Cerner Innovation, Inc.

Frank Azzaro

Hugh H Ryan

Chad Barrett Ruoff

Donna Cappo

Pamela M Baker

Methods, systems, and computer-readable media are provided for customization of management of population health. A population tracking builder application is provided as a single application that allows users to completely customize population management. In particular, populations may be added or changed, algorithms for monitoring the populations may be added or changed to meet a user's needs or completely removed, specific variables of algorithms may be edited, and the like. This provides user's flexibility to customize population management tools at any time.

Customization of population management

A computerized system customizes patient care workflows for health service providers. The system may extract essential details from various health service records for an individual, transform those details into standardized information, and use the standardized information to generate health service workflows that are particular to the patient. The health service workflows may be customized to a particular health service venue, a particular health service provider role, or even a particular health service provider.

Healthcare workflows that bridge healthcare venues

Readmission risk of patients admitted to a healthcare facility are determined using a generic readmission risk algorithm. The readmission risk assessment of patients may be based on portions of a patient's profile and may be performed before, during, and after their index admission. Based on the readmission risk assessment of patients, those patients that are at a greater risk for readmission may be identified. A readmission prevention worklist may be provide that identifies those patients and facilitates managing the risk of readmission for those patients.

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Olathe, KS, United States of America

Frank Azzaro