PATENT CLAIM ANALYSIS

Application Number: 16064146
Application Type: Utility
Filing Date: 2018-06
Publication Date: 2019-01
Patent Classification: ["705", "002000"]

Abstract:
A health management system includes a processor, a searchable multi-dimensional data representation of the performance of an entire health care delivery system accessible by the processor, in which the performance of every healthcare provider, including downstream providers, that are delivering services is distilled down to a clinically credible measure of actual versus expected performance at analytic points across a comprehensive set of quality outcomes and resource utilization measures wherein the performance matrix has multiple dimensions, and a memory device coupled to the processor and having a program stored thereon for execution by the processor to perform operations. The operations include creating the multi-dimensional data representation to obtain performance measures of a selected healthcare provider and accessing the multi-dimensional data representation to obtain performance measures of the selected healthcare provider.

Claim (Index 9):
A non-transitory machine readable storage device having instructions for execution by a processor of the machine to perform:\n accessing payer data for multiple providers in a health care delivery system; conforming the accessed payer data to a standard format; populating, based on the accessed payer data, a multi-dimensional data representation of the performance of an entire health care delivery system accessible by the processor, in which the performance of every healthcare provider, including downstream providers, that are delivering services is distilled down to a clinically credible measure of actual versus expected performance at analytic points across a comprehensive set of quality outcomes and resource utilization measures wherein the performance matrix has multiple dimensions including individual health care providers, sites of service, quality outcomes and resource use measures, type of patients, time periods covered, geographic location of provider and patient and the patient's payer; creating the multi-dimensional data representation to obtain performance measures of a selected healthcare provider; and accessing the multi-dimensional data representation to obtain performance measures of the selected healthcare provider, wherein each analytic point in the performance matrix contains a pre-processed specific measure of performance expressed as a difference between actual and expected along with the financial impact of the difference wherein expected values are risk adjusted to account for differences in case mix, and wherein the pre-processed specific measure of performance of each analytic point is pre-calculated using indirect rate standardization based on an exhaustive and mutually exclusive set of risk groups for risk adjustment.

Metadata:
- Claim Count in Document: 1.0
- Percentile: 94.0
- Lexical Diversity: 1.74359
- Patent Class: 705.0
- Transitional Phrase Type: none
- Component Type: 0
- Foreign Priority: False
- Related Applications: ['12788242', '10346937', '14453864', '13426937', '13154730']

Analysis Scores:
- 35 USC 101 Eligibility (BERT): 0.1073799143549461
- 35 USC 102 Novelty (BERT): 0.5022397276415379
- Combined Prediction Score: 0.1468658956836053
- Mean Citation Score: 226.897374
- Max Citation Score: 233.04082
- Similarity Product: 164.5938744726443

Labels:
- Claim Label 101: 1
- Claim Label 102: 1
- Claim Label 103: 1
- Claim Label 112: 0
- Combined Label: 1
- Label 101 Adjusted: 0

Dataset: test