IDEAS home Printed from https://ideas.repec.org/a/inm/orinte/v39y2009i3p196-208.html
   My bibliography  Save this article

Fraser Health Uses Mathematical Programming to Plan Its Inpatient Hospital Network

Author

Listed:
  • Pablo Santibáñez

    (British Columbia Cancer Agency, Vancouver, British Columbia V5Z 4E6, Canada)

  • Georgia Bekiou

    (Fraser Health Authority, Surrey, British Columbia V3R 4J7, Canada)

  • Kenneth Yip

    (Hospital Authority, Queen Mary Hospital, Pok Fu Lam, Hong Kong, China)

Abstract

Fraser Health (FH), a British Columbia health authority that serves more than 1.5 million people, must increase its acute care capacity significantly over the next 15 years because of anticipated population growth and aging. The distribution of the projected capacity over each of FH's 12 hospitals depends on the mix of clinical services to be provided at each site, a decision guided by population needs and clinical practices. We present a multiperiod mathematical programming model that we developed to provide options for configuring the system, specifically the location of clinical services and allocation of bed capacity across the hospitals. The decisions in the model are based on population access, critical mass standards, and clinical adjacencies. We describe its application in a long-term planning initiative that FH undertook. Extensive scenario analyses allowed administrators, clinicians, and planners to test multiple system configurations, gain a robust understanding of the trade-offs between these configurations, and formalize the planning process for acute care services.

Suggested Citation

  • Pablo Santibáñez & Georgia Bekiou & Kenneth Yip, 2009. "Fraser Health Uses Mathematical Programming to Plan Its Inpatient Hospital Network," Interfaces, INFORMS, vol. 39(3), pages 196-208, June.
    • Handle: RePEc:inm:orinte:v:39:y:2009:i:3:p:196-208
    DOI: 10.1287/inte.1080.0405
    as

    Download full text from publisher

    File URL: http://dx.doi.org/10.1287/inte.1080.0405
    Download Restriction: no
    File URL: https://libkey.io/10.1287/inte.1080.0405?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. ReVelle, C. S. & Eiselt, H. A., 2005. "Location analysis: A synthesis and survey," European Journal of Operational Research, Elsevier, vol. 165(1), pages 1-19, August.
    2. Margaret L. Brandeau & Samuel S. Chiu, 1989. "An Overview of Representative Problems in Location Research," Management Science, INFORMS, vol. 35(6), pages 645-674, June.
    3. Murray Côté & Siddhartha Syam & W. Vogel & Diane Cowper, 2007. "A mixed integer programming model to locate traumatic brain injury treatment units in the Department of Veterans Affairs: a case study," Health Care Management Science, Springer, vol. 10(3), pages 253-267, September.
    4. R. Jean Ruth, 1981. "A Mixed Integer Programming Model for Regional Planning of a Hospital Inpatient Service," Management Science, INFORMS, vol. 27(5), pages 521-533, May.
    5. Harsanyi, John C., 1975. "Can the Maximin Principle Serve as a Basis for Morality? A Critique of John Rawls's Theory," American Political Science Review, Cambridge University Press, vol. 69(2), pages 594-606, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2016. "Moving towards an equitable long-term care network: A multi-objective and multi-period planning approach," Omega, Elsevier, vol. 58(C), pages 69-85.
    2. Elvan Gökalp & Nalan Gülpınar & Xuan Vinh Doan, 2020. "Capacity Planning for Networks of Stem‐Cell Donation Centers under Uncertainty," Production and Operations Management, Production and Operations Management Society, vol. 29(2), pages 281-297, February.
    3. Ningxuan Kang & Hao Shen & Ye Xu, 2022. "JD.com Improves Delivery Networks by a Multiperiod Facility Location Model," Interfaces, INFORMS, vol. 52(2), pages 133-148, March.
    4. Mestre, Ana Maria & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana Paula, 2015. "Location–allocation approaches for hospital network planning under uncertainty," European Journal of Operational Research, Elsevier, vol. 240(3), pages 791-806.
    5. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2015. "An integrated approach for planning a long-term care network with uncertainty, strategic policy and equity considerations," European Journal of Operational Research, Elsevier, vol. 247(1), pages 321-334.
    6. Benneyan, James C. & Musdal, Hande & Ceyhan, Mehmet Erkan & Shiner, Brian & Watts, Bradley V., 2012. "Specialty care single and multi-period location–allocation models within the Veterans Health Administration," Socio-Economic Planning Sciences, Elsevier, vol. 46(2), pages 136-148.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rodolfo Mendoza-Gómez & Roger Z. Ríos-Mercado & Karla B. Valenzuela-Ocaña, 2019. "An Efficient Decision-Making Approach for the Planning of Diagnostic Services in a Segmented Healthcare System," International Journal of Information Technology & Decision Making (IJITDM), World Scientific Publishing Co. Pte. Ltd., vol. 18(05), pages 1631-1665, September.
    2. Pokutta, Sebastian & Schmaltz, Christian, 2011. "Managing liquidity: Optimal degree of centralization," Journal of Banking & Finance, Elsevier, vol. 35(3), pages 627-638, March.
    3. Gaigné, C. & Hovelaque, V. & Mechouar, Y., 2020. "Carbon tax and sustainable facility location: The role of production technology," International Journal of Production Economics, Elsevier, vol. 224(C).
    4. Xu, Jianhua & Johnson, Michael P. & Fischbeck, Paul S. & Small, Mitchell J. & VanBriesen, Jeanne M., 2010. "Robust placement of sensors in dynamic water distribution systems," European Journal of Operational Research, Elsevier, vol. 202(3), pages 707-716, May.
    5. Ting L. Lei & Richard L. Church, 2014. "Vector Assignment Ordered Median Problem," International Regional Science Review, , vol. 37(2), pages 194-224, April.
    6. Batta, Rajan & Lejeune, Miguel & Prasad, Srinivas, 2014. "Public facility location using dispersion, population, and equity criteria," European Journal of Operational Research, Elsevier, vol. 234(3), pages 819-829.
    7. Nikolai Krivulin, 2017. "Using tropical optimization to solve constrained minimax single-facility location problems with rectilinear distance," Computational Management Science, Springer, vol. 14(4), pages 493-518, October.
    8. Abhishek Bhatnagar & Nomesh B. Bolia, 2023. "A sustainable decision‐making framework for school consolidation policy," Regional Science Policy & Practice, Wiley Blackwell, vol. 15(5), pages 1037-1063, June.
    9. Kress, Dominik & Pesch, Erwin, 2012. "Sequential competitive location on networks," European Journal of Operational Research, Elsevier, vol. 217(3), pages 483-499.
    10. Mestre, Ana Maria & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana Paula, 2015. "Location–allocation approaches for hospital network planning under uncertainty," European Journal of Operational Research, Elsevier, vol. 240(3), pages 791-806.
    11. Alan Murray, 2010. "Advances in location modeling: GIS linkages and contributions," Journal of Geographical Systems, Springer, vol. 12(3), pages 335-354, September.
    12. Christian Haket & Bo van der Rhee & Jacques de Swart, 2020. "Saving Time and Money and Reducing Carbon Dioxide Emissions by Efficiently Allocating Customers," Interfaces, INFORMS, vol. 50(3), pages 153-165, May.
    13. Erdemir, Elif Tokar & Batta, Rajan & Spielman, Seth & Rogerson, Peter A. & Blatt, Alan & Flanigan, Marie, 2008. "Location coverage models with demand originating from nodes and paths: Application to cellular network design," European Journal of Operational Research, Elsevier, vol. 190(3), pages 610-632, November.
    14. Derya Celik Turkoglu & Mujde Erol Genevois, 2020. "A comparative survey of service facility location problems," Annals of Operations Research, Springer, vol. 292(1), pages 399-468, September.
    15. Kim, Dong-Guen & Kim, Yeong-Dae, 2010. "A branch and bound algorithm for determining locations of long-term care facilities," European Journal of Operational Research, Elsevier, vol. 206(1), pages 168-177, October.
    16. Blas Pelegrín & Pascual Fernández & María Dolores García Pérez, 2016. "Profit maximization and reduction of the cannibalization effect in chain expansion," Annals of Operations Research, Springer, vol. 246(1), pages 57-75, November.
    17. Che-Yuan Liang, 2017. "Optimal inequality behind the veil of ignorance," Theory and Decision, Springer, vol. 83(3), pages 431-455, October.
    18. Madadi, AliReza & Kurz, Mary E. & Mason, Scott J. & Taaffe, Kevin M., 2014. "Supply chain design under quality disruptions and tainted materials delivery," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 67(C), pages 105-123.
    19. Chan Y. Han & Brian J. Lunday & Matthew J. Robbins, 2016. "A Game Theoretic Model for the Optimal Location of Integrated Air Defense System Missile Batteries," INFORMS Journal on Computing, INFORMS, vol. 28(3), pages 405-416, August.
    20. Eliş, Haluk & Tansel, Barbaros & Oğuz, Osman & Güney, Mesut & Kian, Ramez, 2021. "On guarding real terrains: The terrain guarding and the blocking path problems," Omega, Elsevier, vol. 102(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:inm:orinte:v:39:y:2009:i:3:p:196-208. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Asher (email available below). General contact details of provider: https://edirc.repec.org/data/inforea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.