20160358295A1
公开(公告)日：2016-12-08
申请号：US13286935
申请日：2011-11-01
申请人： James Heffley , Dilpreet Bawa , Sarah Rogers
发明人： James Heffley , Dilpreet Bawa , Sarah Rogers
IPC分类号： G06Q50/22
CPC分类号： G06Q50/24 , A61B34/10
摘要： A computerized system and method for analyzing medical network adequacy. The computerized system and method uses agency guidelines and location information to generate a report as to whether a network of health care service providers satisfies adequacy requirements or access parameters and further identifies why access parameters were not met according to specialty within a county. It further identifies potential health care service providers for addition to the network to improve the compliance of the network. The analysis extends beyond pass-fail compliance with access parameters as determined by a healthcare agency and quantifies the impact of the addition of a non-participating health care services provider to the network. Non-participating health care service providers may be identified in a list and further, rank ordered within the list so that the providers likely to have the greatest impact on the adequacy measure are listed first.
摘要翻译：一种用于分析医疗网络充足性的计算机化系统和方法。计算机化系统和方法使用机构准则和位置信息来生成关于医疗服务提供商网络是否满足充分要求或访问参数的报告，并进一步确定根据县内专业不符合访问参数的原因。它进一步识别潜在的医疗服务提供商，以增加网络，以提高网络的合规性。该分析超出了通过医疗保健机构确定的访问参数的通过失败符合性，并量化了增加非参与医疗服务提供商对网络的影响。不参与的医疗保健服务提供商可以在列表中被确定，并进一步在列表中排序，以便可能对充分性度量产生最大影响的提供者首先列出。

2. 发明授权

US08352286B1 Health service delivery tables system and method 有权
标题翻译：健康服务提供表系统和方法
公开(公告)号：US08352286B1
公开(公告)日：2013-01-08
申请号：US12956848
申请日：2010-11-30
申请人： Dilpreet Bawa , Leah Brucchieri , John Morgan , Shyam Rebello , Sarah Rogers
发明人： Dilpreet Bawa , Leah Brucchieri , John Morgan , Shyam Rebello , Sarah Rogers
IPC分类号： G06Q10/00
CPC分类号： G06Q50/22 , G06F19/00 , G06F19/324 , G06F19/328
摘要： A computerized system and method for generating CMS-compliant health services delivery (HSD) tables. A database stores health care service provider data. A remote computer user interacts with a server that provides access to the health care service provider data. A user can view health care service provider data that meets selected search parameters. The data is displayed in an interactive worksheet. The user may further cause amendments to be made to the data stored in the database. The user may issue a request to generate an HSD table in “final file format” which conforms to CMS requirements. The server checks for errors in the file and notifies the user of errors that are identified. The server optionally checks for adequacy of the network associated with a plurality of health care service providers. The user may approve the final files for filing with CMS.
摘要翻译：一种用于生成符合CMS标准的卫生服务提供（HSD）表的计算机化系统和方法。数据库存储医疗保健服务提供商数据。远程计算机用户与提供对医疗保健服务提供商数据的访问的服务器进行交互。用户可以查看符合所选搜索参数的医疗保健服务提供商数据。数据显示在交互式工作表中。用户可进一步对数据库中存储的数据进行修改。用户可以发出生成符合CMS要求的最终文件格式的HSD表的请求。服务器检查文件中的错误，并通知用户已识别的错误。服务器可选地检查与多个医疗保健服务提供商相关联的网络的充足性。用户可以批准用于归档CMS的最终文件。

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