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Predicting population health focused outcomes using machine learning

Descriptive

TitleInfo
Title
Predicting population health focused outcomes using machine learning
Name (type = personal)
NamePart (type = family)
Arnold
NamePart (type = given)
David
DisplayForm
David Arnold
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Srinivasan
NamePart (type = given)
Shankar
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Shankar Srinivasan
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Advisory Committee
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chair
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Coffman
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Fredrick
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Fredrick Coffman
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Advisory Committee
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internal member
Name (type = personal)
NamePart (type = family)
Gohel
NamePart (type = given)
Suril
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Suril Gohel
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Health Professions
Role
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school
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Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (encoding = w3cdtf); (qualifier = exact)
2019
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2019-05
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2019
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract
Care management activities seek to reduce healthcare cost and improve patient outcomes. Identifying patients who may receive substantial benefit from care management services can be especially challenging when managing large populations across disparate systems. This research tests a novel method for identifying patients for care management using over 30 disparate healthcare data sources and machine learning. Random Forest models were used to predict four binary outcomes; high cost, hospital admission, hospital readmission, and multiple emergency department visits. The models leveraged population health enterprise data warehouse cross-ontology mappings for the following data types; conditions, procedures, medications, results, demographics, and claims-based cost and utilization. Each of the data types were tested independently then combined incrementally. The highest performing models for each outcome of interest resulted with the following ROC AUC; High Cost (0.81), Admission (0.80), Re-admission (0.86), and Multi-ED (0.74). The research shows disparate data sources and machine learning can be used to predict population health focused outcomes. The framework used in this research has the potential to expand and scale to include any number of additional data types and outcomes.
Subject (authority = local)
Topic
Population health
Subject (authority = RUETD)
Topic
Biomedical Informatics
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_9724
PhysicalDescription
Form (authority = gmd)
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (xvi, 104 pages) : illustrations
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Subject (authority = ETD-LCSH)
Topic
Machine learning
Subject (authority = ETD-LCSH)
Topic
Health services administration
RelatedItem (type = host)
TitleInfo
Title
School of Health Professions ETD Collection
Identifier (type = local)
rucore10007400001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-9ck3-9485
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

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The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Arnold
GivenName
David
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-04-08 21:06:55
AssociatedEntity
Name
David Arnold
Role
Copyright holder
Affiliation
Rutgers University. School of Health Professions
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

RULTechMD (ID = TECHNICAL1)
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DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2019-04-11T20:29:18
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2019-04-11T20:29:18
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