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Data Driven Model to Minimize Hospital Readmissions

Miriam Paramore (Emdeon), David Talby (Atigeo)
Value-Based Care Salon H-K
Average rating: ****.
(4.50, 2 ratings)
Slides:   1-PPTX 

The Medicare Payment Advisory Commission (MedPAC) reported in 2005 that about 11 percent of hospital stays resulted in a readmission within 15 days of discharge and 18 percent within 30 days of the patient leaving the facility, accounting for $17 billion in spending. In the hospital setting, determining the readmission risk for a particular patient at the point of registration and after discharge, would allow providers to monitor that patient differently and could lead to better health outcomes.

Medical and pharmacy big data paired with intelligent analytics has the potential to revolutionize patient care. In this presentation we will discuss and demonstrate techniques used to improve readmissions results, specifically detailing the process used in aggregating the disparate data and the role of analytics in answering business-critical questions:

• Impact of readmission on patients, providers and payers
• Data gathering issues (legal share of data/ privacy matters)
• Ingesting data from classical RDBMS to Hive; data validation and data cleaning; “fuzzy joining” data from different systems
• Feature generation from raw data; feature enrichment using publicly available data sets
• Feature selection for predicting readmission risk
• Modeling readmission risk using predictive analytics on selected features
• Description of tools created to utilize the model; walk through some interesting results

Photo of Miriam  Paramore

Miriam Paramore

Emdeon

Ms. Paramore has been Emdeon’s Executive Vice President – Strategy and Product Management since May 2012. Prior to May, Ms. Paramore served as our Senior Vice President of Clinical Services and Government Affairs and was responsible for overseeing the clinical sector of the business, long-term strategic planning, thought leadership, public policy and government affairs. Paramore brings more than 29 years of industry experience and plays a critical role in helping Emdeon shape a course for the future based on emerging trends in health information technology (HIT). She is a national speaker and was a past member of the national board of directors for the Health Information Management Systems Society (HIMSS) and is the board liaison to the HIMSS Financial Systems Steering Committee. She is a past Board member for CareSource Management Group, a non-profit Medicaid managed care organization, and a previous member of the eHealth Advisory Committee for the Commonwealth of Kentucky. Paramore is the architect of The U.S. Healthcare Efficiency Index™, an industry forum for measuring the efficiency of healthcare business processes. As a longtime advocate for HIT in the public sector, Paramore serves as an advisor to key Congressional committees and the Congressional Budget Office on HIT, healthcare administrative simplification and other practical solutions that can take costs out of the system and make healthcare more efficient.

Photo of David Talby

David Talby

Atigeo

David Talby has extensive experience in building & operating web-scale search and business platforms, as well as building world-class, agile, distributed teams. Previously he was with Microsoft’s Bing group where he was a Principal Group Manager leading all business operations for Bing Shopping in the US and Europe, managing teams in Seattle, India and several European countries. Prior to Microsoft, David worked at Amazon both in Seattle and in the UK where he built and ran distributed teams which helped scale Amazon’s financial systems. David is a veteran of the Israeli Air Force and he holds a PhD in Computer Science along with two masters degrees in Science and Business Administration respectively, all of which were obtained at the Hebrew University of Jerusalem. In addition, David has taught courses on Object Oriented Design; Software Design; Distributed algorithms; advanced programing and system analysis; operating systems; systems programming and marketing at the Hebrew University of Jerusalem and Hadassah College of Technology, Jerusalem. David has 23 published papers & patents to date

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