Practice Spotlight: Community Intravenous Program, Winnipeg Regional Health Authority
Bibliographic record
Abstract
T he Community Intravenous Program (CIVP) is a multi- disciplinary program within the Winnipeg Regional Health Authority, with a referral base of over 650 000 peoplethe entire city of Winnipeg.The program was started more than 30 years ago at St Boniface General Hospital and evolved into an established home IV therapy program with a cap of 50 clients.To reduce the number of scheduled visits to Winnipeg's 6 emergency departments and its single urgent care centre (for the purpose of IV antibiotic therapy) and to limit delays in hospital discharge (because of the program cap), the Pharmacy, Home Care, and Medicine programs of the Winnipeg Regional Health Authority collaborated in 2006 to extensively expand and relocate the program, now known as the CIVP.This expansion has had a tremendous impact on the role of the CIVP pharmacists, through an increase in pharmacy resources and the development of CIVP-specific pharmacy practice expectations.Patients who are assessed in an emergency department or the urgent care centre and who require IV administration of antibiotics are referred directly to 1 of the 2 CIVP infusion clinics.At the clinic, the client is assessed by the multidisciplinary team.Patients who have been admitted to hospital but who appear suited to treatment in the community are referred to the CIVP central office for assessment by the multidisciplinary team before discharge.Part of this assessment includes determination of the most appropriate venue for antibiotic administration.Some clients can travel to a clinic, but for others, nursing visits to the home are arranged.At the time of
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.164 | 0.018 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".