Developing and evaluating a chatbot to support maternal health care

The ability to provide trustworthy maternal health information using phone-based chatbots can have a significant impact, particularly in low-resource settings where users have low health literacy and limited access to care. However, deploying such systems is technically challenging: user queries are short, underspecified, and code-mixed across languages, answers require regional context-specific grounding, and partial or missing symptom context makes safe routing decisions difficult. We present a chatbot for maternal health in India developed through a partnership between academic researchers, a health tech company, a public health nonprofit, and a hospital. The system combines (1) stage-aware triage, routing high-risk queries to expert templates, (2) hybrid retrieval over curated maternal/newborn guidelines, and (3) evidence-conditioned generation from an LLM. Our core contribution is an evaluation workflow for high-stakes deployment under limited expert supervision. Targeting both component-level and end-to-end testing, we introduce: (i) a labeled triage benchmark (N=150) achieving 86.7% emergency recall, explicitly reporting the missed-emergency vs. over-escalation trade-off; (ii) a synthetic multi-evidence retrieval benchmark (N=100) with chunk-level evidence labels; (iii) LLM-as-judge comparison on real queries (N=781) using clinician-codesigned criteria; and (iv) expert validation. Our findings show that trustworthy medical assistants in multilingual, noisy settings require defense-in-depth design paired with multi-method evaluation, rather than any single model and evaluation method choice.

IV Co-Scientist: Multi-Agent LLM Framework for Causal Instrumental Variable Discovery

In the presence of confounding between an endogenous variable and the outcome, instrumental variables (IVs) are used to isolate the causal effect of the endogenous variable. Identifying valid instruments requires interdisciplinary knowledge, creativity, and contextual understanding, making it a non-trivial task. In this paper, we investigate whether large language models (LLMs) can aid in this task. We perform a two-stage evaluation framework. First, we test whether LLMs can recover well-established instruments from the literature, assessing their ability to replicate standard reasoning. Second, we evaluate whether LLMs can identify and avoid instruments that have been empirically or theoretically discredited. Building on these results, we introduce IV Co-Scientist, a multi-agent system that proposes, critiques, and refines IVs for a given treatment-outcome pair. We also introduce a statistical test to contextualize consistency in the absence of ground truth. Our results show the potential of LLMs to discover valid instrumental variables from a large observational database.

Do LLMs Act Like Rational Agents? Measuring Belief Coherence in Probabilistic Decision Making

Large language models (LLMs) are increasingly deployed as agents in high-stakes domains where optimal actions depend on both uncertainty about the world and consideration of utilities of different outcomes, yet their decision logic remains difficult to interpret. We study whether LLMs are rational utility maximizers with coherent beliefs and stable preferences. We consider behaviors of models for diagnosis challenge problems. The results provide insights about the relationship of LLM inferences to ideal Bayesian utility maximization for elicited probabilities and observed actions. Our approach provides falsifiable conditions under which the reported probabilities \emph{cannot} correspond to the true beliefs of any rational agent. We apply this methodology to multiple medical diagnostic domains with evaluations across several LLMs. We discuss implications of the results and directions forward for uses of LLMs in guiding high-stakes decisions.

Combining digital data streams and epidemic networks for real time outbreak detection

Responding to disease outbreaks requires close surveillance of their trajectories, but outbreak detection is hindered by the high noise in epidemic time series. Aggregating information across data sources has shown great denoising ability in other fields, but remains underexplored in epidemiology. Here, we present LRTrend, an interpretable machine learning framework to identify outbreaks in real time. LRTrend effectively aggregates diverse health and behavioral data streams within one region and learns disease-specific epidemic networks to aggregate information across regions. We reveal diverse epidemic clusters and connections across the United States that are not well explained by commonly used human mobility networks and may be informative for future public health coordination. We apply LRTrend to 2 years of COVID-19 data in 305 hospital referral regions and frequently detect regional Delta and Omicron waves within 2 weeks of the outbreak's start, when case counts are a small fraction of the wave's resulting peak.

OEUVRE: OnlinE Unbiased Variance-Reduced loss Estimation

Online learning algorithms continually update their models as data arrive, making it essential to accurately estimate the expected loss at the current time step. The prequential method is an effective estimation approach which can be practically deployed in various ways. However, theoretical guarantees have previously been established under strong conditions on the algorithm, and practical algorithms have hyperparameters which require careful tuning. We introduce OEUVRE, an estimator that evaluates each incoming sample on the function learned at the current and previous time steps, recursively updating the loss estimate in constant time and memory. We use algorithmic stability, a property satisfied by many popular online learners, for optimal updates and prove consistency, convergence rates, and concentration bounds for our estimator. We design a method to adaptively tune OEUVRE's hyperparameters and test it across diverse online and stochastic tasks. We observe that OEUVRE matches or outperforms other estimators even when their hyperparameters are tuned with oracle access to ground truth.

Predicting Language Models' Success at Zero-Shot Probabilistic Prediction

Recent work has investigated the capabilities of large language models (LLMs) as zero-shot models for generating individual-level characteristics (e.g., to serve as risk models or augment survey datasets). However, when should a user have confidence that an LLM will provide high-quality predictions for their particular task? To address this question, we conduct a large-scale empirical study of LLMs' zero-shot predictive capabilities across a wide range of tabular prediction tasks. We find that LLMs' performance is highly variable, both on tasks within the same dataset and across different datasets. However, when the LLM performs well on the base prediction task, its predicted probabilities become a stronger signal for individual-level accuracy. Then, we construct metrics to predict LLMs' performance at the task level, aiming to distinguish between tasks where LLMs may perform well and where they are likely unsuitable. We find that some of these metrics, each of which are assessed without labeled data, yield strong signals of LLMs' predictive performance on new tasks.

Dependent Randomized Rounding for Budget Constrained Experimental Design

Policymakers in resource-constrained settings require experimental designs that satisfy strict budget limits while ensuring precise estimation of treatment effects. We propose a framework that applies a dependent randomized rounding procedure to convert assignment probabilities into binary treatment decisions. Our proposed solution preserves the marginal treatment probabilities while inducing negative correlations among assignments, leading to improved estimator precision through variance reduction. We establish theoretical guarantees for the inverse propensity weighted and general linear estimators, and demonstrate through empirical studies that our approach yields efficient and accurate inference under fixed budget constraints.

An AI-Based Public Health Data Monitoring System

Public health experts need scalable approaches to monitor large volumes of health data (e.g., cases, hospitalizations, deaths) for outbreaks or data quality issues. Traditional alert-based monitoring systems struggle with modern public health data monitoring systems for several reasons, including that alerting thresholds need to be constantly reset and the data volumes may cause application lag. Instead, we propose a ranking-based monitoring paradigm that leverages new AI anomaly detection methods. Through a multi-year interdisciplinary collaboration, the resulting system has been deployed at a national organization to monitor up to 5,000,000 data points daily. A three-month longitudinal deployed evaluation revealed a significant improvement in monitoring objectives, with a 54x increase in reviewer speed efficiency compared to traditional alert-based methods. This work highlights the potential of human-centered AI to transform public health decision-making.

Explaining Concept Shift with Interpretable Feature Attribution

Regardless the amount of data a machine learning (ML) model is trained on, there will inevitably be data that differs from their training set, lowering model performance. Concept shift occurs when the distribution of labels conditioned on the features changes, making even a well-tuned ML model to have learned a fundamentally incorrect representation. Identifying these shifted features provides unique insight into how one dataset differs from another, considering the difference may be across a scientifically relevant dimension, such as time, disease status, population, etc. In this paper, we propose SGShift, a model for detecting concept shift in tabular data and attributing reduced model performance to a sparse set of shifted features. SGShift models concept shift with a Generalized Additive Model (GAM) and performs subsequent feature selection to identify shifted features. We propose further extensions of SGShift by incorporating knockoffs to control false discoveries and an absorption term to account for models with poor fit to the data. We conduct extensive experiments in synthetic and real data across various ML models and find SGShift can identify shifted features with AUC $>0.9$ and recall $>90\%$, often 2 or 3 times as high as baseline methods.

Generate to Discriminate: Expert Routing for Continual Learning

In many real-world settings, regulations and economic incentives permit the sharing of models but not data across institutional boundaries. In such scenarios, practitioners might hope to adapt models to new domains, without losing performance on previous domains (so-called catastrophic forgetting). While any single model may struggle to achieve this goal, learning an ensemble of domain-specific experts offers the potential to adapt more closely to each individual institution. However, a core challenge in this context is determining which expert to deploy at test time. In this paper, we propose Generate to Discriminate (G2D), a domain-incremental continual learning method that leverages synthetic data to train a domain-discriminator that routes samples at inference time to the appropriate expert. Surprisingly, we find that leveraging synthetic data in this capacity is more effective than using the samples to \textit{directly} train the downstream classifier (the more common approach to leveraging synthetic data in the lifelong learning literature). We observe that G2D outperforms competitive domain-incremental learning methods on tasks in both vision and language modalities, providing a new perspective on the use of synthetic data in the lifelong learning literature.