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PredictingRisksofbeingReadmitted in NovaScotia,Canada

By Group 11
Cape Breton University
MGSC 5151-25
March 22nd; 2024
Introduction

Canadian healthcare in Nova Scotia faces


challenges, notably in patient readmissions.
Healthcare practitioners are under pressure due to
high healthcare budget expenditure.
The project aims to develop a predictive analytics
model using patient data to address these
challenges.
The model leverages emerging healthcare
technology and data science to improve outcomes.
Nova Scotia had a 19.3% patient readmission rate
in 2022, emphasizing the project's importance.
Collaboration is needed to prevent further
increases in readmission rates.
Problem Statement

High readmission rates after hospital discharge are a serious


concern, putting a load on healthcare systems and significantly
harming patient well-being.
The major goal of the research was to identify high-risk patients
for readmission so that medical practitioners could make early
interventions, lowering the number of unnecessary follow-up
sessions.
A logistic regression model was used for this purpose, and insights
were gained from the model's implications for the future of
healthcare.
The primary goal is to reduce readmissions, which benefits
healthcare systems and eventually improves patient outcomes.
Project Objectives

 Create a healthcare readmission


prediction model.
 Assess the prediction model's
applicability for Nova Scotia
healthcare.
 Give healthcare facility
recommendations.
Literature Review

 Our literature study focuses on healthcare, specifically forecasting patient


readmissions.
 Previous research initiatives have made progress in understanding and
resolving patient readmissions, but have had limits.
 Recent research provide novel techniques to overcoming these restrictions and
increasing prediction accuracy.
 Arya et al. (2023) presented a stacking-based AI model designed to predict
diabetic rehospitalization within 30 days, demonstrating higher predictive
ability.
 Lu and Uddin (2022) introduced a collaborative ensemble learning model that
includes stacking and weight-boosting strategies, and it showed excellent
results in hospital readmission prediction.
 Mahmoudi et al. (2020) stressed the use of electronic medical information and
predictive analytics algorithms throughout healthcare organizations,
emphasizing the significance of using technology to make better decisions
and enhance patient outcomes.
Data

Several Nova Scotia healthcare institutions gather patient data with these
characteristics:
 Demographics include age and gender.
 Medical history and comorbidities.
 Medical history of drugs
 Hospitalization info
 Visit duration
 Diagnoses codes
 Treatment details
Facility database data protects ethical and sensitive topics. After fixing missing
numbers and errors, the raw data was organized.
 Age descriptive statistics include mean, median, and standard deviation.
 The gender descriptive statistics include mean.
Model & its Application

• Our predictive model was developed using


logistic regression to evaluate the risk of patient
readmission, utilizing various indicators
extracted from patient data.
• Thorough testing and validation within Nova
Scotia's healthcare environment ensured the
model's accuracy and reliability.
• The model effectively forecasted readmission
risks, providing valuable insights for healthcare
practitioners.
• The objective is to equip healthcare facilities in
Nova Scotia with a practical decision-making
tool, aiming to reduce avoidable patient
readmissions and optimize resource allocation
Analysis and Findings

Figure 1
The descriptive statistics study provided
critical insights into patient sample
characteristics, unveiling parameters
associated with readmission rates in
healthcare settings.
Key characteristics such as age, gender
distribution, admission history, and type of
illness were thoroughly analyzed to acquire a
comprehensive understanding of the patient
population.
The histogram depicted a broad age range Figure 2
within the sample, national-level 30-day
readmission rate was similar across all age
groups, ranging between 19.0% and 21.1%. ,
indicating age-related characteristics affecting
readmission risks.
Gender Distribution: The 30-day readmission
rate for women and men in the country was
20.1% and 20.5%, respectively.
Analysis and Findings

Analysis of patient readmission indicators


across Canada: Utilizing data from 2017 to
2022, descriptive statistics and line graph
visualization unveiled patterns in patient
readmission rates across provinces.
Central tendency estimates revealed
national average readmission rates, while
cross-provincial comparisons highlighted
regional inconsistencies.
Detection of major swings and outliers
facilitated healthcare planning and targeted
interventions, addressing both challenges
and successes within provinces.
The consideration of missing data ensured
precision and reliability in trend
interpretation, enabling more informed
decision-making and targeted improvements
in healthcare outcomes.
Discussion

Thoughtful discussions are essential for


understanding the implications of our predictive
model for healthcare practices.
Analysis of patient demographics, such as age and
gender, gives useful information for personalizing
treatments to specific patient populations.
Comparing our findings to patient readmission
measures from several Canadian provinces
improves our understanding of regional variations.
This comparison allows for continuous
observations and improvements, ensuring the long-
term success of our activities.
Developing an adaptive healthcare system
necessitates ongoing improvement of methods
based on empirical results and data.
We encourage innovation and excellence in
healthcare delivery by cultivating an environment of
continuous learning and growth.
Conclusion

 Detailed analysis of patient


demographics through descriptive
statistics provided nuanced insights
into readmission risks, enabling a more
personalized approach to treatment.
 Our approach equips healthcare
practitioners with a valuable tool for
making educated decisions tailored to
their patient population's specific
characteristics.
 By integrating predictive modeling
with descriptive statistics, we identified
subtle factors influencing readmission
risks, facilitating continual
improvement in patient care.
 Emphasizing continual observation,
change, and a data-driven decision-
making culture will drive Nova Scotia's
healthcare system toward proactive
and effective patient care.
References
• Correa, V. C., Lugo-Agudelo, L. H., Aguirre-Acevedo, D. C., Contreras, J. A. P.,
Borrero, A. M. P., Patiño-Lugo, D. F., & Valencia, D. A. C. (2020). Individual,
health system, and contextual barriers and facilitators for the
implementation of clinical practice guidelines: a systematic metareview.
Health research policy and systems, 18, 1-11. https:
//doi.org/10.1186/s12961-020-00588-8
• Cowling, T. E., Cromwell, D. A., Bellot, A., Sharples, L. D., & van der Meulen, J.
(2021). Logistic regression and machine learning predicted patient mortality
from large sets of diagnosis codes comparably. Journal of Clinical
Epidemiology, 133, 43-52. https://doi.org/10.1016/j.jclinepi.2020.12.018
• Kayesa, N. K., & Shung-King, M. (2021). The role of document analysis in
health policy analysis studies in low and middle-income countries: Lessons
for HPA researchers from a qualitative systematic review. Health Policy
OPEN, 2, 100024. https://doi.org/10.1016/j.hpopen.2020.100024
• Li, Y., Rao, S., Solares, J. R. A., Hassaine, A., Ramakrishnan, R., Canoy, D., ...
& Salimi-Khorshidi, G. (2020). BEHRT: transformer for electronic health
records. Scientific reports, 10(1), 7155. https://doi.org/10.1038/s41598-020
-62922-y
• Lu, H., & Uddin, S. (2022). Explainable Stacking-Based Model for Predicting
Hospital Readmission for Diabetic Patients. Information, 13(9), 436. https:
//doi.org/10.3390/info13090436
THANK YOU!

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