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Determining the Optimal Configuration of Hospital Inpatient Rooms in the Presence of Isolation Patients

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  • Edieal Pinker

    (School of Management, Yale University, New Haven, Connecticut 06511)

  • Tolga Tezcan

    (Simon Graduate School of Business, University of Rochester, Rochester, New York 14627)

Abstract

We study the optimal configuration of hospital inpatient rooms with private and semiprivate rooms when some of the patients have infectious diseases and need to be isolated. We assume that the demand is random and seasonal. We propose a computationally efficient solution procedure that is based on a stochastic program that uses asymptotic approximations for the system performance under different admission policies and show its accuracy for large systems. Using our model, we study the appropriateness of the recent trends in hospital design calling for 100% private rooms. We show that even with isolation patients such an extreme approach could result in a significant degradation in the access of patients to hospital beds.

Suggested Citation

  • Edieal Pinker & Tolga Tezcan, 2013. "Determining the Optimal Configuration of Hospital Inpatient Rooms in the Presence of Isolation Patients," Operations Research, INFORMS, vol. 61(6), pages 1259-1276, December.
    • Handle: RePEc:inm:oropre:v:61:y:2013:i:6:p:1259-1276
    DOI: 10.1287/opre.2013.1220
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    References listed on IDEAS

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    1. Boardman Anthony E & Forbes Diane, 2011. "A Benefit-Cost Analysis of Private and Semi-Private Hospital Rooms," Journal of Benefit-Cost Analysis, De Gruyter, vol. 2(1), pages 1-27, January.
    2. Linda Green & Peter Kolesar, 1991. "The Pointwise Stationary Approximation for Queues with Nonstationary Arrivals," Management Science, INFORMS, vol. 37(1), pages 84-97, January.
    3. Hunt, P. J. & Kurtz, T. G., 1994. "Large loss networks," Stochastic Processes and their Applications, Elsevier, vol. 53(2), pages 363-378, October.
    4. Achal Bassamboo & J. Michael Harrison & Assaf Zeevi, 2006. "Design and Control of a Large Call Center: Asymptotic Analysis of an LP-Based Method," Operations Research, INFORMS, vol. 54(3), pages 419-435, June.
    5. Ward Whitt, 1991. "The Pointwise Stationary Approximation for Mt/Mt/s Queues Is Asymptotically Correct As the Rates Increase," Management Science, INFORMS, vol. 37(3), pages 307-314, March.
    6. J. Michael Harrison & Assaf Zeevi, 2005. "A Method for Staffing Large Call Centers Based on Stochastic Fluid Models," Manufacturing & Service Operations Management, INFORMS, vol. 7(1), pages 20-36, September.
    7. Ohad Perry & Ward Whitt, 2009. "Responding to Unexpected Overloads in Large-Scale Service Systems," Management Science, INFORMS, vol. 55(8), pages 1353-1367, August.
    8. van de Glind, Irene & de Roode, Stanny & Goossensen, Anne, 2007. "Do patients in hospitals benefit from single rooms? A literature review," Health Policy, Elsevier, vol. 84(2-3), pages 153-161, December.
    9. Shaler Stidham, 2002. "Analysis, Design, and Control of Queueing Systems," Operations Research, INFORMS, vol. 50(1), pages 197-216, February.
    10. Achal Bassamboo & Ramandeep S. Randhawa & Assaf Zeevi, 2010. "Capacity Sizing Under Parameter Uncertainty: Safety Staffing Principles Revisited," Management Science, INFORMS, vol. 56(10), pages 1668-1686, October.
    11. Ohad Perry & Ward Whitt, 2011. "A Fluid Approximation for Service Systems Responding to Unexpected Overloads," Operations Research, INFORMS, vol. 59(5), pages 1159-1170, October.
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    Cited by:

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    2. Michael F. Kamali & Tolga Tezcan & Ozlem Yildiz, 2019. "When to Use Provider Triage in Emergency Departments," Management Science, INFORMS, vol. 65(3), pages 1003-1019, March.
    3. Bozkir, Cem D.C. & Ozmemis, Cagri & Kurbanzade, Ali Kaan & Balcik, Burcu & Gunes, Evrim D. & Tuglular, Serhan, 2023. "Capacity planning for effective cohorting of hemodialysis patients during the coronavirus pandemic: A case study," European Journal of Operational Research, Elsevier, vol. 304(1), pages 276-291.
    4. Jie Bai & Andreas Fügener & Jan Schoenfelder & Jens O. Brunner, 2018. "Operations research in intensive care unit management: a literature review," Health Care Management Science, Springer, vol. 21(1), pages 1-24, March.
    5. Tinglong Dai & Sridhar Tayur, 2020. "OM Forum—Healthcare Operations Management: A Snapshot of Emerging Research," Manufacturing & Service Operations Management, INFORMS, vol. 22(5), pages 869-887, September.

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