Abstract: In one embodiment, the invention is directed to a method of processing patient healthcare data, via one or more computers. In some examples, the method comprises receiving, at the one or more computers, patient healthcare data, wherein the patient healthcare data represents a healthcare event and includes one or more healthcare codes. The method may further comprise determining, by the one or more computers and based on the one or more healthcare codes, one or more patient factors associated with the healthcare event. The method may also comprise determining, by the one or more computers and based on the one or more healthcare codes and the one or more patient factors associated with the healthcare event, whether the healthcare event is a potentially preventable healthcare event, wherein the healthcare event comprises one of: an inpatient admission, an emergency room visit, and an outpatient ancillary service.

Abstract: In one example, this disclosure describes a method determining a resource utilization value, via one or more computers. The method may comprise receive dated patient healthcare data comprising information about one or more of diagnosed conditions, delivered services or procedures, severity indicators, or resource utilization data associated with any delivered services or procedures. The method may further comprise receiving selection input comprising one or more resource type parameters. After receiving selection input, the method may further comprise determining a resource utilization value based at least in part on the patient healthcare data and the selection input.