Improving Palliative Care with Deep Learning
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Abstract (arXiv)
Improving the quality of end-of-life care for hospitalized patients is a priority for healthcare organizations. Studies have shown that physicians tend to over-estimate prognoses, which in combination with treatment inertia results in a mismatch between patients wishes and actual care at the end of life. We describe a method to address this problem using Deep Learning and Electronic Health Record (EHR) data, which is currently being piloted, with Institutional Review Board approval, at an academic medical center. The EHR data of admitted patients are automatically evaluated by an algorithm, which brings patients who are likely to benefit from palliative care services to the attention of the Palliative Care team. The algorithm is a Deep Neural Network trained on the EHR data from previous years, to predict all-cause 3-12 month mortality of patients as a proxy for patients that could benefit from palliative care. Our predictions enable the Palliative Care team to take a proactive approach in reaching out to such patients, rather than relying on referrals from treating physicians, or conduct time consuming chart reviews of all patients. We also present a novel interpretation technique which we use to provide explanations of the model's predictions.
Key facts. Cited by 28 papers in the map (data through 7 Oct 2026). First posted on arXiv 17 Nov 2017.
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Citing papers per year: 2021: 10; 2022: 11; 2023: 2; 2024: 4; 2025: 1.
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- 2025Balancing Efficiency and Empathy: Healthcare Providers' Perspectives on AI-Supported Workflows for Serious Illness Conversations in the Emergency Department30 May 2025
- 2024Prediction and Detection of Terminal Diseases Using Internet of Medical Things: A Review22 Sep 2024
- 2024VAEneu: A New Avenue for VAE Application on Probabilistic Forecasting7 May 2024
- 2024Reasoning before Comparison: LLM-Enhanced Semantic Similarity Metrics for Domain Specialized Text Analysis17 Feb 2024
- 2024TripleSurv: Triplet Time-adaptive Coordinate Loss for Survival Analysis5 Jan 2024
- 2023Interpretable Water Level Forecaster with Spatiotemporal Causal Attention Mechanisms28 Feb 2023
- 2023MOTOR: A Time-To-Event Foundation Model For Structured Medical Records9 Jan 2023
- 2022HieNet: Bidirectional Hierarchy Framework for Automated ICD Coding9 Dec 2022
- 2022TabLLM: Few-shot Classification of Tabular Data with Large Language Models19 Oct 2022
- 2022Avoiding Biased Clinical Machine Learning Model Performance Estimates in the Presence of Label Selection15 Sep 2022
- 2022Breaking Bad News in the Era of Artificial Intelligence and Algorithmic Medicine: An Exploration of Disclosure and its Ethical Justification using the Hedonic Calculus23 Jun 2022
- 2022Hopular: Modern Hopfield Networks for Tabular Data1 Jun 2022
16 more
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- 2022ICDBigBird: A Contextual Embedding Model for ICD Code Classification21 Apr 2022
- 2022Hierarchical BERT for Medical Document Understanding11 Mar 2022
- 2022The impact of feature importance methods on the interpretation of defect classifiers4 Feb 2022
- 2022Deep Learning for Epidemiologists: An Introduction to Neural Networks2 Feb 2022
- 2022Random Noise vs State-of-the-Art Probabilistic Forecasting Methods : A Case Study on CRPS-Sum Discrimination Ability21 Jan 2022
- 2021Enhanced Transfer Learning Through Medical Imaging and Patient Demographic Data Fusion29 Nov 2021
- 2021Combining Image Features and Patient Metadata to Enhance Transfer Learning8 Oct 2021
- 2021SANSformers: Self-Supervised Forecasting in Electronic Health Records with Attention-Free Models31 Aug 2021
- 2021Time Series Prediction using Deep Learning Methods in Healthcare30 Aug 2021
- 2021Few-Shot Electronic Health Record Coding through Graph Contrastive Learning29 Jun 2021
- 2021Medical Code Prediction from Discharge Summary: Document to Sequence BERT using Sequence Attention15 Jun 2021
- 2021Towards BERT-based Automatic ICD Coding: Limitations and Opportunities14 Apr 2021
- 2021Constrained Differentially Private Federated Learning for Low-bandwidth Devices27 Feb 2021
- 2021Enhancing Human-Machine Teaming for Medical Prognosis Through Neural Ordinary Differential Equations (NODEs)8 Feb 2021
- 2021An Explainable CNN Approach for Medical Codes Prediction from Clinical Text14 Jan 2021
- 2022TabLLM: Few-shot Classification of Tabular Data with Large Language Modelscited by 273
- 2023MOTOR: A Time-To-Event Foundation Model For Structured Medical Recordscited by 75
- 2021Time Series Prediction using Deep Learning Methods in Healthcarecited by 71
- 2021Towards BERT-based Automatic ICD Coding: Limitations and Opportunitiescited by 25
- 2022Hopular: Modern Hopfield Networks for Tabular Datacited by 18
- 2022The impact of feature importance methods on the interpretation of defect classifierscited by 12
- 2022ICDBigBird: A Contextual Embedding Model for ICD Code Classificationcited by 10
- 2021An Explainable CNN Approach for Medical Codes Prediction from Clinical Textcited by 9
- 2022Instance-Based Uncertainty Estimation for Gradient-Boosted Regression Treescited by 9
- 2022Random Noise vs State-of-the-Art Probabilistic Forecasting Methods : A Case Study on CRPS-Sum Discrimination Abilitycited by 7
- 2021Constrained Differentially Private Federated Learning for Low-bandwidth Devicescited by 6
- 2022Hierarchical BERT for Medical Document Understandingcited by 4
12 most cited of 27 All 27 (JSON)
- 2025Balancing Efficiency and Empathy: Healthcare Providers' Perspectives on AI-Supported Workflows for Serious Illness Conversations in the Emergency Department30 May 2025
- 2024Prediction and Detection of Terminal Diseases Using Internet of Medical Things: A Review22 Sep 2024
- 2024VAEneu: A New Avenue for VAE Application on Probabilistic Forecasting7 May 2024
- 2024TripleSurv: Triplet Time-adaptive Coordinate Loss for Survival Analysis5 Jan 2024
- 2023Interpretable Water Level Forecaster with Spatiotemporal Causal Attention Mechanisms28 Feb 2023
- 2023MOTOR: A Time-To-Event Foundation Model For Structured Medical Records9 Jan 2023
- 2022HieNet: Bidirectional Hierarchy Framework for Automated ICD Coding9 Dec 2022
- 2022TabLLM: Few-shot Classification of Tabular Data with Large Language Models19 Oct 2022
- 2022Avoiding Biased Clinical Machine Learning Model Performance Estimates in the Presence of Label Selection15 Sep 2022
- 2022Breaking Bad News in the Era of Artificial Intelligence and Algorithmic Medicine: An Exploration of Disclosure and its Ethical Justification using the Hedonic Calculus23 Jun 2022
- 2022Hopular: Modern Hopfield Networks for Tabular Data1 Jun 2022
- 2022Instance-Based Uncertainty Estimation for Gradient-Boosted Regression Trees23 May 2022
12 newest of 27 All 27 (JSON)