Data Driven Approaches For Healthcare

Health care utilization routinely generates vast amounts of data from sources ranging from electronic medical records, insurance claims, vital signs, and patient-reported outcomes. Predicting health outcomes using data modeling approaches is an emerging field that can reveal important insights into disproportionate spending patterns. This book presents data driven methods, especially machine learning, for understanding and approaching the high utilizers problem, using the example of a large public insurance program. It describes important goals for data driven approaches from different aspects of the high utilizer problem, and identifies challenges uniquely posed by this problem. Key Features: Introduces basic elements of health care data, especially for administrative claims data, including disease code, procedure codes, and drug codes Provides tailored supervised and unsupervised machine learning approaches for understanding and predicting the high utilizers Presents descriptive data driven methods for the high utilizer population Identifies a best-fitting linear and tree-based regression model to account for patients’ acute and chronic condition loads and demographic characteristics

The book presents current research advances, both academic and industrial, in machine learning, artificial intelligence, and data analytics for biomedical and healthcare applications. The book deals with key challenges associated with biomedical data analysis including higher dimensions, class imbalances, smaller database sizes, etc. It also highlights development of novel pattern recognition and machine learning methods specific to medical and genomic data, which is extremely necessary but highly challenging. The book will be useful for healthcare professionals who have access to interesting data sources but lack the expertise to use data mining effectively.

Health care utilization routinely generates vast amounts of data from sources ranging from electronic medical records, insurance claims, vital signs, and patient-reported outcomes. Predicting health outcomes using data modeling approaches is an emerging field that can reveal important insights into disproportionate spending patterns. This book presents data driven methods, especially machine learning, for understanding and approaching the high utilizers problem, using the example of a large public insurance program. It describes important goals for data driven approaches from different aspects of the high utilizer problem, and identifies challenges uniquely posed by this problem. Key Features: Introduces basic elements of health care data, especially for administrative claims data, including disease code, procedure codes, and drug codes Provides tailored supervised and unsupervised machine learning approaches for understanding and predicting the high utilizers Presents descriptive data driven methods for the high utilizer population Identifies a best-fitting linear and tree-based regression model to account for patients’ acute and chronic condition loads and demographic characteristics

Healthcare service systems are of profound importance in promoting the public health and wellness of people. This book introduces a data-driven complex systems modeling approach (D2CSM) to systematically understand and improve the essence of healthcare service systems. In particular, this data-driven approach provides new perspectives on health service performance by unveiling the causes for service disparity, such as spatio-temporal variations in wait times across different hospitals. The approach integrates four methods -- Structural Equation Modeling (SEM)-based analysis; integrated projection; service management strategy design and evaluation; and behavior-based autonomy-oriented modeling -- to address respective challenges encountered in performing data analytics and modeling studies on healthcare services. The thrust and uniqueness of this approach lies in the following aspects: Ability to explore underlying complex relationships between observed or latent impact factors and service performance. Ability to predict the changes and demonstrate the corresponding dynamics of service utilization and service performance. Ability to strategically manage service resources with the adaptation of unpredictable patient arrivals. Ability to figure out the working mechanisms that account for certain spatio-temporal patterns of service utilization and performance. To show the practical effectiveness of the proposed systematic approach, this book provides a series of pilot studies within the context of cardiac care in Ontario, Canada. The exemplified studies have unveiled some novel findings, e.g., (1) service accessibility and education may relieve the pressure of population size on service utilization; (2) functionally coupled units may have a certain cross-unit wait-time relationship potentially because of a delay cascade phenomena; (3) strategically allocating time blocks in operating rooms (ORs) based on a feedback mechanism may benefit OR utilization; (4) patients’ and hospitals’ autonomous behavior, and their interactions via wait times may bear the responsible for the emergence of spatio-temporal patterns observed in the real-world cardiac care system. Furthermore, this book presents an intelligent healthcare decision support (iHDS) system, an integrated architecture for implementing the data-driven complex systems modeling approach to developing, analyzing, investigating, supporting and advising healthcare related decisions. In summary, this book provides a data-driven systematic approach for addressing practical decision-support problems confronted in healthcare service management. This approach will provide policy makers, researchers, and practitioners with a practically useful way for examining service utilization and service performance in various ``what-if" scenarios, inspiring the design of effectiveness resource-allocation strategies, and deepening the understanding of the nature of complex healthcare service systems.

Data-Driven Quality Improvement and Sustainability in Health Care: An Interprofessional Approach provides nurse leaders and healthcare administrators of all disciplines with a solid understanding of data and how to leverage data to improve outcomes, fuel innovation, and achieve sustained results. It sets the stage by examining the current state of the healthcare landscape; new imperatives to meet policy, regulatory, and consumer demands; and the role of data in administrative and clinical decision-making. It helps the professional identify the methods and tools that support thoughtful and thorough data analysis and offers practical application of data-driven processes that determine performance in healthcare operations, value- and performance-based contracts, and risk contracts. Misuse or inconsistent use of data leads to ineffective and errant decision-making. This text highlights common barriers and pitfalls related to data use and provide strategies for how to avoid these pitfalls. In addition, chapters feature key points, reflection questions, and real-life interprofessional case exemplars to help the professional draw distinctions and apply principles to their own practice. Key Features: Provides nurse leaders and other healthcare administrators with an understanding of the role of data in the current healthcare landscape and how to leverage data to drive innovative and sustainable change Offers frameworks, methodology, and tools to support quality improvement measures Demonstrates the application of data and how it shapes quality and safety initiatives through real-life case exemplars Highlights common barriers and pitfalls related to data use and provide strategies for how to avoid these pitfalls

Healthcare is changing, and data is the catalyst Data is taking over in a powerful way, and it's revolutionizingthe healthcare industry. You have more data available than everbefore, and applying the right analytics can spur growth. Benefitsextend to patients, providers, and board members, and thetechnology can make centralized patient management a reality.Despite the potential for growth, many in the industry andgovernment are questioning the value of data in health care,wondering if it's worth the investment. Data-Driven Healthcare: How Analytics and BI are Transformingthe Industry tackles the issue and proves why BI is not onlyworth it, but necessary for industry advancement. Healthcare BIguru Laura Madsen challenges the notion that data have little valuein healthcare, and shows how BI can ease regulatory reportingpressures and streamline the entire system as it evolves. Madsenillustrates how a data-driven organization is created, and how itcan transform the industry. Learn why BI is a boon to providers Create powerful infographics to communicate data moreeffectively Find out how Big Data has transformed other industries, and howit applies to healthcare Data-Driven Healthcare: How Analytics and BI are Transformingthe Industry provides tables, checklists, and forms that allowyou to take immediate action in implementing BI in yourorganization. You can't afford to be behind the curve. The industryis moving on, with or without you. Data-Driven Healthcare: HowAnalytics and BI are Transforming the Industry is your guide toutilizing data to advance your operation in an industry wheredata-fueled growth will be the new norm.

Dive into the cutting-edge world where healthcare meets the transformative power of data science. This insightful book is an essential read for healthcare professionals looking to navigate the complex and rapidly evolving landscape of modern medicine. It offers an in-depth exploration of how data science applications are revolutionizing areas from genomics and epidemiology to public health policies and patient care. Embark on a journey through the multifaceted realms of predictive modeling, big data analytics, and the integration of AI in healthcare. The book meticulously details the impact of these technologies on personalized medicine, providing real-world case studies that demonstrate the practical applications and challenges of data-driven approaches in various health emergencies, including pandemics. Addressing the critical need for ethical considerations and privacy in handling patient data, the book provides a balanced view of the opportunities and responsibilities that come with technological advancements in healthcare. It goes beyond mere theory, offering actionable insights and strategies for healthcare professionals to incorporate data science into their practice effectively. Equipped with a glossary of terms and a wealth of resources for further learning, this book is more than just a guide; it's an indispensable resource for healthcare professionals aspiring to be at the forefront of their field. Whether you're a seasoned practitioner or new to the world of healthcare data science, this book will enlighten, inspire, and empower you to make a profound impact in the ever-changing world of healthcare.

Data-Driven Quality Improvement and Sustainability in Health Care: An Interprofessional Approach provides healthcare leaders and administrators of all disciplines with a solid understanding of data and how to leverage data to improve outcomes, fuel innovation, and achieve sustained results. It sets the stage by examining the current state of the healthcare landscape; new imperatives to meet policy, regulatory, and consumer demands; and the role of data in administrative and clinical decision-making. It helps the reader identify the methods and tools that support thoughtful and thorough data analysis and offers practical application of data-driven processes that determine performance in healthcare operations, value- and performance-based contracts, and risk contracts. Misuse or inconsistent use of data leads to ineffective and errant decision-making. This text highlights common barriers and pitfalls related to data use and provide strategies for how to avoid these pitfalls. In addition, chapters feature key points, reflection questions, and real-life interprofessional case exemplars to help the reader draw distinctions and apply principles to their own practice. Chapters also outline core competencies and skills required for leaders to master use of data and steer their teams to success. Key Features: Provides an understanding of the role of data in the current healthcare landscape and how to leverage data to drive innovative and sustainable change Offers frameworks, methodology, and tools to support quality improvement measures Demonstrates the application of data and how it shapes quality and safety initiatives through real-life case exemplars Outlines core competencies and skills required for leaders to achieve results Highlights common barriers and pitfalls related to data use and provide strategies for how to avoid these pitfalls Purchase includes access to the eBook for use on most mobile devices or computers