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Sample HSI Software Projects

Title: Using the Johns Hopkins Ambulatory Care Groups to Generate a Case-mix Adjusted Specialist Profiling System

Client: Blue Cross Blue Shield of the Rochester Area

Dates: February 1, 1991 - June 30, 1991

HSI adapted the Johns Hopkins University Ambulatory Case Group Case-mix Adjustment to be used in specialist profiling based on administrative claims data. The final software developed for the project combined an innovative multivariate statistical model with the ACG case-mix grouping to generate a profiling system producing R-square values in excess of 0.6. The profiling system was used by Blue Choice in Rochester, New York to re-focus their utilization management activities and account for significant differences in specialist case-mix.

Title: Generating a C-Section Provider Profiling System

Client: Finger Lakes Blue Cross Blue Shield

Dates: August 1, 1993 - May 31, 1997

Working with the Finger Lakes Blue Cross Blue Shield plan in New York, HSI developed a sophisticated episode of care model to measure a mother's utilization from prenatal to postnatal care. The episode of care algorithm was enhanced and translated in a Windows-based application that provided C-section profiles to all delivering providers across all lines of business at Finger Lakes Blue Cross Blue Shield.

Title: The Physician Utilization managed Advisor Software Initiative (PUMA)

Client: The Delmarva Foundation for Medical Care

Dates: April 15, 1996 - November 1, 1996

HSI provided project management services for the PUMA initiative, sponsored by the Delmarva Foundation for Medical Care. The objective of the project was to develop a provider profiling prototype that would permit the interactive development of an episode of care. Additional features, such as an episode of care generator, and interactive context-sensitive links to the Internet were developed conceptually for market analysis and prototype revisions/enhancement.

software project details

sample analysis projects
sample data projects
sample medicare claims projects

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