A Clustered Overflow Configuration of Inpatient Beds in Hospitals

Faculty Computer Science Year: 2021
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Manufacturing and Service Operations Management Institute for Operations Research and the Management Sciences Volume:
Keywords : , Clustered Overflow Configuration , Inpatient Beds , Hospitals    
Abstract:
The shortage of inpatient beds is a major cause of delays and cancellations in many hospitals. It may also lead to patients being admitted to inappropriate wards, resulting in a lower quality of care and a longer length of stay. Academic/practical relevance: Investment in additional beds is not always feasible. Instead, new and creative solutions for a more efficient use of existing resources must be sought. Methodology: We propose a new configuration of inpatient beds, which we call the clustered overflow configuration. In this configuration, patients who are denied admission to their primary wards as a result of beds being fully occupied are admitted to overflow wards, with each designated to serve overflows from a certain subset of specialties and providing the same quality of care as in primary wards. We propose two different formulations for partitioning and bed allocation in the proposed configuration: one minimizing the sum of average daily costs of turning patients away and nursing teams, and another minimizing the numbers turned away subject to nursing cost falling below a given threshold. We heuristically solve instances from both formulations.
   
     
 
       

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