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Health Care Management Science

, Volume 22, Issue 1, pp 121–139 | Cite as

Reducing COPD readmissions through predictive modeling and incentive-based interventions

  • Xiang Zhong
  • Sujee Lee
  • Cong Zhao
  • Hyo Kyung Lee
  • Philip A. Bain
  • Tammy Kundinger
  • Craig Sommers
  • Christine Baker
  • Jingshan LiEmail author
Article

Abstract

This paper introduces a case study at a community hospital to develop a predictive model to quantify readmission risks for patients with chronic obstructive pulmonary disease (COPD), and use it to support decision making for appropriate incentive-based interventions. Data collected from the community hospital’s database are analyzed to identify risk factors and a logistic regression model is developed to predict the readmission risk within 30 days post-discharge of an individual COPD patient. By targeting on the high-risk patients, we investigate the implementability of the incentive policy which encourages patients to take interventions and helps them to overcome the compliance barrier. Specifically, the conditions and scenarios are identified for either achieving the desired readmission rate while minimizing the total cost, or reaching the lowest readmission rate under incentive budget constraint. Currently, such models are under consideration for a pilot study at the community hospital.

Keywords

Chronic obstructive pulmonary disease (COPD) Readmission Predictive modeling Intervention Incentive 

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Department of Industrial & Systems EngineeringUniversity of FloridaGainesvilleUSA
  2. 2.Department of Industrial and Systems EngineeringUniversity of WisconsinMadisonUSA
  3. 3.Dean Health SystemMadisonUSA
  4. 4.St. Mary’s HospitalMadisonUSA

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