ORAHS2024
Abstract Submission

92. Off-site Hospital Activities: Classification & Identification of New Challenges

Invited abstract in session TD-4: Discussion session, stream Discussions.

Tuesday, 16:00-17:30
Room: Room S3

Authors (first author is the speaker)

1. Jedidja Lok - Visser
CHOIR, University of Twente
2. Erwin W. Hans
Industrial Engineering & Business Information Systems, University of Twente, fac. Behavioral Management and Social Science
3. Jan Gerard Maring
Clinical Pharmacy & Connected Care, Isala
4. Gréanne Leeftink
CHOIR, University of Twente

Abstract

A recent trend in healthcare is that healthcare systems are shifting from a high-level, hospital-perspective to a more regional, patient-perspective. An important part of this trend is the relocation of hospital-based care outside of hospital buildings. Examples of these off-site hospital interventions are remote patient monitoring, parenteral medication infusion at patients' homes and geriatric teams on wheels.

These interventions pose new managerial challenges, where OR/OM techniques could (and should) support the decision-making. For example: (i) routing of hospital@home nurses; (ii) appointment scheduling of patients in remote monitoring, and (iii) the outpatient clinic scheduling of oncology infusion treatments in hubs. These interventions are often more data-driven than standard-of-care interventions, have more interactions between actors in the healthcare system, and impose new elements to the existing logistical challenges.

In this discussion session, we present a framework that classifies these interventions, showcases the specific characteristics of these interventions, and lays a foundation for relevant managerial decisions in the organisation of the ongoing transformation of healthcare. The goal of this session is to discuss these relevant managerial decisions with their specific characteristics, and to explore how OR/OM techniques could support these decisions.

Keywords

Status: accepted

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