Patent ID: 8190451
Filing Date: 2012-05-29
Classification: G06Q,G16H,G16Z

Abstract:
1. A method for predicting and minimizing future behavioral health-related hospital admissions, comprising: compiling a listing consisting of all individuals with any primary behavioral health disease and/or condition diagnosis over a specified time period; merging the listing with at least one data source, wherein the at least one data source comprises claims history, billing records, pharmaceutical history, historical patient records, and/or patient self-reporting data, to extract at least one behavioral health-related predictive factor; assigning a weighting to the at least one behavioral health-related predictive factor to create a weighted at least one behavioral health-related predictive factor; determining if the at least one behavioral health-related predictive factor is present or absent for each individual in the compiled listing, wherein the presence or absence of the at least one behavioral health-related predictive factor is assigned a “1” or a “0”, respectively, in binary fashion; generating, based on at least one predictive model that analyzes the weighted at least one behavioral health-related predictive factor, including the determined presence or absence of the at least one behavioral health-related predictive factor, a predictive output comprising the quantitative probability that the individuals listed with any primary behavioral health diagnosis will require a future behavioral health-related hospital admission, thereby predicting which of the individuals listed with any primary behavioral health disease and/or condition diagnosis will require a future behavioral health-related hospital admission; identifying the individuals listed with any primary behavioral health diagnosis will require a future behavioral health-related hospital admission from the predictive model output; and referring the individuals identified as listed with any primary behavioral health diagnosis that will require a future behavioral health-related hospital admission to caseworkers for intervening with the individuals identified as listed with any primary behavioral health diagnosis and who are predicted to require a future behavioral health-related hospital admission to reduce, eliminate or mitigate risk factors to reduce the risk of the identified individuals being admitted to a hospital in the future; and providing a programmed digital computer, the programmed digital computer comprising a processor; a memory operatively coupled to the processor; a data input interface operatively coupled to the memory; computer code stored in the memory; and a data output interface operatively coupled to the memory, the computer code capable of accomplishing the logical functions of compiling, merging, generating, identifying, referring and intervening.