Ai-driven healthcare platform for integrated and automated care workflows

A computer-implemented system for managing patient care workflows, the system comprising:

• a patient registry comprising patient data and configured to maintain patient demographic details, insurance information, and assigned care teams;
• a practitioner registry comprising a plurality of practitioners adapted to provide care to patients in the patient registry;
• a care plan library storing a plurality of care plan templates configured for dynamic customization for patients in the patient registry;
• a time tracking and billing module configured to receive practitioner time and generate bills for the care provided to the patients in the patient registry;
• a clinical workflow engine configured to generate and process claims;
• a processor;
• and
• memory communicably coupled to the processor, wherein the memory stores processor-executable instructions, which when executed by the processor, cause the processor to trigger the clinical workflow engine to link patient records with provider data stored in the practitioner registry to define care team assignments;
• for each linked patient record:
• retrieve a care plan from the care plan library;
• automate document handling in real time for the linked patient record to generate or update the care plan, assessment data, progress reports, and claims records associated with the linked patient record;
• track service durations for the care provided to the patient in each linked patient record, wherein billable minutes are associated with standardized billing codes;
• and
• orchestrate workflow automation for each linked patient record according to predefined rules, the orchestration comprising generating claims according to the standardized billing codes based on the tracked service durations.

A non-transitory computer-readable storage medium storing executable program instructions that, when executed by a processor, cause the processor to perform operations comprising:

• accessing a patient registry comprising patient data and configured to maintain patient demographic details, insurance information, and assigned care teams;
• accessing a practitioner registry comprising a plurality of practitioners adapted to provide care to patients in the patient registry;
• accessing a care plan library storing a plurality of care plan templates configured for dynamic customization for patients in the patient registry;
• accessing a time tracking and billing module configured to receive practitioner time and generate bills for the care provided to the patients in the patient registry;
• accessing a clinical workflow engine configured to generate and process claims;
• accessing memory communicably coupled to the processor, wherein the memory stores processor-executable instructions, which when executed by the processor, cause the processor to trigger the clinical workflow engine to link patient records with provider data stored in the practitioner registry to define care team assignments;
• for each linked patient record:
• retrieve a care plan from the care plan library;
• automate document handling in real time for the linked patient record to generate or update the care plan, assessment data, progress reports, and claims records associated with the linked patient record;
• track service durations for the care provided to the patient in each linked patient record, wherein billable minutes are associated with standardized billing codes;
• and
• orchestrate workflow automation for each linked patient record according to predefined rules, the orchestration comprising generating claims according to the standardized billing codes based on the tracked service durations.

A computer-implemented method for managing patient care workflows, the method having access to a processor and memory storing executable program instructions that, when executed by the processor, cause the processor to perform operations comprising:

• accessing a patient registry comprising patient data and configured to maintain patient demographic details, insurance information, and assigned care teams;
• accessing a practitioner registry comprising a plurality of practitioners adapted to provide care to patients in the patient registry;
• accessing a care plan library storing a plurality of care plan templates configured for dynamic customization for patients in the patient registry;
• accessing a time tracking and billing module configured to receive practitioner time and generate bills for the care provided to the patients in the patient registry;
• accessing a clinical workflow engine configured to generate and process claims;
• accessing memory communicably coupled to the processor, wherein the memory stores processor-executable instructions, which when executed by the processor, cause the processor to trigger the clinical workflow engine to link patient records with provider data stored in the practitioner registry to define care team assignments;
• for each linked patient record:
• retrieve a care plan from the care plan library;
• automate document handling in real time for the linked patient record to generate or update the care plan, assessment data, progress reports, and claims records associated with the linked patient record;
• track service durations for the care provided to the patient in each linked patient record, wherein billable minutes are associated with standardized billing codes;
• and
• orchestrate workflow automation for each linked patient record according to predefined rules, the orchestration comprising generating claims according to the standardized billing codes based on the tracked service durations.