Service: Prediction model for the healthcare needs of patients with chronic illnesses

he EHIF has been cooperating with the World Bank since 2014. The pilot was created by the World Bank with the involvement of the Estonian Health Insurance Fund. Costa Rica is also involved in the project by allowing access to its medical billing database (to look at clinical/socio-economic data not included in EHIF databases). The pilot was officially launched in January 2017. Throughout the pilot, family practitioners joined a series of webinars, led by the local pilot coordinator (World Bank consultant), to reinforce and refresh the initial training. This solution contributes to the empowerment of primary care and also helps find the best algorithm to predict which patients with selected diagnoses are likely to be admitted to the hospital. The solution first identifies certain medical conditions/diagnoses in the EHIF’s medical invoice data- base. It then provides a practical model for family physicians to predict which patients are more likely to be admitted to the hospital or suffer other health problems.