Patient mix optimisation in hospital admission planning: a case study

Author:

Adan I.J.B.F.,Vissers J.M.H.

Abstract

Admissions planning decides on the number of patients admitted for a specialty each day, but also on the mix of patients admitted. Within a specialty different categories of patients can be distinguished on behalf of their requirement of resources. The type of resources required for an admission may involve beds, operating theatre capacity, nursing capacity and intensive care beds. The mix of patients is, therefore, an important decision variable for the hospital to manage the workload of the inflow of patients. In this paper we will consider the following planning problem: how can a hospital generate an admission profile for a specialty, given a target patient throughput and utilization of resources, while satisfying given restrictions? For this planning problem, we will develop an integer linear programming model, that has been tested in a pilot setting in a hospital. The paper includes an analysis of the planning problem, a description of the model developed, an application of a specialty orthopaedics, and a discussion of the results obtained.

Publisher

Emerald

Subject

Management of Technology and Innovation,Strategy and Management,General Decision Sciences

Reference4 articles.

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2. Gemmel, P. and Van Dierdonck, R. (1999), “Admission scheduling in acute care hospitals: does the practice fit with the theory?”, International Journal of Operations & Production Management, Vol. 19 No. 9‐10.

3. Groot, P.M.A., Kremer, P.G.T.M. and Vissers, J.M.H. (1993), “Een raamwerk voor produktiebesturing van ziekenhuizen”, Acta Hospitalia, No. 3.

4. Vissers, J.M.H., Bertrand, J.W.M. and De Vries, G. (2001), “A framework for hospital production control in health care organizations”, Production Planning and Control, Vol. 12 No. 6, pp. 591‐604.

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