Redesigning Value-Based Healthcare Delivery Using Data-Driven Decision Support Systems and AI-Powered Predictive Analytics

Authors

  • Arina Bhavya Fatima AI Research Scientist (Healthcare), Saudi Arabia. Author

Keywords:

Value-based healthcare, Predictive analytics, Decision support systems, Artificial intelligence, Data-driven healthcare

Abstract

The shift from volume-based to value-based healthcare models marks a fundamental transformation in how care is delivered, evaluated, and reimbursed. This paper investigates the role of data-driven decision support systems (DSS) and artificial intelligence (AI)-enabled predictive analytics in facilitating this transition. By synthesizing insights from the study examines the technological frameworks and clinical applications that support more efficient, outcomes-oriented care.

The analysis explores how predictive models can enhance clinical decision-making, reduce diagnostic errors, and minimize hospital readmissions, thereby aligning with the goals of value-based healthcare. Visual comparisons between traditional and value-based delivery systems are provided to illustrate structural and operational contrasts. Additionally, the paper proposes an integrated framework that combines DSS, predictive analytics, and continuous performance monitoring to support sustainable healthcare transformation. The findings suggest that AI-enhanced, data-informed strategies are critical to improving patient outcomes, optimizing resource use, and ensuring accountability in modern healthcare systems.

References

Bates, D. W., Saria, S., Ohno-Machado, L., Shah, A., & Escobar, G. (2018). Big data in health care: Using analytics to identify and manage high-risk and high-cost patients. Health Affairs, 33(7), 1123-1131.

Gundaboina, A. (2022). Quantum Computing and Cloud Security: Future-Proofing Healthcare Data Protection. International Journal for Multidisciplinary Research, 4(4), 1–12. https://doi.org/10.36948/ijfmr.2022.v04i04.61014

Chen, J. H., & Asch, S. M. (2016). Machine learning and prediction in medi-cine—beyond the peak of inflated expectations. New England Journal of Medicine, 376(26), 2507-2509.

Obermeyer, Z., Powers, B., Vogeli, C., & Mullainathan, S. (2019). Dissecting racial bias in an algorithm used to manage the health of populations. Science, 366(6464), 447-453.

Gundaboina, A. (2023). Endpoint Detection and Response (EDR) in Healthcare: Mitigating Threats on Critical Devices. Artificial Intelligence, Machine Learning & Data Science, 1(2), 3107–3114. https://doi.org/10.51219/JAIMLD/ramesh-potla/637

Porter, M. E., & Teisberg, E. O. (2006). Redefining health care: Creating value-based competition on results. Harvard Business School Press.

Raghupathi, W., & Raghupathi, V. (2020). Big data analytics in healthcare: Promise and potential. Health Information Science and Systems, 8(1), 1-10.

Cutler, D. M., & Ghosh, K. (2012). The potential for cost savings through bundled episode payments. New England Journal of Medicine, 366(12), 1075-1077.

Gundaboina, A. (2023). Data Loss Prevention in Healthcare: Advanced Strategies for Protecting PHI in Cloud Environments. Journal of Artificial Intelligence, Machine Learning & Data Science, 1(2), 3045–3051. https://doi.org/10.51219/JAIMLD/anjan-gundaboina/628

Mehta, N., Pandit, A., & Shukla, D. (2019). Transforming healthcare with big data analytics and artificial intelligence: A systematic review. Journal of Biomedical In-formatics, 95, 103–111.

Shapiro, J. S., Mostashari, F., Hripcsak, G., Soulakis, N. D., & Kuperman, G. (2011). Using health information exchange to improve public health. American Journal of Public Health, 101(4), 616-623.

Gundaboina, A. (2023). Securing IoT Devices in Healthcare: Endpoint Protection for Patient Monitoring Systems. International Journal of Innovative Research in Engi-neering & Multidisciplinary Physical Sciences, 11(5), 1–11. https://doi.org/10.37082/IJIRMPS.v11.i5.232623

Zhang, Y., Qiu, M., Tsai, C. W., Hassan, M. M., & Alamri, A. (2017). Health-CPS: Healthcare cyber-physical system assisted by cloud and big data. IEEE Systems Journal, 11(1), 88-95.

Topol, E. J. (2019). High-performance medicine: The convergence of human and ar-tificial intelligence. Nature Medicine, 25(1), 44-56.

Gundaboina, A. (2023). Securing Non-Human Identities (NHIs) in Cloud-Native Healthcare Systems. International Journal of Innovative Research in Engineering & Multidisciplinary Physical Sciences, 11(5), 1–12. https://doi.org/10.37082/IJIRMPS.v11.i5.232621

Downloads

Published

23-09-2024

How to Cite

Arina Bhavya Fatima. (2024). Redesigning Value-Based Healthcare Delivery Using Data-Driven Decision Support Systems and AI-Powered Predictive Analytics. International Journal of Computer Science and Information Technology Research , 5(3), 52–58. https://ijcsitr.org/index.php/home/article/view/IJCSITR_2024_05_03_006