Method and system for generating personal/individual health records

Abstract

A system and method for generating and/or updating a personal/individual health record. Inputs of data to the system may come from diverse sources including, but not limited to, patient questionnaires, insurance company (or other payor) claims data, hospitals, clinics and other institutional providers, and individual physicians and physicians' offices.

1 . An electronic health record system server for use with analyzing electronic health records of a plurality of patients, the electronic health record system server comprising:
 a messaging facility configured to receive clinical data concerning a plurality of patients on a communications network, wherein the clinical data for at least a portion of the patients includes clinical data regarding multiple episodes of care;   a population engine on a computer configured to populate a database with a plurality of electronic health records including the clinical data received from the messaging facility, wherein each patient is identified in the database with a unique master patient index identifier (“MPI”); and   a data analysis module on a computer configured to analyze the plurality of electronic health records in the database to measure clinical outcomes of patients across multiple episodes of care, wherein clinical outcomes measured by the data analysis module includes one or more of disease cure rates, mortality, morbidity, adverse side effects of therapy, quality of life, and long term survival of the patients analyzed by the data analysis module.   
     
     
         2 . The electronic health record system server as recited in  claim 1 , wherein the MPI is not a social security number. 
     
     
         3 . The electronic health record system server as recited in  claim 2 , wherein clinical data regarding multiple episodes of care includes clinical data originating from multiple health care provider organizations concerning the episodes of care, wherein the population engine is configured to associate the clinical data from the multiple health care provider organizations with a MPI corresponding with a patient for whom the clinical data relates. 
     
     
         4 . The electronic health record system server as recited in  claim 1 , wherein the data analysis module is configured to measure a clinical outcome by measuring one or more of the following across multiple patients and multiple episodes of care: (1) progress of a condition; (2) impact of co-morbidities on the underlying condition; (3) outcomes of procedures on the underlying condition; and (4) assessing effectiveness of medications on the underlying condition. 
     
     
         5 . The electronic health record system server as recited in  claim 1 , wherein the data analysis module is configured to identify a medication or treatment that most successfully treats a condition by measuring outcomes across multiple patients and multiple episodes of care, wherein the outcomes measured include one or more of the following: disease cure rates, mortality, morbidity, adverse side effects of therapy, quality of life, and long term survival of the patients. 
     
     
         6 . The electronic health record system server as recited in  claim 1 , wherein the messaging facility is configured to receive payor claims data, wherein the population engine is configured to identify claim codes from the payor claims data received from the messaging facility and translate these claim codes into clinical descriptions describing a diagnosis, treatment or medication represented by the claim codes, wherein the population engine populates the database with the clinical descriptions extracted from the payor claims data and associates these clinical descriptions with an MPI corresponding to the respective patients. 
     
     
         7 . The electronic health record system server as recited in  claim 6 , wherein the population engine is configured to identify ICD codes, CPT codes, and NDC codes in the payor claims data and translate any identified ICD codes, CPT codes and NDC codes into clinical descriptions, wherein the population engine populates the database with the clinical descriptions extracted from the claim codes and associates these clinical descriptions with an MPI corresponding to respective patients. 
     
     
         8 . The electronic health record system server as recited in  claim 6 , wherein the messaging facility is configured to receive payor claims data originating from multiple payers, wherein the population engine is configured to associate the payor claims data from the multiple payors with an appropriate patient based on the MPI of the patient, wherein the MPI is not a social security number. 
     
     
         9 . The electronic health record system server as recited in  claim 1 , further comprising an access management module on a computer configured to provide access to view at least a portion of the plurality of electronic health records over a communications network. 
     
     
         10 . The electronic health record system server as recited in  claim 9 , wherein the access management module is configured to supplement one or more of the plurality of electronic health records responsive to communications received over the communications network. 
     
     
         11 . An electronic health record system server for use with analyzing substantially comprehensive electronic health records of a plurality of patients, the electronic health record system server comprising:
 a messaging facility configured to receive clinical data concerning a plurality of patients on a communications network from a plurality of sources, wherein the plurality of sources includes: (1) surveys of the plurality of patients, including information regarding over-the-counter medications; (2) clinical data from health care providers of the plurality of patients; (3) clinical data extracted from payor health care data;   a population engine on a computer configured to populate a database with a plurality of electronic health records including the data received from the plurality of sources at the messaging facility, wherein each patient is identified in the database with a unique master patient index identifier (“MPI”); and   a data analysis module on a computer configured to analyze the plurality of electronic health records in the database to measure clinical outcomes of patients treated with different medications, surgeries, and other invasive procedures, wherein clinical outcomes measured by the data analysis module includes one or more of disease cure rates, mortality, morbidity, adverse side effects of therapy, quality of life, and long term survival of the patients analyzed by the data analysis module.   
     
     
         12 . The electronic health record system server as recited in  claim 11 , wherein the data analysis module is configured to measure clinical outcomes of patients across multiple episodes of care. 
     
     
         13 . The electronic health record system server as recited in  claim 12 , wherein the MPI is not a social security number. 
     
     
         14 . The electronic health record system server as recited in  claim 12 , wherein clinical data from a health care provider of a respective patient of the plurality of patients includes clinical data regarding multiple episodes of care and includes clinical data originating from multiple health care provider organizations concerning the episodes of care, wherein the population engine is configured to associate the clinical data from the multiple health care provider organizations with a MPI corresponding with a patient for whom the clinical data relates. 
     
     
         15 . The electronic health record system server as recited in  claim 12 , wherein the data analysis module is configured to measure a clinical outcome by measuring one or more of the following across multiple patients and multiple episodes of care: (1) progress of a condition in response to a therapy or treatment; (2) impact of co-morbidities on the underlying condition; (3) outcomes of procedures on the underlying condition; and (4) assessment of effectiveness of medications on the underlying condition. 
     
     
         16 . The electronic health record system server as recited in  claim 12 , wherein the data analysis module is configured to identify a medication or treatment that most successfully treats a condition by measuring outcomes across multiple patients and multiple episodes of care, wherein the outcomes measured include one or more of the following: disease cure rates, mortality, morbidity, adverse side effects of therapy, quality of life, and long term survival of the patients. 
     
     
         17 . The electronic health record system server as recited in  claim 12 , wherein the messaging facility is configured to receive payor claims data originating from multiple payors, wherein the population engine is configured to associate the payor claims data from the multiple payors with an appropriate patient based on the MPI of the patient, wherein the MPI is not a social security number. 
     
     
         18 . The electronic health record system server as recited in  claim 12 , wherein the data analysis module is configured to analyze the electronic health care records to profile one or more of the health care providers reflected in the electronic health care records for quality of care based on a measurement of the outcomes of patients under the care of respective health care providers. 
     
     
         19 . The electronic health record system server as recited in  claim 11 , further comprising an access management module on a computer configured to provide access to view at least a portion of the plurality of electronic health records over a communications network. 
     
     
         20 . The electronic health record system server as recited in  claim 19 , wherein the access management module is configured to supplement one or more of the plurality of electronic health records responsive to communications received over the communications network.