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1.发明授权公开(公告)号：US07716067B2
公开(公告)日：2010-05-11
申请号：US12001589
申请日：2007-12-12
申请人： Jo Surpin , Michael Kalison
发明人： Jo Surpin , Michael Kalison
摘要： The invention relates to a method and system of physician economic performance evaluation in which the relative medical difficulty associated with patients admitted by a particular physician is determined and, given that measurement, judgments made concerning the relative amount of inpatient resources that the physician required. Also, one application of the present invention relates to a method for gainsharing of physician services using a surplus allocation methodology for rewarding physicians in relation to their performance. An incentive pool is determined from previous patient claims and payments made to physicians in advance, such as in a base year. Best practice norms are established for a plurality of classified diagnosis groups. In one embodiment of the present invention, the classified diagnosis related groups are adjusted for severity of illness to compensate for actual clinical challenges faced by individual physicians. The best practice norms can be used in the surplus allocation method for determining physician performance. The incentive is established proportional to the relationship between a physician's individual performance and the best practice norm.
摘要翻译： 本发明涉及一种医师经济绩效评估的方法和系统，其中确定与特定医师所接纳的患者相关的相对医疗困难，并且考虑到该测量，关于医生所需的住院资源的相对量的判断。 此外，本发明的一个应用涉及一种使用剩余分配方法来获得医生服务的方法，用于奖励医师与其表现有关的方法。 激励池是从以前的病人索赔和医生预付款（例如基准年）中确定的。 针对多个分类诊断组建立了最佳实践规范。 在本发明的一个实施例中，根据疾病的严重程度调整分类的诊断相关组以补偿个体医生面临的实际临床挑战。 最佳实践规范可用于确定医师绩效的剩余分配方法。 激励与医师个人表现与最佳实践规范之间的关系成正比。
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公开(公告)号：US07640174B2
公开(公告)日：2009-12-29
申请号：US11900872
申请日：2007-09-12
申请人： Jo Surpin , Michael Kalison
发明人： Jo Surpin , Michael Kalison
CPC分类号： G06Q10/10 , G06F19/00 , G06Q30/02 , G06Q30/0211 , G06Q30/0283 , G06Q40/00 , G06Q50/22 , G06Q50/24
摘要： The invention relates to a method and system of physician economic performance evaluation in which the relative medical difficulty associated with patients admitted by a particular physician is determined and, given that measurement, judgments made concerning the relative amount of inpatient resources that the physician required. Also, one application of the present invention relates to a method for gainsharing of physician services using a surplus allocation methodology for rewarding physicians in relation to their performance. An incentive pool is determined from previous patient claims and payments made to physicians in advance, such as in a base year. Best practice norms are established for a plurality of classified diagnosis groups. In one embodiment of the present invention, the classified diagnosis related groups are adjusted for severity of illness to compensate for actual clinical challenges faced by individual physicians. The best practice norms can be used in the surplus allocation method for determining physician performance. The incentive is established proportional to the relationship between a physician's individual performance and the best practice norm.
摘要翻译： 本发明涉及一种医师经济绩效评估的方法和系统，其中确定与特定医师所接纳的患者相关的相对医疗困难，并且考虑到该测量，关于医生所需的住院资源的相对量的判断。 此外，本发明的一个应用涉及一种使用剩余分配方法来获得医生服务的方法，用于奖励医师与其表现有关的方法。 激励池是从以前的病人索赔和医生预付款（例如基准年）中确定的。 针对多个分类诊断组建立了最佳实践规范。 在本发明的一个实施例中，根据疾病的严重程度调整分类的诊断相关组以补偿个体医生面临的实际临床挑战。 最佳实践规范可用于确定医师绩效的剩余分配方法。 激励与医师个人表现与最佳实践规范之间的关系成正比。
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3.发明授权公开(公告)号：US07640173B2
公开(公告)日：2009-12-29
申请号：US11283309
申请日：2005-11-18
申请人： Jo Surpin , Michael Kalison
发明人： Jo Surpin , Michael Kalison
摘要： The invention relates to a method and system of physician economic performance evaluation in which the relative medical difficulty associated with patients admitted by a particular physician is determined and, given that measurement, judgments made concerning the relative amount of inpatient resources that the physician required. Also, one application of the present invention relates to a method for gainsharing of physician services using a surplus allocation methodology for rewarding physicians in relation to their performance. An incentive pool is determined from previous patient claims and payments made to physicians in advance, such as in a base year. Best practice norms are established for a plurality of classified diagnosis groups. In one embodiment of the present invention, the classified diagnosis related groups are adjusted for severity of illness to compensate for actual clinical challenges faced by individual physicians. The best practice norms can be used in the surplus allocation method for determining physician performance. The incentive is established proportional to the relationship between a physician's individual performance and the best practice norm.
摘要翻译： 本发明涉及一种医师经济绩效评估的方法和系统，其中确定与特定医师所接纳的患者相关的相对医疗困难，并且考虑到该测量，关于医生所需的住院资源的相对量的判断。 此外，本发明的一个应用涉及一种使用剩余分配方法来获得医生服务的方法，用于奖励医师与其表现有关的方法。 激励池是从以前的病人索赔和医生预付款（例如基准年）中确定的。 针对多个分类诊断组建立了最佳实践规范。 在本发明的一个实施例中，根据疾病的严重程度调整分类的诊断相关组以补偿个体医生面临的实际临床挑战。 最佳实践规范可用于确定医师绩效的剩余分配方法。 激励与医师个人表现与最佳实践规范之间的关系成正比。
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公开(公告)号：US07546245B2
公开(公告)日：2009-06-09
申请号：US10346308
申请日：2003-01-17
申请人： Jo Surpin , Michael Kalison
发明人： Jo Surpin , Michael Kalison
CPC分类号： G06Q10/10 , G06F19/00 , G06Q30/02 , G06Q30/0211 , G06Q30/0283 , G06Q40/00 , G06Q50/22 , G06Q50/24
摘要： The invention relates to a method and system of physician economic performance evaluation in which the relative medical difficulty associated with patients admitted by a particular physician is determined and, given that measurement, judgments made concerning the relative amount of inpatient resources that the physician required. Also, one application of the present invention relates to a method for gainsharing of physician services using a surplus allocation methodology for rewarding physicians in relation to their performance. An incentive pool is determined from previous patient claims and payments made to physicians in advance, such as in a base year. Best practice norms are established for a plurality of classified diagnosis groups. In one embodiment of the present invention, the classified diagnosis related groups are adjusted for severity of illness to compensate for actual clinical challenges faced by individual physicians. The best practice norms can be used in the surplus allocation method for determining physician performance. The incentive is established proportional to the relationship between a physician's individual performance and the best practice norm.
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5.发明申请公开(公告)号：US20080195417A1
公开(公告)日：2008-08-14
申请号：US12001589
申请日：2007-12-12
申请人： Jo Surpin , Michael Kalison
发明人： Jo Surpin , Michael Kalison
IPC分类号： G06Q50/00
摘要： The invention relates to a method and system of physician economic performance evaluation in which the relative medical difficulty associated with patients admitted by a particular physician is determined and, given that measurement, judgments made concerning the relative amount of inpatient resources that the physician required. Also, one application of the present invention relates to a method for gainsharing of physician services using a surplus allocation methodology for rewarding physicians in relation to their performance. An incentive pool is determined from previous patient claims and payments made to physicians in advance, such as in a base year. Best practice norms are established for a plurality of classified diagnosis groups. In one embodiment of the present invention, the classified diagnosis related groups are adjusted for severity of illness to compensate for actual clinical challenges faced by individual physicians. The best practice norms can be used in the surplus allocation method for determining physician performance. The incentive is established proportional to the relationship between a physician's individual performance and the best practice norm.
摘要翻译： 本发明涉及一种医师经济绩效评估的方法和系统，其中确定与特定医师所接纳的患者相关的相对医疗困难，并且考虑到该测量，关于医生所需的住院资源的相对量的判断。 此外，本发明的一个应用涉及一种使用剩余分配方法来获得医生服务的方法，用于奖励医师与其表现有关的方法。 激励池是从以前的病人索赔和医生预付款（例如基准年）中确定的。 针对多个分类诊断组建立了最佳实践规范。 在本发明的一个实施例中，根据疾病的严重程度调整分类的诊断相关组以补偿个体医生面临的实际临床挑战。 最佳实践规范可用于确定医师绩效的剩余分配方法。 激励与医师个人表现与最佳实践规范之间的关系成正比。
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公开(公告)号：US20080010090A1
公开(公告)日：2008-01-10
申请号：US11900872
申请日：2007-09-12
申请人： Jo Surpin , Michael Kalison
发明人： Jo Surpin , Michael Kalison
IPC分类号： G06Q10/00
CPC分类号： G06Q10/10 , G06F19/00 , G06Q30/02 , G06Q30/0211 , G06Q30/0283 , G06Q40/00 , G06Q50/22 , G06Q50/24
摘要： The invention relates to a method and system of physician economic performance evaluation in which the relative medical difficulty associated with patients admitted by a particular physician is determined and, given that measurement, judgments made concerning the relative amount of inpatient resources that the physician required. Also, one application of the present invention relates to a method for gainsharing of physician services using a surplus allocation methodology for rewarding physicians in relation to their performance. An incentive pool is determined from previous patient claims and payments made to physicians in advance, such as in a base year. Best practice norms are established for a plurality of classified diagnosis groups. In one embodiment of the present invention, the classified diagnosis related groups are adjusted for severity of illness to compensate for actual clinical challenges faced by individual physicians. The best practice norms can be used in the surplus allocation method for determining physician performance. The incentive is established proportional to the relationship between a physician's individual performance and the best practice norm.
摘要翻译： 本发明涉及一种医师经济绩效评估的方法和系统，其中确定与特定医师所接纳的患者相关的相对医疗困难，并且考虑到该测量，关于医生所需的住院资源的相对量的判断。 此外，本发明的一个应用涉及一种使用剩余分配方法来获得医生服务的方法，用于奖励医师与其表现有关的方法。 激励池是从以前的病人索赔和医生预付款（例如基准年）中确定的。 针对多个分类诊断组建立了最佳实践规范。 在本发明的一个实施例中，根据疾病的严重程度调整分类的诊断相关组以补偿个体医生面临的实际临床挑战。 最佳实践规范可用于确定医师绩效的剩余分配方法。 激励与医师个人表现与最佳实践规范之间的关系成正比。
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公开(公告)号：US20060149596A1
公开(公告)日：2006-07-06
申请号：US11283309
申请日：2005-11-18
申请人： Jo Surpin , Michael Kalison
发明人： Jo Surpin , Michael Kalison
摘要： The invention relates to a method and system of physician economic performance evaluation in which the relative medical difficulty associated with patients admitted by a particular physician is determined and, given that measurement, judgments made concerning the relative amount of inpatient resources that the physician required. Also, one application of the present invention relates to a method for gainsharing of physician services using a surplus allocation methodology for rewarding physicians in relation to their performance. An incentive pool is determined from previous patient claims and payments made to physicians in advance, such as in a base year. Best practice norms are established for a plurality of classified diagnosis groups. In one embodiment of the present invention, the classified diagnosis related groups are adjusted for severity of illness to compensate for actual clinical challenges faced by individual physicians. The best practice norms can be used in the surplus allocation method for determining physician performance. The incentive is established proportional to the relationship between a physician's individual performance and the best practice norm.
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