{"id":"W4409337893","doi":"10.5334/ijic.9474","title":"Connected Care Hub: Filling a gap with virtual transitional care and decreasing Emergency Department visits and inpatient readmissions.","year":2025,"lang":"en","type":"article","venue":"International Journal of Integrated Care","topic":"Emergency and Acute Care Studies","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Emergency department; Transitional care; Medical emergency; Medicine; Patient-centered care; Nursing; Health care; Emergency medicine","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001495547,0.0003333188,0.0003013142,0.0003468714,0.001900014,0.00176758,0.001479764,0.0007439634,0.02235869],"category_scores_gemma":[0.008579359,0.0002047006,0.0007723111,0.0003252531,0.0005451527,0.001760449,0.005655772,0.00127119,0.001576852],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001951667,"about_ca_system_score_gemma":0.009211629,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01080447,"about_ca_topic_score_gemma":0.02978179,"domain_scores_codex":[0.9986677,0.0005796678,0.00004846366,0.0001223483,0.0002018149,0.0003799839],"domain_scores_gemma":[0.9955068,0.000365822,0.0003540239,0.000153318,0.0005230517,0.00309714],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.001929356,0.003160794,0.09327757,0.002576352,0.0002697187,0.0005321556,0.003267921,0.0006504181,0.0008530111,0.004496073,0.2439202,0.6450664],"study_design_scores_gemma":[0.003897898,0.01176796,0.4407374,0.01287805,0.001367325,0.002859892,0.0316833,0.01039086,0.003189729,0.01965294,0.4612416,0.000333087],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.7969722,0.01406419,0.014569,0.06445538,0.005515344,0.002944483,0.005298059,0.003798131,0.09238326],"genre_scores_gemma":[0.9652171,0.002957034,0.01311818,0.007625169,0.0005213978,0.001016371,0.001834785,0.0001391119,0.007570922],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.02235869,"threshold_uncertainty_score":0.07479727,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.009563241905889952,"score_gpt":0.2906605159187243,"score_spread":0.2810972740128343,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}