Inpatient Discharges Forecasting for Singapore Hospitals by Machine Learning.

Abstract

Hospitals can predetermine the admission rate and facilitate resource allocation based on valid emergency requests and bed capacity estimation. The excess unoccupied beds can be determined with the help of forecasting the number of discharged patients. Extracting predictive features and mining the temporal patterns from historical observations are crucial for accurate and reliable forecasts. Machine learning algorithms have demonstrated the ability to learn temporal knowledge and make predictions for unseen inputs. This paper utilizes several machine learning algorithms to forecast the inpatient discharges of Singapore hospitals and compare them with statistical methods. A novel ensemble deep learning algorithm based on random vector functional links is established to predict inpatient discharges. The ensemble deep learning framework is optimized in a greedy layer-wise fashion. Several forecasting metrics and statistical tests are utilized to demonstrate the proposed method's superiority. The proposed algorithm statistically outperforms the benchmark with a ranking of 1.875. Finally, practical implications and future directions are discussed.