RATING SYSTEM, PROCESS AND PREDICTIVE ALGORITHMIC BASED MEDIUM FOR TREATMENT OF MEDICAL CONDITIONS AND INCLUDING WORKMAN COMPENSATION AND GENERAL REHABILITATION MODULES FOR OPTIMIZING CARE PROVIDER EFFICIENCIES AND EXPEDITED TREATMENT FOR ACHIEVING HIGHER PATIENT FUNCTIONAL OUTCOMES AND LOWER COST

摘要

The present invention discloses a system, method and non-transitory software based computer writeable medium usable with a processor driven device for optimizing the diagnosis, treatment and resolution of worker injury events, such as associated with a workman compensation claim, and which improves upon the existing paper based module by synthesizing, in a digital environment, symptom, treatment and progress variables in a multi-party available format. A further related rehabilitation module, such as not limited to a worker injury event but also including any injury event associated with a typical accountable care organization (insurer/other payor/etc.) in a general health application is provided for establishing and tracking a patient's functional independent (FEM) measurement score. As with the workman compensation module, the rehabilitation module integrates the establishment of current conditions, achievable goals, and time based tracking of the patient treatment (including time elapsed changes in response to flat line response indicating a non-effective treatment plan) in order to define a patient goal outcome and to optimize real time treatment and progress tracking to that goal.

主权项

1. A non-transitory software based algorithmic medium usable with a processor driven device for use in the treatment of an injured worker by a care provider, the worker further being involved in a workman compensation claim with an employer or payer, comprising:
a first subroutine for assembling a provider network incorporating a best practices model in the form of a database interfacing with the processor device and which presents series of treatment options associated with a given type of service, along with a fee schedule incentivizing the care provider in the achievement of a best functional outcome; a second subroutine for training a plurality of the care providers in one or more of a series of medical related diagnosis and treatment programs consistent with the objectives of the first subroutine, said second subroutine further including establishing one or more management pathways which are customizable by the provider network and through establishing a questioning protocol for modifying or customizing a base algorithm for any one or more of a variety of treatment sub-species; a third subroutine for use by a supervisor designated by the employer/payer and which, upon the occurrence of an injury event, provides input of both worker biographical and detail of injury; a fourth subroutine for assignment, by the provider network, of the care provider; a fifth subroutine which, upon an initial visit of the injured worker with the care provider, provides for confirmation by the worker of details previously provided by the supervisor and for the inputting of additional information and/or details surrounding the injury event; a sixth subroutine for establishing, by the worker with or without the assistance of the care provider, an electronic initial injury detail chart including at least one of a pictorial representation of a human form, along with inputs for symptoms relating to the injury event including type and intensity of pain; a seventh subroutine for synthesizing all of the preceding subroutines in the establishment of a symptoms and treatment catalog over a duration of time extending from the injury event to an eventually determined end event corresponding to a recovery by the worker of a level of ability and function necessary for triggering a return to work event; and an eighth subroutine for iteratively treating the worker and updating the symptoms and treatment catalog, such occurring at determined time intervals following the injury event until the eventually determined end event.