Clinical Decision Support Interface for Fragmented Healthcare Data

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Solution Overview

Problem

The healthcare industry faces challenges in fully leveraging advanced technologies like AI, ML, and NLP due to data fragmentation, complexity in integrating diverse data sources, and the need for real-time decision support, while also requiring systems that ensure regulatory compliance and maintain patient privacy.

Innovation Solution

A unified AI-driven clinical decision support and workflow optimization system that integrates data from multiple healthcare sources, employs AI and ML algorithms for analysis, and provides actionable insights through a unified interface, automating routine tasks and ensuring interoperability with existing systems.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If data from multiple healthcare sources is integrated, then the completeness and accuracy of clinical insights is improved, but the complexity of the system increases

Engineering Contradiction:
Improveaccuracy of clinical insightsVSAvoidsystem complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system segments data integration by creating distinct data layers (clinical data layer, patient demographic layer, claims data layer, social determinants layer) that are processed independently before being synthesized. This modular approach allows each layer to be managed separately, reducing overall system complexity while maintaining comprehensive data integration.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent introduces an intermediary AI/ML processing layer that sits between diverse data sources and the clinical decision support interface. This intermediary layer standardizes and harmonizes data from multiple sources before presentation, acting as a buffer that manages complexity while preserving data accuracy and completeness.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Speed

If AI and ML algorithms are used to analyze data, then the speed and accuracy of decision support is improved, but the computational resources required increase

Engineering Contradiction:
Improvespeed of decision supportVSAvoidcomputational resources
Core Design Contradiction:
SpeedVSUse of energy by moving object

Solution Approach 1:

The system performs preliminary data processing, cleaning, and structuring before AI/ML analysis is applied. By pre-processing data into standardized formats and extracting key features in advance, the actual AI/ML computation requires fewer resources and can execute faster when clinical decisions are needed.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent implements a tiered analysis approach where AI/ML algorithms are applied selectively to the most critical data elements and high-priority cases rather than processing all data uniformly. This partial application of computational resources optimizes the balance between speed and resource consumption.

Inventive Principle:
Principle #16Partial or excessive action

3Ease of operation

If a unified interface is provided to healthcare providers, then the ease of operation is improved, but the device complexity increases

Engineering Contradiction:
Improveease of use for providersVSAvoidinterface complexity
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The unified interface is designed as a multi-functional platform that consolidates multiple specialized tools (clinical decision support, workflow optimization, population health management, billing support) into a single access point. This universal interface reduces the need for providers to switch between multiple systems while maintaining specialized functionality through modular design.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The interface incorporates automated features that reduce the cognitive burden on providers, such as auto-populated fields, pre-filtered recommendations, and automated workflow routing. These self-service elements handle routine tasks automatically, making the interface easier to use despite the underlying system complexity.

Inventive Principle:
Principle #25Self-service

4Productivity

If automated workflows are implemented, then the productivity is improved, but the initial setup complexity increases

Engineering Contradiction:
Improveoperational efficiencyVSAvoidworkflow setup complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The automated workflows are designed with configurable parameters that can be adjusted without changing the underlying system architecture. This allows different healthcare organizations to customize workflows to their specific needs while using the same core automation engine, reducing initial setup complexity while maintaining high productivity benefits.

Inventive Principle:
Principle #35Parameter changes

Data Source

PatentUS20260066120A1Unified ai-driven clinical decision support and workflow optimization system
Publication Date: 2026.03.05 CLOVER HEALTH
  • US20260066120A1 patent drawing
  • US20260066120A1 patent drawing
  • US20260066120A1 patent drawing

AI summary

Systems and methods for enhancing clinical decision-making and workflow optimization is proposed. An example method includes the steps of collecting data from multiple healthcare sources, including electronic health records (EHRs), medical imaging, and patient-reported outcomes. The example method also includes analyzing the collected data using artificial intelligence (AI) and machine learning (ML) algorithms to generate actionable insights. Additionally, the example method includes presenting the generated insights to healthcare providers through a unified interface.