Healthcare

Care Team Assignment System

Automated system for assigning optimal healthcare providers to patients based on medical conditions, age, care complexity, and personal needs.

This template can be edited in GoRules BRMS

Solution

This intelligent care coordination system transforms the patient-provider matching process by creating personalized care teams based on comprehensive assessment of patient needs. The system evaluates each patient's medical conditions, age demographics, mobility limitations, and care complexity to determine the optimal mix of healthcare providers.

For patients with multiple chronic conditions like diabetes or heart disease, the system automatically incorporates appropriate specialists. When mental health needs are identified, psychiatric professionals are seamlessly included. The system accounts for patient mobility scores, requiring physical therapy integration when necessary, while also considering language preferences to eliminate communication barriers.

Advanced complexity scoring ensures high-needs patients receive additional support through care coordinators, creating right-sized teams that balance comprehensive care with efficiency. This systematic approach eliminates manual provider selection, reduces care gaps, and ensures every patient receives appropriate specialized attention.

How it works

The decision graph processes patient information through these key steps:

  1. Complexity Assessment: Evaluates the patient's care complexity level (high, medium, low) and determines appropriate team size
  2. Age Categorization: Classifies patients as pediatric, adult, or senior to match with age-appropriate providers
  3. Needs Evaluation: Identifies specific requirements including specialist care for chronic conditions, mental health support, nutrition guidance, and mobility assistance
  4. Provider Assignment: Matches qualified healthcare professionals based on the patient's conditions, applying appropriate priority levels to each role
  5. Coordination Determination: For complex cases with multiple providers, adds a care coordinator or case manager to ensure integrated care delivery

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