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Record W593234204

Real-time Elective Admissions Planning for Health Care Providers

2013· dissertation· en· W593234204 on OpenAlexfundno aff
George Zhu

Bibliographic record

VenueUWSpace (University of Waterloo) · 2013
Typedissertation
Languageen
FieldHealth Professions
TopicHealthcare Operations and Scheduling Optimization
Canadian institutionsnot available
FundersUniversity of Waterloo
KeywordsScalabilityMarkov decision processComputer scienceOperations researchProcess (computing)Markov processHealth careScale (ratio)Resource (disambiguation)Mathematical optimizationRisk analysis (engineering)MedicineEngineeringMathematicsEconomics
DOInot available

Abstract

fetched live from OpenAlex

Efficient management of patient admissions plays a critical role in increasing a hospital's \nresource utilization and reducing health care costs. We consider the problem of fi nding the \nbest available admission policy for elective hospital admissions under real time constraints. \nThe problem is modeled as a Markov Decision Process (MDP) and we investigate current \nstate-of-the art real time planning methods. \n \nDue to the complexity of the model, traditional mode-based planners are limited in scalability \nsince they require an explicit enumeration of the model dynamics. To overcome this challenge, \nwe apply sample-based planners along with efficient simulation techniques that given an \ninitial start state, generate an action on-demand while avoiding portions of the model \nthat are irrelevant to the start state. \n \nResults show that given reasonable resources, our approach generates improved deci- \nsions over existing alternatives that fail to scale as model complexity increases. We also \npropose a parameter tuning method that can be easily and efficiently implemented.

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 imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: Simulation or modeling
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.026
Threshold uncertainty score0.053

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0100.000

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.

Opus teacher head0.028
GPT teacher head0.348
Teacher spread0.320 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSimulation or modeling
Domainnot available
GenreEmpirical

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".

Quick stats

Citations2
Published2013
Admission routes1
Has abstractyes

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Same venueUWSpace (University of Waterloo)Same topicHealthcare Operations and Scheduling OptimizationFrench-language works237,207