Scaling language models with more data, compute and parameters has driven significant progress in natural language processing. For example, thanks to scaling, GPT-3 was able to achieve strong results on in-context learning tasks. However, training these large dense models requires significant amounts of computing resources. In this paper, we propose and develop a family of language models named \glam (\textbf{G}eneralist \textbf{La}nguage \textbf{M}odel), which uses a sparsely activated mixture-of-experts architecture to scale the model capacity while also incurring substantially less training cost compared to dense variants. The largest \glam has 1.2 trillion parameters, which is approximately 7x larger than GPT-3. It consumes only 1/3 of the energy used to train GPT-3 and requires half of the computation flops for inference, while still achieving better overall fewshot performance across 29 NLP tasks.

Capturing the inter-dependencies among multiple types of clinically-critical events is critical not only to accurate future event prediction, but also to better treatment planning. In this work, we propose a deep latent state-space generative model to capture the interactions among different types of correlated clinical events (e.g., kidney failure, mortality) by explicitly modeling the temporal dynamics of patients' latent states. Based on these learned patient states, we further develop a new general discrete-time formulation of the hazard rate function to estimate the survival distribution of patients with significantly improved accuracy. Extensive evaluations over real EMR data show that our proposed model compares favorably to various state-of-the-art baselines. Furthermore, our method also uncovers meaningful insights about the latent correlations among mortality and different types of organ failures.