Length of Stay prediction for Hospital Management using Domain Adaptation

Inpatient length of stay (LoS) is an important managerial metric which if known in advance can be used to efficiently plan admissions, allocate resources and improve care. Using historical patient data and machine learning techniques, LoS prediction models can be developed. Ethically, these models can not be used for patient discharge in lieu of unit heads but are of utmost necessity for hospital management systems in charge of effective hospital planning. Therefore, the design of the prediction system should be adapted to work in a true hospital setting. In this study, we predict early hospital LoS at the granular level of admission units by applying domain adaptation to leverage information learned from a potential source domain. Time-varying data from 110,079 and 60,492 patient stays to 8 and 9 intensive care units were respectively extracted from eICU-CRD and MIMIC-IV. These were fed into a Long-Short Term Memory and a Fully connected network to train a source domain model, the weights of which were transferred either partially or fully to initiate training in target domains. Shapley Additive exPlanations (SHAP) algorithms were used to study the effect of weight transfer on model explanability. Compared to the benchmark, the proposed weight transfer model showed statistically significant gains in prediction accuracy (between 1% and 5%) as well as computation time (up to 2hrs) for some target domains. The proposed method thus provides an adapted clinical decision support system for hospital management that can ease processes of data access via ethical committee, computation infrastructures and time

Diversity and Inclusion Metrics in Subset Selection

The ethical concept of fairness has recently been applied in machine learning (ML) settings to describe a wide range of constraints and objectives. When considering the relevance of ethical concepts to subset selection problems, the concepts of diversity and inclusion are additionally applicable in order to create outputs that account for social power and access differentials. We introduce metrics based on these concepts, which can be applied together, separately, and in tandem with additional fairness constraints. Results from human subject experiments lend support to the proposed criteria. Social choice methods can additionally be leveraged to aggregate and choose preferable sets, and we detail how these may be applied

Fair Wrapping for Black-box Predictions

We introduce a new family of techniques to post-process ("wrap") a black-box classifier in order to reduce its bias. Our technique builds on the recent analysis of improper loss functions whose optimization can correct any twist in prediction, unfairness being treated as a twist. In the post-processing, we learn a wrapper function which we define as an $\alpha$-tree, which modifies the prediction. We provide two generic boosting algorithms to learn $\alpha$-trees. We show that our modification has appealing properties in terms of composition of $\alpha$-trees, generalization, interpretability, and KL divergence between modified and original predictions. We exemplify the use of our technique in three fairness notions: conditional value-at-risk, equality of opportunity, and statistical parity; and provide experiments on several readily available datasets.Comment: Published in Advances in Neural Information Processing Systems 35 (NeurIPS 2022