1. A computer implemented method of rewarding health care providers in a health care organization using an integrated medical management system, comprising the steps of:
providing said integrated medical management system, wherein the integrated medical management system comprises a web application for analyzing performance of said health care providers;
acquiring information from a plurality of medical management systems using said web application;
determining performance indices for the health care providers based on said acquired information using the web application, comprising:
calculating quality indices of said health care providers, wherein said quality indices are based on one or more of predetermined health plan employer data and information set analysis, predetermined disease management analysis, and predetermined quality of healthcare measure;
calculating economic indices of said health care providers, wherein said economic indices are based on one or more of utilization analytics, physician profiling, and authorizations management of a health care provider compared to other health care providers in a health plan; and
calculating a relative value unit index, wherein said relative value unit index is based on utilization of relative value units;
analyzing said performance of the health care providers based on said determined performance indices, wherein said step of analyzing the performance comprises identifying the health care providers eligible for a reward; and
rewarding said identified health care providers based on said analyzed performance;
whereby said health care organization rewards the health care providers based on the performance of the health care providers.
2. The computer implemented method of claim 1, wherein the health care providers are one or more of primary care physicians, procedurally related group specialists, medically related groups specialists, provider networks, hospitals, and ancillary providers.
3. The computer implemented method of claim 1, wherein said medical management systems include a utilization analytics system, provider profiling system, an intelligent health care quality improvement system, a disease and case based management system, referrals and authorizations management system, and a health risk assessment system.
4. The computer implemented method of claim 1, wherein the acquired information from said medical management systems comprises intelligent health care quality improvement analysis information, disease and case based management information, utilization analytics information, physician profiling information, authorizations management information, lab and imaging information, and health risk assessment information.
5. The computer implemented method of claim 1, wherein the acquired information comprises information of members enrolled with the health care providers, wherein said member information comprises information of health plan benefits, medical claims, pharmacy claims, hospital information, allied health center information, authorizations and referrals information, lab and imaging information, disease conditions, and comorbid conditions of said members.
6. The computer implemented method of claim 1, further comprising a step of updating unobserved performed health care measures by the health care providers.
7. The computer implemented method of claim 1, further comprising a step of notifying the health care providers for performing health care measures.
8. The computer implemented method of claim 7, wherein the integrated medical management system automatically triggers different communication devices for said notification in absence of access of the web application by the health care providers.
9. The computer implemented method of claim 1, wherein the integrated medical management system receives medical information of members via different communication devices in absence of access of the web application by the health care providers.
10. The computer implemented method of claim 9, wherein the integrated medical management system associates said received information with the health care providers of said members and enables updation of the received information.
11. The computer implemented method of claim 1, wherein the step of analyzing the performance comprises a step of monitoring the performance of the health care providers using the web application.
12. The computer implemented method of claim 1, further comprising a step of generating reports on the performance of the health care providers using the web application.
13. The computer implemented method of claim 1, wherein said step of rewarding comprises offering a projected increase in reimbursements to the identified health care providers.
14. The computer implemented method of claim 1, further comprising a step of identifying ineffective health care providers, wherein said identified ineffective health care providers are provided recommendations for improvement on health care management.
15. A computer implemented system for rewarding health care providers in a health care organization based on performance of said health care providers, comprising:
an integrated medical management system, comprising:
a plurality of medical management systems;
a web application server comprising:
an information acquisition module for acquiring information from a plurality of medical management systems;
a performance index calculation module for determining performance indices for the health care providers, comprising:
a quality index module for determining quality indices of said health care providers, wherein said quality indices are based on one or more of predetermined health plan employer data and information set analysis, predetermined disease management analysis, and predetermined quality of healthcare measure;
an economic index module for determining economic indices of said health care providers, wherein said economic indices are based on one or more of utilization analytics, physician profiling, and authorizations management of a health care provider compared to other health care providers in a health plan; and
a relative value unit index module for calculating a relative value unit index, wherein said relative value unit index is based on utilization of relative value units;
a performance analysis module for analyzing and monitoring said performance of the health care providers; and
a pay for performance module for rewarding the health care providers based on said analyzed performance.
16. The computer implemented system of claim 15, wherein said integrated medical management system enables updation of medical information of members received via different communication devices.
17. The computer implemented system of claim 15, wherein said medical management systems comprise an utilization analytics system, an intelligent health care quality improvement system, a disease and case based management system, a provider profiling system, a referrals and authorizations management system, and a health risk assessment system.
18. The computer implemented system of claim 15, further comprising a user interface for enabling health care administrators to assign a predetermined weighted percentage value for said performance indices.
19. The computer implemented system of claim 15, wherein said information acquisition module acquires information comprising intelligent health care quality improvement analysis information, disease and case based management information, utilization analytics information, physician profiling information, authorizations management information, lab and imaging information, and health risk assessment information.
20. The computer implemented system of claim 15, wherein said web application server further comprises a health care measure updation module for updating unobserved performed health care measures.
21. The computer implemented system of claim 15, wherein said web application server further comprises a report generation module for generating reports on the performance of the health care providers.
22. The computer implemented system of claim 15, wherein said web application server further comprises a provider record database for storing said acquired information, updated health care measure information, generated reports, information of said performance indices, analyzed performance information of the health care providers, and reward information of the health care providers.
23. The computer implemented system of claim 15, wherein said web application server further comprises a notification engine for notifying the health care providers to perform health care measures.
24. A computer program product comprising computer executable instructions embodied in a non-transitory computer-readable medium, wherein said computer program product comprises:
a first computer parsable program code for acquiring information from a plurality of medical management systems;
a second computer parsable program code for determining performance indices for health care providers based on said acquired information, comprising:
a quality index module for determining quality indices of said health care providers, wherein said quality indices are based on one or more of predetermined health plan employer data and information set analysis, predetermined disease management analysis, and predetermined quality of healthcare measure;
an economic index module for determining economic indices of said health care providers, wherein said economic indices are based on one or more of utilization analytics, physician profiling, and authorizations management of a health care provider compared to other health care providers in a health plan; and
a relative value unit index module for calculating a relative value unit index, wherein said relative value unit index is based on utilization of relative value units;
a third computer parsable program code for analyzing performance of said health care providers based on said determined performance indices;
a fourth computer parsable program code for rewarding the health care providers based on said analyzed performance; and
a fifth computer parsable program code for intelligently associating medical information of members received via different communication devices with the health care providers.
The claims below are in addition to those above.
All refrences to claim(s) which appear below refer to the numbering after this setence.
1. An actuating assembly for extending and retracting through an aperture in a side wall of a mobile living quarters a slide out room having first and second opposing side walls, the actuating assembly comprising:
an upper gear rack comprising teeth, the upper gear rack configured for mounting on an upper portion of the first side wall of the slide out room such that the teeth face outwardly from the first side wall of the slide out room;
a lower gear rack comprising teeth, the lower gear rack configured for mounting on a lower portion of the first side wall of the slide out room such that the teeth face outwardly from the first side wall of the slide out room;
a drive mechanism configured for mounting to the side wall of the mobile living quarters adjacent to the aperture in the side wall of the mobile living quarters and adjacent the first side wall of the slide out room, the drive mechanism comprising:
a column configured for attachment to the side wall of the mobile living quarters;
an upper bearing block disposed in an upper portion of the column;
one of a hooked extension extending from the upper bearing block into a longitudinally extending groove of the upper gear rack and a roller engaged between the upper bearing block and a bearing surface of the upper gear rack;
a lower bearing block disposed in a lower portion of the column;
one of a hooked extension extending from the lower bearing block into a longitudinally extending groove of the lower gear rack and a roller engaged between the upper bearing block and a bearing surface of the upper gear rack;
a torque shaft rotatably supported by the upper bearing block and the lower bearing block;
an upper pinion gear engaged with the torque shaft and the upper gear rack;
a lower pinion gear engaged with the torque shaft and the lower gear rack;
an electric motor configured to rotate the torque shaft, the motor disposed in the column.
2. The actuating assembly of claim 1 further comprising the other of a hooked extension extending from the upper bearing block into a longitudinally extending groove of the upper gear rack and a roller engaged between the upper bearing block and a bearing surface of the upper gear rack.
3. The actuating assembly of claim 2 further comprising the other of a hooked extension extending from the lower bearing block into a longitudinally extending groove of the lower gear rack and a roller engaged between the lower bearing block and a bearing surface of the lower gear rack.
4. The actuating assembly of claim 1 further comprising the other of a hooked extension extending from the lower bearing block into a longitudinally extending groove of the lower gear rack and a roller engaged between the lower bearing block and a bearing surface of the lower gear rack.
5. An actuating system for extending and retracting through an aperture in a side wall of a mobile living quarters a slide out room having first and second opposing side walls, the actuating system comprising:
first and second actuating assemblies as claimed in claim 1; and
a motor control system configured to stop the motor of the first actuating assembly and dynamically brake the motor of the first actuating assembly when the motor of the first actuating assembly exceeds a first stall threshold,
the motor control system further configured to stop the motor of the second actuating assembly and dynamically brake the motor of the second actuating assembly when the motor of the second actuating assembly exceeds a second stall threshold.
6. The actuating system of claim 5 wherein the motor control system comprises a first current sensor configured to measure current draw of the motor of the first actuating assembly, and a second current sensor configured to measure current draw of the motor of the second actuating assembly.
7. The actuating system of claim 6 wherein the motor control system further comprises a processor configured to compare the measured current draw of the motor of the first actuating assembly to the first stall threshold and to compare the measured current draw of the motor of the second actuating assembly to the second stall threshold.
8. The actuating system of claim 7 further comprising:
a first motor speed sensor configured to measure the speed of the motor of the first actuating assembly; and
a second motor speed sensor configured to measure the speed of the motor of the second actuating assembly;
the processor further configured to determine whether the motor of the first actuating assembly and the motor of the second actuating assembly are operating within a predetermined speed range of one another, and the processor further configured to slow the faster of the motor of the first actuating assembly and the motor of the second actuating assembly to within the predetermined speed range.
9. The actuating system of claim 8 wherein the processor generates a first pulse width modulated voltage signal for output to the motor of the first actuating assembly and a second pulse width modulated voltage signal for output to the motor of the second actuating assembly.
10. The actuating system of claim 19 wherein the processor alters the first pulse width modulated voltage signal if the motor of the first actuating assembly is operating at a greater speed than the motor of the second actuating assembly to slow the motor of the first actuating assembly to within the predetermined speed range, and wherein the processor alters the second pulse width modulated voltage signal if the motor of the second actuating assembly is operating at a greater speed than the motor of the first actuating assembly to slow the motor of the second actuating assembly to within the predetermined speed range.
11. The actuating system of claim 5 further comprising:
a first motor speed sensor configured to measure the speed of the motor of the first actuating assembly; and
a second motor speed sensor configured to measure the speed of the motor of the second actuating assembly;
the processor further configured to determine whether the motor of the first actuating assembly and the motor of the second actuating assembly are operating within a predetermined speed range of one another, and the processor further configured to slow the faster of the motor of the first actuating assembly and the motor of the second actuating assembly to within the predetermined speed range.
12. The actuating system of claim 11 wherein the processor generates a first pulse width modulated voltage signal for output to the motor of the first actuating assembly and a second pulse width modulated voltage signal for output to the motor of the second actuating assembly.
13. The actuating system of claim 12 wherein the processor alters the first pulse width modulated voltage signal if the motor of the first actuating assembly is operating at a greater speed than the motor of the second actuating assembly to slow the motor of the first actuating assembly to within the predetermined speed range, and wherein the processor alters the second pulse width modulated voltage signal if the motor of the second actuating assembly is operating at a greater speed than the motor of the first actuating assembly to slow the motor of the second actuating assembly to within the predetermined speed range.
14. An actuating system for extending and retracting through an aperture in a side wall of a mobile living quarters a slide out room having first and second opposing side walls, the actuating system comprising:
first and second actuating assemblies as claimed in claim 1; and
a motor control system configured to stop the motor of the first actuating assembly and dynamically brake the motor of the first actuating assembly when the motor of the first actuating assembly exceeds a first stall threshold,
the motor control system further configured to stop the motor of the second actuating assembly and dynamically brake the motor of the second actuating assembly when the motor of the second actuating assembly exceeds a second stall threshold or within a predetermined time after the motor of the first actuating assembly exceeds the first stall threshold.
15. The actuating system of claim 14 wherein the motor control system comprises a first current sensor configured to measure current draw of the motor of the first actuating assembly, and a second current sensor configured to measure current draw of the motor of the second actuating assembly.
16. The actuating system of claim 15 wherein the motor control system further comprises a processor configured to compare the measured current draw of the motor of the first actuating assembly to the first stall threshold and to compare the measured current draw of the motor of the second actuating assembly to the second stall threshold.
17. The actuating system of claim 16 further comprising:
a first motor speed sensor configured to measure the speed of the motor of the first actuating assembly; and
a second motor speed sensor configured to measure the speed of the motor of the second actuating assembly;
the processor further configured to determine whether the motor of the first actuating assembly and the motor of the second actuating assembly are operating within a predetermined speed range of one another, and the processor further configured to slow the faster of the motor of the first actuating assembly and the motor of the second actuating assembly to within the predetermined speed range.
18. The actuating system of claim 17 wherein the processor generates a first pulse width modulated voltage signal for output to the motor of the first actuating assembly and a second pulse width modulated voltage signal for output to the motor of the second actuating assembly.
19. The actuating system of claim 18 wherein the processor alters the first pulse width modulated voltage signal if the motor of the first actuating assembly is operating at a greater speed than the motor of the second actuating assembly to slow the motor of the first actuating assembly to within the predetermined speed range, and wherein the processor alters the second pulse width modulated voltage signal if the motor of the second actuating assembly is operating at a greater speed than the motor of the first actuating assembly to slow the motor of the second actuating assembly to within the predetermined speed range.
20. The actuating system of claim 14 further comprising:
a first motor speed sensor configured to measure the speed of the motor of the first actuating assembly;
a second motor speed sensor configured to measure the speed of the motor of the second actuating assembly; and
a processor configured to determine whether the motor of the first actuating assembly and the motor of the second actuating assembly are operating within a predetermined speed range of one another and further configured to slow the faster of the motor of the first actuating assembly and the motor of the second actuating assembly to within the predetermined speed range.
21. The actuating system of claim 20 wherein the processor generates a first pulse width modulated voltage signal for output to the motor of the first actuating assembly and a second pulse width modulated voltage signal for output to the motor of the second actuating assembly.
22. The actuating system of claim 21 wherein the processor alters the first pulse width modulated voltage signal if the motor of the first actuating assembly is operating at a greater speed than the motor of the second actuating assembly to slow the motor of the first actuating assembly to within the predetermined speed range, and wherein the processor alters the second pulse width modulated voltage signal if the motor of the second actuating assembly is operating at a greater speed than the motor of the first actuating assembly to slow the motor of the second actuating assembly to within the predetermined speed range.
23. An actuating system for extending and retracting through an aperture in a side wall of a mobile living quarters a slide out room having first and second opposing side walls, the actuating system comprising:
first and second actuating assemblies as claimed in claim 1;
a first motor speed sensor configured to measure the speed of the motor of the first actuating assembly;
a second motor speed sensor configured to measure the speed of the motor of the second actuating assembly; and
a processor configured to determine whether the motor of the first actuating assembly and the motor of the second actuating assembly are operating within a predetermined speed range of one another and further configured to slow the faster of the motor of the first actuating assembly and the motor of the second actuating assembly to within the predetermined speed range.
24. The actuating system of claim 23 wherein the processor generates a first pulse width modulated voltage signal for output to the motor of the first actuating assembly and a second pulse width modulated voltage signal for output to the motor of the second actuating assembly.
25. The actuating system of claim 24 wherein the processor alters the first pulse width modulated voltage signal if the motor of the first actuating assembly is operating at a greater speed than the motor of the second actuating assembly to slow the motor of the first actuating assembly to within the predetermined speed range, and wherein the processor alters the second pulse width modulated voltage signal if the motor of the second actuating assembly is operating at a greater speed than the motor of the first actuating assembly to slow the motor of the second actuating assembly to within the predetermined speed range.