Computer network architecture with benchmark automation, machine learning and artificial intelligence for measurement factors
The present disclosure is related generally to computer network architectures for machine learning, and more specifically, to computer network architectures for the automated production and distribution of custom healthcare performance benchmarks for specific patient cohorts. Embodiments allow specification and automated production of benchmarks using any of many dozens of patient, disease process, facility, and physical location attributes. Embodiments may use an analytic module web application and a benchmark service module web application, with other architecture components. Embodiments may include a combination of third-party databases to generate benchmarks and to drive the forecasting models, including social media data, financial data, socio-economic data, medical data, search engine data, e-commerce site data, and other databases.
1. A method utilizing benchmark automation, artificial intelligence and machine learning, comprising:
receiving, by an analytic module web application (AMWA), a user request for analysis and performance benchmarks, with patient clinical episode data, wherein the AMWA is in electronic communication with a prediction module, a prediction web application, and a user device, wherein the prediction module includes a prediction generator and updated system databases, wherein the prediction web application is in electronic communication with the prediction module and the user device,
analyzing, by the AMWA, the patient clinical episode data,
identifying, by the AMWA, underperforming patient cohorts,
requesting, by the AMWA, a benchmark service module web application (BSMWA) to generate performance benchmarks for the identified cohorts, wherein the BSMWA is in electronic communication with the prediction module, the prediction web application, the AMWA, and the user device,
identifying, by the BSMWA, updated system databases and third-party databases with relevant patient claims data,
generating and distributing, by the BSMWA, requests for data to the identified databases,
receiving, by the BSMWA, the requested data and storing the data received from the user requests and the data requests in the updated system databases,
generating, by the BSMWA, a benchmark response report for the identified patient cohorts using the received data,
transferring, by the BSMWA, the benchmark response report to the user device,
accessing, by the BSMWA, the prediction web application to predict the performance of the identified patient cohorts and impacts of meeting the benchmarks,
receiving, by a learning module, a list of algorithm definitions and datasets for prediction, wherein the learning module includes a training submodule and is in electronic communication with the prediction module and the updated system databases,
automatically calibrating, by the learning module, one or more defined algorithms with the identified updated system databases,
testing, by the learning module, the calibrated algorithms with a plurality of evaluation metrics,
storing, by the learning module, the tested algorithms and the evaluation metrics in a library,
automatically selecting, by the learning module, a tested algorithm, wherein the selected tested algorithm is utilized by the prediction web application to predict the performance of the identified patient cohorts and the impacts of meeting the benchmarks,
updating further, by the learning module, the identified updated system databases with third party data, and with user episode data, and
upon occurrence of an event or periodically, re-executing, by the learning module, the calibrating, testing, storing, and selecting steps after the updating of the identified updated system databases step.
2. The method of claim 1 , wherein the identified databases include data that is from a party that is a member of the group consisting of:
hospitals,
medical practices,
insurance companies,
credit reporting agencies, and
credit rating agencies, and
the identified databases include patient medical data, patient personal data, patient outcome data, and medical treatment data;
the user is a member of the group comprising:
hospitals,
medical practices, and
insurance companies.
3. The method of claim 1 , wherein the user device is remote from the AMWA and the BSMWA, and
the user device is a member of the group consisting of:
a computer,
a desktop PC,
a laptop PC,
a smart phone,
a tablet computer, and
a personal wearable computing device.
4. The method of claim 1 , wherein the BSMWA communicates with the third-party databases by the Internet, or an extranet, or a VPN, or other network, and the AMWA and BSMWA are generic for any user, or customized for a specific user, or class of user.
5. The method of claim 1 , wherein the identified databases contain data from at least one third party, containing data of a plurality of types consisting of: medical claims data, prescription refill data, publicly available social media data, credit agency data, marketing data, travel web site data, e-commerce web site data, search engine data, credit card data, credit score and credit history data, lending data, mortgage data, financial data, travel data, geolocation data, and telecommunications usage data.
6. A method utilizing benchmark automation, artificial intelligence and machine learning, comprising:
receiving, by an analytic module web application (AMWA), a user request for analysis and performance benchmarks, with patient clinical episode data, wherein the AMWA is in electronic communication with a prediction module, a prediction web application, and a user device, wherein the prediction module includes a prediction generator and updated system databases, wherein the prediction web application is in electronic communication with the prediction module and the user device,
analyzing, by the AMWA, the patient clinical episode data,
identifying, by the AMWA, underperforming patient cohorts,
requesting, by the AMWA, a benchmark service module web application (BSMWA) to generate performance benchmarks for the identified cohorts, wherein the BSMWA is in electronic communication with the prediction module, the prediction web application, the AMWA, and the user device,
identifying, by the BSMWA, updated system databases and third-party databases with relevant patient claims data,
generating and distributing, by the BSMWA, requests for data to the identified databases,
receiving, by the BSMWA, the requested data and storing the data received from the user requests and the data requests in the updated system databases,
generating, by the BSMWA, a benchmark response report for the identified patient cohorts using the received data,
transferring, by the BSMWA, the benchmark response report to the user device,
accessing, by the BSMWA, the prediction web application to predict the performance of the identified patient cohorts and impacts of meeting the benchmarks,
receiving, by a learning module, a list of algorithm definitions and datasets for prediction, wherein the learning module includes a training submodule and is in electronic communication with the prediction module and the updated system databases,
automatically calibrating, by the learning module, one or more defined algorithms with the identified updated system databases,
testing, by the learning module, the calibrated algorithms with a plurality of evaluation metrics,
storing, by the learning module, the tested algorithms and the evaluation metrics in a library,
automatically selecting, by the learning module, a tested algorithm, wherein the selected tested algorithm is utilized by the prediction web application to predict the performance of the identified patient cohorts and the impacts of meeting the benchmarks,
updating further, by the learning module, the identified updated system databases with third party data, and with user episode data, and
upon occurrence of an event or periodically, re-executing, by the learning module, the calibrating, testing, storing, and selecting steps after the updating of the identified updated system databases step,
wherein the identified databases include data that is from a party that is a member of the group consisting of:
hospitals,
medical practices,
insurance companies,
credit reporting agencies, and
credit rating agencies, and
the identified databases include patient medical data, patient personal data, patient outcome data, and medical treatment data; and
the user is a member of the group comprising:
hospitals,
medical practices, and
insurance companies; and
wherein the user device is remote from the AMWA and the BSMWA, and
the user device is a member of the group consisting of:
a computer,
a desktop PC,
a laptop PC,
a smart phone,
a tablet computer, and
a personal wearable computing device; and
wherein the BSMWA communicates with the third-party databases by the Internet, or an extranet, or a VPN, or other network, and the AMWA and BSMWA are generic for any user, or customized for a specific user, or class of user; and
wherein the identified databases contain data from at least one third party, containing data of a plurality of types consisting of: medical claims data, prescription refill data, publicly available social media data, credit agency data, marketing data, travel website data, e-commerce website data, search engine data, credit card data, credit score and credit history data, lending data, mortgage data, financial data, travel data, geolocation data, and telecommunications usage data.