Jain, Piyush

Hospital readmission rates are considered to be an important indicator of quality of care because they may be a consequence of actions of commission or omission made during the initial hospitalization of the patient, or as a consequence of poorly managed transition of the patient back into the community. The negative impact on patient quality of life and huge burden on healthcare system have made reducing hospital readmissions a central goal of healthcare delivery and payment reform efforts.
In this study, we will be proposing a framework on how the readmission analysis and other healthcare models could be deployed in real world and a Machine learning based solution which uses patients discharge summaries as a dataset to train and test the machine learning model created. Current systems does not take into consideration one of the very important aspect of solving readmission problem by taking Big data into consideration. This study also takes into consideration Big data aspect of solutions which can be deployed in the field for real world use. We have used HPCC compute platform which provides distributed parallel programming platform to create, run and manage applications which involves large amount of data. We have also proposed some feature engineering and data balancing techniques which have shown to greatly enhance the machine learning model performance. This was achieved by reducing the dimensionality in the data and fixing the imbalance in the dataset.
The system presented in this study provides a real world machine learning based predictive modeling for reducing readmissions which could be templatized for other diseases.

Hospital readmission rates are considered to be an important indicator of quality of care
because they may be a consequence of actions of commission or omission made during
the initial hospitalization of the patient, or as a consequence of poorly managed transition
of the patient back into the community. The negative impact on patient quality of life and
huge burden on healthcare system have made reducing hospital readmissions a central
goal of healthcare delivery and payment reform efforts.
In this project, we will focus on COPD (Chronic Obstructive Pulmonary Disease) which
is one of the leading causes of disability and mortality worldwide. This project will
design and develop a prognostic COPD healthcare management system which is a
sustainable clinical decision-support system to reduce the number of readmissions by
identifying those patients who need preventive interventions to reduce the probability of
being readmitted. Based on patient’s clinical records and discharge summary, our system would be able to determine the readmission risk profile of patients treated for COPD. Suitable
interventions could then be initiated with the objective of providing quality and timely
care that helps prevent avoidable readmission.