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1. (WO1991017510) HEALTH CARE SERVICES COMPARISON PROCESSING
Latest bibliographic data on file with the International Bureau

Pub. No.: WO/1991/017510 International Application No.: PCT/US1991/002775
Publication Date: 14.11.1991 International Filing Date: 23.04.1991
Chapter 2 Demand Filed: 19.11.1991
IPC:
G06F 19/00 (2011.01) ,G06Q 10/06 (2012.01) ,G06Q 40/02 (2012.01) ,G06Q 50/22 (2012.01) ,G06Q 50/24 (2012.01)
G PHYSICS
06
COMPUTING; CALCULATING; COUNTING
F
ELECTRIC DIGITAL DATA PROCESSING
19
Digital computing or data processing equipment or methods, specially adapted for specific applications
G PHYSICS
06
COMPUTING; CALCULATING; COUNTING
Q
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
10
Administration; Management
06
Resources, workflows, human or project management, e.g. organising, planning, scheduling or allocating time, human or machine resources; Enterprise planning; Organisational models
G PHYSICS
06
COMPUTING; CALCULATING; COUNTING
Q
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
40
Finance; Insurance; Tax strategies; Processing of corporate or income taxes
02
Banking, e.g. interest calculation, credit approval, mortgages, home banking or on-line banking
G PHYSICS
06
COMPUTING; CALCULATING; COUNTING
Q
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
50
Systems or methods specially adapted for a specific business sector, e.g. utilities or tourism
10
Services
22
Health care, e.g. hospitals; Social work
G PHYSICS
06
COMPUTING; CALCULATING; COUNTING
Q
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTING PURPOSES, NOT OTHERWISE PROVIDED FOR
50
Systems or methods specially adapted for a specific business sector, e.g. utilities or tourism
10
Services
22
Health care, e.g. hospitals; Social work
24
Patient record management
Applicants:
HEALTHCHEX, INC. [US/US]; 27 Maple Avenue Victor, NY 14564, US
Inventors:
PERKINS, Nancy, A., K.; US
BOYER, Nancy, N.; US
DIBBLE, Catherine, H.; US
McCABE, Catherine, G.; US
Agent:
STEPHENS, Eugene, S. ; Eugene Stephens & Associates 56 Windsor Street Rochester, NY 14605, US
Priority Data:
517,25701.05.1990US
Title (EN) HEALTH CARE SERVICES COMPARISON PROCESSING
(FR) TRAITEMENT DE DONNEES POUR COMPARER LES SERVICES DE SANTE
Abstract:
(EN) Health care services information from outpatient and impatient claims data bases are computer processed relative to selected clinical variables, which include age, gender, and diagnoses, and preferably also include comorbidity and use of some procedures. These variables are ranked into orders of clinical complexity; and, primarily by means of regression analysis, the extent of systematic relationships of the ranked clinical complexity variables are determined relative to the costs (and preferably also to the utilization of procedures and indicia of quality) of health care services rendered to a patient population. In this process, the available data on the health care experience of the patients is linked to each patient so that information abut the state of the health of each patient can be systematically related to the clinical complexity variables. Determination of the systematic relationships of the services rendered to the clinical complexity variables then allows comparisons of cost (and preferably also of utilization of procedures and indicia of quality). The comparisons are made meaningfully equivalent by adjusting for the clinical complexity of the patients receiving the services in question. This allows a realistic comparison of the efficiency of health care services from different providers.
(FR) Les informations de services de santé résultant des bases de données sur les besoins des malades de consultation externe et des malades hospitalisés sont traitées par ordinateur selon des variables cliniques choisies, comprenant l'âge, le sexe, les diagnostics, et de préférence aussi la comorbidité et l'utilisation de certaines procédures. Ces variables sont clasées en ordres de complexité clinique, et, principalement au moyen de l'analyse de régresion, le degré de liens systématiques entre les varibles de complexité clinique classées sont déterminés par rapport aux coûts (et de préférence aussi par rapport à l'utilisation de procédures et aux indices de qualité) des services de santé redus à une population de patients. Dans ce procédé, les données disponibles sur l'expérience de soins de santé des patients sont liées à chaque patient de sorte que les informations sur l'état de santé de chaque patient peuvent être reliées systématiquement aux variables de complexité clinique. La détermination des liens systématiques entre les services rendus et les variables de complexité clinique permet alors de faire des comparaisons de coûts (et, de préférence, aussi de l'utilisation de procédures et d'indices de qualité). Les comparaisons sont rendues raisonnablement équivalentes en adaptant la complexité clinique des patients recevant les soins en question. On peut ainsi faire une comparaison réaliste de l'efficacité des services sanitaires de diverses sources de soins.
Designated States: CA, JP
European Patent Office (AT, BE, CH, DE, DK, ES, FR, GB, GR, IT, LU, NL, SE)
Publication Language: English (EN)
Filing Language: English (EN)
Also published as:
EP0527834JPH05507567CA2081571