Computerized system for automated generation of ordered operation set

Abstract

A computerized method includes receiving, from a predictive model, a personalization score representing a likelihood that a user is receptive to multiple communication protocols. The method includes selecting a set of communication protocols based on the personalization score. The method includes generating a compliance plan, for addressing a non-compliance failure, including a hierarchy of communication protocols and a set of rule-based conditions. The method includes automatically deploying the compliance plan by generating a first compliance message with a first communication protocol that corresponds to a first level of the hierarchy associated with the compliance plan. The method includes, in response to determining that the non-compliance failure persists for a threshold period of time, generating a second compliance message with a second communication protocol that corresponds to a second level of the hierarchy. The second level demands greater communication resources than the first level.

What is claimed is: 
     
         1 . A computerized method comprising:
 receiving, from a predictive model, a personalization score that represents a likelihood that a user is receptive to a plurality of communication protocols, wherein the user is associated with a non-compliance failure for being non-compliant with authorized instructions that have been issued to the user, and wherein each communication protocol includes a mode of communication with the user either directly or through at least one third party;   selecting a set of communication protocols from the plurality of communication protocols based on the personalization score;   generating a compliance plan for addressing the non-compliance failure, wherein the compliance plan includes a hierarchy of communication protocols from the set of communication protocols based on the personalization score, and wherein the compliance plan includes a set of rule-based conditions that automatically trigger a respective communication protocol that corresponds to a level of the hierarchy; and   automatically deploying the compliance plan by: 
 generating a first compliance message with a first communication protocol that corresponds to a first level of the hierarchy associated with the compliance plan; and 
 in response to determining that the non-compliance failure persists for a threshold period of time after communication of the first compliance message, generating a second compliance message with a second communication protocol that corresponds to a second level of the hierarchy associated with the compliance plan, wherein the second level demands greater communication resources than the first level. 
   
     
     
         2 . The computerized method of  claim 1  wherein the personalization score includes:
 a first score portion indicating at least one of a risk of the user having the non-compliance failure and a likelihood of the user having a positive outcome of a targeted action aimed at reducing the non-compliance failure; and 
 a second score portion indicating at least one of an ability of a physician to reduce the non-compliance failure and an ability of a pharmacist to reduce the non-compliance failure. 
 
     
     
         3 . The computerized method of  claim 2  wherein the set of communication protocols are selected according to at least one of the first score portion and the second score portion. 
     
     
         4 . The computerized method of  claim 1  wherein automatically deploying the compliance plan includes monitoring whether the non-compliance failure persists at one or more monitoring increments dictated by the compliance plan. 
     
     
         5 . The computerized method of  claim 1  further comprising:
 determining whether a user record associated with the user fails to satisfy an event schedule, 
 wherein the user record includes one or more authorized instructions, and 
 wherein the one or more authorized instructions included with the user record have a corresponding event schedule. 
 
     
     
         6 . The computerized method of  claim 5  wherein determining whether the user record fails to satisfy an event schedule event includes determining whether a physical inventory possessed by the user and authorized by the one of the one or more authorized instructions falls below a specified threshold. 
     
     
         7 . The computerized method of  claim 1  wherein a respective communication protocol of the set corresponds to at least one of an email campaign, a letter campaign, an automated outbound messaging (AOM) campaign, a live call campaign, an academic detailer campaign, a medical device or monitor campaign, a rational medical campaign, a lab test kit campaign, and a member digital application campaign. 
     
     
         8 . The computerized method of  claim 1  wherein:
 the non-compliance failure includes a missed prescription drug refill; and 
 the hierarchy of communication protocols includes escalating communicating protocols promoting fulfillment of the missed prescription drug refill. 
 
     
     
         9 . The computerized method of  claim 1  wherein the personalization score includes a combination of:
 a first score portion characterizing a behavior of the user; 
 a second score portion characterizing an affinity of the user to a communication channel for communicating with the user; and 
 a third score portion characterizing a receptiveness of the user to one or more providers associated with the authorized instructions. 
 
     
     
         10 . The computerized method of  claim 1  wherein:
 the predictive model is configured to receive user data corresponding to the user from a plurality of networked devices; and 
 the plurality of networked devices are computing resources of a set of providers associated with compliance of the authorized instructions. 
 
     
     
         11 . A computer system comprising:
 memory hardware configured to store computer-executable instructions; and   processor hardware configured to execute the instructions, wherein the instructions include:   receiving, from a predictive model, a personalization score that represents a likelihood that a user is receptive to a plurality of communication protocols, wherein the user is associated with a non-compliance failure for being non-compliant with authorized instructions that have been issued to the user, and wherein each communication protocol includes a mode of communication with the user either directly or through at least one third party;   selecting a set of communication protocols from the plurality of communication protocols based on the personalization score;   generating a compliance plan for reducing the non-compliance failure, wherein the compliance plan includes a hierarchy of communication protocols from the set of communication protocols based on the personalization score, and wherein the compliance plan includes a set of rule-based conditions that automatically trigger a respective communication protocol that corresponds to a level of the hierarchy; and   automatically deploying the compliance plan by: 
 generating a first compliance message with a first communication protocol that corresponds to a first level of the hierarchy associated with the compliance plan; and 
 in response to determining that the non-compliance failure persists for a threshold period of time after communication of the first compliance message, generating a second compliance message with a second communication protocol that corresponds to a second level of the hierarchy associated with the compliance plan, wherein the second level demands greater communication resources than the first level. 
   
     
     
         12 . The system of  claim 11  wherein the personalization score includes:
 a first score portion indicating at least one of a risk of the user having the non-compliance failure and a likelihood of the user having a positive outcome of a targeted action aimed at reducing the non-compliance failure; and 
 a second score portion indicating at least one of an ability of a physician to reduce the non-compliance failure and an ability of a pharmacist to reduce the non-compliance failure. 
 
     
     
         13 . The system of  claim 12  wherein the set of communication protocols are selected according to at least one of the first score portion and the second score portion. 
     
     
         14 . The system of  claim 11  wherein automatically deploying the compliance plan includes monitoring whether the non-compliance failure persists at one or more monitoring increments dictated by the compliance plan. 
     
     
         15 . The system of  claim 11  wherein:
 the instructions include determining whether a user record associated with the user fails to satisfy an event schedule; 
 the user record includes one or more authorized instructions; and 
 the one or more authorized instructions included with the user record have a corresponding event schedule. 
 
     
     
         16 . The system of  claim 15  wherein determining whether the user record fails to satisfy an event schedule event includes determining whether a physical inventory possessed by the user and authorized by the one of the one or more authorized instructions falls below a specified threshold. 
     
     
         17 . The system of  claim 11  wherein a respective communication protocol of the set corresponds to at least one of an email campaign, a letter campaign, an automated outbound messaging (AOM) campaign, a live call campaign, an academic detailer campaign, a medical device or monitor campaign, a rational medical campaign, a lab test kit campaign, and a member digital application campaign. 
     
     
         18 . The system of  claim 11  wherein:
 the non-compliance failure includes a missed prescription drug refill; and 
 the hierarchy of communication protocols includes escalating communicating protocols promoting fulfillment of the missed prescription drug refill. 
 
     
     
         19 . The system of  claim 11  wherein the personalization score includes a combination of:
 a first score portion characterizing a behavior of the user; 
 a second score portion characterizing an affinity of the user to a communication channel for communicating with the user; and 
 a third score portion characterizing a receptiveness of the user to one or more providers associated with the authorized instructions. 
 
     
     
         20 . The system of  claim 11  wherein:
 the predictive model is configured to receive user data corresponding to the user from a plurality of networked devices, and 
 the plurality of networked devices are computing resources of a set of providers corresponding to compliance with the authorized instructions.