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Data Driven Model to Minimize Hospital

Readmissions
Miriam Paramore (Emdeon), David Talby (Paci c AI)
4:00pm–4:40pm Thursday, 09/26/2013
Value-Based Care Salon H K

Average rating: (4.50, 2 ratings)

Slides: 1 PPTX

The Medicare Payment Advisory Commission (MedPAC) reported in 2005 that about 11 percent of
hospital stays resulted in a readmission within 15 days of discharge and 18 percent within 30 days of
the patient leaving the facility, accounting for $17 billion in spending. In the hospital setting,
determining the readmission risk for a particular patient at the point of registration and after
discharge, would allow providers to monitor that patient di erently and could lead to better health
outcomes.

Medical and pharmacy big data paired with intelligent analytics has the potential to revolutionize
patient care. In this presentation we will discuss and demonstrate techniques used to improve
readmissions results, speci cally detailing the process used in aggregating the disparate data and the
role of analytics in answering business-critical questions:

• Impact of readmission on patients, providers and payers

• Data gathering issues (legal share of data/ privacy matters)
• Ingesting data from classical RDBMS to Hive; data validation and data cleaning; “fuzzy joining” data
from di erent systems
• Feature generation from raw data; feature enrichment using publicly available data sets
• Feature selection for predicting readmission risk
• Modeling readmission risk using predictive analytics on selected features
• Description of tools created to utilize the model; walk through some interesting results

Miriam Paramore
Emdeon

Ms. Paramore has been Emdeon’s Executive Vice President – Strategy and Product Management since
May 2012. Prior to May, Ms. Paramore served as our Senior Vice President of Clinical Services and
Government A airs and was responsible for overseeing the clinical sector of the business, long-term
strategic planning, thought leadership, public policy and government a airs. Paramore brings more
than 29 years of industry experience and plays a critical role in helping Emdeon shape a course for
the future based on emerging trends in health information technology (HIT). She is a national
speaker and was a past member of the national board of directors for the Health Information
Management Systems Society (HIMSS) and is the board liaison to the HIMSS Financial Systems
Steering Committee. She is a past Board member for CareSource Management Group, a non-pro t
Medicaid managed care organization, and a previous member of the eHealth Advisory Committee for
the Commonwealth of Kentucky. Paramore is the architect of The U.S. Healthcare E ciency Index™,
an industry forum for measuring the e ciency of healthcare business processes. As a longtime
advocate for HIT in the public sector, Paramore serves as an advisor to key Congressional committees
and the Congressional Budget O ce on HIT, healthcare administrative simpli cation and other
practical solutions that can take costs out of the system and make healthcare more e cient.

Website

David Talby
Paci c AI

David Talby has extensive experience in building & operating web-scale search and business
platforms, as well as building world-class, agile, distributed teams. Previously he was with
Microsoft’s Bing group where he was a Principal Group Manager leading all business operations for
Bing Shopping in the US and Europe, managing teams in Seattle, India and several European
countries. Prior to Microsoft, David worked at Amazon both in Seattle and in the UK where he built
and ran distributed teams which helped scale Amazon’s nancial systems. David is a veteran of the
Israeli Air Force and he holds a PhD in Computer Science along with two masters degrees in Science
and Business Administration respectively, all of which were obtained at the Hebrew University of
Jerusalem. In addition, David has taught courses on Object Oriented Design; Software Design;
Distributed algorithms; advanced programing and system analysis; operating systems; systems
programming and marketing at the Hebrew University of Jerusalem and Hadassah College of
Technology, Jerusalem. David has 23 published papers & patents to date

Website

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