Rules-based health care referral method and system

Details Rules-based health care referral method and system Rules-based health care referral method and system

2011-03-08

2011-03-08

O'Connor, Gerald J. (Department: 3686)

Data processing: financial, business practice, management, or co

Automated electrical financial or business practice or...

Health care management

C705S002000, C705S004000, C705S002000, C705S002000, C600S300000

Reexamination Certificate

active

07904315

ABSTRACT:
An Internet-based system and method facilitates interactive placing and acceptance of patient referrals within a health care community. A referring health care provider accesses the proposed specialty clinic or other provider through the system, identifies the patient and pertinent medical conditions, and responds to interactive queries put by the system to qualify the patient and his or her medical condition for the referral. The system automatically accepts or rejects the referral, proposes prior tests or treatments for the patient before another referral attempt is made, or accepts the referral subject to tests being completed. Accepted referrals are then scheduled by staff depending on their urgency as indicated in the interactive querying system. Rules governing the interactive querying are set by physicians and managers of the community and can be changed as conditions warrant. Security of patient information in the system in accordance with federal HIPPA requirements is readily provided via passwords and user log-ins.

REFERENCES:
patent: 5911132 (1999-06-01), Sloane
patent: 2002/0026329 (2002-02-01), Saito et al.
patent: 2003/0069754 (2003-04-01), Weeks et al.
patent: 2003/0208391 (2003-11-01), Dvorak et al.
patent: 2005/0209885 (2005-09-01), Lamb et al.

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