Abstract: A computer-implemented method for profiling medical claims to assist health care managers in determining the cost-efficiency and service quality of health care providers. The method allows an objective means for measuring and quantifying health care services. An episode treatment group (ETG) is a patient classification unit, which defines groups that are clinically homogenous (similar cause of illness and treatment) and statistically stable. The ETG grouper methodology uses service or segment-level claim data as input data and assigns each service to the appropriate episode. The program identifies concurrent and recurrent episodes, flags records, creates new groupings, shifts groupings for changed conditions, selects the most recent claims, resets windows, makes a determination if the provider is an independent lab and continues to collect information until an absence of treatment is detected.

Abstract: A system for managing electronic health records, including: an interface element in at least one specially programmed general-purpose computer for receiving data regarding at least one environmental condition, at least one symptom related to physical or mental health, and background for the patient; a memory element for the computer for storing the data; and a processor in the computer for: generating, using the data, information regarding at least one concern with respect to the physical or mental health of the patient; and generating, using the data, at least one action item for addressing the at least one concern. The interface element is for transmitting at least a portion of the information regarding the at least one concern for the physical or mental health of the patient and the at least one action item for display and receiving data regarding compliance with the at least one action item.

Abstract: A method and a computer readable medium for merging two or more separate unique studies based upon context-specific content, and merging the two or more separate studies, each with a unique identifier, into a composite study containing artifacts of the two or more merged studies, with the composite study having a single unique identifier.

Abstract: Methods and platforms for enhancing collaboration and communication between a patient and his healthcare team are described. A personal health record is created for a patient and maintained by a service provider. The health record is updated with self-monitored or remote device readings. These readings are sent, in a secure format that insures patient privacy, to the service provider and inserted into a health record via a computer connected to the Internet or via a telephone line without the use of a computer, i.e., by directly connecting an intermediate device to a phone outlet. Other health and wellness data may be written to the health record via a computer or via conventional means. By enhancing collaboration between patients and their healthcare teams, patients are more likely to improve their health conditions, particularly chronic conditions, and reduce healthcare costs.

Abstract: Methods and systems are provided for adjusting estimates of liability associated with past or theoretical accidents. In an embodiment, the characteristics from an actual accident may be compared to those in a past or theoretical accident. Liability may be estimated from a preassigned liability associated with a nearest matching past or theoretical accident. In one embodiment, liability estimates associated with past or theoretical accidents or characteristics of past or theoretical accidents may be adjusted The characteristics may include: conditions of vehicles in the accident, conditions of drivers in the accident, actions of drivers in the accident, and/or environmental conditions in the accident.

Abstract: A system that can enable clinical trial compliance determination by viewing sequences of images captured during an event is disclosed. For example, the innovation can employ captured event sequences to enable a subject or third party to assess a subject's actions related to a medical trial. The capture of event sequences can be triggered based upon sensory data, radio frequency identification (RFID) data, pattern recognition data, etc. The system also provides mechanisms to locate images or sequences, playback images or sequences or images as well as to set compliance parameters associated with a particular clinical trial.

Abstract: The present disclosure relates to a device, system and method of automated interpretation of medical prescription text. Prescription text may be entered into a user interface that may be analogous to a paper prescription entry such as manually written text. The system may then provide parsing, prompts and/or hints along with validity feedback as the prescription information is entered by the user.

Abstract: A computer-implemented method for graphically illustrating an entity and generating a text-based report therefrom includes providing a visual base representation of an entity. The base representation includes a plurality of elements at least one of which is modifiable, where the elements are each associated with a plurality of attributes. A visual diagram of a particular entity is built based upon the base representation of the entity. In this regard, at least one visual element is added to the base representation, where the added visual elements are modifiable. Accordingly, the diagram includes the elements of the base representation and the elements added to the base representation. After determining attributes associated with the added elements, a text-based report is generated from the diagram, where the report is generated based upon the elements of the diagram and the associated attributes, and where the report is automatically generated from the diagram without user input.

Abstract: Disclosed is an Internet-based database system and method (ASP), that enables school districts and temporary employment agencies to automate the dispatching (24/7) of pre-qualified substitute/temporary personnel to specified school/work site locations for specific absent employees/job openings. The system includes a profile database of permanent and substitute (temporary) employees, positions, skills, working dates/shifts, rates of pay, work sites, lesson plans/comments, reasons for absence and corresponding budget codes. Approved substitute/temporary employees may access the database using a multi-level access and secure logon code through their Internet-based browser device. The software filters job/position information to match specific job openings to the skills, qualifications (certification), preferences and availability of the substitute/temporary employee/s.

Abstract: Methods and systems are provided for processing the financial information of a client of a financial institution. One method embodiment includes receiving data from an overdraft data source including at least one overdraft occurrence associated with a transaction performed in association with the client; analyzing the overdraft occurrence in an overdraft application to determine a cause and disposition of the overdraft occurrence in connection with the cause of the overdraft occurrence; and, communicating an overdraft report associated with the analyzing step to a manager associated with the client. Additional system and computer-readable medium embodiments of the present methods are also provided. In another aspect of the present methods and systems, historical overdraft issues are analyzed and reported to the management of a financial institution. System and computer-readable medium embodiments of these analysis and reporting methods are also provided.

Abstract: A method and apparatus for controlling IV medication delivery and monitoring, the method including providing information tags on IV bags that specify delivery parameters, obtaining delivery parameters for at least one bag, associating a controller with a particular patient, comparing patient information for the particular patient with the delivery parameters, determining the efficacy of delivering the medicant to the patient and affecting pump control as a function of the comparison. The method also includes various timing rules and other verification procedures.

Abstract: A method of providing goods and services to individuals or entities via media entails assigning at least one good or service to a medium and assigning a unique identifier to the medium. Recording information in a database relative to the medium and linking the one or more goods or services assigned to the medium with the identifier of the medium. Thereafter, the medium is distributed to an individual or entity and the individual or entity presents the medium to a provider of goods or services assigned to the medium. Upon presentment the provider delivers one or more of the assigned goods to the individual or entity making presentment. At an appropriate point in the process, a communication is directed to the database recording the results of the transaction between the provider and the individual or entity presenting the medium.

Abstract: A method of calculating a premium payable by an insured person on a life insurance policy uses the amount of claims made from a health insurance plan of the insured person and information regarding the general well-being and/or lifestyle of the insured person to calculate the premium payable. The premium is calculated using a base percentage amount which is then either increased or decreased. If the insured person has made few claims to the health insurance plan and they have taken positive steps to look after their health, they will be rewarded by a relatively lower premium on their life insurance policy.

Abstract: A system supports creation and modification of a flexible and comprehensive location structure model able to track patients in a healthcare (or other) setting and identify suitable patient locations and location availability via a user friendly display interface. A method processes location related information for use in facilitating movement of a patient in a healthcare enterprise. The method involves establishing a profile comprising information identifying multiple locations available to accommodate a patient for different purposes. The profile incorporates attributes including a location type identifier, and a location characteristic of clinical significance influencing availability of a particular location to a patient having a particular medical condition. The profile is employed in providing a user with an indication of location availability in response to user command.

Abstract: An interactive system and a method for diagnosing, evaluating and treating the condition of Temporomandibular Disorder, where through a series of steps, consultations, procedures and protocols associated with individual appointments, information is gathered and entered into a database by a user through a personal computing device, which is added to or updated as treatment progresses in future appointments. The information gained during the appointments is used to generate printed or electronic reports, letters and insurance claim forms supporting the services rendered, reduce the errors involved in manual insurance claim form coding, supply consistent and proven successful treatment codes to insure payment, and which seek reimbursement from medical insurance coverage by the dentist as opposed to dental insurance coverage in order to maximize the benefits received and allow the patient to avail themselves of the generally higher coverage limits and lower deductibles associated with medical insurance.

Abstract: A system, method, and computer program product for configuring a medical device. A personal data assistant is used by a practitioner to gather patient information. Patient information is transferred to a server, and three optional medical devices are configured as a “good,” “better,” and “best” alternative. One of the proposed options is selected customized by the practitioner prior to ordering. Order status may be obtained online, and historical patient and order information is maintained. A catalog of medical device components is also provided, the catalog items are either ordered “as is” or are customized through the customizer prior to ordering.

Abstract: A computer implemented system for generating an electronic record of a patient clinical encounter in clinical chart format for submission for review by a health care reviewing organization. The system includes a selection interface module adapted to facilitate the selection of one or more reasons for the patient clinical encounter and/or one or more diagnoses. The system also includes a verification module for determining an authorization level for the diagnosis and/or reason for the encounter by referring to data in identified fields. The verification module determines the authorization level prior to the submission of the clinical record via a web browser on the client side to a server computer. The selection interface module facilitates selection of criteria prompts in a prompt pop-up button list by the display of a clickable navigator text field. The navigator field describes prompts selected to meet criteria for the diagnosis and/or reason for the encounter.

Abstract: The present invention provides physicians access to formulary data as well as important clinical and practice management information at the point of care on easy-to-use handheld electronic devices. The invention also provides a method for distributing medical data to medical personnel. The method comprises the steps of storing medical data in a database and periodically communicating selected medical data between the database and an electronic device to establish a medical data distribution system subsidized by sponsoring entities. The invention also provides a computer readable memory storing executable instructions for execution by a computer system such that the computer system functions in a specified manner. The instructions comprise instructions for storing medical data in a database, and instructions for periodically communicating selected medical data between the database and an electronic device to establish a medical data distribution system subsidized by sponsoring entities.

Abstract: A computer-implemented method for profiling medical claims to assist health care managers in determining the cost-efficiency and service quality of health care providers. The method allows an objective means for measuring and quantifying health care services. An episode treatment group (ETG) is a patient classification unit, which defines groups that are clinically homogenous (similar cause of illness and treatment) and statistically stable. The ETG grouper methodology uses service or segment-level claim data as input data and assigns each service to the appropriate episode. The program identifies concurrent and recurrent episodes, flags records, creates new groupings, shifts groupings for changed conditions, selects the most recent claims, resets windows, makes a determination if the provider is an independent lab and continues to collect information until an absence of treatment is detected.

Abstract: A method for administrating healthcare services allows providers to select cost-sharing levels for each service. Cost-share selections and other provider practice characteristics are stored in a dynamic, cost-sharing database. Individuals seeking a provider can access the database through a network and perform a provider search based on selected criteria. Individuals that receive services from a provider pay the appropriate cost-share at the time of service, and an administrator pays an additional amount based on a fee schedule specifying the amount the administrator will pay for the specified service.