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Michael Wornow

Possible papers associated with this exact author name in Arrow. This page groups case-insensitive exact name matches and is not a full identity disambiguation profile.

6 papers
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6

NeurIPS Conference 2025 Conference Paper

Agentic Plan Caching: Test-Time Memory for Fast and Cost-Efficient LLM Agents

  • Qizheng Zhang
  • Michael Wornow
  • Kunle Olukotun

LLM-based agent applications have shown increasingly remarkable capabilities in complex workflows but incur substantial costs and latency due to extensive planning and reasoning requirements. Existing LLM caching techniques (like context caching and semantic caching), primarily designed for serving chatbots, are insufficient for agent applications where outputs depend on external data and environmental contexts. We propose Agentic Plan Caching (APC), a novel test-time memory that extracts, stores, adapts, and reuses structured plan templates from planning stages of agent applications across semantically similar tasks to reduce the cost and latency of serving. Unlike traditional semantic caching, our system extracts plan templates from completed agent executions at test-time, employs keyword extraction to match new requests against cached plans, and utilizes lightweight models to adapt these templates to task-specific plans with contexts. Evaluation across multiple real-world agent applications shows that our system can reduce costs by 50. 31\% and latency by 27. 28\% on average while maintaining performance, offering a more efficient solution for serving LLM-based agents that complements existing LLM serving infrastructures.

ICLR Conference 2025 Conference Paper

Context Clues: Evaluating Long Context Models for Clinical Prediction Tasks on EHR Data

  • Michael Wornow
  • Suhana Bedi
  • Miguel Angel Fuentes Hernandez
  • Ethan Steinberg
  • Jason Alan Fries
  • Christopher Ré
  • Sanmi Koyejo
  • Nigam H. Shah

Foundation Models (FMs) trained on Electronic Health Records (EHRs) have achieved state-of-the-art results on numerous clinical prediction tasks. However, prior EHR FMs typically have context windows of $<$1k tokens, which prevents them from modeling full patient EHRs which can exceed 10k's of events. For making clinical predictions, both model performance and robustness to the unique properties of EHR data are crucial. Recent advancements in subquadratic long-context architectures (e.g. Mamba) offer a promising solution. However, their application to EHR data has not been well-studied. We address this gap by presenting the first systematic evaluation of the effect of context length on modeling EHR data. We find that longer context models improve predictive performance -- our Mamba-based model surpasses the prior state-of-the-art on 9/14 tasks on the EHRSHOT prediction benchmark. Additionally, we measure robustness to three unique, previously underexplored properties of EHR data: (1) the prevalence of ``copy-forwarded" diagnoses which create artificial token repetition in EHR sequences; (2) the irregular time intervals between EHR events which can lead to a wide range of timespans within a context window; and (3) the natural increase in disease complexity over time which makes later tokens in the EHR harder to predict than earlier ones. Stratifying our EHRSHOT results, we find that higher levels of each property correlate negatively with model performance (e.g., a 14% higher Brier loss between the least and most irregular patients), but that longer context models are more robust to more extreme levels of these properties. Our work highlights the potential for using long-context architectures to model EHR data, and offers a case study on how to identify and quantify new challenges in modeling sequential data motivated by domains outside of natural language. We release all of our model checkpoints and code.

NeurIPS Conference 2024 Conference Paper

WONDERBREAD: A Benchmark for Evaluating Multimodal Foundation Models on Business Process Management Tasks

  • Michael Wornow
  • Avanika Narayan
  • Ben Viggiano
  • Ishan S. Khare
  • Tathagat Verma
  • Tibor Thompson
  • Miguel A. Hernandez
  • Sudharsan Sundar

Existing ML benchmarks lack the depth and diversity of annotations needed for evaluating models on business process management (BPM) tasks. BPM is the practice of documenting, measuring, improving, and automating enterprise workflows. However, research has focused almost exclusively on one task -- full end-to-end automation using agents based on multimodal foundation models (FMs) like GPT-4. This focus on automation ignores the reality of how most BPM tools are applied today -- simply documenting the relevant workflow takes 60% of the time of the typical process optimization project. To address this gap we present WONDERBREAD, the first benchmark for evaluating multimodal FMs on BPM tasks beyond automation. Our contributions are: (1) a dataset containing 2928 documented workflow demonstrations; (2) 6 novel BPM tasks sourced from real-world applications ranging from workflow documentation to knowledge transfer to process improvement; and (3) an automated evaluation harness. Our benchmark shows that while state-of-the-art FMs can automatically generate documentation (e. g. recalling 88% of the steps taken in a video demonstration of a workflow), they struggle to re-apply that knowledge towards finer-grained validation of workflow completion (F1 < 0. 3). We hope WONDERBREAD encourages the development of more "human-centered" AI tooling for enterprise applications and furthers the exploration of multimodal FMs for the broader universe of BPM tasks. We publish our dataset and experiments here: https: //github. com/HazyResearch/wonderbread

NeurIPS Conference 2023 Conference Paper

EHRSHOT: An EHR Benchmark for Few-Shot Evaluation of Foundation Models

  • Michael Wornow
  • Rahul Thapa
  • Ethan Steinberg
  • Jason Fries
  • Nigam Shah

While the general machine learning (ML) community has benefited from public datasets, tasks, and models, the progress of ML in healthcare has been hampered by a lack of such shared assets. The success of foundation models creates new challenges for healthcare ML by requiring access to shared pretrained models to validate performance benefits. We help address these challenges through three contributions. First, we publish a new dataset, EHRSHOT, which contains de-identified structured data from the electronic health records (EHRs) of 6, 739 patients from Stanford Medicine. Unlike MIMIC-III/IV and other popular EHR datasets, EHRSHOT is longitudinal and not restricted to ICU/ED patients. Second, we publish the weights of CLMBR-T-base, a 141M parameter clinical foundation model pretrained on the structured EHR data of 2. 57M patients. We are one of the first to fully release such a model for coded EHR data; in contrast, most prior models released for clinical data (e. g. GatorTron, ClinicalBERT) only work with unstructured text and cannot process the rich, structured data within an EHR. We provide an end-to-end pipeline for the community to validate and build upon its performance. Third, we define 15 few-shot clinical prediction tasks, enabling evaluation of foundation models on benefits such as sample efficiency and task adaptation. Our model and dataset are available via a research data use agreement from here: https: //stanfordaimi. azurewebsites. net/. Code to reproduce our results is available here: https: //github. com/som-shahlab/ehrshot-benchmark.

NeurIPS Conference 2023 Conference Paper

HyenaDNA: Long-Range Genomic Sequence Modeling at Single Nucleotide Resolution

  • Eric Nguyen
  • Michael Poli
  • Marjan Faizi
  • Armin Thomas
  • Michael Wornow
  • Callum Birch-Sykes
  • Stefano Massaroli
  • Aman Patel

Genomic (DNA) sequences encode an enormous amount of information for gene regulation and protein synthesis. Similar to natural language models, researchers have proposed foundation models in genomics to learn generalizable features from unlabeled genome data that can then be fine-tuned for downstream tasks such as identifying regulatory elements. Due to the quadratic scaling of attention, previous Transformer-based genomic models have used 512 to 4k tokens as context (<0. 001% of the human genome), significantly limiting the modeling of long-range interactions in DNA. In addition, these methods rely on tokenizers or fixed k-mers to aggregate meaningful DNA units, losing single nucleotide resolution (i. e. DNA "characters") where subtle genetic variations can completely alter protein function via single nucleotide polymorphisms (SNPs). Recently, Hyena, a large language model based on implicit convolutions was shown to match attention in quality while allowing longer context lengths and lower time complexity. Leveraging Hyena’s new long-range capabilities, we present HyenaDNA, a genomic foundation model pretrained on the human reference genome with context lengths of up to 1 million tokens at the single nucleotide-level – an up to 500x increase over previous dense attention-based models. HyenaDNA scales sub-quadratically in sequence length (training up to 160x faster than Transformer), uses single nucleotide tokens, and has full global context at each layer. We explore what longer context enables - including the first use of in-context learning in genomics for simple adaptation to novel tasks without updating pretrained model weights. On fine-tuned benchmarks from the Nucleotide Transformer, HyenaDNA reaches state-of-the-art (SotA) on 12 of 18 datasets using a model with orders of magnitude less parameters and pretraining data. 1 On the GenomicBenchmarks, HyenaDNA surpasses SotA on 7 of 8 datasets on average by +10 accuracy points. Code at https: //github. com/HazyResearch/hyena-dna.

ICLR Conference 2021 Conference Paper

Cut out the annotator, keep the cutout: better segmentation with weak supervision

  • Sarah M. Hooper
  • Michael Wornow
  • Ying Hang Seah
  • Peter Kellman
  • Hui Xue 0006
  • Frederic Sala
  • Curtis Langlotz
  • Christopher Ré

Constructing large, labeled training datasets for segmentation models is an expensive and labor-intensive process. This is a common challenge in machine learning, addressed by methods that require few or no labeled data points such as few-shot learning (FSL) and weakly-supervised learning (WS). Such techniques, however, have limitations when applied to image segmentation---FSL methods often produce noisy results and are strongly dependent on which few datapoints are labeled, while WS models struggle to fully exploit rich image information. We propose a framework that fuses FSL and WS for segmentation tasks, enabling users to train high-performing segmentation networks with very few hand-labeled training points. We use FSL models as weak sources in a WS framework, requiring a very small set of reference labeled images, and introduce a new WS model that focuses on key areas---areas with contention among noisy labels---of the image to fuse these weak sources. Empirically, we evaluate our proposed approach over seven well-motivated segmentation tasks. We show that our methods can achieve within 1.4 Dice points compared to fully supervised networks while only requiring five hand-labeled training points. Compared to existing FSL methods, our approach improves performance by a mean 3.6 Dice points over the next-best method.

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