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Erschienen in: Information Systems Frontiers 3/2020

17.10.2018

Clinical Decision Support System for Managing COPD-Related Readmission Risk

verfasst von: C. Derrick Huang, Jahyun Goo, Ravi S. Behara, Ankur Agarwal

Erschienen in: Information Systems Frontiers | Ausgabe 3/2020

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Abstract

Hospital readmission is an important quality-of-care indicator that reflects challenges in quality of in-patient care and the difficulty of coordination of care after the transition back into the community. It can also be a significant financial burden, especially as it relates to Medicare and Medicaid costs now and into the future. In this study, we develop a text-mining-based methodology for providing decision support to identify patients with Chronic Obstructive Pulmonary Disease (COPD), one of the leading causes of disability and mortality worldwide, that are likely to be readmitted. The proposed methodology is tested with real-life data to demonstrate how it can be used to help healthcare providers target high-risk discharged patients to reduce readmission.

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Literatur
Zurück zum Zitat Agarwal, R., Gao, G., DesRoches, C., & Jha, A. K. (2010a). The digital transformation of healthcare: current status and the road ahead. Information Systems Research, 21(4), 796–809. Agarwal, R., Gao, G., DesRoches, C., & Jha, A. K. (2010a). The digital transformation of healthcare: current status and the road ahead. Information Systems Research, 21(4), 796–809.
Zurück zum Zitat Agarwal, R. R., Angst, C. M. C. M., DesRoches, C. M. C. M., & Fischer, M. A. M. A. (2010b). Technological viewpoints (frames) about electronic prescribing in physician practices. Journal of the American Medical Informatics Association, 17(4), 425–431. Agarwal, R. R., Angst, C. M. C. M., DesRoches, C. M. C. M., & Fischer, M. A. M. A. (2010b). Technological viewpoints (frames) about electronic prescribing in physician practices. Journal of the American Medical Informatics Association, 17(4), 425–431.
Zurück zum Zitat Amarasingham, R., Moore, B. J., Tabak, Y. P., Drazner, M. H., Clark, C. A., Zhang, S., Reed, W. G., Swanson, T. S., Ma, Y., & Halm, E. A. (2010). An automated model to identify heart Failure Patients at Risk for 30-Day Readmission or Death Using Electronic Medical Record Data. Medical Care, 48(11), 981–988. Amarasingham, R., Moore, B. J., Tabak, Y. P., Drazner, M. H., Clark, C. A., Zhang, S., Reed, W. G., Swanson, T. S., Ma, Y., & Halm, E. A. (2010). An automated model to identify heart Failure Patients at Risk for 30-Day Readmission or Death Using Electronic Medical Record Data. Medical Care, 48(11), 981–988.
Zurück zum Zitat Angst, C. M., Agarwal, R., Sambamurthy, V., & Kelley, K. (2010). Social Contagion and Information Technology Diffusion: The Adoption of Electronic Medical Records in U.S. Hospitals. Management Science, 56(8), 1219–1241. Angst, C. M., Agarwal, R., Sambamurthy, V., & Kelley, K. (2010). Social Contagion and Information Technology Diffusion: The Adoption of Electronic Medical Records in U.S. Hospitals. Management Science, 56(8), 1219–1241.
Zurück zum Zitat Aronson, A. R., & Lang, F.-M. (2010). An Overview of Metamap: Historical Perspective and Recent Advances. Journal of the American Medical Informatics Association, 17(3), 229–236. Aronson, A. R., & Lang, F.-M. (2010). An Overview of Metamap: Historical Perspective and Recent Advances. Journal of the American Medical Informatics Association, 17(3), 229–236.
Zurück zum Zitat Bahadori, K., & FitzGerald, J. M. (2007). Risk factors of hospitalization and readmission of patients with copd exacerbation–systematic review. International Journal of Chronic Obstructive Pulmonary Disease, (2:3), 241. Bahadori, K., & FitzGerald, J. M. (2007). Risk factors of hospitalization and readmission of patients with copd exacerbation–systematic review. International Journal of Chronic Obstructive Pulmonary Disease, (2:3), 241.
Zurück zum Zitat Balas, E. A., Weingarten, S., Garb, C. T., Blumenthal, D., Boren, S. A., & Brown, G. D. (2000). Improving preventive care by prompting physicians. Archives of Internal Medicine, 160(3), 301–308. Balas, E. A., Weingarten, S., Garb, C. T., Blumenthal, D., Boren, S. A., & Brown, G. D. (2000). Improving preventive care by prompting physicians. Archives of Internal Medicine, 160(3), 301–308.
Zurück zum Zitat Bardhan, I., Zheng, E., Oh, J.-h., and Kirksey, K. 2011. A Profiling Model for Readmission of Patients with Congestive Heart Failure: A Multi-Hospital Study, Proceedings of the Thirty Second International Conference on Information Systems, Shanghai, China. Bardhan, I., Zheng, E., Oh, J.-h., and Kirksey, K. 2011. A Profiling Model for Readmission of Patients with Congestive Heart Failure: A Multi-Hospital Study, Proceedings of the Thirty Second International Conference on Information Systems, Shanghai, China.
Zurück zum Zitat Bardhan, I., Oh, J.-H., Zheng, Z., & Kirksey, K. (2014). Predictive analytics for readmission of patients with congestive heart failure. Information Systems Research, 26(1), 19–39. Bardhan, I., Oh, J.-H., Zheng, Z., & Kirksey, K. (2014). Predictive analytics for readmission of patients with congestive heart failure. Information Systems Research, 26(1), 19–39.
Zurück zum Zitat Bates, D. W., Teich, J. M., Lee, J., Seger, D., Kuperman, G. J., Ma'Luf, N., Boyle, D., & Leape, L. (1999). The impact of computerized physician order entry on medication error prevention. Journal of the American Medical Informatics Association, 6(4), 313–321. Bates, D. W., Teich, J. M., Lee, J., Seger, D., Kuperman, G. J., Ma'Luf, N., Boyle, D., & Leape, L. (1999). The impact of computerized physician order entry on medication error prevention. Journal of the American Medical Informatics Association, 6(4), 313–321.
Zurück zum Zitat Bennett, J. W., & Glasziou, P. P. (2003). Computerised reminders and feedback in medication management: A systematic review of randomised controlled trials. Medical Journal of Australia, 178(5), 217–222. Bennett, J. W., & Glasziou, P. P. (2003). Computerised reminders and feedback in medication management: A systematic review of randomised controlled trials. Medical Journal of Australia, 178(5), 217–222.
Zurück zum Zitat Bodenreider, O., & Stevens, R. (2006). Bio-ontologies: current trends and future directions. Briefings in Bioinformatics, 7(3), 256–274. Bodenreider, O., & Stevens, R. (2006). Bio-ontologies: current trends and future directions. Briefings in Bioinformatics, 7(3), 256–274.
Zurück zum Zitat Cecchini, M., Aytug, H., Koehler, G. J., & Pathak, P. (2010). Detecting management fraud in public companies. Management Science, 56(7), 1146–1160. Cecchini, M., Aytug, H., Koehler, G. J., & Pathak, P. (2010). Detecting management fraud in public companies. Management Science, 56(7), 1146–1160.
Zurück zum Zitat Clark, C., Good, K., Jezierny, L., Macpherson, M., Wilson, B., & Chajewska, U. (2008). Identifying Smokers with a Medical Extraction System. Journal of the American Medical Informatics Association, 15(1), 36–39. Clark, C., Good, K., Jezierny, L., Macpherson, M., Wilson, B., & Chajewska, U. (2008). Identifying Smokers with a Medical Extraction System. Journal of the American Medical Informatics Association, 15(1), 36–39.
Zurück zum Zitat Coleman, E. A., Min, S.j., Chomiak, A., & Kramer, A. M. (2004). Posthospital care transitions: patterns, complications, and risk identification. Health Services Research, 39(5), 1449–1466. Coleman, E. A., Min, S.j., Chomiak, A., & Kramer, A. M. (2004). Posthospital care transitions: patterns, complications, and risk identification. Health Services Research, 39(5), 1449–1466.
Zurück zum Zitat Deswal, A., Petersen, N. J., Souchek, J., Ashton, C. M., & Wray, N. P. (2004). Impact of race on health care utilization and outcomes in veterans with congestive heart failure. Journal of the American College of Cardiology, 43(5), 778–784. Deswal, A., Petersen, N. J., Souchek, J., Ashton, C. M., & Wray, N. P. (2004). Impact of race on health care utilization and outcomes in veterans with congestive heart failure. Journal of the American College of Cardiology, 43(5), 778–784.
Zurück zum Zitat Devaraj, S., & Kohli, R. (2000). Information technology payoff in the health-care industry: A longitudinal study. Journal of Management Information Systems, 16(4), 41–67. Devaraj, S., & Kohli, R. (2000). Information technology payoff in the health-care industry: A longitudinal study. Journal of Management Information Systems, 16(4), 41–67.
Zurück zum Zitat Devaraj, S., & Kohli, R. (2003). Performance impacts of information technology: is actual usage the missing link? Management Science, 49(3), 273–289. Devaraj, S., & Kohli, R. (2003). Performance impacts of information technology: is actual usage the missing link? Management Science, 49(3), 273–289.
Zurück zum Zitat Egner, M.T., Lorch, M., and Biddle, E. 2007. Uima Grid: distributed large-scale text analysis, Proceedings of the Seventh IEEE International Symposium on Cluster Computing and the Grid, 2007.: IEEE, pp. 317–326. Egner, M.T., Lorch, M., and Biddle, E. 2007. Uima Grid: distributed large-scale text analysis, Proceedings of the Seventh IEEE International Symposium on Cluster Computing and the Grid, 2007.: IEEE, pp. 317–326.
Zurück zum Zitat Elixhauser, A., Au, D., Podulka, J., Statistical, B.U., and September, I. 2011. Readmissions for Chronic Obstructive Pulmonary Disease, Rockville, MD: Agency for Health Care Research and Quality). Elixhauser, A., Au, D., Podulka, J., Statistical, B.U., and September, I. 2011. Readmissions for Chronic Obstructive Pulmonary Disease, Rockville, MD: Agency for Health Care Research and Quality).
Zurück zum Zitat Fader, P. S., & Lattin, J. M. (1993). Accounting for heterogeneity and nonstationarity in a cross-sectional model of consumer purchase behavior. Marketing Science, 12(3), 304–317. Fader, P. S., & Lattin, J. M. (1993). Accounting for heterogeneity and nonstationarity in a cross-sectional model of consumer purchase behavior. Marketing Science, 12(3), 304–317.
Zurück zum Zitat Fan, W., Davidson, I., Zadrozny, B., and Yu, P.S. 2005. An Improved Categorization of Classifier’s Sensitivity on Sample Selection Bias, Proceedings of the Proceedings of the 5th IEEE International Conference on Data Mining, Houston, TX. Fan, W., Davidson, I., Zadrozny, B., and Yu, P.S. 2005. An Improved Categorization of Classifier’s Sensitivity on Sample Selection Bias, Proceedings of the Proceedings of the 5th IEEE International Conference on Data Mining, Houston, TX.
Zurück zum Zitat Fan, W., Wallace, L., Rich, S., & Zhang, Z. (2006). Tapping the power of text mining. Communications of the ACM, 49(9), 76–82. Fan, W., Wallace, L., Rich, S., & Zhang, Z. (2006). Tapping the power of text mining. Communications of the ACM, 49(9), 76–82.
Zurück zum Zitat Feldman, R., and Sanger, J. 2006. The Text Mining Handbook: Advanced Approaches in Analyzing Unstructured Data. UK: Cambridge University Press. Feldman, R., and Sanger, J. 2006. The Text Mining Handbook: Advanced Approaches in Analyzing Unstructured Data. UK: Cambridge University Press.
Zurück zum Zitat Felker, G. M., Leimberger, J. D., Califf, R. M., Cuffe, M. S., Massie, B. M., Adams, K. F., Gheorghiade, M., & O'Connor, C. M. (2004). Risk stratification after hospitalization for Decompensated heart failure. Journal of Cardiac Failure, 10(6), 460–466. Felker, G. M., Leimberger, J. D., Califf, R. M., Cuffe, M. S., Massie, B. M., Adams, K. F., Gheorghiade, M., & O'Connor, C. M. (2004). Risk stratification after hospitalization for Decompensated heart failure. Journal of Cardiac Failure, 10(6), 460–466.
Zurück zum Zitat Fethke, C.C., Smith, I.M., and Johnson, N. 1986. Risk factors affecting readmission of the elderly into the health care system, Medical Care, pp. 429–437. Fethke, C.C., Smith, I.M., and Johnson, N. 1986. Risk factors affecting readmission of the elderly into the health care system, Medical Care, pp. 429–437.
Zurück zum Zitat Fingar, K., and Washington, R. 2015. Trends in Hospital Readmissions for Four High-Volume Conditions, 2009–2013, Agency for Healthcare Research and Quality, Rockville, MD. Fingar, K., and Washington, R. 2015. Trends in Hospital Readmissions for Four High-Volume Conditions, 2009–2013, Agency for Healthcare Research and Quality, Rockville, MD.
Zurück zum Zitat Foster, B. P., Zurada, J., & Barney, D. K. (2010). Could decision trees help improve farm service agency lending decisions? Journal of Management Information and Decision Sciences, 13(1), 69–91. Foster, B. P., Zurada, J., & Barney, D. K. (2010). Could decision trees help improve farm service agency lending decisions? Journal of Management Information and Decision Sciences, 13(1), 69–91.
Zurück zum Zitat Friedman, B., & Basu, J. (2004). The rate and cost of hospital readmissions for preventable conditions. Medical Care Research and Review, 61(2), 225–240. Friedman, B., & Basu, J. (2004). The rate and cost of hospital readmissions for preventable conditions. Medical Care Research and Review, 61(2), 225–240.
Zurück zum Zitat Gao, G.G., McCullough, J.S., Agarwal, R., and Jha, A.K. 2012. A changing landscape of physician quality reporting: analysis of patients’ online ratings of their physicians over a 5-year period, Journal of Medical Internet Research (14:1), p. e38. Gao, G.G., McCullough, J.S., Agarwal, R., and Jha, A.K. 2012. A changing landscape of physician quality reporting: analysis of patients’ online ratings of their physicians over a 5-year period, Journal of Medical Internet Research (14:1), p. e38.
Zurück zum Zitat Garcia-Aymerich, J., Farrero, E., Felez, M., Izquierdo, J., Marrades, R., & Anto, J. (2003). Risk factors of readmission to hospital for a Copd exacerbation: A prospective study. Thorax, 58(2), 100–105. Garcia-Aymerich, J., Farrero, E., Felez, M., Izquierdo, J., Marrades, R., & Anto, J. (2003). Risk factors of readmission to hospital for a Copd exacerbation: A prospective study. Thorax, 58(2), 100–105.
Zurück zum Zitat Gillaizeau, F., Chan, E., Trinquart, L., Colombet, I., Walton, R., Rège-Walther, M., Burnand, B., and Durieux, P. 2013. Computerized Advice on Drug Dosage to Improve Prescribing Practice, Cochrane Database of Systematic Reviews (11:CD002894). Gillaizeau, F., Chan, E., Trinquart, L., Colombet, I., Walton, R., Rège-Walther, M., Burnand, B., and Durieux, P. 2013. Computerized Advice on Drug Dosage to Improve Prescribing Practice, Cochrane Database of Systematic Reviews (11:CD002894).
Zurück zum Zitat Goo, J., Huang, C. D., & Koo, C. (2015). Learning for healthy outcomes: exploration and exploitation with electronic medical records. Information & Management, 52(5), 550–562. Goo, J., Huang, C. D., & Koo, C. (2015). Learning for healthy outcomes: exploration and exploitation with electronic medical records. Information & Management, 52(5), 550–562.
Zurück zum Zitat Gregor, S. & Hevner, A. R. (2013) Positioning and presenting design science research for maximum Impact. MIS Quarterly, 37(2), 337–355. Gregor, S. & Hevner, A. R. (2013) Positioning and presenting design science research for maximum Impact. MIS Quarterly, 37(2), 337–355.
Zurück zum Zitat Halfon, P., Eggli, Y., Prêtre-Rohrbach, I., Meylan, D., Marazzi, A., & Burnand, B. (2006). Validation of the potentially avoidable hospital readmission rate as a routine indicator of the quality of hospital care. Medical Care, 44(11), 972–981. Halfon, P., Eggli, Y., Prêtre-Rohrbach, I., Meylan, D., Marazzi, A., & Burnand, B. (2006). Validation of the potentially avoidable hospital readmission rate as a routine indicator of the quality of hospital care. Medical Care, 44(11), 972–981.
Zurück zum Zitat Han, J., Altman, R. B., Kumar, V., Mannila, H., & Pregibon, D. (2002). Emerging scientific Applications in data mining. Communications of the ACM, 45(8), 54–58. Han, J., Altman, R. B., Kumar, V., Mannila, H., & Pregibon, D. (2002). Emerging scientific Applications in data mining. Communications of the ACM, 45(8), 54–58.
Zurück zum Zitat Hunt, D. L., Haynes, R. B., Hanna, S. E., & Smith, K. (1998). Effects of computer-based clinical decision support systems on physician performance and patient outcomes: A systematic review. The Journal of the American Medical Association, 280(15), 1339–1346. Hunt, D. L., Haynes, R. B., Hanna, S. E., & Smith, K. (1998). Effects of computer-based clinical decision support systems on physician performance and patient outcomes: A systematic review. The Journal of the American Medical Association, 280(15), 1339–1346.
Zurück zum Zitat Jencks, S. F., Williams, M. V., & Coleman, E. A. (2009). Rehospitalizations among patients in the medicare fee-for-service program. New England Journal of Medicine, 360(14), 1418–1428. Jencks, S. F., Williams, M. V., & Coleman, E. A. (2009). Rehospitalizations among patients in the medicare fee-for-service program. New England Journal of Medicine, 360(14), 1418–1428.
Zurück zum Zitat Jha, A. K. A. K., DesRoches, C. M. C. M., Campbell, E. G. E. G., Donelan, K. K., Rao, S. R. S. R., Ferris, T. G. T. G., Shields, A. A., Rosenbaum, S. S., & Blumenthal, D. D. (2009). Use of electronic health records in U.S. hospitals. The New England Journal of Medicine, 360(16), 1628–1638. Jha, A. K. A. K., DesRoches, C. M. C. M., Campbell, E. G. E. G., Donelan, K. K., Rao, S. R. S. R., Ferris, T. G. T. G., Shields, A. A., Rosenbaum, S. S., & Blumenthal, D. D. (2009). Use of electronic health records in U.S. hospitals. The New England Journal of Medicine, 360(16), 1628–1638.
Zurück zum Zitat Kansagara, D., Englander, H., Salanitro, A., Kagen, D., Theobald, C., Freeman, M., & Kripalani, S. (2011). Risk prediction models for hospital readmission: a systematic review. Jama, 306(15), 1688–1698. Kansagara, D., Englander, H., Salanitro, A., Kagen, D., Theobald, C., Freeman, M., & Kripalani, S. (2011). Risk prediction models for hospital readmission: a systematic review. Jama, 306(15), 1688–1698.
Zurück zum Zitat Kaushal, R., Shojania, K. G., & Bates, D. W. (2003). Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Archives of Internal Medicine, 163(12), 1409–1416. Kaushal, R., Shojania, K. G., & Bates, D. W. (2003). Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Archives of Internal Medicine, 163(12), 1409–1416.
Zurück zum Zitat Ko, F. W., Tam, W., Tung, A. H., Ngai, J., Ng, S. S., Lai, K., Au, K.-F., & Hui, D. S. (2011). A longitudinal study of serial bode indices in predicting mortality and readmissions for Copd. Respiratory Medicine, 105(2), 266–273. Ko, F. W., Tam, W., Tung, A. H., Ngai, J., Ng, S. S., Lai, K., Au, K.-F., & Hui, D. S. (2011). A longitudinal study of serial bode indices in predicting mortality and readmissions for Copd. Respiratory Medicine, 105(2), 266–273.
Zurück zum Zitat Kripalani, S., LeFevre, F., Phillips, C. O., Williams, M. V., Basaviah, P., & Baker, D. W. (2007). Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. Jama, 297(8), 831–841. Kripalani, S., LeFevre, F., Phillips, C. O., Williams, M. V., Basaviah, P., & Baker, D. W. (2007). Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. Jama, 297(8), 831–841.
Zurück zum Zitat Marcantonio, E. R., McKean, S., Goldfinger, M., Kleefield, S., Yurkofsky, M., & Brennan, T. A. (1999). Factors associated with unplanned hospital readmission among patients 65 years of age and older in a medicare managed care plan. The American Journal of Medicine, 107(1), 13–17. Marcantonio, E. R., McKean, S., Goldfinger, M., Kleefield, S., Yurkofsky, M., & Brennan, T. A. (1999). Factors associated with unplanned hospital readmission among patients 65 years of age and older in a medicare managed care plan. The American Journal of Medicine, 107(1), 13–17.
Zurück zum Zitat Melton, G. B., Raman, N., Chen, E. S., Sarkar, I. N., Pakhomov, S., & Madoff, R. D. (2010). Evaluation of family history information within clinical documents and adequacy of hl7 clinical statement and clinical genomics family history models for its representation: a case report. Journal of the American Medical Informatics Association, 17(3), 337–340. Melton, G. B., Raman, N., Chen, E. S., Sarkar, I. N., Pakhomov, S., & Madoff, R. D. (2010). Evaluation of family history information within clinical documents and adequacy of hl7 clinical statement and clinical genomics family history models for its representation: a case report. Journal of the American Medical Informatics Association, 17(3), 337–340.
Zurück zum Zitat Menon, N. M., Lee, B., & Eldenburg, L. (2000). Productivity of information systems in the healthcare industry. Information Systems Research, 11(1), 83–92. Menon, N. M., Lee, B., & Eldenburg, L. (2000). Productivity of information systems in the healthcare industry. Information Systems Research, 11(1), 83–92.
Zurück zum Zitat Miller, M. 2007. Statement of Executive Director of the Medicare Payment Advisory Commission, before the Subcommittee on Health, Committee on Energy and Commerce, US House of Representatives). Miller, M. 2007. Statement of Executive Director of the Medicare Payment Advisory Commission, before the Subcommittee on Health, Committee on Energy and Commerce, US House of Representatives).
Zurück zum Zitat Mitchell, E., Bland, J., & Thompson, J. (1994). Risk factors for readmission to hospital for asthma in childhood. Thorax, 49(1), 33–36. Mitchell, E., Bland, J., & Thompson, J. (1994). Risk factors for readmission to hospital for asthma in childhood. Thorax, 49(1), 33–36.
Zurück zum Zitat Muus, K., Knudson, A., Klug, M., Gokun, J., Sarrazin, M., & Kaboli, P. (2010). Effect of post-discharge follow-up care on re-admissions among us veterans with congestive heart failure: a rural-urban comparison. Rural and Remote Health, 10(1447), 1–11. Muus, K., Knudson, A., Klug, M., Gokun, J., Sarrazin, M., & Kaboli, P. (2010). Effect of post-discharge follow-up care on re-admissions among us veterans with congestive heart failure: a rural-urban comparison. Rural and Remote Health, 10(1447), 1–11.
Zurück zum Zitat Oztekin, A., Kong, Z. J., & Delen, D. (2011). Development of a structural equation modeling-based decision tree methodology for the analysis of lung transplantations. Decision Support Systems, 51(1), 155–166. Oztekin, A., Kong, Z. J., & Delen, D. (2011). Development of a structural equation modeling-based decision tree methodology for the analysis of lung transplantations. Decision Support Systems, 51(1), 155–166.
Zurück zum Zitat Pakhomov, S., Weston, S.A., Jacobsen, S.J., Chute, C.G., Meverden, R., and Roger, V.L. 2007a. Electronic medical records for clinical research: application to the identification of heart failure, Am J Manag Care (13:6 Part 1), pp. 281–288. Pakhomov, S., Weston, S.A., Jacobsen, S.J., Chute, C.G., Meverden, R., and Roger, V.L. 2007a. Electronic medical records for clinical research: application to the identification of heart failure, Am J Manag Care (13:6 Part 1), pp. 281–288.
Zurück zum Zitat Pakhomov, S. S., Hemingway, H., Weston, S. A., Jacobsen, S. J., Rodeheffer, R., & Roger, V. L. (2007b). Epidemiology of angina pectoris: role of natural language processing of the medical record. American Heart Journal, 153(4), 666–673. Pakhomov, S. S., Hemingway, H., Weston, S. A., Jacobsen, S. J., Rodeheffer, R., & Roger, V. L. (2007b). Epidemiology of angina pectoris: role of natural language processing of the medical record. American Heart Journal, 153(4), 666–673.
Zurück zum Zitat Pakhomov, S., Shah, N., Hanson, P., Balasubramaniam, S., and Smith, S.A. 2008. Automatic quality of life prediction using electronic medical records, Proceedings of the AMIA Annual Symposium Proceedings: American Medical Informatics Association, p. 545. Pakhomov, S., Shah, N., Hanson, P., Balasubramaniam, S., and Smith, S.A. 2008. Automatic quality of life prediction using electronic medical records, Proceedings of the AMIA Annual Symposium Proceedings: American Medical Informatics Association, p. 545.
Zurück zum Zitat Philbin, E. F., Dec, G. W., Jenkins, P. L., & DiSalvo, T. G. (2001). Socioeconomic status as an independent risk factor for hospital readmission for heart failure. The American Journal of Cardiology, 87(12), 1367–1371. Philbin, E. F., Dec, G. W., Jenkins, P. L., & DiSalvo, T. G. (2001). Socioeconomic status as an independent risk factor for hospital readmission for heart failure. The American Journal of Cardiology, 87(12), 1367–1371.
Zurück zum Zitat Puhan, M.A., Scharplatz, M., Troosters, T., and Steurer, J. 2005. Respiratory Rehabilitation after Acute Exacerbation of Copd May Reduce Risk for Readmission and Mortality–a Systematic Review, Respir Res (6:54). Puhan, M.A., Scharplatz, M., Troosters, T., and Steurer, J. 2005. Respiratory Rehabilitation after Acute Exacerbation of Copd May Reduce Risk for Readmission and Mortality–a Systematic Review, Respir Res (6:54).
Zurück zum Zitat Quinlan, J.R. 1993. C4. 5: Programs for Machine Learning. San Mateo: Morgan Kaufmann Publishers. Quinlan, J.R. 1993. C4. 5: Programs for Machine Learning. San Mateo: Morgan Kaufmann Publishers.
Zurück zum Zitat Ross, J. S., Mulvey, G. K., Stauffer, B., Patlolla, V., Bernheim, S. M., Keenan, P. S., & Krumholz, H. M. (2008). Statistical models and patient predictors of readmission for heart failure: a systematic review. Archives of Internal Medicine, 168(13), 1371–1386. Ross, J. S., Mulvey, G. K., Stauffer, B., Patlolla, V., Bernheim, S. M., Keenan, P. S., & Krumholz, H. M. (2008). Statistical models and patient predictors of readmission for heart failure: a systematic review. Archives of Internal Medicine, 168(13), 1371–1386.
Zurück zum Zitat Savova, G. K., Ogren, P. V., Duffy, P. H., Buntrock, J. D., & Chute, C. G. (2008). Mayo clinic Nlp system for patient smoking status identification. Journal of the American Medical Informatics Association, 15(1), 25–28. Savova, G. K., Ogren, P. V., Duffy, P. H., Buntrock, J. D., & Chute, C. G. (2008). Mayo clinic Nlp system for patient smoking status identification. Journal of the American Medical Informatics Association, 15(1), 25–28.
Zurück zum Zitat Savova, G. K., Masanz, J. J., Ogren, P. V., Zheng, J., Sohn, S., Kipper-Schuler, K. C., & Chute, C. G. (2010). Mayo clinical text analysis and knowledge extraction system (Ctakes): architecture, component evaluation and applications. Journal of the American Medical Informatics Association, 17(5), 507–513. Savova, G. K., Masanz, J. J., Ogren, P. V., Zheng, J., Sohn, S., Kipper-Schuler, K. C., & Chute, C. G. (2010). Mayo clinical text analysis and knowledge extraction system (Ctakes): architecture, component evaluation and applications. Journal of the American Medical Informatics Association, 17(5), 507–513.
Zurück zum Zitat Shah, A.D., Martinez, C., and Hemingway, H. 2012. The freetext matching algorithm: a computer program to extract diagnoses and causes of death from unstructured text in electronic health records, BMC Medical Informatics and Decision Making (12:1), p. 88. Shah, A.D., Martinez, C., and Hemingway, H. 2012. The freetext matching algorithm: a computer program to extract diagnoses and causes of death from unstructured text in electronic health records, BMC Medical Informatics and Decision Making (12:1), p. 88.
Zurück zum Zitat Shea, S., DuMouchel, W., & Bahamonde, L. (1996). A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. Journal of the American Medical Informatics Association, 3(6), 399–409. Shea, S., DuMouchel, W., & Bahamonde, L. (1996). A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. Journal of the American Medical Informatics Association, 3(6), 399–409.
Zurück zum Zitat Shelton, P., Sager, M. A., & Schraeder, C. (2000). The community assessment risk screen (Cars): identifying elderly persons at risk for hospitalization or emergency department visit. The American Journal of Managed Care, 6(8), 925–933. Shelton, P., Sager, M. A., & Schraeder, C. (2000). The community assessment risk screen (Cars): identifying elderly persons at risk for hospitalization or emergency department visit. The American Journal of Managed Care, 6(8), 925–933.
Zurück zum Zitat Shiffman, R. N., Liaw, Y., Brandt, C. A., & Corb, G. J. (1999). Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. Journal of the American Medical Informatics Association, 6(2), 104–114. Shiffman, R. N., Liaw, Y., Brandt, C. A., & Corb, G. J. (1999). Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. Journal of the American Medical Informatics Association, 6(2), 104–114.
Zurück zum Zitat Silow-Carroll, S., Edwards, J. N., & Lashbrook, A. (2011). Reducing hospital readmissions: lessons from top-performing hospitals. CareManagement, 17(5), 14–31. Silow-Carroll, S., Edwards, J. N., & Lashbrook, A. (2011). Reducing hospital readmissions: lessons from top-performing hospitals. CareManagement, 17(5), 14–31.
Zurück zum Zitat Silverstein, M. D., Qin, H., Mercer, S. Q., Fong, J., & Haydar, Z. (2008). Risk factors for 30-day hospital readmission in patients ≥ 65 years of age. Baylor University Medical Center Proceedings, 21(4), 363–372. Silverstein, M. D., Qin, H., Mercer, S. Q., Fong, J., & Haydar, Z. (2008). Risk factors for 30-day hospital readmission in patients ≥ 65 years of age. Baylor University Medical Center Proceedings, 21(4), 363–372.
Zurück zum Zitat Sim, I., Gorman, P., Greenes, R. A., Haynes, R. B., Kaplan, B., Lehmann, H., & Tang, P. C. (2001). Clinical decision support systems for the practice of evidence-based medicine. Journal of the American Medical Informatics Association, 8(6), 527–534. Sim, I., Gorman, P., Greenes, R. A., Haynes, R. B., Kaplan, B., Lehmann, H., & Tang, P. C. (2001). Clinical decision support systems for the practice of evidence-based medicine. Journal of the American Medical Informatics Association, 8(6), 527–534.
Zurück zum Zitat Stewart, S., Marley, J. E., & Horowitz, J. D. (1999). Effects of a multidisciplinary, home-based intervention on planned readmissions and survival among patients with chronic congestive heart failure: a randomised controlled study. The Lancet, 354(9184), 1077–1083. Stewart, S., Marley, J. E., & Horowitz, J. D. (1999). Effects of a multidisciplinary, home-based intervention on planned readmissions and survival among patients with chronic congestive heart failure: a randomised controlled study. The Lancet, 354(9184), 1077–1083.
Zurück zum Zitat Stone, J., and Hoffman, G.J. 2010. Medicare hospital readmissions - issues, policy options and Ppaca, pp. 111–148. Stone, J., and Hoffman, G.J. 2010. Medicare hospital readmissions - issues, policy options and Ppaca, pp. 111–148.
Zurück zum Zitat Teich, J.M., and Wrinn, M.M. 2000. Clinical decision support systems come of age, M.D. Computing: Computers in Medical Practice (17:1), pp. 43–46. Teich, J.M., and Wrinn, M.M. 2000. Clinical decision support systems come of age, M.D. Computing: Computers in Medical Practice (17:1), pp. 43–46.
Zurück zum Zitat Uzuner, Ö., Goldstein, I., Luo, Y., & Kohane, I. (2008). Identifying patient smoking status from medical discharge records. Journal of the American Medical Informatics Association, 15(1), 14–24. Uzuner, Ö., Goldstein, I., Luo, Y., & Kohane, I. (2008). Identifying patient smoking status from medical discharge records. Journal of the American Medical Informatics Association, 15(1), 14–24.
Zurück zum Zitat Walton, R., Dovey, S., Harvey, E., & Freemantle, N. (1999). Computer support for determining drug dose: systematic review and meta-analysis. The BMJ, 318(7189), 984–990. Walton, R., Dovey, S., Harvey, E., & Freemantle, N. (1999). Computer support for determining drug dose: systematic review and meta-analysis. The BMJ, 318(7189), 984–990.
Zurück zum Zitat Wang, T., Kannan, K. N., & Ulmer, J. R. (2013). The association between the disclosure and the realization of information security risk factors. Information Systems Research, 24(2), 201–218. Wang, T., Kannan, K. N., & Ulmer, J. R. (2013). The association between the disclosure and the realization of information security risk factors. Information Systems Research, 24(2), 201–218.
Zurück zum Zitat Weingarten, S.R., Henning, J.M., Badamgarav, E., Knight, K., Hasselblad, V., Gano Jr, A., and Ofman, J.J. 2002. Interventions Used in Disease Management Programmes for Patients with Chronic Illnesswhich Ones Work? Meta-Analysis of Published Reports, The BMJ (325:925). Weingarten, S.R., Henning, J.M., Badamgarav, E., Knight, K., Hasselblad, V., Gano Jr, A., and Ofman, J.J. 2002. Interventions Used in Disease Management Programmes for Patients with Chronic Illnesswhich Ones Work? Meta-Analysis of Published Reports, The BMJ (325:925).
Zurück zum Zitat Wilson, E. V. E. V., & Lankton, N. K. N. K. (2004). Modeling patients' acceptance of provider-delivered e-health. Journal of the American Medical Informatics Association, 11(4), 241–248. Wilson, E. V. E. V., & Lankton, N. K. N. K. (2004). Modeling patients' acceptance of provider-delivered e-health. Journal of the American Medical Informatics Association, 11(4), 241–248.
Zurück zum Zitat Zadrozny, B. 2004. Learning and Evaluating Classifiers under Sample Selection Bias, Proceedings of the Proceedings of the 21st International Conference on Machine Learning, C.E. Brodley (ed.), Banff, Canada, pp. 903–910. Zadrozny, B. 2004. Learning and Evaluating Classifiers under Sample Selection Bias, Proceedings of the Proceedings of the 21st International Conference on Machine Learning, C.E. Brodley (ed.), Banff, Canada, pp. 903–910.
Zurück zum Zitat Zhang, W., Higgins, M., Wongtrakool, C., Sadikot, R. (2017). Predicting risk factors for Copd hospital readmission: a big data analysis. Chest, 152(4), A806. Zhang, W., Higgins, M., Wongtrakool, C., Sadikot, R. (2017). Predicting risk factors for Copd hospital readmission: a big data analysis. Chest, 152(4), A806.
Metadaten
Titel
Clinical Decision Support System for Managing COPD-Related Readmission Risk
verfasst von
C. Derrick Huang
Jahyun Goo
Ravi S. Behara
Ankur Agarwal
Publikationsdatum
17.10.2018
Verlag
Springer US
Erschienen in
Information Systems Frontiers / Ausgabe 3/2020
Print ISSN: 1387-3326
Elektronische ISSN: 1572-9419
DOI
https://doi.org/10.1007/s10796-018-9881-4

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