Abstract: Systems and methods for implementing a web-based software that aids physicians in selecting healthcare treatment options through the use of care algorithms are disclosed. The system and method incorporate an interface that displays Quality Assessment References “QARs” within decision trees that are updated based on user feedback, user submitted justifications, user patterns and new medical discoveries. Through the system and method of the invention users are provided with real-time data related to healthcare diagnoses, treatments and tests. Users are also provided with a decision tree that follows existing QARs for diagnoses, treatments and tests. Users are also provided with the ability to override the existing QAR, if justified. When justifications for overriding the existing QAR reach a predetermined threshold level, the QAR is altered. In this way, the QAR is adaptable based upon user utilization and performance.