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Nina Fatehi

Publications and source records attributed to Nina Fatehi.

4 recordsLinked to original sources

LearnActCoder: Role-Aware Error Memory for Adaptive Clinical Coding Agents

Clinical coding agents repeatedly encounter the same failure modes, including unsupported codes, missed documented conditions, specificity errors, and procedure-coding convention mismatches. We introduce Learn-Then-Act, an inference-time adaptation framework that converts errors from a small labeled LEARN batch into a structured Mistake Knowledge Database (MistakeKDB). False-negative lessons are routed to a recall-oriented Coder, while false-positive lessons are routed to a precision-oriented Judge. We instantiate the framework in LearnActCoder, a Coder-Judge clinical coding pipeline with lookup-table grounding where available. On 150 matched MIMIC-III notes, structured MistakeKDB improves CPT F1 by 5.9 percentage points, while raw-example and reflection-style memories remain near the no-memory baseline; the ICD-9 improvement is not significant. On a matched MIMIC-IV cohort, memory shifts ICD-10 coding toward higher precision at a recall cost, leaving F1 statistically unchanged. Applying the same memory to 1,000 held-out MIMIC-III notes maintains a stable ICD operating point, providing scale/stability evidence. Overall, the results are consistent with structured, feedback-derived error memory being useful for adapting clinical coding behavior across cases without weight updates or changes to the underlying workflow. Absolute CPT/HCPCS performance remains low, and the system is evaluated retrospectively rather than in clinical deployment.

cs.AI

Structured Evidence Routing for Incident Risk Prediction from Multimodal Longitudinal EHRs

Incident risk prediction from longitudinal electronic health records (EHRs) is challenging because relevant signals are multimodal, weak in isolation, and distributed across irregular patient histories. We propose structured evidence routing, a router-predictor-reviewer workflow that separates full-record access from disease-specific assessment. The router organizes the complete pre-index EHR into a compact summary and targeted evidence slices; the predictor uses this evidence to form an evidence-linked risk assessment, which the reviewer critiques. For comparison with supervised EHRSHOT baselines, we pair the routed evidence summaries with a supervised classifier readout. Across five 1-year incident diagnosis tasks, our method reaches the AUROC range of established supervised EHRSHOT baselines and remains competitive on AUPRC, while exposing a patient-specific evidence trail. Internal pre-readout ablations further suggest that routing, laboratory evidence, task guidance, and review each contribute to performance.

cs.AI

Predictive Modeling of Power Outages during Extreme Events: Integrating Weather and Socio-Economic Factors

This paper presents a novel learning based framework for predicting power outages caused by extreme events. The proposed approach targets low-probability high-consequence outage scenarios and leverages a comprehensive set of features derived from publicly available data sources. We integrate EAGLE-I outage records from 2014 to 2024 with weather, socioeconomic, infrastructure, and seasonal event data. Incorporating social and demographic indicators reveals patterns of community vulnerability and improves understanding of outage risk during extreme conditions. Four machine learning models are evaluated, including Random Forest (RF), Graph Neural Network (GNN), Adaptive Boosting (AdaBoost), and Long Short-Term Memory (LSTM). Experimental validation is performed on a large-scale dataset covering counties in the lower peninsula of Michigan. Among all models tested, the LSTM network achieves higher accuracy.

cs.LG

Deep Learning-Based Weather-Related Power Outage Prediction with Socio-Economic and Power Infrastructure Data

This paper presents a deep learning-based approach for hourly power outage probability prediction within census tracts encompassing a utility company's service territory. Two distinct deep learning models, conditional Multi-Layer Perceptron (MLP) and unconditional MLP, were developed to forecast power outage probabilities, leveraging a rich array of input features gathered from publicly available sources including weather data, weather station locations, power infrastructure maps, socio-economic and demographic statistics, and power outage records. Given a one-hour-ahead weather forecast, the models predict the power outage probability for each census tract, taking into account both the weather prediction and the location's characteristics. The deep learning models employed different loss functions to optimize prediction performance. Our experimental results underscore the significance of socio-economic factors in enhancing the accuracy of power outage predictions at the census tract level.

cs.LG