scholarly journals An ASM Semantics of UML Derived from the Meta-model and Incorporating Actions

2003 ◽  
pp. 356-371 ◽  
Author(s):  
Ileana Ober
Keyword(s):  
Meta Model

An energy and environmental meta-model for strategic sustainable planning

2009 ◽  
Author(s):  
D. S. Zachary ◽  
U. Leopold ◽  
L. Aleluia Reis ◽  
C. Braun ◽  
G. Kneip ◽  
...  
Keyword(s):  
Meta Model ◽  
Sustainable Planning

BALANCING OF ROTATING MACHINES USING A KRIGING META-MODEL

2019 ◽  
Author(s):  
Vinícius Carvalho ◽  
Leonardo Sicchieri ◽  
Marcus Filipe Sousa Reis ◽  
Aldemir Ap Cavalini Jr ◽  
Valder Steffen Jr
Keyword(s):  
Rotating Machines ◽  
Meta Model

scholarly journals Designing Multi-Agent System Organisations for Flexible Runtime Behaviour

2020 ◽  
Vol 10 (15) ◽  
pp. 5335
Author(s):  
Kathleen Keogh ◽  
Liz Sonenberg
Keyword(s):  
Design Method ◽  
Multi Agent System ◽  
Improve Performance ◽  
Uncertain Environments ◽  
Agent System ◽  
Meta Model ◽  
Design Time ◽  
Organisational Support ◽  
Multi Agent ◽  
Associated Design

We address the challenge of multi-agent system (MAS) design for organisations of agents acting in dynamic and uncertain environments where runtime flexibility is required to enable improvisation through sharing knowledge and adapting behaviour. We identify behavioural features that correspond to runtime improvisation by agents in a MAS organisation and from this analysis describe the OJAzzIC meta-model and an associated design method. We present results from simulation scenarios, varying both problem complexity and the level of organisational support provided in the design, to show that increasing design time guidance in the organisation specification can enable runtime flexibility afforded to agents and improve performance. Hence the results demonstrate the usefulness of the constructs captured in the OJAzzIC meta-model.

scholarly journals Real-Time Identification of Patients Included in the CMS Bundled Payment Care Improvement (BPCI) Program

2020 ◽  
Vol 41 (S1) ◽  
pp. s367-s368
Author(s):  
Michael Korvink ◽  
John Martin ◽  
Michael Long
Keyword(s):  
Performance Evaluation ◽  
Real Time ◽  
Naive Bayes ◽  
Naïve Bayes ◽  
Care Providers ◽  
Meta Model ◽  
Bundled Payment ◽  
Clinical Cohort ◽  
Real Time Identification ◽  
Care Improvement

Background: The Bundled Payment Care Improvement Program is a CMS initiative designed to encourage greater collaboration across settings of care, especially as it relates to an initial set of targeted clinical episodes, which include sepsis and pneumonia. As with many CMS incentive programs, performance evaluation is retrospective in nature, resulting in after-the-fact changes in operational processes to improve both efficiency and quality. Although retrospective performance evaluation is informative, care providers would ideally identify a patient’s potential clinical cohort during the index stay and implement care management procedures as necessary to prevent or reduce the severity of the condition. The primary challenges for real-time identification of a patient’s clinical cohort are CMS-targeted cohorts are based on either MS-DRG (grouping of ICD-10 codes) or HCPCS coding—coding that occurs after discharge by clinical abstractors. Additionally, many informative data elements in the EHR lack standardization and no simple and reliable heuristic rules can be employed to meaningfully identify those cohorts without human review. Objective: To share the results of an ensemble statistical model to predict patient risks of sepsis and pneumonia during their hospital (ie, index) stay. Methods: The predictive model uses a combination of Bernoulli Naïve Bayes natural language processing (NLP) classifiers, to reduce text dimensionality into a single probability value, and an eXtreme Gradient Boosting (XGBoost) algorithm as a meta-model to collectively evaluate both standardized clinical elements alongside the NLP-based text probabilities. Results: Bernoulli Naïve Bayes classifiers have proven to perform well on short text strings and allow for highly explanatory unstructured or semistructured text fields (eg, reason for visit, culture results), to be used in a both comparative and generalizable way within the larger XGBoost model. Conclusions: The choice of XGBoost as the meta-model has the benefits of mitigating concerns of nonlinearity among clinical features, reducing potential of overfitting, while allowing missing values to exist within the data. Both the Bayesian classifier and meta-model were trained using a patient-level integrated dataset extracted from both a patient-billing and EHR data warehouse maintained by Premier. The data set, joined by patient admission-date, medical record number, date of birth, and hospital entity code, allows the presence of both the coded clinical cohort (derived from the MS-DRG) and the explanatory features in the EHR to exist within a single patient encounter record. The resulting model produced F1 performance scores of .65 for the sepsis population and .61 for the pneumonia population.Funding: NoneDisclosures: None

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