🍩 Database of Original & Non-Theoretical Uses of Topology

(found 4 matches in 0.001185s)
  1. Go With the Flow? A Large-Scale Analysis of Health Care Delivery Networks in the United States Using Hodge Theory (2021)

    Thomas Gebhart, Xiaojun Fu, Russell J. Funk
    Abstract Health care delivery is a collaborative process, requiring close coordination among networks of providers with specialized expertise. Yet in the United States, care is often spread across multiple disconnected providers (e.g., primary care physicians, specialists), leading to fragmented care delivery networks, and contributing to higher costs and lower quality. While this problem is well known, there are relatively few quantitative tools available for characterizing the dynamics of care delivery networks at scale, thereby inhibiting deeper understanding of care fragmentation and efforts to address it. In this, study, we conduct a large-scale analysis of care delivery networks across the United States using the discrete Hodge decomposition, an emerging method of topological data analysis. Using this technique, we decompose networks of patient flows among physicians into three orthogonal subspaces: gradient (acyclic flow), harmonic (global cyclic flow), and curl (local cyclic flow). We document substantial variation in the relative importance of each subspace, suggesting that there may be systematic differences in the organization of care delivery networks across health care markets. Moreover, we find that the relative importance of each subspace is predictive of local care cost and quality, with outcomes tending to be better with greater curl flow and worse with greater harmonic flow.
  2. Improving Health Care Management Through Persistent Homology of Time-Varying Variability of Emergency Department Patient Flow (2018)

    Mael Dugast, Guillaume Bouleux, Olivier Mory, Eric Marcon
    Abstract Excessive admissions at the Emergency Department (ED) is a phenomenon very closely linked to the propagation of viruses. It is a cause of overcrowding for EDs and a public health problem. The aim of this work is to give EDs’ leaders more time for decision making during this period. Based on the admissions time series associated with specific clinical diagnoses, we will first perform a Detrended Fluctuation Analysis (DFA) to obtain the corresponding variability time series. Next, we will embed this time series on a manifold to obtain a point cloud representation and use Topological Data Analysis (TDA) through persistent homology technic to propose two early realtime indicators. One is the early indicator of abnormal arrivals at the ED whereas the second gives the information on the time index of the maximum number of arrivals. The performance of the detectors is parameter dependent and it can evolve each year. That is why we also propose to solve a bi-objective optimization problem to track the variations of this parameter.