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A Decision Support System for Measuring and Modelling the Multi-Phase Nature of Patient Flow in Hospitals

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Part of the book series: Studies in Computational Intelligence ((SCI,volume 109))

Summary

Multi-phase models of patient flow offer a practical but scientifically robust approach to the studying and understanding of the different streams of patients cared for by health care units. In this chapter, we put forward a decision support system that is specifically designed to identify the different streams of patient flow and to investigate the effects of the interaction between them by using readily available administrative data. The richness of the data dictate the use of data warehousing and On-Line Analytical Processing (OLAP) for data analysis and pre-processing; the complex and stochastic nature of health care systems suggested the use of discrete event simulation as the decision model. We demonstrate the application of the decision support system by reporting on a case study based on data of patients over 65 with a stroke related illness discharged by English hospitals over a year.

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References

  1. Shaping the Future NHS: Long Term Planning for Hospitals and Related Services. (2000) Department of Health, London

    Google Scholar 

  2. Vasilakis C, Marshall AH (2005) Modelling nationwide hospital length of stay: opening the black box. J Oper Res Soc 56: 862–869

    Article  MATH  Google Scholar 

  3. Millard PH (1994) Current measures and their defects. In: Millard PH, McClean SI (eds.) Modelling hospital resource use: a different approach to the planning and control of health care systems. Royal Society of Medicine, London, pp. 29–37

    Google Scholar 

  4. Smith PC, Goddard M (2002) Performance management and operational research: a marriage made in heaven? J Oper Res Soc 53: 247–255

    Article  MATH  Google Scholar 

  5. Marshall AH, Vasilakis C, El-Darzi E (2005) Length of stay-based patient flow models: recent developments and future directions. Healthc Manag Sci 8: 213–220

    Article  Google Scholar 

  6. McClean SI, Millard PH (1993) Patterns of length of stay after admission in geriatric medicine: an event history approach. The Statistician 42: 263–274

    Article  Google Scholar 

  7. Harrison GW, Millard PH (1991) Balancing acute and long term care: the mathematics of throughput in departments of geriatric medicine. Methods Inf Med 30: 221–228

    Google Scholar 

  8. Wyatt S (1995) The occupancy management and planning system (BOMPS). The Lancet 345: 243–244

    Google Scholar 

  9. El-Darzi E, Vasilakis C, Chaussalet T, Millard PH (1998) A simulation modelling approach to evaluating length of stay, occupancy, emptiness and bed blocking in a hospital geriatric department. Healthc Manag Sci 1: 143–149

    Article  Google Scholar 

  10. Marshall AH, McClean SI (2003) Conditional phase-type distributions for modelling patient length of stay in hospital. International Transactions in Operational Research 10: 565–576

    Article  MATH  Google Scholar 

  11. Winter Report 2000–2001. (2001) Department of Health, London

    Google Scholar 

  12. Vasilakis C, El-Darzi E (2001) A simulation study of the winter bed crisis. Healthc Manag Sci 4: 31–36

    Article  Google Scholar 

  13. Koutsoukis N-S, Mitra G, Lucas C (1999) Adapting on-line analytical processing for decision modelling: the interaction of information and decision technologies. Decis Support Syst 26: 1–30

    Article  Google Scholar 

  14. Isken M, Littig SJ, West M (2001) A data mart for operations analysis. J Healthc Inf Manag 15: 143–153

    Google Scholar 

  15. Koutsoukis NS, Dominguez-Ballesteros B, Lucas C, Mitra G (2000) A prototype decision support system for strategic planning under uncertainty. Int J Phys Distrib Logistics Manag 30: 640–660

    Article  Google Scholar 

  16. Phillips RL (1994) The Management Information Value Chain. Perspectives Issue 3: Available from www.stern.nyu.edu/~abernste/teaching/Spring2001/MIVC.htm, as of May 2007

  17. Pedersen TB, Jensen CS (2001) Multidimensional Database Technology. Computer 34: 40–46

    Article  Google Scholar 

  18. Codd EF, Codd SB, Salley CT (1993) Providing OLAP to User-Analysts: An IT Mandate. E.F. Codd & Associates, Sunnyvale, California

    Google Scholar 

  19. Vassiliadis P, Sellis T (1999) A survey of logical models for OLAP databases. ACM SIGMOD Rec 28: 64–69

    Article  Google Scholar 

  20. Lee C, Vasilakis C, Kearney D, Pearse R, Millard PH (1998) The impact of the admission and discharge of stroke patients aged 65 and over on bed occupancy in English hospitals. Healthcare Manag Sci 1: 151–157

    Article  Google Scholar 

  21. Gubitz G, Sandercock P (2000) Extracts from “Clinical Evidence”: Acute ischaemic stroke. Br Med J 320: 692–696

    Article  Google Scholar 

  22. International classification of diseases, ninth revision (ICD-9). World Health Organisation, Geneva (1977)

    Google Scholar 

  23. Thomas H, Datta A (2001) A conceptual model and algebra for on-line analytical processing in decision support databases. Inf Syst Res 12: 83–102

    Article  Google Scholar 

  24. Vasilakis C (2003) Simulating the flow of patients: an OLAP-enabled decision support framework. Ph.D. thesis, University of Westminster

    Google Scholar 

  25. Vasilakis C, El-Darzi E, Chountas P (2006) An OLAP-Enabled Environment for Modelling Patient Flow. Proceedings of the 3rd IEEE Conference on Intelligent Systems (IS’06). pp. 261–266

    Google Scholar 

  26. Vasilakis C, El-Darzi E, Chountas P (2004) A Data Warehouse Environment for Storing and Analyzing Simulation Output Data. In: Ingalls RG, Rossetti MD, Smith JS, Peters BA (eds.) Proceedings of the 2004 Winter Simulation Conference. Institute of Electrical and Electronics Engineers, Piscataway, New Jersey, pp. 703–710

    Google Scholar 

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Vasilakis, C., El-Darzi, E., Chountas, P. (2008). A Decision Support System for Measuring and Modelling the Multi-Phase Nature of Patient Flow in Hospitals. In: Chountas, P., Petrounias, I., Kacprzyk, J. (eds) Intelligent Techniques and Tools for Novel System Architectures. Studies in Computational Intelligence, vol 109. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77623-9_12

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  • DOI: https://doi.org/10.1007/978-3-540-77623-9_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-77621-5

  • Online ISBN: 978-3-540-77623-9

  • eBook Packages: EngineeringEngineering (R0)

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