Patent Issued for Medical Information Navigation Engine (MINE) System (USPTO 10,319,467)

2019 JUN 26 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- A patent by the inventors Rogers, Robert Derward (Pleasanton, CA); Dastmalchi, Shahram Shawn (San Ramon, CA); Schulte, Darren Matthew (San Francisco, CA); Chaudhri, Imran N. (Potomac, MD); Campana, Mary Ellen (San Mateo, CA); Sethumadhavan, Vishnuvyas (Mountain View, CA), filed on August 9, 2013, was published online on June 24, 2019, according to news reporting originating from Alexandria, Virginia, by NewsRx correspondents.

Patent number 10,319,467 is assigned to Apixio Inc.

The following quote was obtained by the news editors from the background information supplied by the inventors: “The present invention relates to medical information engine, and particularly to management and consolidation of medical information.

“Despite rapid growth of innovation in other fields in recent decades, the world of medical information, including patient medical records, billing, and a host of other information, has enjoyed little to no useful consolidation, reliability, or ease-of-access, leaving medical professionals, hospitals, clinics, and even insurance companies with many issues, such as unreliability of medical information, uncertainty of diagnosis, lack of standard, and a slew of other related problems.

“One of the challenges facing those in the medical or related areas is the number of sources of information, the great amount of information from each source, and consolidation of such information in a manner that renders it meaningful and useful to those in the field in addition to patients. Obviously, this has contributed to increased medical costs and is perhaps largely attributed to the field suffering from an organized solution to better aid the medical professionals, to better aid those requiring more reliable patient history and those requiring more control and access over such information.

“Currently, when a patient sees various medical professionals over the years, there is no method for universally tracking recommendations, thoughts, prescriptions, diagnosis. This hinders the job of insurance companies in making certain requisite determinations, physicians making decisions that directly impact the health of the patient, and hospitals and other medical institutions who similarly rely but do not have the benefit of the requisite information, not to mention the patient.

“Further, there are problems in the current medical system that are associated with patient identity in that due to the exposure of a patient to various medical associations/professionals over the years and the possibility of various ways of identifying the same patient, patients’ records and identity are oftentimes compromised, creating a slew of problems both for the patient as well as those treating the patient.

“Further, privacy of a patient’s health records is not currently reliably maintained, as there are too many cases of health record compromises. Additionally, patient control of access to medical information is nearly nonexistent. Additionally, secure and remote access of medical information is currently lacking.

“Therefore, what is needed is a method and apparatus for managing medical information in a manner that is beneficial, reliable, portable, flexible, and efficiently usable to those in the medical field, including patients.”

In addition to the background information obtained for this patent, NewsRx journalists also obtained the inventors’ summary information for this patent: “To achieve the foregoing in accordance with the present invention, to overcome the limitations in the prior art described above, and to overcome other limitations that will become apparent upon reading and understanding the present specification, the present invention discloses a method and a corresponding structure for transacting medical information.

“Briefly, a method of transacting medical information is disclosed to include receiving medical information from a medical sources, identifying, mapping, and consolidating the received medical information by a back-end medical processor, presenting access to specific relevant data, based on a user’s security privileges, within the identified, mapped, and consolidated medical information, based on user-specific functions or roles by a front-end medical processor, and generating user-customized processed medical information to a plurality of users, with at least a portion of the user-customize processed medical information being provided to each of the plurality of users based on its relevancy to each user’s specific function or role and each user’s associated security privileges.

“These and other objects and advantages of the invention will no doubt become apparent to those skilled in the art after having read the following detailed description of the preferred embodiments illustrated in the several figures of the drawing. Note that the various features described above may be practiced alone or in combination. These and other features will be described in more detail below in the detailed description of the invention and in conjunction with the following figures.”

The claims supplied by the inventors are:

“What is claimed is:

“1. A method for improving reporting of recognized Medicare Accountable Care Organization (ACO) quality measures performed by a medical information navigation engine (MINE), useful in association with at least one electronic health record (EHR) system, the method comprising: aggregating clinical data and billing data from at least one electronic health record system, wherein the clinical data includes medical records, healthcare device generated information, information entered by a patient, text information entered by a care provider, and scanned documents; extracting concepts within the clinical data using a database of medical concepts and relationships between the medical concepts; identifying at least one ACO quality measure using the extracted concepts; determining a measured quantity of the identified at least one ACO quality measure; receiving a probability rate of an ACO quality measure being found by a complete manual audit; determining a number of patients in the at least one electronic health record system; calculating an expected quantity of ACO quality measure being found by the complete manual audit by multiplying the probability rate by the number of patients; subtracting the measured quantity from the expected quantity to generate a variable; solve a confidence level for the variable using the number of patients and Hoeffding’s inequality equation; receiving an acceptable value for the confidence level; comparing the confidence level to the acceptable value; and exporting the at least one recognized ACO quality measure identified using the extracted concepts for reporting or for manual validation responsive to the confidence level meeting the acceptable value.

“2. The method of claim 1 further comprising providing a validation tool for users, including clinicians, to search and view clinical data.

“3. The method of claim 1, further comprising applying terminology codes to the extracted concepts.

“4. The method of claim 1, wherein the exporting is through an application interface.

“5. The method of claim 4, wherein the exporting is to a GPRO quality tool.

“6. The method of claim 1, further comprising updating the identified at least one ACO quality measure with validated results.

“7. The method of claim 6, further comprising repeating the calculation of the confidence level using the updated identified at least one ACO quality measure.

“8. The method of claim 1, further comprising receiving a listing of codes associated with the at least one electronic health record system.

“9. The method of claim 8, further comprising identifying which of the extracted concepts are not reflected in the listing of codes associated with the at least one electronic health record system.

“10. The method of claim 9, further comprising recommending the identified extracted concepts that are not reflected as reimbursement opportunities.”

URL and more information on this patent, see: Rogers, Robert Derward; Dastmalchi, Shahram Shawn; Schulte, Darren Matthew; Chaudhri, Imran N.; Campana, Mary Ellen; Sethumadhavan, Vishnuvyas. Medical Information Navigation Engine (MINE) System. U.S. Patent Number 10,319,467, filed August 9, 2013, and published online on June 24, 2019. Patent URL: http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PALL&p=1&u=%2Fnetahtml%2FPTO%2Fsrchnum.htm&r=1&f=G&l=50&s1=10,319,467.PN.&OS=PN/10,319,467RS=PN/10,319,467

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