Predicting Patient Readmissions with Machine Learning

Client

A large urban hospital facing high rates of patient readmissions, leading to increased costs and strain on resources.

Challenge

The client struggled with high readmission rates for chronic conditions, lacked tools to identify at-risk patients pre-discharge, faced inefficient post-discharge resource allocation, and had difficulty managing and analyzing data from electronic health records.

We developed a Machine Learning-based predictive analytics platform to address these challenges

Data Integration & Preprocessing

Consolidated data from EHRs, including patient demographics, medical history, lab results, and treatment plans. Cleaned and normalized the data to handle missing values, inconsistencies, and outliers.

Model Development

Trained a Gradient Boosting Machine (GBM) model to predict the likelihood of 30-day readmissions. Used SHAP (SHapley Additive exPlanations) to interpret model predictions and identify key risk factors. Implemented a time-series LSTM model to analyze sequential patient data (e.g., lab results over time).

Feature Engineering

Extracted relevant features such as comorbidities, medication adherence, and previous hospital visits. Created temporal features to capture trends in patient health over time.

Real-Time Risk Scoring

Deployed the model in the hospital’s EHR system to provide real-time risk scores for each patient. Integrated alerts for healthcare providers to flag high-risk patients before discharge.

Results

  • 25% Reduction in 30-Day Readmissions: Identified and intervened with high-risk patients, improving outcomes.
  • 15% Cost Savings: Reduced unnecessary readmissions, saving the hospital $1.2M annually.
  • Improved Patient Care: Personalized care plans led to better patient satisfaction and health outcomes.
  • Enhanced Operational Efficiency: Optimized resource allocation for post-discharge care, reducing strain on hospital staff.
  • Data-Driven Decisions: Enabled healthcare providers to make informed decisions using real-time risk predictions.

Dr. Emily Carter,

Chief Medical Officer at Aristo Multispeciality Hospital

The machine learning solution developed by TensorLearners has been a game-changer for our hospital. The predictive model has not only reduced readmissions but also improved the quality of care we provide. It’s a perfect example of how technology can transform healthcare.