Diabetes Prediction Model Using Population Segmentation

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Solution Overview

Problem

A significant portion of diabetes cases in the United States remain undiagnosed, leading to increased health risks and costs, as patients unaware of their condition do not receive timely treatment, and existing methods lack effective prediction and monitoring tools to identify those at risk of developing or progressing to severe diabetes.

Innovation Solution

A computerized system and method that uses predictive models to analyze population data from various sources, including insurance claims, lab results, and demographics, to identify segments at risk of developing diabetes or experiencing disease progression, allowing for proactive monitoring and intervention.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If predictive models are implemented to identify high-risk individuals, then early detection and management of diabetes is improved, but device complexity and data processing requirements increase

Engineering Contradiction:
Improvediabetes detection accuracyVSAvoidsystem complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The system segments the population into different risk categories (low, moderate, high risk) based on predictive model outputs. This allows targeted interventions for high-risk individuals while maintaining system manageability. The segmentation principle resolves the complexity contradiction by organizing complex data into actionable risk stratifications.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent introduces an intermediary data processing layer that transforms raw data from multiple sources into standardized risk assessments. This intermediary layer simplifies the overall system architecture by abstracting complex data processing details while maintaining high detection accuracy through structured data transformation and risk calculation frameworks.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If comprehensive data from multiple sources is analyzed, then prediction accuracy is improved, but data processing time and resource requirements increase

Engineering Contradiction:
Improverisk prediction precisionVSAvoiddata processing time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system performs preliminary data cleaning, standardization, and feature selection before running predictive models. This preliminary action reduces the computational burden on subsequent processing steps and accelerates analysis time while maintaining precision by pre-processing data to retain only relevant features for risk prediction.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent extracts and focuses on the most predictive features from comprehensive data sources, filtering out redundant or less informative data elements. This extraction principle maintains high prediction precision by concentrating on key risk indicators while significantly reducing data processing time and resource requirements compared to analyzing all available data equally.

Inventive Principle:
Principle #2Taking out (Extraction)

3Reliability

If proactive monitoring and intervention are implemented, then disease progression is reduced, but healthcare costs increase

Engineering Contradiction:
Improvedisease management effectivenessVSAvoidhealthcare cost
Core Design Contradiction:
ReliabilityVSLoss of energy

Solution Approach 1:

The system applies local quality by providing targeted monitoring and intervention resources specifically to high-risk individuals identified by the predictive model, rather than uniformly distributing resources across the entire population. This resolves the cost contradiction by concentrating healthcare energy where it is most needed and most likely to prevent progression, improving cost-effectiveness.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The patent implements preliminary action by identifying at-risk individuals before disease progression occurs, enabling preventive interventions that are less costly than treating advanced disease. By acting in advance for high-risk patients, the system reduces long-term healthcare costs while maintaining high disease management effectiveness through early-stage prevention strategies.

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS20230035564A1Diabetes onset and progression prediction using a computerized model
Publication Date: 2023.02.02 HUMANA INC
  • US20230035564A1 patent drawing
  • US20230035564A1 patent drawing
  • US20230035564A1 patent drawing

AI summary

The disclosed computerized system and method facilitates predicting the onset of diabetes or symptom progression in those patients already suffering from the disease. The computerized system and method applies steps to segment the population by predefined member characteristics. Once segmented, the computerized system and method applies a plurality of prediction models to the segmented population data to provide a ranking of members of the population that indicates the likelihood of onset or progression of diabetes for each member.