An Embarrassment of Data: How e-Assessments Are Supporting Front Line Clinical Decisions and Quality Management Across Canada and around the World
Bibliographic record
Abstract
A unique collaboration between the Canadian Institute for Health Information (CIHI) and interRAI, an international research network, is supporting jurisdictions across Canada in collecting client-level clinical and administrative data for both primary and secondary uses. Standardized interRAI assessments, captured electronically and sent to CIHI, provide real-time decision support for clinicians as well as a rich longitudinal source of aggregate data for system planning, quality improvement and accountability. With over a million assessments in three CIHI-RAI data holdings, important benefits have already been realized at individual and organizational levels across eight Canadian jurisdictions. The evolution of a pan-Canadian interoperable EHR presents an exciting opportunity to optimize the value of these investments for the future.
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.
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 | 0.056 | 0.140 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.005 | 0.011 |
| Science and technology studies | 0.019 | 0.017 |
| Scholarly communication | 0.032 | 0.015 |
| Open science | 0.005 | 0.010 |
| Research integrity | 0.004 | 0.007 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
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".