A Hospital Admission System Based on Nursing Work Load

Offensend, Fred L.

doi:10.1287/mnsc.19.2.132

Cited by 22 publications

(9 citation statements)

References 4 publications

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“…The models described above all focus on maximizing the utilization of bed resources, which can lead to extreme variations in the utilization of other resources. Offensend [82] was the first author to develop a hospital admission system based on nursing work-load requirements. In his research, a simulation model was used to compare occupancy-related admission policies with systems that considered the relationship between admissions and nursing requirements.…”

Section: Inpatient Admission Schedulingmentioning

confidence: 99%

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Capacity Management in Health Care Services: Review and Future Research Directions*

1988

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ABSTRAmHealth care has undergone a number of radical changes during the past five years. These include increased competition, fixed-rate reimbursement systems, declining hospital occupancy rates, and growth in health maintenance organizations and preferred provider organizations. Given these changes in the manner in which health care is provided. contracted, and paid for, it is appropriate to review the past research on capacity management and to determine its relevance to the changing industry. This paper provides a review, Classification, and analysis of the literature on this topic. In addition, future research needs are discussed and specific problem arcas not dealt with in the pmious literature are targeted. Subject Amps: H d h Cam AaMnittrafion and Service Operations Managmenc. INTRODUCIIONHealth care managers are confronted with a number of crucial decisions regarding the management of operations. Rising health care costs result in pressure on health care providers to reduce costs through more effective resource management across the entire health care system. In addition, trends toward growth and integration in health care organizations have rendered invalid much of the earlier research performed during a time when health care essentially was characterized as a cottage industry. Given these changes in the health care environment, it seems appropriate to assess previous research on health care capacity planning and management and to determine its relevance to this changing industry. In addition, it is necessary to consider those features of the new environment which should be addressed in future research.Throughout the 1960s and early 197Os, national health policy fostered the expansion of the health care system in an effort to improve the availability of quality health care. During this time the federally sponsored Medicare and Medicaid programs were established, and employer-paid health benefits became the norm. The burden of health care costs was shifted to third parties who reimbursed health care providers under a cost-based system. Health care expenditures rapidly increased from 5 percent of the gross national product in 1965 to a current (1986) level of nearly 11 percent. The significant rise in health care costs also has been attributed to such factors as increased technological costs, an aging population with health problems, defensive medicine, excess capacity, and an increased number of well-trained specialists demanding higher wages. As a result of escalating health care costs, the government has enforced cost containment by implementing new fvced-price payment *This research was partially funded by a grant from the Operations Management Center. University of Minnesota. The authors would like to thank Roger Schroeder and John Anderson for comments on earlier versions of this paper. 889

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Section: Inpatient Admission Schedulingmentioning

confidence: 99%

“…Literature on facility allocation decisions.variations in the utilization of other resources. Offensend[82] was the first author to develop a hospital admission system based on nursing work-load requirements.…”

mentioning

confidence: 99%

Capacity Management in Health Care Services: Review and Future Research Directions*

1988

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“…Simple Markov decision models have been proposed earlier for the analysis of admission p~licies.~, A first attempt to regulate care demand through the control of admission has been described by Offensend. 6 In References 2 and 3, a more comprehensive model based on the description of a care unit as a population process has been proposed, and a heuristic solution has been obtained. In this model, the total care demand in the care unit is a function of the population census, i.e.…”

Section: Introductionmentioning

confidence: 99%

Optimal control of discrete time population processes

Haurie

Berger

Pelland

1981

Optim Control Appl Methods

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This paper deals with two classes of large-scale Markov decision models which can be used, respectively, for hospital admission scheduling and multicomponent system maintenance. These models are called population processes as they describe a set of individuals represented by a set of independent replicas of the same underlying stochastic core process.Two examples are completely worked out, showing the potential utilization of this modelling approach. KEY WORDS

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“…Citons en particulier le problème du contrôle des admissions de patients dans un service hospitalier. Kolesar [12], Offensend [15] et Duguay et Haurie [4] ont utilisé un modèle de chaîne de Markov commandée pour analyser îe flot de patients dans une unité de soins. Cependant, des hypothèses très restrictives sur la dynamique des soins pour chaque patient ont dû être faites dans chacune de ces études.…”

Section: Introductionunclassified

Commande optimale hiérarchisée d'une population de chaînes de Markov

Alj¹,

Haurie²

1980

RAIRO-Oper. Res.

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Commande optimale hiérarchisée d'une population de chaînes de Markov Revue française d'automatique, d'informatique et de recherche opérationnelle. Recherche opérationnelle, tome 14, n o 3 (1980), p. 229-247. © AFCET, 1980, tous droits réservés. L'accès aux archives de la revue « Revue française d'automatique, d'informatique et de recherche opérationnelle. Recherche opérationnelle » implique l'accord avec les conditions générales d'utilisation (http://www.numdam.org/ legal.php). Toute utilisation commerciale ou impression systématique est constitutive d'une infraction pénale. Toute copie ou impression de ce fichier doit contenir la présente mention de copyright. Article numérisé dans le cadre du programme Numérisation de documents anciens mathématiques http://www.numdam.org/

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A Hospital Admission System Based on Nursing Work Load

Cited by 22 publications

References 4 publications

Capacity Management in Health Care Services: Review and Future Research Directions*

Capacity Management in Health Care Services: Review and Future Research Directions*

Optimal control of discrete time population processes

Commande optimale hiérarchisée d'une population de chaînes de Markov

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