Locating specialized service capacity in a multi-hospital network
Multi-hospital systems have become very common in today's healthcare environment. However, there has been limited published research examining the opportunities and challenges of pooling specialized services to a subset of hospitals in the network. Therefore, this paper considers how hospital networks with multiple locations can leverage pooling benefits when deciding where to position specialized services, such as magnetic resonance imaging (MRI), transplants, or neonatal intensive care. Specifically, we develop an optimization model to determine how many and which of a hospital network's hospitals should be set up to deliver a specialized service. Importantly, this model takes into account both financial considerations and patient service levels. Computational results illustrate the value of optimally pooling resources across a subset of hospitals in the network versus two alternate approaches: (1) delivering the service at all locations and requiring each site to handle its own demand, or (2) locating the service at one hospital that handles all network demand.
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- Fournier, Gary M & Mitchell, Jean M, 1992.
"Hospital Costs and Competition for Services: A Multiproduct Analysis,"
The Review of Economics and Statistics,
MIT Press, vol. 74(4), pages 627-634, November.
- Fournier, G.M. & Mitchell. J.M., 1991. "Hospital Costs and Competition for Services : A Multiproduct Analysis," Working Papers 1991_03_6, Department of Economics, Florida State University.
- Alptekinoglu, Aydin & Tang, Christopher S., 2005. "A model for analyzing multi-channel distribution systems," European Journal of Operational Research, Elsevier, vol. 163(3), pages 802-824, June.
- Robert S. Huckman & Gary P. Pisano, 2006. "The Firm Specificity of Individual Performance: Evidence from Cardiac Surgery," Management Science, INFORMS, vol. 52(4), pages 473-488, April.
- Martin Utley & Mark Jit & Steve Gallivan, 2008. "Restructuring routine elective services to reduce overall capacity requirements within a local health economy," Health Care Management Science, Springer, vol. 11(3), pages 240-247, September.
- 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.
- Ahmed, Mohamed A. & Alkhamis, Talal M., 2009. "Simulation optimization for an emergency department healthcare unit in Kuwait," European Journal of Operational Research, Elsevier, vol. 198(3), pages 936-942, November.
- Thomas Rohleder & Diane Bischak & Leland Baskin, 2007. "Modeling patient service centers with simulation and system dynamics," Health Care Management Science, Springer, vol. 10(1), pages 1-12, February.
- Vedia F. Dökmeci, 1977. "A Quantitative Model to Plan Regional Health Facility Systems," Management Science, INFORMS, vol. 24(4), pages 411-419, December.
- Panagiotis Mitropoulos & Ioannis Mitropoulos & Ioannis Giannikos & Aris Sissouras, 2006. "A biobjective model for the locational planning of hospitals and health centers," Health Care Management Science, Springer, vol. 9(2), pages 171-179, May.
- Bendoly, Elliot & Blocher, Doug & Bretthauer, Kurt M. & Venkataramanan, M.A., 2007. "Service and cost benefits through clicks-and-mortar integration: Implications for the centralization/decentralization debate," European Journal of Operational Research, Elsevier, vol. 180(1), pages 426-442, July. Full references (including those not matched with items on IDEAS)