Quality Management

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  Recommendation Model

  • Published on: November, 2020
  • CitiusTech

  Recommend focus measures for potential STAR rating goals per contract based on measure-level contextual information input by the user

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  Member Outreach Model to Predict Target Responders

  • Published on: April, 2021
  • CitiusTech

  This ML model is used to predict if a member will respond to outreach campaign. It helps prioritise members who are more likely to respond to an outre ...

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  Cut-off Projection

  • Published on: November, 2020
  • CitiusTech

  Predict the STAR rating cut-offs for all measures and provide projected STAR rating for contracts.

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  Provider Target Model – Clinical

  • Published on: November, 2020
  • CitiusTech

  Provider target list for each measure based on gaps within focus measures that can be influenced by the provider

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  Estimating Risk-Adjusted Hospital Performance

  • Published on: November, 2020
  • Eva van Weenen, Stefan Feuerriegel
  • Code Available

  Maintaining a good quality of care delivered in hospitals is a very important task in healthcare industry. Performance of a hospital plays an importan ...

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  Compliance Rate Projection

  • Published on: November, 2020
  • CitiusTech

  End of Year (EOY) score projection per contract per measure.

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  Member Outreach Model to Predict Best Channel to Communicate with Members

  • Published on: April, 2021
  • CitiusTech

  This ML model is used to predict the best channel for reaching out to members, to ensure increased member response rate. It helps identify key attribu ...

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  Calibration Model – Clinical

  • Published on: November, 2020
  • CitiusTech

  Adjust compliance rate projections using weekly/monthly granular clinical measure-level progress information .

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  Prediction of Acute Rheumatoid Arthritis HEDIS measure for given population

  • Published on: May, 2019
  • CitiusTech

  This model predicts the ART HEDIS® quality measure used to assess the receipt of disease-modifying antirheumatic drugs (DMARDs) among patients with rh ...

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  Member Outreach Model to Predict Best Time for Communicating with Members

  • Published on: April, 2021
  • CitiusTech

  This ML model is used to predict the best time for member outreach to ensure increased member response rate. It identifies key attributes for predicti ...