Patent ID: 7792687
Filing Date: 2010-09-07
Classification: G06Q,G16H

Abstract:
1. A method for measuring iterative medical procedures by provider comprising the steps of: a. creating a procedures database of identified medical procedures in an accessible system memory on a programmable general purpose computer; b. creating a provider database by associating individual medical providers with a unique identifier in said provider database in an accessible system memory on said programmable general purpose computer; c. creating a patient database by associating individual patients with a unique identifier in said patient database in an accessible system memory on said programmable general purpose computer; d. deriving anecdotal data for storage in said patient database from sequential medical payment claims made to a payer relating to an individual patient within a given time frame, including identification of the medical procedure from the procedures identified in said medical procedures database, identification of the medical provider from the providers identified in said provider database, and date of the procedure identified from the medical payment claims; e. creating a provider history file for each medical provider from said anecdotal data on said computer system; f. creating a patient history file for each individual patient from said anecdotal data on said computer system; g. iteratively executing a software program referencing each patient history file containing a repetitive medical procedure with each medical provider, wherein a repetitive medical procedure is defined as: 1 the same identified procedure performed on the same patient by a second medical provider after the identified procedure was initially performed by the medical provider, 2 the same identified procedure performed on the same patient after a transfer to a second medical provider after the identified procedure was initially performed by the medical provider, or 3 a second identified procedure to treat a complication arising from the identified procedure, said complication being diagnosed after a transfer to said second medical provider; h. determining the percentage of repetitive medical procedures associated with each medical provider as a percentage of all anecdotal data of the same procedure associated with the medical provider; i. ranking each medical provider by said percentage of repetitive medical procedures; and j. providing a human readable output for each medical provider to said payer for said medical procedures.