Empowering Healthcare With Predictive Analytics

Table of Contents

A3Logics 05 Jun 2024

Table of Contents

Today, the healthcare industry is evolving much like any other. The wealth of information at an organization’s disposal changes the whole sector. The methods used by hospitals to make use of their resources so that care teams can function and coordinate, as well as how diseases are identified and effectively treated for patients.
Accurate, real-time information that has the potential to affect patients is crucial. And here is where the use of predictive analytics for healthcare is beneficial. 


Predictive analytics for healthcare robust technology uses statistical techniques and machine learning algorithms to estimate future results and analyze medical data.  But before delving deeper to see how predictive artificial intelligence is changing the healthcare scene, it’s critical to comprehend the field’s significance, the various ways it’s being used in healthcare, and how it’s improving overall operations.


What makes Predictive Analytics Important to the Healthcare Field?


The application of predictive analytics for healthcare is critical to clinical care and operational effectiveness. Healthcare professionals can provide patients with more cost-effective treatment regimens that prolong patient health when they can predict health risks with accuracy. Better risk estimations for cardiovascular disease can be obtained by predictive analytics that leverages social and environmental patient data, as demonstrated by recent studies. Clinicians can stop at-risk patients from experiencing worsening symptoms that might require hospitalization by using these insights.


Predictive analytics tools and techniques help healthcare providers address staffing shortages. It also helps to maximize capacity management from an operational perspective. 94% of the nurses in their area indicating that there is a moderate to severe shortage of nurses. 80% predict that the shortfall will be worsening in the next five years. Hospitals can effectively use their resources by using predictive analytics for staff scheduling.  To stop the spread of viruses and enhance public health authorities’ reaction to viral outbreaks, predictive analytics is important. Predictive analytics solutions are already becoming useful in predicting the spread of the influenza virus at the state and local levels. 


What does Healthcare Predictive Analytics include?


Predictive analytics in healthcare is a discipline that mostly focuses on modeling, data mining, machine learning, and artificial intelligence development services.  


For making forecasts, the program analyzes both real-time and historical data. In the healthcare industry, predictive analytics is related to the examination of both past and present patient data. The following points help clarify how AI in healthcare functions. 


  • – It enables experts to identify chances for more effective and efficient clinical and operational decision-making. Enabling them to forecast trends, and even control the disease’s spread. 
  • – Any data concerning an individual’s or a group’s health issues is considered healthcare data. It can be gathered from administrative and medical data. This includes health surveys, disease and patient registries, and electronic health records. 
  • – Healthcare companies, doctors, hospitals, pharmacy companies, and others use this data. This helps to improve patient outcomes and strengthen the organization.
  • – The healthcare industry is rapidly digitizing as seen by the incorporation of big data. As a result, predictive analytics for healthcare has become a vital tool that everyone uses to improve patient care


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How Can Healthcare Use Predictive Analytics?


Three primary categories exist for the application of predictive analytics for healthcare


Early Diagnosis 


Predictive modeling tools are especially useful in the field of prevention and early diagnosis. Diagnostics has advanced beyond the old way thanks to data-driven techniques that shift the emphasis from constrained, traditional, test-based analytics to a more comprehensive view. Predictive analytics is another tool that hospitals use to assist physicians in seeing a patient’s terrible potential and intervene before the possibility materializes and becomes a major sickness. 


Regarding Tailored Treatment Schemes


Predictive analytics for healthcare allows for the customization of a personalized treatment plan for each patient, optimizing its outcome, based on the diagnostics. One-size-fits-all approaches don’t necessarily provide the best outcomes for treating chronic disorders like cancer. Personalized therapy solutions are especially beneficial in these situations. The effect of predictive data analytics on cancer patient therapy is one such instance. The oncologist can determine which treatments have the best chance of healing based on the patient’s genetic map and medical history. 


Optimization of Hospital Resources


One of the cornerstones of a successful healthcare company is effective management, one of the benefits of predictive analytics for healthcare. This helps with resource allocation and patient influx forecasts. Predictive analytics for healthcare also helps hospitals plan staff schedules, bed counts, equipment, and medicine stocks efficiently in response to seasonal flu outbreaks. 


Healthcare Predictive Analytics Types


Predictive analytics is often employed in the following areas in the healthcare industry:


Modeling the Progression of Diseases


Technologies like cloud computing are changing the healthcare sector. Predictive analytics solutions are useful to help to analyze one’s chances of getting a disease. This can be due to various factors, like lifestyle, genetics, and past medical treatments. Healthcare providers can better adapt treatment plans and actions with the use of this information, leading to better results. 


Forecasting Model for Patient Dividing


It is important to group patients according to their health state, risk factors, or treatment regimens. Additionally, this enables the development of individualized care management plans that are catered to the unique requirements of each group. 


Predicting Medication Adherence


This comes in handy to identify patients who are most likely to adhere to their prescription regimens. Separate them from the ones who will not follow the regimen. Professionals can intervene with adherence support techniques for at-risk patients by adhering to this paradigm, which is also a popular trend in predictive analytics healthcare, thereby enhancing treatment outcomes. 


Forecasting Resource Demand


This kind of forecasts future needs for healthcare resources, such as ER visits, hospital admissions, and intensive care unit (ICU) use. To effectively organize and distribute resources to satisfy patient demands, aids healthcare facilities. 


Predictive Modeling and Healthcare


AI predictive analytics in healthcare is a mathematical technique that finds patterns in data. Using the pattern it then calculates the chances of a specific event occurring. This is done by applying statistical techniques, data mining, and machine learning. Answering “What is most likely to happen in the future based on known past behavior” is the goal of predictive modeling.  Predictive modeling tools are the technique of making predictions using data and algorithms. The method trains the model that is best suited for achieving the objective or completing the business transaction because it is iterative.


The following analytical modeling steps are included in the predictive modeling process:  


Data collection and cleansing: It collects information from multiple sources, uses cleansing techniques to eliminate noise, and extracts only the pertinent data to make accurate forecasts.


Data analysis: It’s crucial to first make a simple chart of your data and do a comprehensive study of it before you begin creating your model. It is essential to comprehend how the data behaves and to recognize the connections among the variables. It becomes difficult to create efficient predictive modeling tools without this knowledge. You can learn a lot, though, if you put in the time. This procedure can provide a great deal of insight into the issue at hand and its solutions, laying the groundwork for additional research and model building.


Constructing a predictive model: In certain cases, a certain algorithm or model fits the data well. Sometimes the optimal course of action is less obvious. Run as many algorithms as you can and compare the results as you study the data. However, to evaluate the effectiveness of the classification model against test data, identify the test data and apply the classification rules. 


Integrate the model with your operational procedures: You must incorporate the model into your organization’s procedures for it to be useful for improving patient care in your healthcare facility.  


However, in the medical field, predictive modeling tools contribute to better patient care and successful outcomes. It can determine whose sickest, most at-risk patients will benefit the most from intervention. Moreover, predictive analytics also looks for trends in hospital data to gain insights that can be used to create successful marketing, anticipate product safety and optimize dosage, guide the design of clinical trials, and much more. 


Predictive Analytics in Healthcare Use Cases


The healthcare industry is changing thanks to predictive analytics! Let’s take a look at some important examples of predictive analytics in healthcare:


1. Avoiding rehospitalization


Hospital readmissions come at a hefty cost. Readmissions cost the US healthcare system about $17.4 billion annually. Medicare’s Hospital Readmission Reduction Program offers rewards to prevent readmissions. They impose severe penalties on hospitals. Many of the hospitals in this program experienced this kind of penalty, according to studies.


With the use of predictive analytics for healthcare, physicians may prevent a rapid turnover by identifying patients who exhibit characteristics that point to a high likelihood of readmission and allocating more resources for follow-ups and customized discharge procedures.


AI and predictive analytics were used in healthcare by a Corewell Health study team to identify patients who had a high risk of readmission. However, after analyzing the patients who struggled to recover from their hospital stays, the researchers created a recovery strategy.


Behavioral health, clinical difficulties, and social determinants of health were the three pillars of this plan. An interdisciplinary team collaborated with the individual to address those three aspects as soon as the predictive analytics algorithm identified a possible candidate for readmission. By using this strategy, Corewell Health was able to save $5 million in related expenses and avoid the readmission of 200 patients.


2. Taking care of the health of the population


This is another of the well-known examples of predictive analytics in healthcare that addresses two points.

Predictive analytics for identifying public health trends


One of the benefits of predictive analytics for healthcare is spotting possible patterns in population health. A study that employed predictive analytics to find health patterns was published in the Lancet Public Health journal. According to this study, alcohol-related liver illnesses will become more common in the US and result in fatalities unless patterns of alcohol intake change.


Using predictive healthcare data to identify disease outbreaks


One cannot help but wonder, “Could predictive analytics have foreseen the COVID-19 pandemic?” when discussing epidemic forecasts. Yes, that is the response. BlueDot is a Canadian artificial intelligence solutions company and predictive analytics solutions company. On December 30, 2019, it released a warning regarding the surge in unusual pneumonia cases in Wuhan. That’s when the World Health Organization declared the new coronavirus to have emerged in an official announcement only nine days later.


3. Enhancing cybersecurity


Cyberattacks are common in the healthcare industry, per the HIPAA Healthcare Data Breach Report. According to the research, approximately 82.6 million healthcare records were compromised between January and October 2023, with hacking being the most frequent cause of these breaches.


Online safety can help improve this circumstance. Healthcare companies can determine risk scores for various online transactions in real time and react to events based on these scores by combining artificial intelligence technologies with predictive analytics.


For instance, the system will allow a low-risk process to be accessed during a login event while blocking or requiring multi-factor authentication for a high-risk process. Moreover, healthcare predictive modeling tools can track data exchange and access to spot any shifts in trends that would point to an intrusion.


4. Estimating the onset of disease


Machine learning combined with predictive analytics services can predict diseases even in patients who don’t exhibit any outward symptoms or even onset inclinations.


To detect patients with early-onset diabetes, a study team experimented with predictive analytics models in the healthcare industry. However utilizing patient profiles and the prescribed medication the individual has been taking, the scientists were able to construct a dependable machine-learning model with the use of medical data from Hospital de Santa Luzia.


Another example is the creation of a multiple myeloma prediction modeling tool by a research team using machine learning. Tumor genetics and the recommended course of treatment are considered in this solution. In the process of working on this project, scientists found 90 genes that have a high chance of becoming mutated and can exist in tumors. With this information, the program was able to predict 12 distinct forms of multiple myeloma. In addition, the University of Massachusetts has initiated a research study aimed at developing a deep-learning model that can forecast Alzheimer’s disease for up to two years.


5. Accelerating the filing and processing of insurance claims


Based on past data and rejection trends, insurance claims that are likely to be denied can be identified via predictive analytics for healthcare. Additionally, the technology may identify fields that match and identify insufficient reimbursement codes. Hospitals can expedite the process of preparing insurance claims. Thanks to these tools there is very little space for errors.


Apixio headquartered in California develops analytics-driven healthcare solutions. The business created software to assist hospital coders in selecting the appropriate codes for insurance submissions.


However, in the past, hospital coders had to comb through a ton of data to locate the appropriate codes. The technology from Apixio searches patient medical records for pertinent information and then shows the coders the components that were chosen to aid in choosing the best possible codes.


Benefits of Predictive analytics


First analytics has the potential to significantly alter the healthcare sector as technology advances. Secondly, data can be used by AI and machine learning algorithms to detect illnesses, choose the best course of action for each patient’s use case, and much more. The following are the key ways that predictive analytics can help healthcare organizations:  


Better Treatment for Patients


Predictive analytics healthcare offers the availability of all forms of data. This includes medical history, demographics, economics, and commodities, which is the primary advantage that predictive analytics offers the healthcare sector. Physicians and other healthcare professionals are making smart judgments thanks to the wealth of data available to them. Making data-driven, intelligent, and better decisions results in overall better patient care. When it comes to predictive analytics vs. machine learning. Predictive analytics, for instance, is applied to enhance patient outcomes. However, machine learning algorithms can be trained to provide insights into treatment strategies that are most effective for individual patients by analyzing data and outcomes from older individuals.  


Individualized Care


Medicine is always operating on a one-size-fits-all basis. Instead of focusing on individual patients, data from a large population have been used to suggest treatments and medications based on scant information. But as doctors get more adept at diagnosing patients, they can also choose the best course of action based on each patient’s particular set of circumstances.  


Management of Population Health


There are applications for predictive analytics for healthcare beyond the individual level. It can also be used by healthcare organizations to control population health. In addition, analytics can be used to identify similar patients within a population cohort when they have information about the illnesses, treatments, and personal histories of the patients. Identifying cohorts exposed to a potential disease epidemic can also be aided by it. Healthcare providers can begin considering treatments right once in such a situation, increasing the likelihood that patients will survive.  


Determine Who is at Risk


To prevent deeper issues, predictive analytics in healthcare can identify patients who are more likely to experience problems and initiate early innervations. For example, based on age-coexisting chronic conditions and medication adherence, it can identify patients with cardiovascular disease who have the highest probability of being admitted to the hospital. Rather than waiting for at-risk patients to schedule routine checkups, physicians and healthcare organizations can proactively give care with the use of predictive analytics tools and techniques on the possibility of disease and chronic illness. In addition to individuals with chronic illnesses, additional populations at risk include the elderly and those just released from the hospital following invasive procedures.  


Chronic Diseases Management


These chronic diseases are one of the main causes of mortality and disability in the US. They account for $3.5 trillion of the nation’s yearly health expenditures. Additionally, 75 percent of healthcare costs are related to five chronic diseases: 


  • -Diabetes
  • -Obesity
  • -Renal disease
  • -Cancer
  • -Cardiovascular disease 


The management of chronic diseases is possible by the capacity of healthcare practitioners. This is for both avert and mitigate their onset. However, managing and preventing chronic illnesses is a difficult undertaking. It enables treating patients more effectively and at a lower cost. Predictive analytics tools and techniques help healthcare providers make prompt and smart decisions.  


Predict Equipment Maintenance


Predictive analytics for healthcare has long been utilized in other industries, such as manufacturing and telecoms, to anticipate maintenance needs. The same kind of prognostics can be advantageous to the healthcare sector. Machine parts are subject to wear and tear or degradation. Predictive analytics can forecast malfunctions and the need to replace a component. This can be done by examining the data from sensors in an MRI machine. Knowing this allows hospitals to plan maintenance for when the machine is not in use, reducing disruptions to workflow that are detrimental to patients and care teams alike.  


Digitalization and Tracking of Healthcare


The digitalization of health services entirely changes the relationship between patients and healthcare providers. These days, we may use our mobile phones to track our body performance and health at any time by attaching gadgets to our bodies. For instance, diabetics don’t need to prick their fingers to track their blood sugar rise.  


Avoid Human Mistakes


Human error has the potential to be lethal in the healthcare system. Thankfully, the best predictive analytics tools may help identify possible errors and save deadly blunders by giving medical practitioners precise, real-time insights to guide their actions.  


Fraud Identification


Regrettably, fraud in the medical field frequently occurs. Fraudulent healthcare schemes can take many different forms, such as people getting fully or partially covered prescription drugs that are unnecessary and then reselling them for a profit on the black market; billing for a service that isn’t covered; falsifying medical records; purposefully misreporting diagnoses or procedures to maximize payment; or prescribing more or unnecessary treatment.  Predictive analytics healthcare can spot specific irregularities that alert us to these fraudulent activities, enabling us to stop them.  


Lowers Total Medical Expenses


Costs associated with healthcare can also be decreased with predictive analytics. By lowering needless care and hospital stays when they are not essential, managing hospital expenses for medications and supplies, and anticipating staffing demands, it can be utilized to save patient expenditures.  


Better Health Insurance Schemes


The application of predictive analytics to health insurance is changing how providers evaluate risk and formulate plans. Insurers may create more accurate risk models and more equitable premium rates by examining data on healthcare consumption, genetic information, and lifestyle choices. Predictive analytics for healthcare can also assist in more effectively identifying fraudulent claims, which can save expenses and guarantee that resources are directed toward legitimate situations.


Advantages for Public Health


Predictive analytics for healthcare is important for managing public health on a large scale. Public health officials can anticipate illness outbreaks and allocate resources more wisely. They can put preventative measures in place to safeguard the public’s health. This happens by looking for trends and patterns in health data. By taking preventative measures, pandemics and epidemics can lessen their effects. This is important to save lives and decrease the strain on the healthcare system.


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The Challenges of Using Predictive Analytics in Healthcare


It is important to reach the full potential of predictive analytics tools. For this medical facilities must manage the risks that come together with predictive analytics for healthcare.


Gaining the approval of physicians. 


Healthcare professionals are always in need of improving their computer skills. Furthermore, to use predictive analytics, they will continue to collect and process patient data in addition to needing access to dashboards. Striking a balance between data gathering and patient care during appointments can be difficult. Medical institutions can address this issue by incorporating staff input into the creation of predictive analytics solutions for the healthcare industry.


To quote Oscar Marroquin, Chief Clinical Analytics Officer at the University of Pittsburgh Medical Center: “It might be difficult to get doctors to embrace your models since they are naturally skeptical people. In most situations, we’ve been able to get around that by involving end users in the entire process.”


Moral risks and ethics


When someone knows they have support, they are more inclined to take risks. This is what we see in medical environments, where certain physicians may base their decisions unduly on predictive analytics software, believing that these instruments are ultimately accountable for the results.


It’s critical to stress that decisions made by analytical tools are recommendations rather than absolute orders to reduce this risk. Clinicians should assess these recommendations critically and involve patients in the decision-making process if necessary.


Lack of restrictions and prejudice in algorithms


A model’s performance on specific datasets might be impacted by a variety of algorithmic biases. The lack of concrete regulations controlling algorithm development is what complicates matters. As of now, the seller bears the burden of developing equitable tools.


Vendors can use feedback loops to enhance their products and get rid of any bias that remains to lower the danger of bias. Additionally, to ensure that the algorithms are still applicable and devoid of bias, companies implementing predictive analytics for healthcare must regularly audit their systems.


Explainability in a model


A lot of strong predictive analytics tools and techniques in healthcare have a “black-box” architecture, which means they don’t disclose how they get their results. In administrative situations, such as anticipating which insurance claims would be denied, this method is appropriate. However, until the motivations are clear, doctors will not accept any advice that could jeopardize the health of their patients. Clinics can investigate explainable AI as a solution to address the use cases that have a direct influence on people’s health.


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The application of predictive analytics solutions in the healthcare sector is growing. This has greatly improved operational effectiveness and patient care. These practical uses of predictive analytics in the healthcare industry demonstrate how potent the technology may be in revolutionizing the field’s future. Do you plan to integrate cutting-edge technology into your medical offerings? We are the industry pioneer in healthcare software development services. We are one of the leading AI solution providers placing a high value on client happiness and innovation. As a result, you can offer your patients scalable and adaptable healthcare solutions. Get in touch with A3Logics, one of the top artificial intelligence companies.  We will help to find out how predictive analytics might benefit your healthcare company.




How can healthcare employ predictive analytics?


In the field of healthcare, predictive analytics makes use of historical data to forecast health events. Which can happen in the future, leading to early intervention and individual treatment plans. This makes it feasible for it to identify potential health risks, improve patient care, and optimize operations.


What are a few of the issues with healthcare and predictive analytics?


Predictive analytics in healthcare frequently faces obstacles. It includes integrating with current healthcare systems, protecting patient privacy and ethical concerns, and guaranteeing data quality and integrity. Notably, to fully benefit from this revolutionary technology, these obstacles must be properly overcome.


What does healthcare predictive modeling entail?


Specifically, predictive modeling makes it possible to predict how the disease will progress. This helps doctors prevent health concerns such as medication side effects, and genetic resistance to the therapy. It also works with noncompliance with the prescribed course of action.


What is a healthcare setting where predictive analytics is being used?


The use of machine learning algorithms to predict patient readmissions. This is one instance of predictive analytics in the healthcare industry. This analyzes past data and identifies readmission trends. This strategy enables healthcare practitioners to take prompt action to prevent patient readmissions.


What applications can predictive models have in medicine?


Neural networks, decision trees, logistic regression, and support vector machines, are a few of the predictive models frequent in the healthcare industry. These models identify diseases before they manifest. This is by evaluating patient data and projecting the consequences of these conditions in the future.