Patent ID: 8290786
Filing Date: 2012-10-16
Classification: G16H

Abstract:
1. A computer implemented method of improving the prospective quality of health care in a health plan, comprising the steps of: providing a prospective health care quality improvement system on a computing device comprising one or more processors; prospectively identifying members of said health plan that need predetermined measures of said health care by an identification engine on said health care quality improvement system, comprising: prospectively identifying primary care physicians for said identified members by said identification engine, wherein information of said identified primary care physicians is stored in said health care database; prospectively notifying the identified members to undergo said predetermined measures by a notification engine on said health care quality improvement system, using said information of said identified members accessed from said health care database; prospectively notifying said primary care physicians to ensure implementation of the predetermined measures pending for the identified members by said notification engine, using said information of said primary care physicians accessed from said health care database; prospectively notifying staff of the health plan to ensure coordination between the identified members and the primary care physicians, and direct coordination with the identified members without the primary care physicians by said notification engine; prospectively implementing said pending predetermined measures by said primary care physicians for said disease related and said preventive measures on said identified members; prospectively updating status of said implemented predetermined measures of the identified members on an online user interface provided by an updation engine and storing said updated status in said health care database; and prospectively calculating a performance score of the health plan for each of the predetermined measures to indicate said quality of health care in the health plan to allow the health care staff to prospectively take appropriate steps to improve said quality of health care, wherein the performance score is the ratio of said identified members on whom said predetermined measures have been implemented as indicated on said online user interface to total number of identified members for the predetermined measure of said health plan; whereby said step of prospectively calculating the performance score and communicating the pending predetermined measures that are due to the primary care physician, the health plan staff and the member facilitates the completion of the measures and proactively of the health plan improves the quality of health care in the health plan.