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Optimizing Heat Alert Issuance with Reinforcement Learning
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Builds BROACH, a Bayesian-reward RL environment for heat alert issuance from Medicare hospitalizations and NWS alerts, and shows standard RL (DQN, QR-DQN, TRPO, A2C) only beats the NWS policy when alerts are restricted to very hot days.
Problem
Optimizing when to issue heat alerts under a fixed alert budget to reduce heat-related hospitalizations, where health effects are low-signal, spatially heterogeneous, and confounded in observational data.
Approach
A county-level RL environment whose reward comes from a variational Bayesian hierarchical hospitalization model with data-driven priors, and whose transitions replay real observed weather trajectories augmented with weather from same-climate-region counties; RL policies are restricted to days above a per-county quantile heat index threshold.
Key results
- A2C.QHI achieved the largest median return gain over NWS (0.042, WMW p=0.011), while unrestricted DQN, QR-DQN, TRPO and A2C all performed worse than NWS (median differences -0.063 to -0.123).
- Extrapolated nationally, A2C.QHI implemented across all US counties was estimated to reduce about 222 NOHR hospitalizations per year (95% CI -491 to 1131).
- Deterministic evaluation of TRPO and A2C policies performed poorly, showing that stochastic policies are needed under this rewards model.
Measured effects reported in the paper
| What was changed | Where | Measured | Effect |
|---|---|---|---|
| Restrict alerts to days above a county-specific QHI threshold (ablation) | DQN, QR-DQN, TRPO, and A2C · Evaluation years 2007, 2011, 2015 | Median difference in average return vs NWS: DQN: -0.123 -> 0.03; QR-DQN: -0.117 -> 0.035; TRPO: -0.065 -> 0.038; A2C: -0.063 -> 0.042 | Helped |
| Add perfect future information to the state (ablation) | DQN and QR-DQN · Evaluation years 2007, 2011, 2015 | Median difference in average return vs NWS: DQN: -0.123 -> -0.417; QR-DQN: -0.117 -> -0.42 | Hurt |
| Add perfect future information to the state (ablation) | TRPO with QHI restriction · Evaluation years 2007, 2011, 2015 | Median difference in average return vs NWS: 0.038 -> 0.046 | Helped |
| Add perfect future information to the state (ablation) | A2C with QHI restriction · Evaluation years 2007, 2011, 2015 | Median difference in average return vs NWS: 0.042 -> 0.036 | Hurt |
| Evaluate the stochastic policy deterministically (ablation) | TRPO and A2C with QHI restriction · Evaluation years 2007, 2011, 2015 | Median difference in average return vs NWS: TRPO: 0.038 -> -0.662; A2C: 0.042 -> -0.886 | Hurt |
| Use 10 rather than 20 quantiles (ablation) | QR-DQN · Heat-alert policy optimization | Average return | Helped |
| Use the QHI-restricted A2C policy instead of NWS | A2C · Evaluation years 2007, 2011, 2015 | Median difference in average return: 0.042 | Helped |
| Use random alert-day selection instead of NWS | Random baseline · Evaluation years 2007, 2011, 2015 | Median difference in average return: -0.015 | No clear effect |
| Use the basic NWS heat-index guidelines instead of NWS | basic.nws · Evaluation years 2007, 2011, 2015 | Median difference in average return: -0.286 | Hurt |
| Issue alerts on the b hottest days of the summer | topk oracle baseline · Evaluation years 2007, 2011, 2015 | Median difference in average return: 0.022 | Helped |
| Issue alerts above an optimized county-specific QHI threshold until budget runs out | aa.qhi baseline · Evaluation years 2007, 2011, 2015 | Median difference in average return: 0.03 | Helped |
Surprising findings
- Restricting RL to very hot days is necessary; a simple always-alert-above-QHI-threshold policy (aa.qhi) performs nearly as well as the best RL policy.
- Including perfect future weather information made DQN and QR-DQN noticeably worse, while only TRPO benefited.
Limitations
- Fixed alert budget equal to observed NWS counts; does not model alert fatigue beyond the rewards model or monetary budgets.
- Rewards model assumes effects are estimated from observational Medicare data with unobserved mediation; low R^2 (0.102) for rate prediction.
- Evaluation on only 30 counties and 3 held-out years; future-information results assume perfect forecasts.
Experimental setup
Datasets: NWS heat alerts (2006-2016) heat index weather data Medicare Part A hospitalization claims county covariates (population density, median household income, broadband, election returns, PM2.5)
Benchmarks: BROACH heat alert environment (30 counties, evaluation years 2007, 2011, 2015)
Metrics: average return per episode median difference in return vs NWS Wilcoxon-Mann-Whitney statistic and p-value
Baselines: NWS policy random basic.nws aa.qhi topk DQN QR-DQN TRPO A2C
Builds on: Stable-Baselines3 Pyro Gymnasium Deep Q-learning TRPO
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