diff --git a/readme.md b/readme.md new file mode 100644 index 0000000..493d85d --- /dev/null +++ b/readme.md @@ -0,0 +1,50 @@ +# NEURAL NETWORK PREDICTION OF PATIENT JOURNEY - patient diagnoses, procedures, services and Rx + +*** + +## Description :- + +When patients have medical encounters at the doctor's office or hospitals or pharmacies, the major encounters are diagnoses, +procedures, services and Rx. These encounters lie over the entire gamut of cost - from cheap to expensive. So, it is beneficial +to get a sense of what encounters a patient may likely experience in future - so that it can possibly be dealt with in advance - +either by accounting in the budget or by member-intervention or accounting for the risk. Knowing versus not knowing can be a +huge difference in ROI. + +The solution presented here, shows how a new encounter of BETA BLOCKER use by a patient can be predicted - Altough the solution +can be used to predict any one of 160 different encounters including diagnoses, procedures, service and Rx. + +As you will see, this tool benefits the following entities : - +(1) Provider-end (hospitals, doctors, physicians, nurses, clinicians), +(2) Payer-end (risk managers, clinical managers, actuary, medical economics, finance). + +The prediction gives a quick sense of severity of a patient (member). This is valuable in following scenarios :- +(1) Effective and Efficient Member Intervention, +(2) Budgeting, +(3) Accurate Risk Assessment +(4) Reduce Costs - Efficiently and targeted member intervention reduces costs, +(5) Reduce financial burden of most expensive procedures, +(6) Substantially grow ROI. + +In real world, this would not be the only tool at disposal. An well-informed decision would have to made by weighing predictions +of this model with other tools at disposal. For ex: Let's say a clinical team at the payer-end already has been using medical charts +for selecting patients to contact for member intervention. +After analyzing medical charts (also see https://github.com/nsb700/pdf-medical-charts-reader-demo), if the clinical team is able to find say +100 members, this tool can further help to focus on members of interest based on high cost items. It can reduce the member set from 100 +to way fewer members resulting in more ROI. + +Coding is done using Python and Keras. Intermediate outputs are printed in the notebook for clarity. + +Files are arranged as below - +(1) Data preparation - Step_01_Data_Preparation_(for_Prediction_of_Patient_New_Beta_Blocker_Use).ipynb + Output of Data Preparation - step_01_output.zip + +(2) Prediction with Neural Network - Step_02_Neural_Network_(for_Prediction_of_Patient_New_Beta_Blocker_Use).ipynb + Output - printed within the notebook. + +(3) Prediction with Naive Bayes - Step_02_NaiveBayesClassifier_(for_Prediction_of_Patient_New_Beta_Blocker_Use).ipynb + Output - printed within the notebook and model saved in directory - step_02_output_keras_model/ + +(4) Real-world prediction - Step_03_Real-world_Prediction_of_Patient_New_Beta_Blocker_Use.ipynb + +*** +