Predicting readmission risk with institution-specific prediction models

The ability to predict patient readmission risk is extremely valuable for hospitals, especially under the Hospital Readmission Reduction Program (HRRP) of the Center for Medicare and Medicaid Services (CMS) which went into effect starting October 1, 2012. There is a plethora of work in the literature that deals with developing readmission risk prediction models, but most of them do not have sufficient prediction accuracy to be deployed in a clinical setting, partly because different hospitals may have different characteristics in their patient populations. In this work we experimented with a generic framework for institution-specific readmission risk prediction, which takes patient data from a single institution and produces a statistical risk prediction model optimized for that particular institution and optionally condition specific. This provides great flexibility in model building, and is also able to provide institution-specific insights in its readmitted patient population. We showcase some initial results at three institutions for Heart Failure (HF), Acute Myocardial Infarction (AMI) and Pneumonia (PN) patients. The developed models yield better prediction accuracy than the ones present in the literature.