Abstract: Mechanisms are provided for communicating with a patient. The mechanisms generate a patient registry comprising a plurality of patient registry records, each patient registry record being associated with a corresponding patient and comprising personal and medical information about the corresponding patient. The mechanisms collect, for each patient registry record, first data regarding treatment of the corresponding patient and second data regarding communications made with the corresponding patient. The mechanisms determine, based on analysis of the first data and second data associated with each of the patient registry records, a mode of communication that is most likely to result in a successful treatment of patients. The mechanisms initiate a communication with a patient of interest using the determined mode of communication based on the results of the determination.

Abstract: A mechanism is provided in a data processing system comprising at least one processor and at least one memory, the at least one memory comprising instructions executed by the at least one processor to cause the at least one processor to implement a clinical decision support system. A priority calculation component executing within the clinical decision support system receives weighted priority configuration for a health care facility and a set of patients with care gaps. The priority calculation component assigns a priority value to each given patient in the set of patients based on a risk score of at least one condition for the given patient, a number of days out of compliance for the at least one condition for the given patient, and an organizational goal factor associated with the at least one condition for the health care organization. The priority calculation component generates a prioritized communication sequence for the set of patients.

Abstract: A mechanism is provided in a data processing system comprising least one processor and at least one memory, the at least one memory comprising instructions executed by the at least one processor to cause the at least one processor to implement a clinical decision support system. A priority calculation component executing within the clinical decision support system receives weighted priority configuration for a health care facility and a set of patients with care gaps. The priority calculation component assigns a priority value to each given patient in the set of patients based on a risk score of at least one condition for the given patient, a number of days out of compliance for the at least one condition for the given patient, and an organizational goal factor associated with the at least one condition for the health care organization. The priority calculation component generates a prioritized communication sequence for the set of patients.

Abstract: Mechanisms are provided to implement a medical code re-coding system. The mechanisms analyze a patient medical record corresponding to a patient, to identify at least one previous occurrence of a medical code in the patient medical record. At least one medical code re-coding rule corresponding to the at least one previous occurrence of the medical code is applied to the patient medical record. Based on results of the application of the at least one medical code re-coding rule, a determination is made as to whether the medical code is a candidate for re-coding. A notification of the medical code being a candidate for re-coding is output in response to the determination indicating that the medical code is a candidate for re-coding.

Abstract: Mechanisms are provided for identifying potential medical codes applicable to a patient based on a patient registry record. A patient registry record, in a patient registry, is analyzed to identify current and historical medical information about a corresponding patient. The current and historical medical information is evaluated to identify at least one medical code for which the patient may qualify but is not currently associated with the patient. A probability value for the at least one medical code is calculated based on the current and historical medical information about the corresponding patient. The probability value is compared to at least one threshold value and an alert notification is output indicating the at least one medical code in response to the probability value having a predetermined relationship with the at least one threshold value.

Abstract: Mechanisms are provided for communicating with a patient. The mechanisms generate a patient registry comprising a plurality of patient registry records, each patient registry record being associated with a corresponding patient and comprising personal and medical information about the corresponding patient. The mechanisms collect, for each patient registry record, first data regarding treatment of the corresponding patient and second data regarding communications made with the corresponding patient. The mechanisms determine, based on analysis of the first data and second data associated with each of the patient registry records, a mode of communication that is most likely to result in a successful treatment of patients. The mechanisms initiate a communication with a patient of interest using the determined mode of communication based on the results of the determination.

Abstract: Mechanisms are provided for performing sequential multi-modal communication with patients. The mechanisms generate a patient registry comprising a plurality of patient registry records, each patient registry record being associated with a corresponding patient and comprising personal and medical information about the corresponding patient. The mechanisms collect, for each patient registry record, first data regarding treatment of the corresponding patient and second data regarding communications made with the corresponding patient. The mechanisms determine, based on analysis of the first data and second data associated with each of the patient registry records, a sequence of modes of communication that is most likely to result in a successful treatment of patients. The mechanisms initiate a plurality of communications with a patient of interest using the determined sequence of modes of communication based on the results of the determination.