High fidelity clinical documentation improvement (CDI) smart scoring systems and methods
US10733566B1 · kind B1 · utility
Assignee
Inventors
Key dates
| Filing date | Nov 11, 2016 |
| Grant date | Aug 4, 2020 |
| Priority date | — |
| Expiry date | Jun 6, 2039 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG06N5/01
- WIPO fieldComputer technology
- WIPO sectorElectrical engineering
Abstract
A clinical documentation improvement (CDI) smart scoring method may include predicting, via per-condition diagnosis machine learning (ML) models and based on clinical evidence received by a system, a probability that a medical condition is under-documented and, via per-condition documentation ML models and based on documentation received by the system, a probability that a medical condition is over-documented. The under- and over-documentation scores are combined in view of special indicators and queryability factors, which can also be evaluated using ML query prediction models, to generate an initial CDI score. This CDI score can be further adjusted, if necessary or desired, to account for factors such as length of stay, payer, patient location, CDI review timing, etc. The final CDI score can be used to prioritize patient cases for review by CDI specialists to quickly and efficiently identify meaningful CDI opportunities.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.