Patent ID: 11869656
Assignee: EMBOLD HEALTH, INC.
Field: Medical technology (Instruments)
Classification: CPC G | IPC G

Claim 12:
13. A system comprising:
at least one processor; and
at least one non-transitory computer-readable storage medium storing instructions thereon that, when executed by the at least one processor, cause the system to:
upon obtaining at least one clinical priority area and at least one candidate measure concept, first map the at least one clinical priority area and the at least one candidate measure concept to one or more coding fields of claims data;
wherein the at least one candidate measure concept is identified based, at least in part, on an identified key-clinical decision point, the key-clinical decision point based, at least in part, on a decision represented in the claims data and made by a provider before an initial diagnosis of a condition of the patient;
define at least one first performance measure based on the one or more mapped coding fields of claims data;
validate the at least one first performance measure via at least one validation process;
adjusting one or more specifications of the at least one first performance measure based, at least in part, on a validation result obtained responsive to the at least one validation process;
second map the at least one clinical priority area and the at least one candidate measure concept to one or more coding fields of claims data based on the obtained validation result; and
obtaining at least one final performance measure responsive to the second mapping
provide, to a user via a graphical user interface (GUI) of a client device, one or more performance measures based, at least in part, on the at least one final performance measure responsive to a user request for performance data.