Unified healthcare intelligence, analytics, and care management

Abstract

Healthcare intelligence and analytics may be improved by combining sets of disparate healthcare records and matching records between patients. The matched records may then be analyzed by identifying relevant individuals and providing information to a user containing the combined sets of healthcare records and the analysis. The information may be customized for the user after identifying the user accessing the interface. Additionally, rules may be applied to the analyzed data to enhance the data when viewed by the user.

What is claimed is: 
     
         1 . A method of providing healthcare intelligence and analytics, comprising:
 receiving a plurality of sets of healthcare data records;   matching at least one healthcare data record from each set of the sets of healthcare data records to each of a plurality of individuals;   identifying a healthcare data record from at least one of the sets of healthcare data records that is relevant to a target individual;   analyzing the result of associating each individual of the plurality of individuals with at least one healthcare data record from at least one set of healthcare data records and the result of identifying the health care data record relevant to the target individual; and   outputting information to a user interface display based, in part, on the analysis.   
     
     
         2 . The method of  claim 1 , further comprising allowing management of the target individual's care and wellbeing through processes and user interfaces. 
     
     
         3 . The method of  claim 2 , wherein the step of allowing management comprises allowing viewing of clinical, financial and administrative data for a target patient to assist in their health care and allowing capture of additional data and activities associated with that care. 
     
     
         4 . The method of  claim 1 , further comprising applying a rule to the analyzed data to identify data from the plurality of sets of healthcare data records relevant to a condition of the target individual. 
     
     
         5 . The method of  claim 4 , wherein the rule is at least one of a clinical, financial, and administrative rule. 
     
     
         6 . The method of  claim 1 , wherein the step of receiving comprises receiving at least two of a set of claims healthcare data records, a set of clinical healthcare data records, a set of billing healthcare data records, and a set of patient report outcomes healthcare data records, wherein each set of healthcare data records comprises a plurality of healthcare data records. 
     
     
         7 . The method of  claim 1 , further comprising identifying a user accessing the user interface display, wherein the information output to the user interface display is unique for the user accessing the user interface display. 
     
     
         8 . The method of  claim 1 , wherein analyzing comprises:
 grouping the plurality of individuals into separate population cohorts; and   identifying the population cohorts to which the target individual is grouped.   
     
     
         9 . The method of  claim 1 , wherein analyzing comprises attributing clinical conditions and classifications to the target individual using at least one of a predictive model and a clinical-based rule. 
     
     
         10 . The method of  claim 1 , wherein analyzing comprises calculating historic costs and estimating predictive costs of treatment for the target individual. 
     
     
         11 . The method of  claim 1 , wherein analyzing comprises identifying clinical and financial risks associated with the target individual. 
     
     
         12 . The method of  claim 1 , wherein analyzing comprises generating a care plan for the target individual. 
     
     
         13 . The method of  claim 1 , wherein analyzing comprises calculating and displaying a confidence level for a healthcare decision made available to the user of the user interface display, wherein the healthcare decision is associated with the target individual. 
     
     
         14 . The method of  claim 1 , further comprising receiving a query in a domain specific language (DSL), wherein analyzing comprises analyzing according to the query. 
     
     
         15 . The method of  claim 1 , wherein outputting comprises displaying at least one of tabular, graphical, and textual information. 
     
     
         16 . An apparatus, comprising:
 a memory; and   a processor coupled to the memory, in which the processor is configured to execute the steps comprising:
 receiving a plurality of sets of healthcare data records; 
 matching at least one healthcare data record from each set of the sets of healthcare data records to each of a plurality of individuals; 
 identifying a healthcare data record from at least one of the sets of healthcare data records that is relevant to a target individual; 
 analyzing the result of associating each individual of the plurality of individuals with at least one healthcare data record from at least one set of healthcare data records and the result of identifying the health care data record relevant to the target individual; and 
 outputting information to a user interface display based, in part, on the analysis. 
   
     
     
         17 . The apparatus of  claim 16 , in which the processor is also configured to execute the step of allowing management of the target individual's care and wellbeing through processes and user interfaces. 
     
     
         18 . The apparatus of  claim 17 , in which the processor is also configured to execute the step of allowing viewing of clinical, financial and administrative data for a target patient to assist in their health care and allowing capture of additional data and activities associated with that care. 
     
     
         19 . The apparatus of  claim 16 , in which the processor is also configured to execute the step of applying a rule to the analyzed data to identify data from the plurality of sets of healthcare data records relevant to a condition of the target individual. 
     
     
         20 . The apparatus of  claim 19 , wherein the rule is at least one of a clinical, financial, and administrative rule. 
     
     
         21 . The apparatus of  claim 16 , wherein the step of receiving comprises receiving at least two of a set of claims healthcare data records, a set of clinical healthcare data records, a set of billing healthcare data records, and a set of patient report outcomes healthcare data records, wherein each set of healthcare data records comprises a plurality of healthcare data records. 
     
     
         22 . The apparatus of  claim 16 , in which the processor is also configured to execute the step of identifying a user accessing the user interface display, wherein the information output to the user interface display is unique for the user accessing the user interface display. 
     
     
         23 . The apparatus of  claim 19 , wherein analyzing comprises:
 grouping the plurality of individuals into separate population cohorts; and   identifying the population cohorts to which the target individual is grouped.   
     
     
         24 . The apparatus of  claim 19 , wherein analyzing comprises attributing clinical conditions and classifications to the target individual using at least one of a predictive model and a clinical-based rule. 
     
     
         25 . The apparatus of  claim 19 , wherein analyzing comprises calculating historic costs and estimating predictive costs of treatment for the target individual. 
     
     
         26 . The apparatus of  claim 19 , wherein analyzing comprises identifying clinical and financial risks associated with the target individual. 
     
     
         27 . The apparatus of  claim 19 , wherein analyzing comprises generating a care plan for the target individual. 
     
     
         28 . The apparatus of  claim 19 , wherein analyzing comprises calculating and displaying a confidence level for a healthcare decision made available to the user of the user interface display, wherein the healthcare decision is associated with the target individual. 
     
     
         29 . The apparatus of  claim 16 , in which the processor is also configured to execute the step of receiving a query in a domain specific language (DSL), wherein analyzing comprises analyzing according to the query. 
     
     
         30 . The apparatus of  claim 19 , wherein outputting comprises displaying at least one of tabular, graphical, and textual information. 
     
     
         31 . A computer program product, comprising:
 a non-tangible computer readable medium comprising code to perform the steps comprising:
 receiving a plurality of sets of healthcare data records; 
 matching at least one healthcare data record from each set of the sets of healthcare data records to each of a plurality of individuals; 
 identifying a healthcare data record from at least one of the sets of healthcare data records that is relevant to a target individual; 
 analyzing the result of associating each individual of the plurality of individuals with at least one healthcare data record from at least one set of healthcare data records and the result of identifying the health care data record relevant to the target individual; and 
 outputting information to a user interface display based, in part, on the analysis. 
   
     
     
         32 . The computer program product of  claim 31 , in which the medium further comprises code to perform the step of allowing management of the target individual's care and wellbeing through processes and user interfaces. 
     
     
         33 . The computer program product of  claim 32 , in which the medium further comprises code to perform the step of allowing viewing of clinical, financial and administrative data for a target patient to assist in their health care and allowing capture of additional data and activities associated with that care. 
     
     
         34 . The computer program product of  claim 31 , in which the medium further comprises code to perform the step of applying a rule to the analyzed data to identify data from the plurality of sets of healthcare data records relevant to a condition of the target individual. 
     
     
         35 . The computer program product of  claim 34 , wherein the rule is at least one of a clinical, financial, and administrative rule. 
     
     
         36 . The computer program product of  claim 31 , wherein the step of receiving comprises receiving at least two of a set of claims healthcare data records, a set of clinical healthcare data records, a set of billing healthcare data records, and a set of patient report outcomes healthcare data records, wherein each set of healthcare data records comprises a plurality of healthcare data records. 
     
     
         37 . The computer program product of  claim 31 , in which the medium further comprises code to perform the step of identifying a user accessing the user interface display, wherein the information output to the user interface display is unique for the user accessing the user interface display. 
     
     
         38 . The computer program product of  claim 31 , wherein analyzing comprises:
 grouping the plurality of individuals into separate population cohorts; and   identifying the population cohorts to which the target individual is grouped.   
     
     
         39 . The computer program product of  claim 31 , wherein analyzing comprises attributing clinical conditions and classifications to the target individual using at least one of a predictive model and a clinical-based rule. 
     
     
         40 . The computer program product of  claim 31 , wherein analyzing comprises calculating historic costs and estimating predictive costs of treatment for the target individual. 
     
     
         41 . The computer program product of  claim 31 , wherein analyzing comprises identifying clinical and financial risks associated with the target individual. 
     
     
         42 . The computer program product of  claim 31 , wherein analyzing comprises generating a care plan for the target individual. 
     
     
         43 . The computer program product of  claim 31 , wherein analyzing comprises calculating and displaying a confidence level for a healthcare decision made available to the user of the user interface display, wherein the healthcare decision is associated with the target individual. 
     
     
         44 . The computer program product of  claim 31 , in which the medium further comprises code to perform the step of receiving a query in a domain specific language (DSL), wherein analyzing comprises analyzing according to the query. 
     
     
         45 . The computer program product of  claim 31 , wherein outputting comprises displaying at least one of tabular, graphical, and textual information.