System for communication of health care data

A computer system that extracts health care data from one or more health care payors to identify meaningful relationships or patterns in treatments across multiple payors to compare the effectiveness of various treatments of specific diseases, the computer system comprising:

• a computer configured to communicate with one or more payor computer systems from one or more payors over the Internet;
• wherein the payor computer systems are of a type that includes one or more databases storing records of the health care data;
• wherein a normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
• a staging database in communication with the computer;
• wherein the staging database is configured to receive the health care data from each of the payor computer systems;
• wherein the health care data from each of the payor computer systems is configured to be converted into the normalized format by a normalization system comprising:
• a rules engine that predetermines how each of the health care data is to appear in its respective field, and remodels any health care data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format;
• and
• wherein the normalized data is made available to determine comparative effectiveness of various treatments of specific diseases and to allow to set up or modify clinical protocols for optimal care.

A computer system that extracts health care data from a health care payor to identify meaningful relationships or patterns in treatments which are not optimal for quality care, the computer system comprising:

• a staging database in communication with the computer configured to receive health care data from a payor legacy computer system;
• wherein the payor legacy computer system is of a type that includes one or more databases storing records of the health care data;
• wherein a normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
• wherein the health care data from the payor computer system is configured to be converted into the normalized format by a normalization system comprising:
• a rules engine that predetermines how each of the health care data is to appear in its respective field, and remodels any health care data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format;
• and
• wherein the normalized data is made available to set up or modify clinical care management protocols to deliver optimal care.

A computer system that extracts health care data from a health care payor to identify meaningful relationships or patterns in treatments across multiple providers for improving quality of care, the computer system comprising:

• a staging database configured to receive health care data from a payor legacy computer system;
• wherein the payor legacy computer system is of a type that includes one or more databases storing records of the health care data;
• wherein a normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
• wherein the health care data from the payor computer system is configured to be converted into the normalized format by a normalization system comprising:
• a rules engine that predetermines how each of the health care data is to appear in its respective field, and remodels any health care data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format;
• and
• wherein the normalized data is made available to allow to set up or modify a case management based on clinical protocols to provide optimal care.

A computer system that extracts health care data from a health care payor to identify meaningful relationships or patterns in treatments of chronic diseases which may be suboptimal, the computer system comprising:

• a staging database configured to receive health care data from a payor legacy computer system;
• wherein the payor legacy computer system is of a type that includes one or more databases storing records of the health care data;
• wherein a normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
• wherein the health care data from the payor computer system is configured to be converted into the normalized format by a normalization system comprising:
• a rules engine that predetermines how each of the health care data is to appear in its respective field, and remodels any health care data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format;
• and
• wherein the normalized data is made available to improve disease management of chronic diseases.

A computer system that identifies meaningful relationships or patterns in treatments to identify effectiveness of specific treatments of diseases for improving quality of care, the computer system comprising:

• a computer that includes one or more records of health care data and configured to convert the health care data into a normalized format;
• wherein a normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
• wherein converting the health care data into the normalized format is done so by a normalization system comprising:
• a rules engine that predetermines how each of the health care data is to appear in its respective field, and remodels any health care data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format;
• and
• wherein the normalized data is made available to determine effectiveness of various specific disease treatments to identify effective disease treatments for cost and quality of care.

A computer system that identifies meaningful relationships or patterns in treatments to identify effectiveness of specific treatments of diseases for improving quality of care, the computer system comprising:

• a computer configured to communicate with a payor computer system over the Internet;
• wherein the payor computer system is of a type that includes one or more databases storing records of the health care data;
• wherein a normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
• a staging database in communication with the computer;
• wherein the staging database is configured to receive the health care data from the payor computer system;
• wherein the health care data from the payor computer system is configured to be converted into the normalized format by a normalization system comprising:
• a rules engine that predetermines how each of the health care data is to appear in its respective field, and remodels any health care data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format;
• wherein the normalized data includes health care payor data;
• and
• wherein the normalized data is made available to determine effectiveness of various specific disease treatments to identify effective disease treatments for cost and quality of care to allow clinical protocols to be set up to optimize care.

A computer system that identifies meaningful relationships or patterns in treatments to identify effectiveness of specific treatments of diseases for improving quality of care, the computer system comprising:

• a computer configured to communicate with payor computer system over the Internet;
• wherein the payor computer system is of a type that includes one or more databases storing records of the health care data;
• wherein a normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
• a staging database in communication with the computer;
• wherein the staging database is configured to receive the health care data from the payor computer system;
• wherein the health care data from the payor computer system is configured to be converted into the normalized format by a normalization system comprising:
• a rules engine that predetermines how each of the health care data is to appear in its respective field, and remodels any health care data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format;
• wherein the normalized data includes health care provider data;
• and
• wherein the normalized data is made available to determine effectiveness of various specific disease treatments to identify effective disease treatments for cost and quality of care to allow clinical protocols to be set up to optimize care.

A computer system that identifies meaningful relationships or patterns in treatments to identify effectiveness of specific treatments of diseases for improving quality of care, the computer system comprising:

• a computer configured to communicate with a payor computer system over the Internet;
• wherein the payor computer system is of a type that includes one or more databases storing records of the health care data;
• wherein a normalized format is of a type that displays health care data from one or more sources such that any health care data having the same meaning will be expressed in the same format despite any prior formatting;
• a staging database in communication with the computer;
• wherein the staging database is configured to receive the health care data of the payor computer system;
• wherein the health care data from the payor computer system is configured to be converted into the normalized format by a normalization system comprising:
• a rules engine that predetermines how each of the health care data is to appear in its respective field, and remodels any health care data not expressed as predetermined by the normalized format into the normalized format becoming normalized data such that all normalized data expressing information having the same meaning now expresses that meaning in the same format;
• wherein the normalized data includes health care claims data;
• and
• wherein the normalized data is made available to determine effectiveness of various specific disease treatments to identify effective disease treatments for cost and quality of care to allow clinical protocols to be set up to optimize care.