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INFORMS Philadelphia – 2015

77

SB35

35-Room 412, Marriott

Joint Session HAS/Analytics: Predictive Models for

Clinical and Public Health Decision Making

Sponsor: Health Applications

Sponsored Session

Chair: Ozgur Araz, University of Nebraska Lincoln,

College of Business Administration, Lincoln, United States of America,

ozgur.araz@unmc.edu

1 - Risk Factors for Disease Progression in Sepsis Patients:

A Retrospective Cohort Study

Benjamin Whitsitt, University of Nebraska Medical Center,

42nd and Emile, Omaha, NE, 68198, United States of America,

benjamin.whitsitt@unmc.edu

, Micah Beachy, Lorena Baccaglini,

Gleb Haynatzki, Michael Ash, Ozgur Araz

In this study we identify risk factors associated with the progression of sepsis to

severe sepsis and/or septic shock and estimate the likelihood of disease

progression for different patient groups. We also assess the probability of death

and readmission amongst a sepsis population at two area hospitals in Omaha,

Nebraska. Multiple logistic regression model is used to determine the likelihood of

disease progression, mortality, and readmission.

2 - The Impact of Geographic Localization of Patients on

Hospital Performance

Paul Cronin, PhD Student, University of Texas at Austin, 2110

Speedway Stop B6500, Austin, TX, 78712, United States of

America,

paul.cronin@utexas.edu

, Douglas Morrice,

Jonathan Bard, Luci Leykum

We study the impact of geographic localization of patients on hospital

performance using patient-level data from a Texas teaching hospital. Performance

is measured by length of stay in ED and hospital, waiting time for bed

assignments, patient transfers between teams, and hour of discharge. The results

of this study inform admission decision-making including patient allocation to

medical teams and admission capacity planning.

3 - A Dynamic Model for Population Screening: Risk Perception and

Feedback in Screening Decision

Ozge Karanfil, PhD Candidate, MIT Sloan School of Management,

100 Main Street, E62-379, Cambridge, MA, 02142,

United States of America,

karanfil@mit.edu,

John D. Sterman

In this study we built a behaviorally realistic, bounded simulation model to

explain changes in policy action thresholds of clinical practice guidelines, and to

document evidence of gaps between scientific evidence-based guidelines and

actual practice. This is the first theory building piece for cancer screening

dynamics in the US that takes into account the broader cognitive and socio-

political environment in which screening decisions are embedded.

4 - Modeling the Impact of Chronic Disease Combinations on 30-day

Hospital Readmissions

Sabrina Casucci, University at Buffalo (SUNY),

339B Bell Hall, Amherst, NY, 14260, United States of America,

scasucci@buffalo.edu,

Alexander Nikolaev, Li Lin, Sharon Hewner

Individuals with chronic disease are at high risk for hospital readmission. There is

significant opportunity to reduce utilization and costs by developing new

readmission reducing interventions for this population. This work reveals and

quantifies the causal impacts of specific chronic disease combinations on hospital

readmissions. The results are reported for a subset of the New York State adult

Medicaid population using observational causal inference methods and tools.

SB36

36-Room 413, Marriott

Humanitarian Applications II

Sponsor: Public Sector OR

Sponsored Session

Chair: Mahyar Eftekhar, Arizona State University, P.O. Box 874706,

Tempe, AZ, 85287, United States of America,

eftekhar@asu.edu

1 - Blood Storage and Transportation: An Important Component of

Humanitarian Logistics

Divya Nagilla, Faculty Asociate, Institute of Management

Technology, Survey No.38, Cherlaguda Village, Shamshabad, RR

District, Hyderabad, 501218, India,

ndivya@imthyderabad.edu.in,

Sourabh Bhattacharya

Supply of blood during and after disasters is a major part in humanitarian

logistics.The major problem during disasters is not the lack of blood supply but

disruption of the blood distribution system .A large number of practical and

logistical issues related to communication, transportation, managing donors and

volunteers arise .Depending upon the phase of the disaster the blood products

required to treat the victims vary. Safety of the blood supply and adherence to

regulations is crucial.

2 - Humanitarian Logistics in the Philippines: Case of

Typhoon Haiyan

Brian Gozun, La Salle - Universitat Ramon Lull, Carrer de Sant

Joan de La Salle 42, Barcelona, Spain,

bcgozun@gmail.com,

Francesc Miralles

The study applied a humanitarian logistics framework through a deductive

approach on the experiences of various stakeholders in the Philippines after the

onslaught of Super Typhoon Haiyan in November 2013. The researchers made

use of primary and secondary data in order to explore humanitarian operations

management challenges before, during and after the onslaught of the typhoon by

analyzing the current humanitarian logistics practices in the country.

3 - Vehicle Management Policies under Stochastic Budget for

Humanitarian Development Programs

Milad Keshvari Fard, ESSEC Business School, 1 Avenue Bernard

Hirsch, Cergy, France,

milad.keshvarifard@essec.edu

,

Mahyar Eftekhar, Felix Papier

In this paper we attempt to find the optimal fleet management policies in a

humanitarian organization running development programs. As the budget of

these organizations - mostly financed through donations- is uncertain, the

transportation planning is challenging. We try to identify the optimal number of

vehicles to be purchased, the fraction of demand to be satisfied, and the fraction

of budget that should be saved for future periods with low levels of donations.

4 - A Stochastic Programming Model for Prepositioning and

Distributing Emergency Supplies

Xiaofeng Nie, Assistant Professor, Nanyang Technological

University, 50 Nanyang Avenue, Singapore, Singapore,

xiaofengnie@ntu.edu.sg,

Aakil Caunhye, Yidong Zhang,

Mingzhe Li

We propose a two-stage stochastic program to preposition and distribute

emergency supplies. In the first stage the model decides where to locate

warehouses and how many quantities to stock for prepositioning purposes, while

in the second stage the model decides how many quantities to transport to

demand sites and the corresponding routing. A case study is provided to illustrate

our model and compare with other benchmark models.

SB37

37-Room 414, Marriott

Health Care Modeling and Optimization II

Contributed Session

Chair: Dongping Du, University of SOuth Florda, Tampa, FL, 33613,

United States of America,

dongpingdu@mail.usf.edu

1 - A Network Heuristic for Stochastic Healthcare Facilities Location

and Configuration in Sequence

Xue Han, Assistant Professor, Southeast Missouri State University,

1933 Rock Creek Ln, Cape Girardeau, MO, 63701,

United States of America,

xhan@semo.edu,

Wilbert Wilhelm

This research aims on finding the best locations and capacities for new healthcare

facilities providing multiple services over a 10-20 years planning horizon under

stochastic demand in a competitive environment. We develop a heuristic

algorithm for introducing new facilities in the market in sequence by solving

resource constrained shortest path problem iteratively on a specially-constructed

network. This heuristic preserves the advantages in solution time and linearity in

objective function.

2 - Simulation Optimization for Reconstructing Rhythmic

Mechanisms in Atrial Fibrillation

Dongping Du, University of SOuth Florda, Tampa, FL, 33613,

United States of America,

dongpingdu@mail.usf.edu,

Hui Yang

Atrial fibrillation (AF) is a common cardiac arrhythmia that affects more than 5

million Americans. The understanding of AF initiation and maintenance has

remained sketchy due to the inability of reconstructing rhythmic mechanisms.

This study develops a multi-scale atrial model and an optimization algorithm to

reconstruct fibrillatory conduction and replicate patterns in clinical recordings.

The research will produce a computer-aided decision support tool for optimizing

AF surgical treatments.

SB37