Physician Quality Scoring via Training and Peer Data

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Solution Overview

Problem

The healthcare industry lacks effective systems for patients to make informed decisions when selecting a physician, as current reviews and rankings often focus on non-quality-related factors, leading to misleading information and potentially detrimental choices.

Innovation Solution

A system and method for assessing and scoring physicians based on their training quality, including medical school, residency, fellowship, affiliations, publication records, referrals, outcomes, and institutional factors, using a comprehensive scoring methodology that considers peer attributes and institutional weights to determine an overall quality score.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If patient reviews and rankings are based on non-quality-related factors (niceness, wait times, cleanliness), then patient satisfaction metrics are improved, but the accuracy of quality assessment deteriorates

Engineering Contradiction:
Improvepatient satisfactionVSAvoidquality assessment accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent segments physician quality assessment into multiple distinct dimensions: training quality (medical school, residency, fellowship), peer reviews, outcomes data, and patient experience. By dividing the overall assessment into these separate components, the system can weight quality-related factors more heavily while still incorporating patient satisfaction metrics, thus resolving the contradiction between ease of operation and measurement precision

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system changes the parameters used for assessment from purely patient satisfaction metrics to a composite set of parameters including training credentials, peer evaluations, clinical outcomes, and patient experience. This parameter transformation allows the system to maintain patient satisfaction as one component while prioritizing objective quality indicators, thereby improving measurement precision without completely sacrificing ease of operation

Inventive Principle:
Principle #35Parameter changes

2Measurement precision

If comprehensive data collection on physician training and performance is implemented, then quality assessment accuracy is improved, but system complexity increases

Engineering Contradiction:
Improvequality assessment accuracyVSAvoidsystem complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent introduces intermediary components including a standardized scoring algorithm, weighted evaluation framework, and normalized data processing layer. These intermediaries transform diverse data sources (training credentials, peer reviews, outcomes) into a unified quality score, reducing system complexity while maintaining assessment accuracy

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The system employs a universal scoring methodology that can evaluate physicians across different specialties and practice settings using the same core framework. This multi-functional approach allows comprehensive data collection without proportionally increasing complexity, as the same evaluation structure applies to diverse physician profiles

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

3Reliability

If multiple evaluation criteria (training, peers, outcomes, patient experience) are used, then reliability of quality scoring is improved, but data processing requirements increase

Engineering Contradiction:
Improvequality scoring reliabilityVSAvoiddata processing volume
Core Design Contradiction:
ReliabilityVSQuantity of substance

Solution Approach 1:

The patent applies local quality by assigning different weights to different evaluation criteria based on their relevance to quality assessment. Training quality and peer reviews receive higher weights than patient experience metrics, allowing the system to process comprehensive data while prioritizing the most reliable quality indicators, thus improving reliability without proportionally increasing data processing requirements

Inventive Principle:
Principle #3Local quality

Data Source

PatentUS11488706B2Physician quality scoring
Publication Date: 2022.11.01 INCLUDED HEALTH INC
  • US11488706B2 patent drawing
  • US11488706B2 patent drawing
  • US11488706B2 patent drawing

AI summary

Aspects of the present invention relate to system and methods for assigning quality scores to one or more caregivers, such as physicians. In embodiments, a ranking or score may be based, at least in part, upon a combination of quality scores from one or more stages in a physician's academic training and clinic practice and based, at least in part, upon the quality of peers of that physician at various stages in the career progression of the physician. This information may be used to help a potential patient identify a physician for their care.