Patent ID: 7831443

Claim:
A method of measuring and utilizing efficiency of resources utilized by health care providers in the care of medical conditions, comprising: providing a programmed digital computer for compiling a patient database comprising data from more than one component of care, wherein the component of care data further comprises data from at least one provider; providing at least one component of care analysis module; selecting at least one component of care to analyze; providing a programmed digital computer for extracting data corresponding to the at least one selected component of care from the patient database; providing a programmed digital computer for providing the extracted data to the appropriate component of care analysis module; providing a programmed digital computer for identifying and treating outliers from the data; providing a programmed digital computer for generating a modular Relative Resource Value (RRV) using the selected component of care analysis module; providing a programmed digital computer for creating an adjusted modular RRV from the modular RRV to allow inter-modular and intra-modular comparison by provider; providing a programmed digital computer for compensating for preventive care and chronic care medical resources; providing a programmed digital computer for performing inter-modular and/or intra-modular comparison of the adjusted modular RRV by provider; performing the inter-modular and intra-modular comparison of the adjusted modular RRV; providing a programmed digital computer for ranking providers within at least one component of care and/or across all components of care based on the adjusted RRV; wherein the at least one component of care analysis module further comprises: an acute inpatient analysis module; a non-acute inpatient analysis module; a hospital outpatient analysis module; a professional and scheduled outpatient analysis module; and a pharmacy analysis module; wherein the acute inpatient analysis module further comprises: extracting acute inpatient data from the patient database; summing the extracted data to admission level; extracting DRG weights from the patient database; merging DRG weights with extracted inpatient data; identifying outliers, minimum volume data points and ungroupable DRG's; creating a conversion factor using non-outlier and ungroupable data; creating the RRV for outliers, non-outliers, minimum volume data points and ungroupable DRGs; and adjusting the admission level modular RRV for the acute inpatient and non-acute inpatient components of care to an encounter level RRV by allocating the admission level modular RRV to the encounter level.