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"Personalized Health Care Outcome Analysis of Cardiovascular Surgical Procedures: An Instrumental Variable Tree Approach" by Mr. Guihua Wang

Publishing Date: 19/11/2018      (Last Update: 19/11/2018)

IIM Seminar

Speaker:

  • Mr. Guihua Wang
    PhD Candidate in Technology and Operations
    Stephen M. Ross School of Business
    University of Michigan

     

Event Details

DateWednesday, 16 January 2019
Time2:30 p.m. — 4:00 p.m.
VenueKK 1301, K.K. Leung Bldg

Abstract :

This study addresses the challenges of generating patient-centric information about hospital quality and analyzes the impact of information on enabling patients to receive better care. Methodologically, we develop a new Instrumental Variable (IV) tree approach by incorporating an IV into a tree-based method to correct for potential endogeneity issues in heterogeneous treatment effect analysis using observational data. Empirically, we designate hospitals as different treatments and apply the IV tree to study the outcome differences between thirty-five New York hospitals for cardiovascular surgeries. We find that the outcome differences between hospitals are heterogeneous across different patients. By comparing scenarios with patient-centric and population-average information, we show that 803 of patients can benefit from using patient-centric information and their complications can be reduced by 67.43. We also illustrate how patient-centric information can enhance pay-for-performance programs offered by payers and guide hospitals in targeting quality improvement efforts.