Characteristics of Decedents in Medicare Advantage and Traditional Medicare
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Methods | Waiver for this study was obtained through Alberta Health Services for collection of aggregate data.Based on these various sources of recommendations, a guideline was formed (Box) and was approved by Alberta Health Services.This guideline led to a separate form being developed and issued by laboratory services.Physicians now had to identify the indication for testing vitamin D levels.Indications other than those identified in the guideline did not allow for testing of vitamin D levels.This new requisition was implemented on April 1, 2015.Before this date, for several years, the number of annual 25-hydroxy vitamin D assays was approximately 310 000 per year (ie, 1 in 14 Albertans).We measured the monthly number of vitamin D order requests before and after introducing a new procedure for ordering tests.Results | From April 1 to December 31, 2015, subsequent to the creation of a new ordering form, 20 609 vitamin D tests were ordered.During this 9-month period, one would have expected, based on historical data, that 256 027 tests would have been ordered.This intervention thus led to a 92.0%reduction in the number of vitamin D tests ordered, a savings of about $4 million USD per year ($3 million in the period studied thus far) (Figure).Although criteria-based interventions are susceptible to methods that manage to avoid adhering to the requirements, a rebound in test ordering has not been observed 9 months after implementation.Our laboratory ordering system is both paper-based and electronic; thus, this type of intervention can be used in many different systems.Discussion | Criteria-based approaches to the implementation of the Choosing Wisely recommendations have been examined in practice for other tests, including the commonly ordered tests for rheumatoid factor antibody and anti-nuclear antibodies, as well as advanced imaging (computed tomographic scan, bone scan, or magnetic resonance imaging) for spinal pain. 5,6 Using a criteria-based approach to test ordering not only reduces the number of tests that would be ordered but it does so without missing clinically relevant conditions.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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 it