230. Optimizing Case-Mix Planning at the Territorial Level : A Pathway-Centered and Resource-Aware Approach
Invited abstract in session MD-2: Patient to room, stream Sessions.
Monday, 13:30-15:00Room: NTNU, Realfagbygget R8
Authors (first author is the speaker)
| 1. | Thierry Garaix
|
| LIMS, EMSE | |
| 2. | Louis Dublois
|
| CIS, CNRS LIMOS UMR | |
| 3. | Yannick Kergosien
|
| Université de Tours |
Abstract
The increasing demand for healthcare services, combined with limited resources, requires hospitals to optimize both patient allocation and resource utilization. Regional Case Mix Planning aims to address this challenge by strategically allocating patients across healthcare facilities while ensuring equitable
access and quality care. Our approach extends traditional models by incorporating multiple care pathway options for the same pathology, enabling transfers of patients between healthcare entities and considering the reallocation of resources between facilities.
We propose a linear programming model that optimizes the allocation of
patients among different care pathways while considering regional needs and
available resources. The model is tested on real-world data from hip and knee replacement cases. Results show that incorporating multiple care pathways increases the number of patients treated. However, some patients may follow lower-quality pathways. Additionally, allowing patient transfers between facilities enhances capacity without altering the proportion of patients in optimal pathways. Finally, enabling resource transfers between institutions leads to a higher number of treated patients or improved patient care by assigning them to better-quality pathways.
This study highlights the value of a regionalized approach to care pathways
planning, supporting decision-makers in improving healthcare system efficiency while balancing quality and accessibility.
Keywords
- Capacity and network planning
- Staffing and capacity planning
- Patient flow
Status: accepted
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