healthyR: A toolkit for hospital data
First things first, lets load in the library:
library(healthyR)
K-Means is a partion algorithm initially designed for signal
processing. The goal is to partition n
observations into k
clusters where each
n
is in k
. The unsupervised
k-means algorithm has a loose relationship to the k-nearest neighbor
classifier, a popular supervised machine learning technique for
classification that is often confused with k-means due to the name.
Applying the 1-nearest neighbor classifier to the cluster centers
obtained by k-means classifies new data into the existing clusters.
The aim of this vignette is to showcase the use of the
healthyR
wrapper for the kmeans
function the
the wrapper and plot for the uwot::umap
projection
function. We will go through the entire workflow from getting the data
to getting the fina UMAP
plot.
library(healthyR.data)
library(dplyr)
library(broom)
library(ggplot2)
<- healthyR_data %>%
data_tbl filter(ip_op_flag == "I") %>%
filter(payer_grouping != "Medicare B") %>%
filter(payer_grouping != "?") %>%
select(service_line, payer_grouping) %>%
mutate(record = 1) %>%
as_tibble()
%>%
data_tbl glimpse()
#> Rows: 116,823
#> Columns: 3
#> $ service_line <chr> "Medical", "Schizophrenia", "Syncope", "Pneumonia", "Ch…
#> $ payer_grouping <chr> "Blue Cross", "Medicare A", "Medicare A", "Medicare A",…
#> $ record <dbl> 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1…
Now that we have our data we need to generate what is called a user
item table. To do this we use the function
kmeans_user_item_tbl
which takes in just a few
arguments. The purpose of the user item table is to aggregate and
normalize the data between the users and the items.
The data that we have generated is going to look for clustering
amongst the service_lines
(the user) and the
payer_grouping
(item) columns.
Lets now create the user item table.
<- kmeans_user_item_tbl(data_tbl, service_line, payer_grouping, record)
uit_tbl
uit_tbl#> # A tibble: 23 × 12
#> service_line `Blue Cross` Commercial Compensation `Exchange Plans` HMO
#> <chr> <dbl> <dbl> <dbl> <dbl> <dbl>
#> 1 Alcohol Abuse 0.0941 0.0321 0.000525 0.0116 0.0788
#> 2 Bariatric Surge… 0.317 0.0583 0 0.0518 0.168
#> 3 CHF 0.0295 0.00958 0.000518 0.00414 0.0205
#> 4 COPD 0.0493 0.0228 0.000228 0.00548 0.0342
#> 5 CVA 0.0647 0.0246 0.00107 0.0107 0.0524
#> 6 Carotid Endarte… 0.0845 0.0282 0 0 0.0141
#> 7 Cellulitis 0.110 0.0339 0.0118 0.00847 0.0805
#> 8 Chest Pain 0.144 0.0391 0.00290 0.00543 0.112
#> 9 GI Hemorrhage 0.0542 0.0175 0.00125 0.00834 0.0480
#> 10 Joint Replaceme… 0.139 0.0179 0.0336 0.00673 0.0516
#> # … with 13 more rows, and 6 more variables: Medicaid <dbl>,
#> # `Medicaid HMO` <dbl>, `Medicare A` <dbl>, `Medicare HMO` <dbl>,
#> # `No Fault` <dbl>, `Self Pay` <dbl>
The table is aggregated by item for the various users to which the algorithm will be applied.
Now that we have this data we need to find what will be out optimal k
(clusters). To do this we need to generate a table of data that will
have a column of k and for that k apply the k-means function to the data
with that k and return the
total within sum of squares
.
To do this there is a convienent function called
kmeans_mapped_tbl
that takes as its sole argument
the output from the kmeans_user_item_tbl
. There is
an argument .centers
where the default is set to
15.
<- kmeans_mapped_tbl(uit_tbl)
kmm_tbl
kmm_tbl#> # A tibble: 15 × 3
#> centers k_means glance
#> <int> <list> <list>
#> 1 1 <kmeans> <tibble [1 × 4]>
#> 2 2 <kmeans> <tibble [1 × 4]>
#> 3 3 <kmeans> <tibble [1 × 4]>
#> 4 4 <kmeans> <tibble [1 × 4]>
#> 5 5 <kmeans> <tibble [1 × 4]>
#> 6 6 <kmeans> <tibble [1 × 4]>
#> 7 7 <kmeans> <tibble [1 × 4]>
#> 8 8 <kmeans> <tibble [1 × 4]>
#> 9 9 <kmeans> <tibble [1 × 4]>
#> 10 10 <kmeans> <tibble [1 × 4]>
#> 11 11 <kmeans> <tibble [1 × 4]>
#> 12 12 <kmeans> <tibble [1 × 4]>
#> 13 13 <kmeans> <tibble [1 × 4]>
#> 14 14 <kmeans> <tibble [1 × 4]>
#> 15 15 <kmeans> <tibble [1 × 4]>
As we see there are three columns, centers
,
k_means
and glance
. The k_means column is the
k_means
list object and glance
is the tibble
returned by the broom::glance
function.
%>%
kmm_tbl ::unnest(glance)
tidyr#> # A tibble: 15 × 6
#> centers k_means totss tot.withinss betweenss iter
#> <int> <list> <dbl> <dbl> <dbl> <int>
#> 1 1 <kmeans> 1.41 1.41 1.33e-15 1
#> 2 2 <kmeans> 1.41 0.592 8.17e- 1 1
#> 3 3 <kmeans> 1.41 0.372 1.04e+ 0 2
#> 4 4 <kmeans> 1.41 0.276 1.13e+ 0 2
#> 5 5 <kmeans> 1.41 0.202 1.21e+ 0 2
#> 6 6 <kmeans> 1.41 0.159 1.25e+ 0 4
#> 7 7 <kmeans> 1.41 0.124 1.28e+ 0 3
#> 8 8 <kmeans> 1.41 0.0884 1.32e+ 0 3
#> 9 9 <kmeans> 1.41 0.0716 1.34e+ 0 3
#> 10 10 <kmeans> 1.41 0.0578 1.35e+ 0 2
#> 11 11 <kmeans> 1.41 0.0460 1.36e+ 0 2
#> 12 12 <kmeans> 1.41 0.0363 1.37e+ 0 3
#> 13 13 <kmeans> 1.41 0.0272 1.38e+ 0 2
#> 14 14 <kmeans> 1.41 0.0231 1.39e+ 0 2
#> 15 15 <kmeans> 1.41 0.0170 1.39e+ 0 2
As stated we use the tot.withinss
to decide what will
become our k
, an easy way to do this is to
visualize the Scree Plot, also known as the elbow plot. This is done by
ploting the x-axis
as the centers
and the
y-axis
as the tot.withinss
.
kmeans_scree_plt(.data = kmm_tbl)
If we want to see the scree plot data that creates the plot then we
can use another function kmeans_scree_data_tbl
.
kmeans_scree_data_tbl(kmm_tbl)
#> # A tibble: 15 × 2
#> centers tot.withinss
#> <int> <dbl>
#> 1 1 1.41
#> 2 2 0.592
#> 3 3 0.372
#> 4 4 0.276
#> 5 5 0.202
#> 6 6 0.159
#> 7 7 0.124
#> 8 8 0.0884
#> 9 9 0.0716
#> 10 10 0.0578
#> 11 11 0.0460
#> 12 12 0.0363
#> 13 13 0.0272
#> 14 14 0.0231
#> 15 15 0.0170
With the above pieces of information we can decide upon a value for
k
, in this instance we are going to use 3. Now
that we have that we can go ahead with creating the umap list object
where we can take a look at a great many things associated with the
data.
Now lets go ahead and create our UMAP list object.
<- umap_list(.data = uit_tbl, kmm_tbl, 3) ump_lst
Now that it is created, lets take a look at each item in the list.
The umap_list
function returns a list of 5 items.
Since we have the list object we can now inspect the
kmeans_obj
, first thing we will do is use the
kmeans_tidy_tbl
function to inspect things.
<- ump_lst$kmeans_obj
km_obj kmeans_tidy_tbl(.kmeans_obj = km_obj, .data = uit_tbl, .tidy_type = "glance")
#> # A tibble: 1 × 4
#> totss tot.withinss betweenss iter
#> <dbl> <dbl> <dbl> <int>
#> 1 1.41 0.372 1.04 2
kmeans_tidy_tbl(km_obj, uit_tbl, "augment")
#> # A tibble: 23 × 2
#> service_line cluster
#> <chr> <fct>
#> 1 Alcohol Abuse 3
#> 2 Bariatric Surgery For Obesity 3
#> 3 CHF 1
#> 4 COPD 1
#> 5 CVA 1
#> 6 Carotid Endarterectomy 1
#> 7 Cellulitis 2
#> 8 Chest Pain 2
#> 9 GI Hemorrhage 1
#> 10 Joint Replacement 1
#> # … with 13 more rows
kmeans_tidy_tbl(km_obj, uit_tbl, "tidy")
#> # A tibble: 3 × 14
#> `Blue Cross` Commercial Compensation `Exchange Plans` HMO Medicaid
#> <dbl> <dbl> <dbl> <dbl> <dbl> <dbl>
#> 1 0.0784 0.0218 0.00432 0.00620 0.0449 0.0368
#> 2 0.117 0.0314 0.0102 0.0139 0.0982 0.0856
#> 3 0.150 0.0368 0.000307 0.0207 0.163 0.131
#> # … with 8 more variables: `Medicaid HMO` <dbl>, `Medicare A` <dbl>,
#> # `Medicare HMO` <dbl>, `No Fault` <dbl>, `Self Pay` <dbl>, size <int>,
#> # withinss <dbl>, cluster <fct>
Now that we have all of the above data we can visualize our clusters that are colored by their cluster number.
umap_plt(.data = ump_lst, .point_size = 3, TRUE)