Abstract: Methods and systems for predicting prognosis of a patient are provided. An example method can comprise determining a target set, wherein the target set comprises patient data from a target patient, determining a reference set, wherein the reference set comprises patient data from a plurality of patients, and the plurality of patients have one or more features in common with the target patient, determining common comparison features, normalizing common comparison feature data by a normalization method, weighting the normalized common comparison feature data, and determining one or more best matches by applying a classification method to the weighted normalized common comparison feature data. Finally, the prognosis of the patient in the target set is predicted.

Abstract: Methods, systems and computer program products for health data protection. Embodiments commence upon receiving a data access request message from a participant in a health ecosystem. The data access request message comprises an indication of one or more health data sets that are held by or at least potentially of interest to the participant. System components are configured to receive the message and to identify the participant. Based on parameter values corresponding to a data protection policy of the participant, a data protection scheme is generated. The scheme includes parameter values derived from the data protection policy. The parameter values of the scheme are used to generate a variation of the health data set that is formed by applying one or more data anonymization, data obfuscation or other data protection techniques to the health data set. A balance among the parameters is calculated so as to achieve a desired outcome.

Abstract: Systems and methods for personalizing medicine utilizing the true state of the patient are provided. A number of medical records for a patient are subjected to predictive modeling for various conditions (known as patient ‘true state’). The patient personal information, previous care, and true state may be provided into a state machine in order to determine the resources needed for the patient. The medical resources may be any of laboratory services, diagnostics, therapies and medications. Using the true state information, and number of activities may be performed for the patient based upon the patient's needs. These activities include scheduling lab or diagnostic procedures in advance of an appointment, filling in documentation gaps, identifying items that require additional documentation using the true state, and tracking follow-up. It may also be beneficial to validate the true state.

Abstract: Aspects of the subject disclosure may include, for example, a system or biological sensor configured to detect adverse conditions experienced by a user and to mitigate such adverse conditions by providing the user mitigation instructions determined according to a behavioral profile of the user. Other embodiments are disclosed.

Abstract: Systems and methods for managing audit risks utilizing the true state of the patient are provided. A number of medical records for a patient are subjected to predictive modeling for various conditions (known as patient ‘true state’). The true state is then cross referenced by the eligible Medicare documentation, and any findings that are being submitted to MediCare for reimbursement. The result of this cross referencing is the ability to classify each finding and/or true state into a “green, “yellow”, or “red zone”. The green zone is where the finding, documentation and true state are in good alignment. A red zone is where the finding and the true state are entirely at odds. The yellow zone is where the findings and the true state are in agreement, but where there is still audit risk that may be resolved through one or more “opportunities”.

Abstract: A method of generating a user interface for use in documenting a patient encounter comprises: automatically identifying, with a computing device, at least one documentation protocol based on at least one element of the patient's medical record; and generating a user interface including at least one of the identified documentation protocols, the at least one identified documentation protocols identifying at least one medical finding. A system comprises a data store encoded on a memory device, the data store comprising documentation protocols. The system further comprises an input apparatus. A computing device is in data communication with the data store and the input apparatus. The computing device is programmed to receive findings input through the input apparatus, identify a documentation protocol based on the finding input through the input apparatus, and generate a user interface. The user interface comprising the identified documentation protocol.

Abstract: A platform accessible by a user from a web browser/HMO's electronic medical record (EMR) for providing the user with information regarding a patient's drug regimen as well as generating alerts concerning potential adverse effects to a patient from taking a cluster including a plurality of pharmaceutical preparations and various food supplements/herbals may be in data communication with and configured to obtain information from at least two databases and at least one tool for processing the cluster of pharmaceutical preparations in accordance with the information to generate the alerts to the user.

Abstract: Systems and methods for generating customized annotations of a medical record are provided. The system receives a medical record and processes it using a predictive model to identify evidence of a finding. The system then determines whether to have a recall enhancement or validation of a specific finding. Recall enhancement is used to tune or develop the predictive model, while validation is used to rapidly validate the evidence. The source document is provided to the user and feedback is requested. When asking for validation, the system also highlights the evidence already identified and requests the user to indicate if the evidence is valid for a particular finding. If recall enhancement is utilized, the source document is provided and the user is asked to find evidence in the document for a particular finding. The user may then highlight the evidence that supports the finding. The user may also annotate the evidence using free form text.

Abstract: A patient-centered mobile communication system and method that includes a physician's main menu comprising a processor, a memory including computer program code, the memory and the computer program code configured to, with the processor, cause the system at least to perform a physician main menu with at least one selectable button (region) to view patient information regarding at least one patient for which a physician provide care, at least one selectable button (region) to view the identity of one or more physicians also providing care to said at least one patient, and at least one selectable button (region) to communicate with any one of the identified physicians.

Abstract: A context sensitive methodology, a Structured Virtual Construct (SVC) system, data tagging techniques, and an apparatus are provided for performing Medical Code-based decision-making involving the matching of a given medical identified element against one or more of a set of known or reference medical identified elements from history or other data elements. A satisfactory decision is achieved as a function of both aggregated ranking (AR) and account adjudication (AA), where account adjudication refers to the full set of values garnered by the Medical Code accumulation process in the process of generating approval/denial/re-classification/of medical diagnosis and/or claim events.

Abstract: By extracting clinical data of any format from respective different sources, a data repository normalized to a generic format is created. A medical domain specific language may be used to interact with the data repository for identifying cohorts and gaps in care for the respective cohorts. Any rules for finding gaps in care are converted into the medical domain specific language for determining gaps. This standardization in both the data repository and rule application may allow for a true cost and time to value solution accessible to many different medical practices.

Abstract: A computerized method for implementing a ranked health-content article feed includes the step of obtaining a set of health-content articles. A health-content article includes a distributable computer file containing a media content comprising text, a digital image or a digital video. The method includes the step of identifying a sub-set of health content articles comprising a marketing content. The method includes the step of removing the sub-set of health content articles comprising the marketing content from the set of health-content articles. The method includes the step of providing an authority score for each health-content article of the set of health-content articles. The method includes the step of providing a social-popularity score for each health-content article of the set of health-content articles. The method includes the step of providing a content score for each health-content article of the set of health-content articles.

Abstract: Systems, methods, and computer-readable media are disclosed for remote monitoring and dynamic document management. Example methods may include receiving a first document from a device driver associated with a hardware device, identifying a clinical trial identifier associated with the first document based at least in part on metadata associated with the first document, and determining a first document type of the first document by analyzing contents of the first document. Methods may include managing user permission to access the first document. Methods may further include identifying a folder associated with the clinical trial identifier at which to store the first document based at least in part on the first document type, and assigning a first document state to the first document based at least in part on the first document type of the first document.

Abstract: Computerized systems and methods identify deficiencies in patient data that may impact payment for services rendered to a patient and facilitates collection/correction of patient data to address the deficiencies. The deficiencies occur in two main situations: (1) a physician has confirmed a diagnosis that impacts payment but the patient data does not satisfy clinical evidence, direct evidence, and treatment requirements to support the diagnosis; and (2) the patient data satisfies clinical evidence, direct evidence, and treatment requirements to support a diagnosis but a physician has not confirmed the diagnosis. When a deficiency is identified, an electronic notice is generated and delivered over a communication network to a clinician computing device. The notice may provide the clinician access to a user interface that allows the clinician to enter additional information or clarify information in the patient data to address the deficiency.

Abstract: Systems, methods and computer-readable media are provided for monitoring patients and quantitatively predicting whether an event such as a significant change in health status meriting intervention, is likely to occur within a future time interval subsequent to computing the prediction. Medical data for a patient is collected from one or more different inputs and used to determine time series data. From this, a forecasted numerical value is computed for one or more physiologic parameters associated with the patient, which may be used to further monitor the patient and facilitate decision making about a need for intensified monitoring or intervention to prevent or manage physiologic or hemodynamic deterioration. An evolutionary algorithm, such as particle swarm optimization and/or differential evolution, may be used to determine the most probable value of the physiologic parameter(s) at one or more future times.

Abstract: An integrated health care delivery network with enabling software and network technology to maximize bed resources, manage varying census levels, and avoid patient diversions through real-time monitoring, automation and communication, is disclosed. Preferably, the present invention is embodied in a bed management system that interfaces with and complements existing Admission/Discharge/Transfer (ADT) systems. The bed management system is an easy-to-use business intelligence application that is designed to allow administrators, clinicians and managers to easily access, analyze and display real-time patient and bed availability information from ancillary information systems, databases and spreadsheets. It enables users to see trends and relationships in hospital (bed) management data directly from their desktop personal computers.

Abstract: Systems and methods for efficient medical chart review are provided. In some embodiments, medical records are received. The admissibility of each record is then determined. Next, a condition and MEAT assessment is generated for the medical records. The condition and MEAT determination each have a corresponding confidence. A determination may be made whether human quality assurance is required. If so, the medical records may be routed to one or more coders for human review. In addition, the systems and methods may also perform an audit analysis on the records, which identifies codes which have been submitted and have insufficient evidence. Lastly, a cost metric for the patient based upon the condition and MEAT determination may be generated.

Abstract: Clinical activity network applications are described. Some embodiments provide an Operational Intelligence Platform (“OIP”) that is configured to generate a clinical activity network that uniformly represents actions and data updates occurring in a source healthcare system. Each clinical activity instance associates an action (or activity) with a context, a time, a user, and a patient or other subject. By analyzing collections of clinical activity instances, applications can identify patterns, processes, and relationships within the healthcare setting that would not necessarily be detectable when analyzing data from a single source, such as the source customer database.

Abstract: A dental patient interface on a computing device may display data related to a dental patient. The data may include identifying information for the dental patient, dental appointment scheduling information for the dental patient, and dental history information regarding a plurality of teeth of the dental patient. The dental patient interface may receive a selection of a particular tooth of the plurality of teeth. Possibly in response to the selection of the particular tooth, the dental patient interface may display a dental history of the particular tooth, the dental history including dental implant information. The dental implant information may identify dental implant components forming the particular tooth or prosthesis by implant manufacturer and/or part number.

Abstract: Aspects of the invention include methods and systems for a vehicle insurance claim management application which improves communication and streamline tasks between a vehicle repair shop and an insurance company system in three general task groups: assignment (comprising work requests, estimates/photos, and reinspections), financial management, and performance measurement. Aspects of the invention also provide interoperability with different types of estimating systems that do not necessarily follow an industry standard. This interoperability is provided through an adapter module with a claim processing system to communicate with the insurance company system and the vehicle insurance claim management application. The invention is preferably accessed by a user over a computer network such as the Internet, from a remote location such as a vehicle repair shop.