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Hierarchical Spatio-Temporal Transformer for Coherent Emergency Department Forecasting

Research Medical/Healthcare AI

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Merged summary

TL;DR - HierSTT is a hierarchical Transformer that jointly forecasts emergency-department demand at hospital, regional, and national levels while enforcing consistency across forecasts. It could improve coordinated staffing, bed management, and system-wide capacity planning.

  • Combines a Temporal Fusion Transformer for national trends with spatio-temporal encoder-decoder modules for regional and hospital demand.
  • Uses a coherence-aware loss to penalize forecasts that do not aggregate consistently across levels.
  • Evaluated on a new Portuguese dataset spanning 81 hospitals and five regional health administrations.
  • Reduced average WAPE by 32% versus the best non-hierarchical deep-learning baseline and outperformed classical hierarchical reconciliation methods.

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Hierarchical Spatio-Temporal Transformer for Coherent Emergency Department Forecasting

arXiv cs.LG Filipa Lino, Bárbara Tavares, Carlos Santiago, Cláudia Soares, Manuel Marques 2026-07-29 arXiv:2607.27106
Public signals Semantic Scholar citations 0 · Semantic Scholar influential citations 0
Providers: Hugging Face · N/A OpenAlex · N/A Publisher · N/A Semantic Scholar · Citations 0 · Influential citations 0 X · N/A Fetched 2026-08-24 14:31:44.346614 UTC

TL;DR - HierSTT is a hierarchical Transformer that jointly forecasts emergency-department demand at hospital, regional, and national levels while enforcing consistency across forecasts. It could improve coordinated staffing, bed management, and system-wide capacity planning.

  • Combines a Temporal Fusion Transformer for national trends with spatio-temporal encoder-decoder modules for regional and hospital demand.
  • Uses a coherence-aware loss to penalize forecasts that do not aggregate consistently across levels.
  • Evaluated on a new Portuguese dataset spanning 81 hospitals and five regional health administrations.
  • Reduced average WAPE by 32% versus the best non-hierarchical deep-learning baseline and outperformed classical hierarchical reconciliation methods.
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