公开(公告)号：US20160140461A1

公开(公告)日：2016-05-19

申请号：US14547706

申请日：2014-11-19

Applicant: Xerox Corporation

Inventor： MICHAEL D. SHEPHERD ,  DENNIS F. QUEBE, JR. ,  JING ZHOU ,  FAMING LI ,  JENNIE ECHOLS ,  JINHUI YAO ,  LINA FU

IPC: G06Q10/06

CPC classification number: G06Q10/063 ,  G06Q50/22

Abstract: A system and method for automating analytic processes to improve health outcomes and manage healthcare costs. Data associated with healthcare encounters with managed care organizations (MCOs) is acquired. Findings, predictions, and recommendations for tracking services provided by the MCOs are identified with analytic flows that are based on the data. Relations between the services provided by the MCOs and the healthcare encounters are identified. Utilization statistics are extracted from the data with the analytic processes. Information from the utilization statistics relevant to the healthcare encounters is output.

Abstract translation: 用于自动分析过程以改善健康结果并管理医疗成本的系统和方法。 与管理型医疗机构（MCO）的医疗保健相关的数据被收购。 由MCO提供的跟踪服务的结果，预测和建议用基于数据的分析流量来确定。 确定了MCO提供的服务与医疗保健相关之间的关系。 利用统计数据从分析过程的数据中提取。 输出与医疗保健相关的利用统计信息。

公开(公告)号：US20170186121A1

公开(公告)日：2017-06-29

申请号：US14983170

申请日：2015-12-29

Applicant: XEROX CORPORATION

Inventor： XUEJIN WEN ,  JING ZHOU ,  LINA FU ,  FAMING LI ,  JENNIE ECHOLS ,  MICHAEL D. SHEPHERD ,  JINHUI YAO ,  DENNIS F. QUEBE, JR.

IPC: G06Q50/22 ,  G06F3/0484 ,  G06T11/20 ,  G06T11/60 ,  G06Q30/02 ,  G06F17/30

CPC classification number: G06Q50/22 ,  G06F16/2246 ,  G06F16/29 ,  G06Q30/0205 ,  G06T11/206 ,  G06T11/60

Abstract: A computer system configured to determine healthcare accessibility in a geographic region includes a memory storing a computer program, and a processor configured to execute the computer program. The computer program is configured to determine an expected level of care necessary for each member in the geographic region relating to a medical service type using member demographic data, aggregate the expected level of care necessary for each member to determine a total level of demand of the medical service type, and construct a ball tree representation indicating the healthcare accessibility for the medical service type on a display in real-time.

公开(公告)号：US20170372028A1

公开(公告)日：2017-12-28

申请号：US15189859

申请日：2016-06-22

Applicant: XEROX CORPORATION

Inventor： JING ZHOU ,  MICHAEL D. SHEPHERD ,  DENNIS F. QUEBE, JR. ,  JENNIE ECHOLS ,  FAMING LI ,  LINA FU ,  XUEJIN WEN ,  JINHUI YAO

IPC: G06F19/00

CPC classification number: G16H50/30 ,  G16H40/20

Abstract: A method of evaluating managed care organizations (MCOs) includes acquiring medical data associated with patients' healthcare encounters with the MCOs, calculating a health risk score of a subpopulation using patient characteristic data included in the medical data, providing encounter data included in the medical data and the health risk score as input to analytic processes that track services provided by the MCOs, and generating a risk-adjusted performance metric of the MCOs by the analytic processes. The risk-adjusted performance metrics relate to categories of concern. The method further includes generating a standardized score for each of the risk-adjusted performance metrics based on a comparison of the subpopulation with an entire population, assigning a weight to each of the standardized scores based on an importance level of each category of concern, and generating a final score corresponding to a performance category for each of the MCOs based on the standardized scores.