Dataset Information

PGraphD*: Methods for Drift Detection and Localisation Using Deep Learning Modelling of Business Processes.

ABSTRACT: This paper presents a set of methods, jointly called PGraphD*, which includes two new methods (PGraphDD-QM and PGraphDD-SS) for drift detection and one new method (PGraphDL) for drift localisation in business processes. The methods are based on deep learning and graphs, with PGraphDD-QM and PGraphDD-SS employing a quality metric and a similarity score for detecting drifts, respectively. According to experimental results, PGraphDD-SS outperforms PGraphDD-QM in drift detection, achieving an accuracy score of 100% over the majority of synthetic logs and an accuracy score of 80% over a complex real-life log. Furthermore, PGraphDD-SS detects drifts with delays that are 59% shorter on average compared to the best performing state-of-the-art method.

SUBMITTER: Hanga KM

PROVIDER: S-EPMC9324690 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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PGraphD*: Methods for Drift Detection and Localisation Using Deep Learning Modelling of Business Processes.

Hanga Khadijah Muzzammil KM Kovalchuk Yevgeniya Y Gaber Mohamed Medhat MM

Entropy (Basel, Switzerland) 20220630 7

This paper presents a set of methods, jointly called PGraphD*, which includes two new methods (PGraphDD-QM and PGraphDD-SS) for drift detection and one new method (PGraphDL) for drift localisation in business processes. The methods are based on deep learning and graphs, with PGraphDD-QM and PGraphDD-SS employing a quality metric and a similarity score for detecting drifts, respectively. According to experimental results, PGraphDD-SS outperforms PGraphDD-QM in drift detection, achieving an accura ...[more]

PMID: 35885132

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Project description:BackgroundFraud, Waste, and Abuse (FWA) in medical claims have a negative impact on the quality and cost of healthcare. A major component of FWA in claims is procedure code overutilization, where one or more prescribed procedures may not be relevant to a given diagnosis and patient profile, resulting in unnecessary and unwarranted treatments and medical payments. This study aims to identify such unwarranted procedures from millions of healthcare claims. In the absence of labeled examples of unwarranted procedures, the study focused on the application of unsupervised machine learning techniques.MethodsExperiments were conducted with deep autoencoders to find claims containing anomalous procedure codes indicative of FWA, and were compared against a baseline density-based clustering model. Diagnoses, procedures, and demographic data associated with healthcare claims were used as features for the models. A dataset of one hundred thousand claims sampled from a larger claims database is used to initially train and tune the models, followed by experimentations on a dataset with thirty-three million claims. Experimental results show that the autoencoder model, when trained with a novel feature-weighted loss function, outperforms the density-based clustering approach in finding potential outlier procedure codes.ResultsGiven the unsupervised nature of our experiments, model performance was evaluated using a synthetic outlier test dataset, and a manually annotated outlier test dataset. Precision, recall and F1-scores on the synthetic outlier test dataset for the autoencoder model trained on one hundred thousand claims were 0.87, 1.0 and 0.93, respectively, while the results for these metrics on the manually annotated outlier test dataset were 0.36, 0.86 and 0.51, respectively. The model performance on the manually annotated outlier test dataset improved further when trained on the larger thirty-three million claims dataset with precision, recall and F1-scores of 0.48, 0.90 and 0.63, respectively.ConclusionsThis study demonstrates the feasibility of leveraging unsupervised, deep-learning methods to identify potential procedure overutilization from healthcare claims.

Project description:Traditional drug production is a long and complex process that leads to new drug production. The virtual screening technique is a computational method that allows chemical compounds to be screened at an acceptable time and cost. Several databases contain information on various aspects of biologically active substances. Simple statistical tools are difficult to use because of the enormous amount of information and complex data samples of molecules that are structurally heterogeneous recorded in these databases. Many techniques for capturing the biological similarity between a test compound and a known target ligand in LBVS have been established. However, despite the good performances of the above methods compared to their prior, especially when dealing with molecules that have homogeneous active structural elements, they are not satisfied when dealing with molecules that are structurally heterogeneous. Deep learning models have recently achieved considerable success in a variety of disciplines due to their powerful generalization and feature extraction capabilities. Also, the Siamese network has been used in similarity models for more complicated data samples, especially with heterogeneous data samples. The main aim of this study is to enhance the performance of similarity searching, especially with molecules that are structurally heterogeneous. The Siamese architecture will be enhanced using two similarity distance layers with one fusion layer to further improve the similarity measurements between molecules and then adding many layers after the fusion layer for some models to improve the retrieval recall. In this architecture, several methods of deep learning have been used, which are long short-term memory (LSTM), gated recurrent unit (GRU), convolutional neural network-one dimension (CNN1D), and convolutional neural network-two dimensions (CNN2D). A series of experiments have been carried out on real-world data sets, and the results have shown that the proposed methods outperformed the existing methods.

Dataset Information

PGraphD*: Methods for Drift Detection and Localisation Using Deep Learning Modelling of Business Processes.

Publications

PGraphD*: Methods for Drift Detection and Localisation Using Deep Learning Modelling of Business Processes.

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