Abstract: Systems, methods, and media for laboratory testing services are disclosed. A request for an electronic form can be received from an electronic device. A customized electronic form can be sent to the electronic device. The electronic form may be customized based at least in part on a healthcare provider associated with the request. At least one laboratory test may be requested to be ordered for at least one patient associated with the healthcare provider. At least one predefined rule may be applied to the requested order to verify that the order is valid. At least one laboratory can be selected to perform the ordered laboratory tests. Specimen collection information may be sent to a collection facility and can be based at least in part on rules or preferences of a lab selected to perform a laboratory test. Customized test reports can be provided to a healthcare provider.

Abstract: Methods and systems for generating episodes of activity, such as episodes of care. One method includes generating, by a processor, a graphical user interface for display to a user. The method also includes receiving, by a processor, (1) a first selection of a trigger event for an episode of care from the user through the graphical user interface, (2) a second selection of at least one time period for the episode of care from the user through the graphical user interface, and (3) a third selection of at least one claim category for the episode of care from the user through the graphical user interface. The method further includes creating, by the processor, parameters for the episode of care based on the first, second, and third selections, wherein the parameters are applied to a plurality of medical claims to group at least two of the plurality of medical claims.

Abstract: A medical workflow system is provided that includes at least one database configured to store one or more programs that operate a patient imaging device, patient data corresponding to one or more patients, medical procedure data corresponding to a type of patient medical procedure, and user data identifying a user to conduct a medical procedure using the medical procedure data. The medical workflow system includes a workflow processor configured to determine which of the one or more programs to provide to the user based on at least one of the patient data, the medical procedure data and the user data. The medical workflow system also includes at least one user interface configured to provide a plurality of user selectable options comprising the determined one or more or programs. The workflow processor is further configured to execute a selected program that is selected from the one or more provided programs.

Abstract: A system and method for optimal disease treatment involving a disease management workflow for specific disease states, computer program products (that is, patient data repositories, workflow tools, and reports) to assist clinicians with the management of specific disease states, and the like for optimizing treatment and management of specific diseases. The system provides a workflow tool for a specific disease state that includes a pathway with decisions to be made by a clinician based on specific patient data from a repository and other patient information available to a clinician for treating a variety of medical conditions based on the up-to-date treatment information in order to provide patients with optimal treatment workflows for their specific medical conditions. A disease management pathway potentially includes parallel flows (also called “equal outcome variables”) where several drugs or other treatments have been shown to have substantially equal outcomes.

Abstract: A method including: receiving one or more encounters to be submitted to one or more governmental entities for reimbursement after the encounters have been adjudicated and paid by a health insurance plan; verifying whether each of the one or more encounters comply with regulations specified by the one or more governmental entities to determine one or more improper encounters of the one or more encounters comprising one or more errors that do not comply with the regulations specified by the one or more governmental entities; correcting the one or more improper encounters of the one or more encounters to comply with the regulations specified by the one or more governmental entities; submitting the one or more encounters, including the one or more improper encounters, as corrected, to the one or more governmental entities for reimbursement; and receiving one or more responses from the one or more governmental entities corresponding to the one or more encounters. Other embodiments are provided.

Abstract: In one embodiment, a system and method for assisting a physician with a hospital discharge decision pertain to collecting patient data from a patient under consideration who is staying at a hospital, estimating a mathematical probability of the patient under consideration being readmitted to the hospital within a predetermined amount of time if the patient under consideration were discharged on that day, wherein the mathematical probability estimate is based upon the collected patient data and patient data collected from a population of former hospital patients who had previously been discharged and whose readmission status is known, and providing information to the physician that assists the physician in deciding whether or not to discharge the patient under consideration, the information being based upon the results of the mathematical probability estimate.

Abstract: Techniques for automatically tracking, ordering, and replenishing prescription item stock are provided. Based upon a statistical analysis of prescription order transactions, rules may be established to selectively identify which prescription stocked items qualify for automatic stock tracking, ordering, and replenishment. The rules may be based upon metrics such as a daily rate at which each prescription item is dispensed over a specified sampling period as well as the cost of each prescription item. Once qualified, automatic replenishment may be facilitated by calculating stock number minimums and maximums using a statistical analysis of the prescription transaction history for qualifying prescription items. The minimum and maximum stock number values may be used to trigger the generation of purchase orders and to specify how much stock needs to be ordered for each qualifying prescription item as it is replenished.

Abstract: A computer-implemented method and apparatus for development and use of a medical form. One example system receives a request on a first computer to create the medical form. The medical form includes user selected fields corresponding to patient information. The system further receives signals on the first computer, where the signals describe form fields for the medical form. The system communicates the medical form from the first computer to the first tablet device for display on the first tablet device. The system receives form values, wherein at least some of the form values correspond to information about an appointment. Responsive to receiving a completion signal, the system generates a clinical narrative for the appointment using the completed form values.

Abstract: An electronic data analysis system and method of anomaly tracking decision trees for identifying anomalies to detect errors or fraud in multiple healthcare operational functions. The unique aspects of such electronic tools include the contemporaneous data mining and data mapping aspects of Health Information Pipelines, Private Health Information, Operational Flow Activities, Accounts Receivable Pipelines, Product Market Activity, Service Market Activity, and Consumer Market Activity in large quantities. The contemporaneous data analytics provide an effective and efficient tool for market problems such as waste, fraud, abuse, and general aberrations that impact the cost and delivery of healthcare services and products. The tool is interactive and self learning.

Abstract: A computer system, computer program product and method for determining a probability of attaining a PK-PD target associated with efficacy for a patient that includes a processor obtaining information identifying an infection and based on the information, generating and displaying, by the processor, a list comprising one or more pathogens consistent with the information, the processor then obtaining a first indication designating at least one pathogen from the list comprising one or more pathogens and based on at the obtaining of the least one pathogen, generating a list comprising one or more drug therapies utilized to treat the at least one pathogen.

Abstract: Mechanisms are provided for matching patients with care providers. Patient information for a current patient, from at least one patient information source, is analyzed and a medical need of the current patient is determined. Patient information for a plurality of other patients associated with a plurality of care providers is analyzed and, for each care provider in the plurality of care providers, a measure of strength for a type of medical care corresponding to the at least one medical need is determined, based on results of the analysis of patient information for the plurality of other patients associated with the care provider. At least one care provider is selected for inclusion in a care team for the current patient based on the determined strengths of each care provider in the plurality of care providers. A care team data structure comprising information about the at least one care provider is output.

Abstract: An embodiment provides a method, including: accessing, using a processor of an electronic device, a list of on-call clinicians; accessing, using the processor, a list of requirements for a healthcare facility on-call clinician schedule; producing, using the processor, an initial on-call clinician schedule based on the list of on-call clinicians; determining, using the processor, whether the list of requirements is satisfied by the initial on-call clinician schedule; and providing an indication as a result of the determining. Other embodiments are described and claimed.

Abstract: Systems and methods of the invention relate to aggregating digital data for a patient during an examination at a private physician office environment, wherein the digital data is associated with a data file for the patient. A physician can utilize a device to capture an image of a patient or a portion of a patient, wherein the image relates to a condition or an area of medical concern based on the physician's opinion. In particular, the image can be superimposed onto a generic human body shape such that a precise location of the area of medical concern is identified by a marker and further the image.

Abstract: Methods, systems, and computer storage media are provided for optimizing workflows by monitoring a healthcare environment. Data may be compiled from various sources to monitor interactions within the healthcare environment. Both interactions with individuals and interactions with a healthcare system may be monitored. Each of location data, clinical data, and system data, among others, may be combined to monitor the healthcare environment. By combining the data from various sources, a user is able to get a complete picture of the healthcare environment.

Abstract: A method, system, computer program product and apparatus related to managing and disseminating information in a health care facility is disclosed. The system may comprise a plurality of input devices, a processor connected to the input devices and a plurality of electronic output devices connected to the processor. The output devices may include a master patient information display, an electronic patient room information display, a master precaution display, a patient hourly rounding display and an individual room precaution display. The method may comprises receiving from at least one input device data associated with a plurality of patients, and displaying for each patient the information, based on the data received, that is associated with each patient, and then updating on each output device the information when it changes.

Abstract: Methods and systems for claim adjudication are described. In one embodiment, a status of a drug benefit plan associated with a member is determined. Claims data associated with the member is accessed. A current-filled prescription is identified based on the claims data. At least one adjudication operation for the current-filled prescription is performed prior to receiving a new request for the current-filled prescription. The new request is determined as fillable based on the performance of the at least one adjudication operation. A notification is generated to the member based on the determination. Additional methods and systems are disclosed.

Abstract: A method for monitoring the treatment of a patient in his home environment is provided. The method includes supplying treatment-related data to a home treatment unit, transmitting the treatment-related data from the treatment, analyzing the treatment-related data with respect to an ideal state or a normal state or for the success of a treatment by the monitoring unit, detecting a deviation from an ideal state or a normal state, requesting additional treatment-related data from the home treatment site with respect to the deviation found, supplying the additional treatment-related data, and transmitting the additional treatment-related data to the monitoring unit.

Abstract: A method, system, and apparatus of rule based assigning a cycle count to an inventory item for a set of medical items is disclosed. A no-touch inventory system operates using information regarding medication flow throughout a patent care facility and evaluates pertinent inventory criteria for each of a plurality of items in the inventory. The evaluation compares inventory criteria in an intelligent inventory system. A learning factor can be applied such that conditionally effects the selective category by assigning a schedule for the cycle count of the inventory.

Abstract: A computer system gleans data from patient records and clinical trial descriptions using NLP techniques. NLP annotation data is used to generate clinical trial feature vectors and patient feature vectors. Clinical trial feature vectors and patient feature vectors are compared to match appropriate patient candidates with clinical trial openings.

Abstract: A method of managing use of an insulin infusion device is presented here. The method identifies bolus calculator event data from glucose data for a user of the infusion device. The bolus calculator event data corresponds to use of a bolus calculator that calculates bolus dosage recommendations based on a user entered carbohydrate consumption value, a user entered current blood glucose value, a user specific carbohydrate ratio value, and a user specific insulin sensitivity value. The method filters the bolus calculator event data to remove glucose data associated with certain conditions, and analyzes the filtered data to detect an event occurrence that is indicative of potential maladjustment of the carbohydrate ratio value or the insulin sensitivity value. The method outputs a recommendation to adjust the carbohydrate ratio value or the insulin sensitivity value, based on characteristics of the detected event occurrence.