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1. 发明授权

US08290786B2 Prospective health care quality improvement 有权
标题翻译：前瞻性保健质量改善
公开(公告)号：US08290786B2
公开(公告)日：2012-10-16
申请号：US11895319
申请日：2007-08-25
申请人： Ravi Ika , Solomon Zak , Rudra Duddala , James Poladas
发明人： Ravi Ika , Solomon Zak , Rudra Duddala , James Poladas
IPC分类号： G06Q10/00
CPC分类号： G06Q50/22 , G06F19/00 , G16H40/20
摘要： Disclosed herein is a computer implemented method and system for improving the quality of health care in a health plan. The members of the health plan eligible for undergoing predetermined measures of health care are identified. The primary care physicians (PCPs) for the identified members are notified to ensure implementation of the predetermined measures. The health plan staff is notified to ensure coordination between the identified members and PCPs. The status of the identified members is updated based on the implemented predetermined measures. Quality indexes for the PCPs are calculated for the implemented predetermined measures. A performance score of the health plan is calculated to indicate the quality of health care. Identifying and notifying the members, the PCPs and the health plan staff reduces the level of clinical chart review by the health plan staff and improves the quality of health care in a health plan.
摘要翻译：本文公开了一种用于提高健康计划中的医疗保健质量的计算机实现的方法和系统。确定有资格接受预防措施的卫生保健计划的成员。通知确定成员的初级保健医师（PCP），以确保实施预定措施。卫生计划人员被通知，以确保所识别的成员和PCP之间的协调。所确定的成员的状态将根据实施的预定措施进行更新。为实施的预定措施计算PCP的质量指标。计算健康计划的绩效分数，以表明保健质量。识别和通知成员，PCP和健康计划人员减少卫生计划人员的临床图表审查水平，并提高健康计划中的医疗保健质量。

2. 发明授权

US07953609B2 Disease and case management system 有权
标题翻译：疾病和病例管理系统
公开(公告)号：US07953609B2
公开(公告)日：2011-05-31
申请号：US12001176
申请日：2007-12-10
申请人： Solomon Zak , Rudra Duddala , Sashidar Kokku , Poladas James , Sireesha Parvatham , Parvathy Sashidhar
发明人： Solomon Zak , Rudra Duddala , Sashidar Kokku , Poladas James , Sireesha Parvatham , Parvathy Sashidhar
IPC分类号： G06Q10/00 , G06Q50/00 , G06Q99/00 , A61B5/00 , G06F19/00
CPC分类号： G06Q50/22 , G06F19/00 , G06Q50/24 , G16H10/60 , G16H40/20 , G16H50/20 , Y02A90/22 , Y02A90/24 , Y02A90/26
摘要： Disclosed herein is a computer implemented method and system that addresses the need for an online disease based and case based management of medical care. An online disease and case management system is provided. The information of the patients is retrieved from multiple information sources. The patient information is used to identify one of a disease condition in a patient population and a patient with a disease condition. Further, the patients are enrolled. The enrolled patients are educated about the disease condition for self monitoring of the disease condition. The status of the self monitored disease condition is recorded in a disease log. Visits to a provider are scheduled for medical treatment of the enrolled patients. The enrolled patients are monitored for medical progress based on the medical treatment provided. Further, the disease and case management of medical care are evaluated and reported based on clinical and financial outcomes.
摘要翻译：本文公开了一种计算机实现的方法和系统，其满足了在线疾病和基于病例的医疗护理管理的需要。提供在线疾病和病例管理系统。从多个信息来源检索患者的信息。患者信息用于识别患者群体中的疾病状况和具有疾病状况的患者之一。此外，患者入组。报名患者接受疾病状况的自我监测。自我监测疾病状况的状况记录在疾病日志中。定期到提供者进行接受治疗的患者。根据提供的医疗情况，对入组患者进行医疗进展监测。此外，根据临床和财务结果评估和报告医疗保健的疾病和病例管理。

3. 发明授权

US07996241B2 Process, knowledge, and intelligence management through integrated medical management system for better health outcomes, utilization cost reduction and provider reward programs 有权
标题翻译：流程，知识和智力管理，通过综合医疗管理系统，实现更好的健康结果，降低利用成本，提供奖励计划
公开(公告)号：US07996241B2
公开(公告)日：2011-08-09
申请号：US12118768
申请日：2008-05-12
申请人： Solomon Zak , Rudra Duddala , Craig Johnson , Poladas James , Madusudhana Narahari , Bala Ankarfa , Streesha Parvatham , Sashidhar Kokku
发明人： Solomon Zak , Rudra Duddala , Craig Johnson , Poladas James , Madusudhana Narahari , Bala Ankarfa , Streesha Parvatham , Sashidhar Kokku
IPC分类号： G06Q10/00 , G06Q50/00
CPC分类号： G06Q50/24 , G06F19/00 , G06Q10/10 , G06Q30/02 , G06Q40/08 , G06Q50/22 , G16H40/20
摘要： Disclosed herein is a computer implemented method and system for rewarding health care providers using an integrated medical management system. A web application analyzes performance of the health care providers. The web application acquires information from integrated medical management system. The acquired information includes information of health care quality improvement analysis, disease and case based management, utilization analytics, physician profiling, authorizations management, lab and imaging information, and health risk assessment information. The web application determines performance indices for the health care providers based on the acquired information. The performance indices include a quality index, an economic index, and a relative value unit index of the health care providers. The web application analyzes the performance of the health care providers based on the performance indices. The analysis includes identifying health care providers eligible for a reward. The health care providers are then rewarded based on the analyzed performance.
摘要翻译：本文公开了一种计算机实现的方法和系统，用于使用综合医疗管理系统来奖励医疗保健提供者。 Web应用程序分析医疗保健提供者的绩效。网络应用程序从综合医疗管理系统获取信息。所获得的信息包括卫生保健质量改进分析，疾病和病例管理，利用分析，医师剖析，授权管理，实验室和成像信息以及健康风险评估信息的信息。 Web应用程序根据获取的信息确定医疗保健提供者的绩效指标。绩效指标包括医疗保健提供者的质量指数，经济指标和相对价值单位指数。网络应用程序根据绩效指标分析医疗保健提供者的绩效。该分析包括确定有资格获得奖励的医疗保健提供者。然后，医疗保健提供者将根据分析的表现获得奖励。

4. 发明申请

US20090150182A1 Disease and case management system 有权
标题翻译：疾病和病例管理系统
公开(公告)号：US20090150182A1
公开(公告)日：2009-06-11
申请号：US12001176
申请日：2007-12-10
申请人： Solomon Zak , Rudra Duddala , Sashidar Kokku , Poladas James , Sireesha Parvatham , Parvathy Sashidhar
发明人： Solomon Zak , Rudra Duddala , Sashidar Kokku , Poladas James , Sireesha Parvatham , Parvathy Sashidhar
IPC分类号： A61B5/00 , G06F19/00
CPC分类号： G06Q50/22 , G06F19/00 , G06Q50/24 , G16H10/60 , G16H40/20 , G16H50/20 , Y02A90/22 , Y02A90/24 , Y02A90/26
摘要： Disclosed herein is a computer implemented method and system that addresses the need for an online disease based and case based management of medical care. An online disease and case management system is provided. The information of the patients is retrieved from multiple information sources. The patient information is used to identify one of a disease condition in a patient population and a patient with a disease condition. Further, the patients are enrolled. The enrolled patients are educated about the disease condition for self monitoring of the disease condition. The status of the self monitored disease condition is recorded in a disease log. Visits to a provider are scheduled for medical treatment of the enrolled patients. The enrolled patients are monitored for medical progress based on the medical treatment provided. Further, the disease and case management of medical care are evaluated and reported based on clinical and financial outcomes.
摘要翻译：本文公开了一种计算机实现的方法和系统，其满足了在线疾病和基于病例的医疗护理管理的需要。提供在线疾病和病例管理系统。从多个信息来源检索患者的信息。患者信息用于识别患者群体中的疾病状况和具有疾病状况的患者之一。此外，患者入组。报名患者接受疾病状况的自我监测。自我监测疾病状况的状况记录在疾病日志中。定期到提供者进行接受治疗的患者。根据提供的医疗情况，对入组患者进行医疗进展监测。此外，根据临床和财务结果评估和报告医疗保健的疾病和病例管理。

5. 发明申请

US20090055218A1 Prospective health care quality improvement 有权
标题翻译：前瞻性保健质量改善
公开(公告)号：US20090055218A1
公开(公告)日：2009-02-26
申请号：US11895319
申请日：2007-08-25
申请人： Ravi Ika , Solomon Zak , Rudra Duddala , James Poladas
发明人： Ravi Ika , Solomon Zak , Rudra Duddala , James Poladas
IPC分类号： G06Q10/00 , G06Q50/00
CPC分类号： G06Q50/22 , G06F19/00 , G16H40/20
摘要： Disclosed herein is a computer implemented method and system for improving the quality of health care in a health plan. The members of the health plan eligible for undergoing predetermined measures of health care are identified. The primary care physicians (PCPs) for the identified members are notified to ensure implementation of the predetermined measures. The health plan staff is notified to ensure coordination between the identified members and PCPs. The status of the identified members is updated based on the implemented predetermined measures. Quality indexes for the PCPs are calculated for the implemented predetermined measures. A performance score of the health plan is calculated to indicate the quality of health care. Identifying and notifying the members, the PCPs and the health plan staff reduces the level of clinical chart review by the health plan staff and improves the quality of health care in a health plan.
摘要翻译：本文公开了一种用于提高健康计划中的医疗保健质量的计算机实现的方法和系统。确定有资格接受预防措施的卫生保健计划的成员。通知确定成员的初级保健医师（PCP），以确保实施预定措施。卫生计划人员被通知，以确保所识别的成员和PCP之间的协调。所确定的成员的状态将根据实施的预定措施进行更新。为实施的预定措施计算PCP的质量指标。计算健康计划的绩效分数，以表明保健质量。识别和通知成员，PCP和健康计划人员减少卫生计划人员的临床图表审查水平，并提高健康计划中的医疗保健质量。

6. 发明申请

US20090281826A1 Process, Knowledge, And Intelligence Management Through Integrated Medical Management System For Better Health Outcomes, Utilization Cost Reduction and Provider Reward Programs 有权
标题翻译：流程，知识和情报管理，通过综合医疗管理系统，实现更好的健康成果，利用成本降低和提供者奖励计划
公开(公告)号：US20090281826A1
公开(公告)日：2009-11-12
申请号：US12118768
申请日：2008-05-12
申请人： Solomon Zak , Rudra Duddata , Craig Johnson , Poladas James , Madusudhana Narahari , Bala Ankarfa , Streesha Parvatham , Sashidhar Kokku
发明人： Solomon Zak , Rudra Duddata , Craig Johnson , Poladas James , Madusudhana Narahari , Bala Ankarfa , Streesha Parvatham , Sashidhar Kokku
IPC分类号： G06Q50/00 , G06Q30/00
CPC分类号： G06Q50/24 , G06F19/00 , G06Q10/10 , G06Q30/02 , G06Q40/08 , G06Q50/22 , G16H40/20
摘要： Disclosed herein is a computer implemented method and system for rewarding health care providers using an integrated medical management system. A web application analyzes performance of the health care providers. The web application acquires information from integrated medical management system. The acquired information includes information of health care quality improvement analysis, disease and case based management, utilization analytics, physician profiling, authorizations management, lab and imaging information, and health risk assessment information. The web application determines performance indices for the health care providers based on the acquired information. The performance indices include a quality index, an economic index, and a relative value unit index of the health care providers. The web application analyzes the performance of the health care providers based on the performance indices. The analysis includes identifying health care providers eligible for a reward. The health care providers are then rewarded based on the analyzed performance.
摘要翻译：本文公开了一种计算机实现的方法和系统，用于使用综合医疗管理系统来奖励医疗保健提供者。 Web应用程序分析医疗保健提供者的绩效。网络应用程序从综合医疗管理系统获取信息。所获得的信息包括卫生保健质量改进分析，疾病和病例管理，利用分析，医师剖析，授权管理，实验室和成像信息以及健康风险评估信息的信息。 Web应用程序根据获取的信息确定医疗保健提供者的绩效指标。绩效指标包括医疗保健提供者的质量指数，经济指标和相对价值单位指数。网络应用程序根据绩效指标分析医疗保健提供者的绩效。该分析包括确定有资格获得奖励的医疗保健提供者。然后，医疗保健提供者将根据分析的表现获得奖励。

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