Machine Learning Application in Healthcare: A Case Study Using Ensemble Methods for Hospital Length of Stay Prediction

Abstract: Artificial intelligence is driving digital transformation across multiple sectors, including healthcare, pharmaceuticals, industrial production, and the automotive industry. In healthcare specifically, AI-powered predictive analytics offer significant potential for optimizing operational efficiency and resource allocation. To demonstrate this potential, we present a case study focused on hospital length of stay (LOS) prediction using 2,125,280 admission records from the New York SPARCS database. We implemented and compared four machine learning algorithms: Linear Regression, Random Forest, Gradient Boosting, and XGBoost. Following hyperparameter optimization, the XGBoost model achieved superior performance with R²=0.8686, RMSE=3.24 days, and MAE=1.42 days, substantially outperforming Linear Regression (R²=0.5339, RMSE=6.10 days, MAE=2.86 days). Prediction accuracy reached 63.34% within ±1 day and 89.44% within ±3 days of actual LOS. SHAP analysis identified Total Costs, Total Charges, Hospital Service Area, APR Medical Surgical Description, and APR DRG Code as the most impactful predictors. Performance varied across LOS categories, with MAE ranging from 0.66 days for short stays (1-3 days) to 11.81 days for extended hospitalizations (>30 days). These results demonstrate that ensemble machine learning methods, particularly XGBoost, provide clinically meaningful accuracy for healthcare operational planning, though challenges remain for extended stays and complex cases requiring specialized modeling approaches.

Hakima Reddad, Maria Zemzami, Norelislam El Hami, Nabil Hmina and Farouk Yalaoui. “Machine Learning Application in Healthcare: A Case Study Using Ensemble Methods for Hospital Length of Stay Prediction”. International Journal of Advanced Computer Science and Applications (IJACSA) 17.3 (2026). http://dx.doi.org/10.14569/IJACSA.2026.0170386

@article{Reddad2026,
title = {Machine Learning Application in Healthcare: A Case Study Using Ensemble Methods for Hospital Length of Stay Prediction},
journal = {International Journal of Advanced Computer Science and Applications},
doi = {10.14569/IJACSA.2026.0170386},
url = {http://dx.doi.org/10.14569/IJACSA.2026.0170386},
year = {2026},
publisher = {The Science and Information Organization},
volume = {17},
number = {3},
author = {Hakima Reddad and Maria Zemzami and Norelislam El Hami and Nabil Hmina and Farouk Yalaoui}
}