Optimizing hospital-wide patient scheduling : early classification of diagnosis-related groups through machine learning
著者
書誌事項
Optimizing hospital-wide patient scheduling : early classification of diagnosis-related groups through machine learning
(Lecture notes in economics and mathematical systems, 674)
Springer, c2014
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注記
Originally presented as the author's thesis (doctoral)--Technische Universität München, TUM School of Management, 2013
Includes bibliographical references (p. 109-119)
内容説明・目次
内容説明
Diagnosis-related groups (DRGs) are used in hospitals for the reimbursement of inpatient services. The assignment of a patient to a DRG can be distinguished into billing- and operations-driven DRG classification. The topic of this monograph is operations-driven DRG classification, in which DRGs of inpatients are employed to improve contribution margin-based patient scheduling decisions. In the first part, attribute selection and classification techniques are evaluated in order to increase early DRG classification accuracy. Employing mathematical programming, the hospital-wide flow of elective patients is modelled taking into account DRGs, clinical pathways and scarce hospital resources. The results of the early DRG classification part reveal that a small set of attributes is sufficient in order to substantially improve DRG classification accuracy as compared to the current approach of many hospitals. Moreover, the results of the patient scheduling part reveal that the contribution margin can be increased as compared to current practice.
目次
Introduction.- Machine learning for early DRG classification.- Scheduling the hospital-wide flow of elective patients.- Experimental analyses.- Conclusion.
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