Medical information navigation engine (MINE) system

A method for improving reporting of recognized Medicare Accountable Care Organization (ACO) quality measures performed by a medical information navigation engine (MINE), useful in association with at least one electronic health record (EHR) system, the method comprising:

• aggregating clinical data and billing data from at least one electronic health record system, wherein the clinical data includes medical records, healthcare device generated information, information entered by a patient, text information entered by a care provider, and scanned documents;
• extracting concepts within the clinical data using a database of medical concepts and relationships between the medical concepts;
• identifying at least one ACO quality measure using the extracted concepts;
• determining a measured quantity of the identified at least one ACO quality measure;
• receiving a probability rate of an ACO quality measure being found by a complete manual audit;
• determining a number of patients in the at least one electronic health record system;
• calculating an expected quantity of ACO quality measure being found by the complete manual audit by multiplying the probability rate by the number of patients;
• subtracting the measured quantity from the expected quantity to generate a variable;
• solve a confidence level for the variable using the number of patients and Hoeffding's inequality equation;
• receiving an acceptable value for the confidence level;
• comparing the confidence level to the acceptable value;
• and
• exporting the at least one recognized ACO quality measure identified using the extracted concepts for reporting or for manual validation responsive to the confidence level meeting the acceptable value.