Systems and Methods for Evaluating Performance of a Health Care Provider

摘要

In one embodiment, a method comprises receiving an indication of one or more care-episodes from a client device. Each care-episode may include an identifier for one or more physicians, a base-concept corresponding to a medical condition or medical treatment, one or more sub-concepts associated with the base-concept, and an indication of the resources used during the care-episode. The method comprises calculates one or more cost-factors for a base-concept for a particular physician based on the care-episodes associated with the base-concept. The method further comprises determining a specialty and geographic region of the particular physician. A peer group of physicians in the same specialty and geographic region is selected. A performance score is calculated based on the cost-factor for the physician compared to the cost-factors for the peer group of physicians.