Healthcare companies are always under high pressure because of the numerous risks that the medical industry has to deal with every day. The implementation of high-accuracy predictive technologies allows them to put this pressure down by eliminating mistakes that, in the worst scenario, can cost human lives. Besides, predictive modeling provides ways for healthcare organizations to improve both public and personal medical care. 

The global crisis of 2020 has shown that the industry needs predictive solutions more than ever to become able to prevent outbreaks of dangerous diseases throughout the world. This article will help you learn more about predictive modeling in healthcare, examples of its usage, benefits, and the most popular techniques.


What Is Predictive Modeling in Healthcare?

Predictive modeling (sometimes called predictive analytics) deals with statistical methods, data mining, and game theory to analyze current and historical data collected at the medical establishment. These data help to improve patient care and ensure favorable health outcomes. Based on medical record information, age, social and economic characteristics, individual anatomy, and many other factors, predictive analysis can reveal patients’ susceptibility to such diseases as diabetes, asthma, and other lifestyle-related conditions.

When building a predictive model, data analytics is used for finding similar patterns in behavior and forecasting people’s responses or actions to occurring events. The world’s largest medical organizations are on their way to integrating advanced practices such as predictive analysis, simulation, and variable modeling. The end goal with using these practices is the optimization of decision-making, problem-solving, identifying opportunities for improving the health system.

Predictive Tools Usage Statistics   

One of the most prominent cases of using predictive analytics was Parkland Health & Hospital System. In 2009, Parkland started analyzing electronic medical records to decrease readmission rates of patients suffering from congestive heart failure. Shortly after that, the hospital began applying the models forecasting high readmission risk in patients with diagnosed pneumonia, diabetes, and heart attack.

In 2019, the Society of Actuaries (SOA) presented the report on predictive analytics in healthcare to figure out healthcare providers’ expectations for the future. The results showed that 60% of respondents were already using predictive tools in their systems to improve KPIs in hospitals, clinics, and health insurance companies. 20% had planned to implement prognostic models within 2020. 

Use of predictive analytics by medical services diagram

In 2020, the demand for forecasting technology increased as a response to the global crisis. The next part of this article will tell you about the examples of how predictive powers are currently used in different fields of medicine.

Examples of Using Predictions in Medicine

There are diverse applications of predictive models at hospitals and healthcare companies, but we will highlight the five most important of them at this stage of medical science development. Our list covers the health insurance field and other branches of medicine that currently rely on forecasting technologies the most. 

Health Insurance

Predictive modeling in health insurance allows you to calculate the accurate cost of insurance for a specific individual. It is possible to define how reasonable it would be to provide a particular medical insurance plan to the applicant, considering such parameters as insurance case history, age, gender, region, medical history, heredity, bad habits, etc.  

Medical Imaging

Radiology is another field that shows the high efficiency of artificial intelligence and machine learning models. One of the most prominent examples here is the University of Montreal Hospital Centre. It uses the AI solution that notices anatomical changes in individual patients and identifies disease-specific markers based on X-ray photographs. This solution also helps to prepare patients for surgical interventions based on predictions.

The use of prognostic software in radiology is especially relevant in lung screening and breast cancer diagnostics. X-rays data is used to predict the patient's exposure to viral diseases affecting the lungs and help doctors focus primarily on the most vulnerable patient categories. Prognostic models and Digital Breast Tomosynthesis (DBT) provide the full picture of breast anatomy and allow detecting breast diseases early.

Palliative Care

Penn Medicine is one of the most reputed academic medical centers that use predictive models based on electronic health records (EHR). These models let doctors forecast health risks for patients with life-threatening diseases. This model was named Palliative Connect and based on 30 factors for predicting patient status. Palliative Connect can make predictions about a patient for the next six months after admission to the hospital. The machine learning algorithms help doctors focus on people with a high risk of mortality to improve palliative consultations. The Penn Medicine research aims to achieve favorable patient outcomes and reduce the death rate of the population.

Mental Health

According to WHO, almost 800,000 people end their lives by suicide, and over 20 million make self-kill attempts every year. Numerous factors cause most people to suffer from chronic stress, the worst outcomes of which can be severe depression, self-aggression, and suicide. To keep people mentally healthy, various medical organizations and scientists implement predictive solutions based on EHR and mental health visits of a specific patient. 

The prediction-based system analyzes data on both people who have committed suicide and living patients. In this way, it identifies people at high risk of committing or attempting suicide. As a result, it is possible to provide these people with timely support through helper applications and qualified therapists, thus significantly reducing the percentage of self-harm around the world.  

Pharmacy Services

The pharmaceutical industry is one of the first to adapt to changes caused by fierce competition between such companies on the market. Pharmacies mostly use predictive modeling to optimize marketing and sales. They help to forecast medication demand, customer churn, next purchases of a particular patient, and consumer preferences.

However, in some cases, even the most demanded drug can be ineffective for a particular person. Therefore, the pharmacists’ goal is to use predictions to provide the necessary medication to the right patients at the right time. For this purpose, pharmaceutical companies rely on EHR data and new clinical data demonstrating the efficacy of a particular drug in curing atypical forms of well-known diseases.

Benefits of Predictive Modeling in Healthcare

The medical industry owes its fast development to digital transformation, which has provided numerous advantages for healthcare providers, doctors, and patients. In this part, we will describe the benefits that healthcare predictive analytics opens for healthcare providers.

Advantages of healthcare predictive analytics diagram

1. Improved Diagnostics

Some diseases have typical symptoms, and qualified doctors can easily define them and cure according to the predefined treatment plan. However, each patient can have individual or, so to say, atypical symptoms that might point at a specific disease, but make diagnostics more complicated. The presence of atypical symptoms makes specialists rely on individual patient data and family history to define whether a person needs hospitalization to cure a disease. Laboratory testing and diagnostic procedures like CT, X-rays, MRI, etc. combined with predictive analytics have more value for further diagnosis and treatment plan choice. 

2. High Cost-Effectiveness

One of the essential reasons why healthcare organizations choose to implement predictive analytics is the ability to reduce costs significantly. With a great amount of available data on patients, staff, equipment, supplies, administrative tasks, and scheduling, you can generate detailed information on managing costs and patient risks. Based on this information, it becomes clear what expenses you can cut without sacrificing anything important.

Supply management is one of the complex processes requiring considerable expenses. Predictions about patient conditions, staffing, devices, contractors, etc. can reduce the number of suppliers for the same items. They can also help you save money by urging doctors to use more economical equipment and avoid miscarriages and poor management within the supply chain.

3. Enhanced Operational Efficiency

When overloaded, hospitals face medical staff shortage that often severely affect the quality of patient care. By implementing predictive models, your organization can allocate administrative resources and management to know about staffing challenges in advance. In this case, a software specialist can build a model following the analysis of such predictors as the number of medical personnel available, seasonal changes affecting population health, holidays, outbreaks, etc. 

Medical organizations can also manage skipped appointments and adjust patient flow in the most convenient way for doctors and patients. Specialists can include data on patients who frequently fail to show up and provide notice about skipping appointments in advance to predict gaps in doctors’ schedules and adjust it more efficiently, thus eliminating time waste.

4. Decreased Readmission Rates

The readmission rate is a factor indicating the quality of care provided at a particular hospital. According to the applicable regulations in many European countries and throughout the US, hospitals must pay the penalty for patient readmissions in case of disease relapse. When patients readmit to the hospital 30 days after their initial admission with the same complaints, it indicates that the treatment wasn't efficient enough the previous time. Predictive models help your organization prevent this by calculating the readmission probability during the first patient’s assessment, based on current and historical healthcare data. 

5. Personalized Medical Care

Healthcare institutions tend to increase their efficiency by using the opportunities of precision medicine. Predictive modeling helps to improve patient-centered care based on personal health records and contributes to the creation of the most effective treatment plans tailored for each patient. Prognostic models are exceptionally efficient for inpatient and emergency treatment when fast decisions have to be made. Any available data at the organization allows predicting the effectiveness of procedures, manipulations, laboratory tests, and medications depending on the specifics of a person's anatomy and genes.

Main Techniques

Predictive modeling includes several stages that involve the usage of specific techniques. These techniques let data scientists work with forecasting models in the most efficient way for the healthcare business. Some of the most notable are:

  • Data Cleansing. The stage on which specialists refine data from outliers to prepare only necessary data for modeling.
  • Logistic regression. A statistical method that aims to define parameters of a logistic model based on the previous examination of datasets.
  • Decision trees. This technique allows creating tree-like graphs that show map relationships between items the potential consequences of the predicted events.
  • Time series analysis. This stage includes analyzing data assets as they change over time to deliver valuable predictions within the indicated time period.

Final Thoughts

Predictive analytics has the most significant positive impact on businesses that operate massive amounts of data, face numerous risks, and quickly adapt to market changes. The healthcare industry is one of them. Medical companies often work under pressure, considering a great deal of responsibility to improve the health of millions of people. Advanced technologies are the key to making their work much more efficient and bearable. Data scientists at our company use big data, artificial intelligence, data analytics, and machine learning to build advanced predictive solutions for businesses. Don’t hesitate to contact us, if you want to use all the advantages of predictive analytics in your project.

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