Patent ID: 7953609
Filing Date: 2011-05-31
Classification: G16H,Y02A

Abstract:
1. A computer implemented method of disease based management of medical care provided to a patient population, comprising the steps of: providing an online disease and case management system for the management of medical care of said disease; providing a plurality of online information sources accessible by the online case management system, wherein said online information sources comprise information entered by a patient and an existing provider for medical treatment, wherein said online information sources include member information, provider information, medical claims, pharmacy claims, referrals and authorizations information, information from labs and images, and patient surveys; retrieving patient information of said patient population from said plurality of online information sources by said online disease and case management system; identifying a disease condition of the patient population from said retrieved patient information; enrolling patients of the patient population with said disease condition for the disease based management of medical care; assigning a disease manager to each of said enrolled patients using said online disease and case management system, wherein said disease manager manages said enrolled patient and provides personalized support for said enrolled patient; educating said enrolled patients about the disease condition for self monitoring of the disease condition; recording status of said self monitored disease condition in a disease log of personal health record on the online disease and case management system by the enrolled patients; scheduling visit to a provider for medical treatment of the enrolled patients by a scheduling engine of the online disease and case management system, wherein said scheduling engine schedules said visit based on said recorded status; synchronizing schedules of the enrolled patients with schedules of one or more of said disease manager and said provider for medical treatment; generating a plurality of reports of the disease based management of medical care provided to the patient population, wherein said generated reports comprise utilization metrics of the disease based management of medical care, further wherein said utilization metrics are used for rewarding said provider, said disease manager, and the enrolled patients; and monitoring medical progress of the enrolled patients based on said medical treatment; whereby the disease based management of medical care using the online disease and case management system improves quality of the medical care and reduces medical care costs.