Abstract:
A credentials record system that captures personnel background data, such as license information, education and training, work experience, performance data and electronic signature at the time of entry using graphical user interfaces through a network, wherein it permits instant, sophisticated analysis of background data to identify relationships among the data, including archived data and includes the capability to access reference databases for consultation regarding verification of data for accuracy on a continuous basis. The system also provides for an automated auditing process to ensure data integrity and includes the capability to incorporate legacy data, such as paper files and mainframe data, for each personnel record.

Description:
CROSS-REFERENCE TO RELATED APPLICATION 
       [0001]    This application is a continuation of and claims priority to application Ser. No. 10/316,821, entitled “ELECTRONIC CREDENTIALS VERIFICATION AND MANAGEMENT SYSTEM,” filed Dec. 11, 2002, the entire content of which is herein incorporated by reference. 
     
    
     FIELD OF THE INVENTION 
       [0002]    The present invention generally relates to electronic management systems, and more particularly, to a system for storing, continually verifying and retrieving credentials records in a global network environment. 
       BACKGROUND 
       [0003]    Professionals are frequently required to be licensed and to undergo rigorous screening before practicing their profession. For example, healthcare practitioners, such as physicians, are typically required by federal, state and regulatory agencies to have a thorough background check when initially applying to hospitals, health maintenance organizations, independent physician associations and other like healthcare entities. In addition, once approved by an entity, the practitioner&#39;s background must be re-checked at periodic intervals through the course of his tenure with the healthcare entity. However, practitioner background checks create large volumes of data that must be stored, validated, analyzed and updated on a continuous basis. Such data includes at a minimum, education, training, licensure and license sanctions, work experience, malpractice insurance coverage, malpractice history and peer references. 
         [0004]    It may be possible for professional organizations to use electronic data processing systems to automate the creation, use and maintenance of credentials in a manner that is similar to systems currently employed for the storing and management of other occupational data. However, these electronic data processing systems often do not handle data in the wide variety of data formats that may typically be used for credentials verification by healthcare entities. The wide variety of data formats for the collection of credentials information often hinders electronic processing and maintenance of practitioner files. Moreover, many professional practitioners have traditionally used paper-based forms to document their credentials information. 
         [0005]    In addition, under current practices there may be significant duplication of credentials information. For example, within healthcare systems similar credentials information may exist in remote practitioner files located at clinics, hospitals, laboratories and physicians&#39; offices. However, due to inefficiencies with current methods of data collection and verification, including the inability of current electronic systems to allow for the sharing of a central record of practitioner data, it is common for practitioner files at one entity to have credentials information that differs from the same practitioner files at another entity within the same system. Such differences may include missing data as well as differing experience, performance and license sanctions histories. 
         [0006]    Further, credentials information in the practitioner files is generally not available for review by the practitioners themselves to confirm or dispute the information. Moreover, relationships among specific credentials information documented in a practitioner file such as adverse actions, gaps in work history and misstatements on the credentials application may not be apparent unless manually pulled together as a whole, 
         [0007]    In addition, in the current environment, specific credentials information is difficult to access when needed for analysis due to its paper-based nature. Moreover, in current systems the use of a practitioner&#39;s file by one entity can preclude its simultaneous use by another entity. Under these circumstances, entities have difficulty ascertaining the fitness of their practitioners to provide services for their customers. 
       SUMMARY OF THE INVENTION 
       [0008]    In one aspect of the present invention a method for electronically verifying information includes requesting credentials information from applicants in a plurality of formats, collecting received credentials information from the applicants in a common format through an interface to a global network, storing collected credentials information in a dynamic database and verifying collected credentials information with external sources through an electronic interface. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0009]    The present invention will become better understood with regard to the following description, appended claims, and accompanying drawings, in which: 
           [0010]      FIG. 1  is a simplified block diagram of an electronic credentials verification system in accordance with an exemplary embodiment of the present invention; 
           [0011]      FIG. 2  is a graphical illustration of the relationship of the applicant, client, electronic verification sources and non-electronic verification sources in accordance with an exemplary embodiment of the present invention; 
           [0012]      FIG. 3  graphically illustrates the logic flow of an electronic credentialing process in accordance with an exemplary embodiment of the present invention; 
           [0013]      FIG. 4  is a flow chart illustrating an audit process for the verification of credentials information in accordance with an exemplary embodiment of the present invention; 
           [0014]      FIG. 5  graphically illustrates an online electronic verification process in accordance with an exemplary embodiment of the present invention; 
           [0015]      FIG. 6  graphically illustrates a process for creating and maintaining accounting records associated with the verification of credentials information in accordance with an exemplary embodiment of the present invention; 
           [0016]      FIG. 7  graphically illustrates a process for generating verified credentials profile information including copies of records from external sources in accordance with an exemplary embodiment of the present invention; 
           [0017]      FIG. 8  graphically illustrates a process for creating and maintaining a continuous calendar of re-verification of an applicant&#39;s credentials in accordance with an exemplary embodiment of the present invention; 
           [0018]      FIG. 9  graphically illustrates a process for allowing applicants to request privileges based upon analysis of credentials information in accordance with an exemplary embodiment of the present invention; and 
           [0019]      FIG. 10  graphically illustrates a process for reviewing select practitioner office sites in accordance with an exemplary embodiment of the present invention. 
       
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
       [0020]    An exemplary embodiment of a web based credentials acquisition, storage, verification and audit system (WebCVO) automates and simplifies existing methods of credentials information collection, verification, audit, maintenance and retrieval. In contrast to other systems, the described exemplary embodiment creates and maintains all credentials information electronically and thus can eliminate or supplement the creation and maintenance of physical data records. An exemplary 
         [0021]    WebCVO may further provide an intuitive, easy-to-use, web-based interface that allows users to capture and analyze credentials information quickly and efficiently. In accordance with an exemplary embodiment, credentials information may be entered into the electronic credentials system from paper-based forms or may be imported from electronic storage devices (diskette, CD-ROM, tape or the like). Alternatively, credentials information may also be scanned in through the use of a teleform or directly entered by a practitioner into the WebCVO system. 
         [0022]    In addition, the described exemplary WebCVO system may include the capability to manage and report on a wide variety of credentials information formats, including credentials information from external sources, such as licensing organizations and governmental databases. In accordance with an exemplary embodiment, the WebCVO system may continuously access external sources to validate current credentials information. The WebCVO system may then alert the practitioner and all entities to which that practitioner is assigned of any information not validated by an external source and to information reported by the source but not recorded in the practitioner&#39;s credentials record. 
         [0023]    The described exemplary WebCVO system may also prompt practitioners to renew credentials information prior to the expiration of that information. In addition, an exemplary WebCVO system can also incorporate a practitioner&#39;s legacy data, such as quality information, into the practitioner record as well as legacy data from mainframe computers. 
         [0024]      FIG. 1  illustrates an exemplary electronic credentials system  10 . The described exemplary electronic credentials system  10  includes multiple remote devices  20   a  and  20   b  coupled to one or more web servers  30  through a remote communication network  40 . The communication network may refer to a network or combination of networks spanning any geographical area, such as a local area network, wide area network, regional network, national network, and/or global network. The Internet is an example of a current global computer network. In addition, the communication network may be a hardwire network, wireless network, or a combination of hardwire and wireless networks. 
         [0025]    Hardwire networks may include, for example, fiber optic lines, cable lines, ISDN lines, copper lines, etc. Wireless networks may include, for example, cellular systems, personal communications service (PCS) systems, satellite communication systems, packet radio systems, and mobile broadband systems. A cellular system may use, for example, code division multiple access (CDMA), time division multiple access (TDMA), personal digital phone (PDC), Global System Mobile (GSM), or frequency division multiple access (FDMA), among others. 
         [0026]    The remote devices  20   a - 20   b  may be general purpose computing devices that allow users to remotely communicate with the web server over the communication network  40 . The computing devices may be any processor controlled device that permits access to the communication network, including terminal devices, such as personal computers, workstations, servers, clients, mini-computers, main-frame computers, laptop computers, a network of individual computers, mobile computers, palm-top computers, hand-held computers, set top boxes for a television, other types of web enabled televisions, interactive kiosks, personal digital assistants, interactive or web enabled wireless communications devices, mobile web browsers, or a combination thereof. 
         [0027]    The computers may comprise one or more input devices such as a keyboard, mouse, touch pad, joystick, pen input pad, and the like. The computers may also possess an output device, such as a visual display and an audio output. One or more of these computing devices may form a computing environment. 
         [0028]    An exemplary web server  70  preferably hosts a website  50  comprising one or more interrelated web page files and other files and programs. The files and programs may be accessed via a communications network  40  such as the Internet, by sending for example, a hypertext transfer protocol (HTTP) request specifying a uniform resource locator (URL) that identifies the location of one of said web page files, wherein the files and programs are owned, managed or authorized by a single entity. Such files and programs can include, for example, hypertext markup language (HTML) files, common gateway interface (CGI) files, and Java applications. 
         [0029]    In an exemplary embodiment, the web page files preferably include a home page file that corresponds to a home page of the website. The home page can serve as a gateway or access point to the remaining files and programs contained within the website. In one embodiment, all of the files and programs may be located under, and accessible within, the same network domain as the home page file. Alternatively, the files and programs can be located and accessible through several different network domains. 
         [0030]    The described exemplary website may use encryption technology such as for example secure socket layer (SSL) encryption and digital certificates to maintain the integrity and confidentiality of electronic transmissions to and from the Web server  70 . In the described exemplary embodiment message data is encrypted using a randomly generated key that is further encrypted using the recipient&#39;s public key. This is referred to as the “digital envelope” of the message which is sent to the recipient with the encrypted message. The recipient decrypts the digital envelope using a private key and then uses the symmetric key to unlock the original message. 
         [0031]      FIG. 2  graphically illustrates the relationship of the practitioner, client, electronic verification sources and non-electronic verification sources within an exemplary electronic credentials system. The described exemplary electronic credentials system gives users considerable freedom to manage, maintain and utilize the functionality of the system. For example, users  100  can create new practitioner accounts  102  including a credentials application which a practitioner may then complete. In an exemplary embodiment, the system may automatically send a notification  108  to the practitioner preferably instructing the practitioner to log on to the system and input his credentials information  110 . 
         [0032]    An exemplary system may send the notification by any of a number of conventional means, such as by email, fax, letter or a combination thereof. In one embodiment an exemplary system may assign a contact method based upon the practitioner&#39;s preference for receiving credentials information requests. Further, an exemplary system may automatically send an email to practitioners which includes instructions on how to access the credentials system electronically (e.g. online) as well as requests for the updating or clarifying of credentials information. An exemplary system may compare existing data to newly entered data and archive existing data to a history table. 
         [0033]    In one embodiment, the electronic credentials system may automatically forward a fax with instructions for online access or instructions for receiving a blank credentials application via Internet download, fax or mail to a practitioner. The described exemplary electronic credentials system may also automatically fax or print for mailing complete credentials packages, including instructions and application materials. The described exemplary system may also automatically contact practitioners opting to complete a paper application via fax or letter generation for the completion, update and clarification of their credentials. 
         [0034]    In one embodiment a user may also view, the status of an existing practitioners  104  credential application or re-verification, plan committee and continuing education meetings and create customized pages for their own use  106 . In addition, the described exemplary system may identify verification requirements for a particular practitioner including the parameters for handling adverse information. The described exemplary system may then automatically contact various entities such as, for example, schools, hospitals, or peers to request verification information  112 , via for example, a web crawler, link, or other conventional method of querying a database. 
         [0035]    For example, in an online verification system an encrypted request for verification may be included as parameters on an HTTPS query string to verification sites. In one embodiment the request may further include payment of a verification fee. The described exemplary system may also auto-generate email, fax or letter requests to non-electronic verification sources including payment of verification fees. 
         [0036]    An exemplary system may send requests for verification information by fax, letter or email (if choose by phone, an exemplary system may schedule phone calls for WebCVO credentials specialists). An exemplary system may also automatically check the websites of all government agencies (for example, via a web crawler, link or other conventional method of querying a database), or other regulatory bodies for information related to the practitioner&#39;s credentials. In addition, an exemplary system may make follow-up requests for verification information according to a pre-set schedule. 
         [0037]    The described exemplary system may compare the verification information received from external sources to the credentials information submitted by the applicant. An exemplary system may then auto-update the database with matched information or manually update the database through the use of electronic work prompts or ticklers. 
         [0038]    For example, in an exemplary embodiment, a credentials specialist  118  may compile the responses to the requests for verification information and perform various other tasks to complete the application process  120 . A credentials specialist may then utilize a fax server or other similar means to verify and audit the practitioner information  122 . 
         [0039]    In an exemplary embodiment, the received verification information may be archived in an online data repository, allowing web access and tracking. For example, in the described exemplary embodiment, electronic information received from verification sites may be stored as digital images in an applicants database. Similarly, verification information received from non-electronic sources may be scanned and stored as scanned images. The described exemplary system may further comprise an accounting component that tracks all individual itemized charges in accordance with particular contract requirements  130 . 
         [0040]    An exemplary embodiment of the present invention may also provide instant access to a practitioner&#39;s electronic credentials record by authorized entities from any geographic location. For example, the described exemplary system may provide authorized entities to access and update practitioner files using, for example, the Internet. To enable complete replacement of physical records, the present invention permits practitioners to electronically annotate practitioner data. Thus, a practitioner can enter and update credentials information, acknowledge that he or she has reviewed posted credentials information. A practitioner may also provide explanations for any information not validated by an external source or for information reported by a source, not currently posted to the practitioner&#39;s record, all by electronically annotating a practitioner&#39;s record. 
         [0041]    For example,  FIG. 3  graphically illustrates the logic flow of an exemplary credentialing process. In one embodiment practitioners  200  may logon to the described exemplary electronically credentialing system  210  and view their own credentials information online. In addition, in an exemplary embodiment the organizations which collect and verify submitted credentials applications may also remotely logon to the system via a global computer network, such as, for example the Internet  220 . In addition, organizations that outsource this responsibility to another organization such as for example, health plans, health systems, hospitals, managed services organizations, preferred provider organizations, medical groups, and independent practice associations may also be provided remote access to the described exemplary system  230 . 
         [0042]    The described exemplary system may grant different types of users varying degrees of access to the WebCVO system. In one embodiment the described exemplary system may utilize assigned login IDs and passwords to redirect users to different web pages for different functionalities. In addition, an exemplary system may sign each practitioner record with an electronic signature  240 . This signature may be captured either through electronic creation by the practitioner or by the scanning of a practitioner&#39;s actual signature. 
         [0043]    An exemplary system may require practitioners to complete all mandatory data fields before submitting a credentials application for verification  250 . An exemplary embodiment of the present invention allows for the assigning of required data fields by practitioner type and verification phase. For example, in one embodiment practitioners may be required to complete a set of data fields pertinent to their field of practice. Practitioners may also be required to complete an initial set of data fields (also pertinent to their field of practice) and upon satisfactory verification of those fields, the practitioner may then be required to complete a secondary, tertiary, etc. set of data fields. In accordance with an exemplary embodiment the required fields are assigned when a practitioner&#39;s record is created. 
         [0044]    In addition, for applications submitted online, the organization performing credentials verification may view the application and approve it for verification initiation  260 . In practice the described exemplary system may automatically initiate the verification process  270  for submitted applications that are approved for verification  280 . 
         [0045]    The described exemplary system may retrieve electronic data from primary source verification websites  290 . The described exemplary system may send requests to non-electronic data sources via email, letter or fax, (or phone) including a copy of a release from the corresponding practitioner with electronic signature and delineation of privileges, if desired  300 . 
         [0046]    An exemplary system may correlate the verification information received from external sources with the credentials information entered by the applicant. The described exemplary system may auto-update the database for matched data. In addition, in one embodiment the described exemplary system may attempt to identify reasons for a mismatch between the verification data received from external sources and the credentials information entered by the applicant. 
         [0047]    For example, the system may electronically or manually attempt to identify clerical errors, such as typographical errors that may occur during the conversion of a scanned document to text by an optical character recognition program. The system may then request that the applicant provide an explanation for any data mismatches that cannot be attributed to errors in the data entry or correlation process. An exemplary system may then verify newly entered data by correlating it with the verification information received from the external sources. 
         [0048]    In one embodiment, the system may automatically track the receipt of verification information and may automatically re-send verification requests if information is not received. In an exemplary embodiment, time frame intervals for the re-sending of verification requests are determined by the verifying organization. Further, non-responsive sources may be routed to an electronic tickler program for distribution to and follow up by credentials staff. 
         [0049]    Non-electronic data sources may return requested verifications through email, fax, letter or the like  310 . The described exemplary system may route information received from non-electronic sources to an electronic work tickler for distribution to and verification by credentials staff  320 . Alternatively, if the verification information is received via teleform it may be auto updated to the database. 
         [0050]    In addition, an exemplary system may route mismatched data as well as matched data to an electronic tickler for distribution to and manual verification by credentials staff  290 . In addition, in one embodiment, the described exemplary system may route practitioner information to an audit program to confirm verification was performed correctly  330 . The described exemplary system may utilize a single, double or triple audit process. 
         [0051]    For example,  FIG. 4  graphically illustrates an exemplary triple audit process. In operation, the described exemplary system may manually or automatically send requests to verifying sources  410  in response to a verification request from a credentialing organization  400 . In one embodiment the system may mark information received in response to verification requests for verification  420 . Otherwise the system may automatically send another request to the verifying sources in accordance with preset time intervals until the requested verification information is received  430 . If a response to the request is not received the system may route the information to an electronic work distribution and reminder program for processing by the credentialing organization. 
         [0052]    In practice the credentialing organization or the WebCVO verifies information received from the verifying source  440 . If a verifying source responds with a “Record Not Found” response  450 , the described exemplary system may notify the practitioner via email, fax or letter  460  and ask for corrected information. The practitioner may then respond with corrected information  480  and the system may then send another request to the verifying source  410  with corrected information. 
         [0053]    The described exemplary system may route verified credentialing information to an electronic work distribution program for auditor review  490 . In one embodiment, the auditor reviews the verification information received to ensure that it matches that reported on the practitioner&#39;s credentials application. If the verification information received matches that reported by the practitioner, the auditor marks the audit as “Pass.” In the event the verification information received does not match that reported by the practitioner, the auditor marks the audit as “Fail.” 
         [0054]    Should the auditor mark the first audit as failed  500 , the original verification is archived and the verification and audit processes are re-initiated. Should the auditor mark the first audit as passed  510 , credentialing information is routed to an electronic work tickler for second auditor review  520 . Should the auditor mark the second audit as failed  530 , the original verification is archived and the verification and audit processes are re-initiated. 
         [0055]    In one embodiment, the system may route information that passes two consecutive verification audits to an electronic work distribution program for quality audit review of all verifications  540 . Should the auditor mark the quality audit as failed  550 , the original verification is archived and the verification and audit processes are re-initiated, otherwise the verification audit has been successfully completed  560 . 
         [0056]    The described exemplary electronic credentials verification system preferably supports a plurality of data methods of credentials information input. For example, in one embodiment an applicant may enter credentials information from a global computer network such as, for example, the Internet. Alternatively, credentials information may also be imported from a variety of sources such as, for example, a CD-ROM, teleform that is scanned in using optical character recognition, etc. In an exemplary embodiment, the system may require the applicant to provide complete information by continually contacting the applicant via email, fax, letter or a combination thereof until all information is complete. 
         [0057]      FIG. 5  graphically illustrates an exemplary online credentials application process. For online application submissions, the described exemplary system may automatically or manually assign a login ID and password to a practitioner  600  for system access. In an exemplary process, a practitioner must review and accept an information release agreement and create a signature  610  after logon to the system. The described exemplary system may capture a scanned signature or an electronic signature for each practitioner and may digitally convert the captured signature to a globally unique identifier (GUID). In one embodiment, a scanned in signature may be saved in PEG format  620 . 
         [0058]    In an exemplary embodiment, the system records the user identification and date and time for each piece of data entered and any and all subsequent changes to provide a complete audit trail for credentials information entered into the system. In this manner, the system transforms a practitioner&#39;s credentials application from a static record into a dynamic, real-time comprehensive record that may be linked to enterprise-wide databases to capture or supplement other practitioner data. 
         [0059]    In one embodiment, the system may prompt the practitioner to change his or her password  630  and may create a practitioner record by selecting from a set of required data fields that are pertinent to the practitioner&#39;s field of practice as well as an initial set of required data fields (also known as a pre-application). When the pre-application is verified an exemplary system may require the practitioner to complete a secondary, tertiary, etc. set of required data fields. An exemplary embodiment of the present invention may also support the creation of practitioner records having additional data fields that are not included in the standard applications stored in the credentials information applications repository  650 . 
         [0060]    In the described exemplary embodiment, a practitioner may select credentials applications by state from the application library  660 . In one embodiment, a practitioner may retrieve and view the selected credentials application  670  which is populated with the specific information entered by the practitioner  680 . 
         [0061]    The credentials application  650  may comprise a variety of user defined custom pages  690 , the results of the verification processes  700 , as well as additional practitioner data input through modification  710 . An exemplary credentials application may further comprise common data information  720  such as information received from insurance carriers, schools, hospitals, government agencies, etc. The application may also include pages (tabs) that may be marked as not applicable to the particular practitioner  730 , as well as archived data  740 , a warning log comprised of data mismatches and identified adverse actions  750  and common field level history tracking data  760 . 
         [0062]    In one embodiment the application may be composed of elements that conform to a standardized programming language such as, for example, the extensible markup language (XML) specification. As is known in the art, XML is a markup language for documents containing structured information. Structured information contains both content (words, pictures, etc.) and some indication of what function that content performs. The utilization of a standardized programming language further promotes the automatic utilization of the credentials information across enterprise-wide databases to capture or supplement other practitioner data. 
         [0063]    In one embodiment organizations  770  may have access to practitioner applications  775  and practitioner  775  records  640 . An organization may also search practitioners in the system  780  to retrieve and review requested information  790 , verification information  800  and audit information  810 . Organizations may also access practitioner verification information to view the status and detailed information  820 . 
         [0064]    Referring to  FIG. 6 , an exemplary embodiment of the present invention may create and maintain accounting records associated with the verification of credentials information. For example, the described exemplary system may determine which services are required for a particular client as well as the charges associated with those services  900 . The described exemplary embodiment may then automatically generate an invoice for the appropriate services when they are performed.  910 . The system may also generate accounting statements in accordance with the appropriate services including assessments of finance charges where appropriate  920 . The system may then automatically issue credit memos  930  from the accounting statements  930 . 
         [0065]    Referring to  FIG. 7 , an exemplary embodiment of the present invention may also generate verified credentials profile information including copies of all records from external sources. For example, in one embodiment, the described exemplary system may generate a profile with a synopsis of verified information as required by regulatory agencies within the field of practice of the applicant  950 . The described exemplary system may also notify affiliated organizations that the applicant&#39;s credentials information has been verified or re-verified and is complete. The system may also provide a hyperlink  970  to a site from which interested parties may download the verified credentials profile. The system may further make copies of the electronic and scanned documents utilized in the verification process available for download as well. 
         [0066]    Referring to  FIG. 8  an exemplary embodiment of the present invention may also create and maintain a continuous calendar of re-verification of an applicant&#39;s credentials information. For example, an exemplary system may create a re-verification schedule in accordance with the requirements for re-verification for a particular set of privileges  1000 . The described exemplary system may then query electronic sources  1010  and non-electronic sources in accordance with the prescribed schedule  1020 . The described exemplary system may also request that the applicant update credentials information on a prescribed schedule  1030  and continually send repeated requests for updated information until the requested information is received  1040 . 
         [0067]    Referring to  FIG. 9  an exemplary embodiment of the present invention may also allow applicants to request privileges based upon analysis of credentials information. For example an exemplary system may generate a list of privileges from which a practitioner in a particular field may select  1050 . The described exemplary system may then establish criteria such as, for example, level of education, training and experience for the granting of each privilege  1060 . The system may then compare the applicant&#39;s credentials with the required criteria and restrict the privileges which the applicant may select from to those for which the applicant has satisfied the specified criteria  1070 . The system may then map the requested privileges to appropriate privileges forms  1080  which may then be automatically sent via email, fax or letter to external sources for review of competence. 
         [0068]    In an online system, a “pop up” message may be generated when an applicant attempts to select a privilege which the applicant does not qualify for. The pop message may provide the reasons for privilege ineligibility. Alternatively, an exemplary system may auto-generate an email, fax or letter to the applicant that provides the reasons for privilege(s) ineligibility. 
         [0069]    Referring to  FIG. 10 , an exemplary embodiment of the present invention may also allow for the review of select practitioner office sites. For example, in one embodiment an exemplary system may identify practitioners requiring office site review to satisfy the regulatory requirements, etc  1100 . The system may then establish the criteria for the on-site review in accordance with the requirements for regulatory compliance  1100 . The system may then auto-generate a request to schedule an on-site review  1120 , generate review results and generate a corrective action plan, if required as a result of the review  1130 . An exemplary system may track compliance with and completion of the corrective action plans  1140  and generate a report of the office site review activities  1150 . 
         [0070]    The invention described herein will itself suggest to those skilled in the various arts, alternative embodiments and solutions to other tasks and adaptations for other applications. It is the applicants&#39; intention to cover by claims all such uses of the invention and those changes and modifications that could be made to the embodiments of the invention herein chosen for the purpose of disclosure without departing from the spirit and scope of the invention.