Patent ID: 8762169

Claim:
A computer implemented, web-based method for calculating a medical value index of healthcare performance measurement for one or more healthcare providers comprising: (a) searching one or more computer databases and one or more computer network memory for medical information from hospital patients charts data, hospital medical records and hospital department data, insurance company data government data and physician's office data; (b) gathering, compiling and aggregating said medical information from hospital patient charts data, hospital medical records and hospital department data, insurance company data, government data and physician's office data wherein said aggregation of data includes the use of a Sherlock computer program sub-system and memory database which targets cases by type, physician, severity and clinical services, diagnoses and procedures at a revenue code level, and use of resources; (c) using the aggregated gathered compiled data or calculating the following quality metric scores: (i) Quality Measures and Patient Satisfaction (QMPS); (ii) Composite Re-Admission Rate (RADM); (iii) Risk Adjusted Mortality Rate (MORT); (iv) Risk Adjusted Morbidity Rate (MORB); (v) Reduction In Variation (RIV); and (vi) Resource Consumption (RESC); wherein said Sherlock computer sub-system aggregated data is further analyzed by a Verras Watson based computer sub-system which explains diagnoses and procedures by whom by specific physician, what and win, sequence of events, and what was not documented, explains specific resources by specific type of tests, breakdown of drugs, identifies why extra days were spent in hospital, and converts charges to true costs, and creates a best practices framework by database of clinical variation by diagnosis and procedure, establishes a computerized physician order entry (CPOE) customization and facilitates clinical pathway construction; and (d) calculating a medical value index (MVI) for each healthcare provider by adding the quality metric scores for each of the six metrics.