Predicting Opioid Use in Workers' Comp using R.

Predicting Opioid Use in Workers' Compensation Claims using R Programming Language

Answered

Develop a model to predict whether a Worker’s Compensation claim will involve prescription opioids based on available information about the claimant, the accident that produced the claim, and his/her medical procedures subsequent to the accident.

Build a model to predict Opioids Used, True (1) or False (0), from the data provided using R programming language.

Prepare a presentation for other members of the team that outlines your development process and details of your model.

• Data preprocessing steps taken

• Algorithm selection and Model building steps

• Model performance evaluation

• List important features for predicting the target variable

• Model in production

a. Steps to calculate a prediction for a claim not included in the provided data set

b. In general terms that could be understood by a non-technical user, how the model generates its predictions

•Please add commentary along the way to explain the process

•Please add commentary for evaluation

Your presentation file (PowerPoint, etc.),

Please provide the code that you used to build this model, as well as for exploratory analysis done.

Also provide a saved version (e.g. a pickle file) of your model,

And any additional details (e.g. particular software versions) that would be needed to run your code and use your model.

Please add comments along the way to explain the process, model and evaluation


ClaimID	Unique identifier for a claim
Accident DateID*	DateID when the accident occurred
Claim Setup DateID*	DateID when Resolution Manager sets up the claim
Report To GB DateID*	DateID when employer (client) notifies Gallagher Bassett of a claim
Employer Notification DateID*	DateID when claimant notifies employer (client) of an injury
Benefits State	The jurisdiction whose benefits are applied to a claim.
Accident State	State in which the accident occurred
Industry ID	Broad industry classification categories
Claimant Age	Age of the injured worker (claimant)
Claimant Sex	Sex of the injured worker (claimant)
Claimant State	State in which the claimant resides
Claimant Marital Status	Marital status of the injured worker (claimant)
Number Dependents	Number of dependents the claimant has
Weekly Wage	An average of the claimant’s weekly wages as of the injury date.
Employment Status Flag	A code representing the claimant’s employment status at the time the claim was reported. Valid employment status codes are: F – Regular full-time employee P – Part-time employee U – Unemployed S – On strike D – Disabled R – Retired O – Other L – Seasonal worker V – Volunteer worker A – Apprenticeship full-time B – Apprenticeship part-time C – Piece worker
RTW Restriction Flag	A Y/N flag, used to indicate whether the employee`s responsibilities upon returning to work were limited as a result of his/her illness or injury.
Max Medical Improvement DateID	DateID of Maximum Medical Improvement, after which further recovery from or lasting improvements to an injury or disease can no longer be anticipated based on reasonable medical probability.
Percent Impairment	Indicates the percentage of anatomic or functional abnormality or loss, for the body as a whole, which resulted from the injury and exists after the date of maximum medical improvement
Post Injury Weekly Wage	The weekly wage of the claimant after returning to work, post-injury, and/or the claim is closed.
NCCI Job Code	A code that is established to identify and categorize jobs for workers’ compensation.
Surgery Flag	Indicates if the claimant’s injury will require or did require surgery
Disability Status	Type of disability benefit claim is classified as Possible Values: Temporary Total Disability (TTD) Temporary Partial Disability (TPD) Permanent Partial Disability (PPD) Permanent Total Disability (PTD)
SIC Group	Standard Industry Classification (SIC) group for the client
NCCI BINatureOfLossDescription	Description of the end result of the bodily injury (BI) loss occurrence
Accident Source Code	A code identifying the object or source which inflicted the injury or damage.
Accident Type Group	A code identifying the general action which occurred resulting in the loss
Neurology Payment Flag	Indicates if there were any payments made for diagnosis and treatment of disorders of the nervous system without surgical intervention
Neurosurgery Payment Flag	Indicates if there were any payments made for services by physicians specializing in the diagnosis and treatment of disorders of the nervous system, including surgical intervention if needed
Dentist Payment Flag	Indicates if there were any payments made for prevention, diagnosis, and treatment of diseases of the teeth and gums
Orthopedic Surgery Payment Flag	Indicates if there were any payments made for surgery dealing with the skeletal system and preservation and restoration of its articulations and structures.
Psychiatry Payment Flag	Indicates if there were any payments made for treatment of mental, emotional, or behavioral disorders.
Hand Surgery Payment Flag	Indicates if there were any payments made for surgery only addressing one or both hands.
Optometrist Payment Flag	Indicates if there were any payments made to specialists who examine the eye for defects and faults of refraction and prescribe correctional lenses or exercises but not drugs or surgery
Podiatry Payment Flag	Indicates if there were any payments made for services from a specialist concerned with the care of the foot, including its anatomy, medical and surgical treatment, and its diseases.
HCPCS A Codes - HCPCS Z Codes	Count of the number of HCPCS (Healthcare Common Procedure Coding System) codes that appear on the claim within each respective code group
ICD Group 1 - ICD Group 21	Count of the number of ICD (International Classification of Diseases) codes that appear on the claim within each respective code group
CPT Category - Anesthesia	Count of the number of CPT (Current Protocol Terminology) codes on the claim within each respective code category
CPT Category - Eval_Mgmt
CPT Category - Medicine
CPT Category - Path_Lab
CPT Category - Radiology
CPT Category - Surgery
NDC Class - Benzo	Count of the number of NDC (National Drug Code) codes on the claim within each respective code class
NDC Class - Misc (Zolpidem)
NDC Class - Muscle Relaxants
NDC Class - Stimulants
Opioids Used	A True (1) or False (0) indicator for whether or not the claimant was prescribed an opioid