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INFORMS Nashville – 2016

389

WA75

Legends C- Omni

Health Care, Strategies III

Contributed Session

Chair: Neset Hikmet, Associate Professor, University of South Carolina,

1301 Gervais St, Suite 1010, Columbia, SC, 29208, United States,

nhikmet@sc.edu

1 - Hierarchical Response Model For Casualty Processing In Mass

Casualty Incidents

Alkis Vazacopoulos, Optimization Direct, Inc., 202 Parkway,

Harrington Park, NJ, 07640, United States,

alkis@optimizationdirect.com

, Nathaniel Hupert,

Dimitris Paraskevopoulos, Panagiotis Petros Repoussis,

Panagiotis Petros Repoussis

This work presents a response and resource allocation model in the aftermath of a

Mass-Casualty Incident. A mixed integer math programming formulation is

proposed for the combined ambulance dispatching, patient-to-hospital

assignment, and treatment ordering problem. The goal is to allocate effectively the

limited resources during the response effort so as to improve patient outcomes,

while the objectives are to minimize the overall response time and the total flow

time required to treat all patients. The model is solved via exact and MIP-based

heuristic methods. The applicability of the model and the performance of the new

optimization methods are challenged on realistic scenarios.

2 - Key Factors And Patterns In Employee Choice Of High Deductible

Health Plans

Qing Ye, Purdue University, 315 N Grant St, West Lafayette, IN,

47907, United States,

yqing@purdue.edu

, Bhagyashree Katare,

Yuehwern Yih

U.S. employers have increasingly provided high-deductible health plans in

response to the rising cost of health care. This study provides insight into selecting

and switching behavior of employees towards high-deductible health plans. Data

mining techniques are utilized to identify factors associated with their plan choice

mobility. A case study is presented using five years’ claims information.

3 - Hospital Information Technology Investment Impacts On

Patient Satisfaction, Clinical Performance, Efficiency,

And Patient Outcomes

Neset Hikmet, Associate Professor, University of South Carolina,

1301 Gervais St, Suite 1010, Columbia, SC, 29208,

United States,

nhikmet@sc.edu,

Benjamin Schooley

This study extends prior research on healthcare information technology (HIT)

investment impacts on hospital performance. We analyzed 102 different HIT

investment types; categorized them as clinical, administrative, strategic, and

infrastructure HIT investments; and examined relationships between these and

hospital performance scores. Combining secondary survey data from U.S.

hospitals and a separate data set from CMS, we found significant positive and

negative relationships between clinical and infrastructure HIT investment and

hospital total performance, clinical performance, patient satisfaction, and

efficiency scores - controlling for organizational factors.

WA76

Legends D- Omni

Applied Probability I

Contributed Session

Chair: Julian Sun, Cornell, Ithaca, NY, 14850, United States,

ys598@cornell.edu

1 - Flexible Estimation Of Conway-maxwell Poisson Distribution

Suneel Babu Chatla, Doctoral Student, National Tsing Hua

University, Hsinchu, 30013, Taiwan,

suneel.chatla@iss.nthu.edu.tw

, Galit Shmueli

The Conway-Maxwell Poisson (CMP) distribution is popularly used for its ability

to handle both overdispersed and underdispersed count data. Yet, there is no

efficient algorithm for estimating CMP regression models, especially with high-

dimensional data. Extant methods use either nonlinear optimization or MCMC

methods. We propose a flexible estimation framework for CMP regression based

on iterative reweighted least squares (IRLS). Because CMP belongs to the

exponential family, convergence is guaranteed and is more efficient. We also

extend this framework to allow estimation for additive models with smoothing

splines.

2 - Fast Approximate Policies For Large Networks

Ankur Mani, University of Minnesota, 808 Berry St. Apt. 410,

St. Paul, MN, 55114, United States,

amani@umn.edu

Optimal policies for networks may be computationally hard and still may lead to

suboptimal outcomes if the network information is noisy. We present simple

heuristics with comparable performance. These policies are easy to compute and

we provide guarantees for their performance. As an example we study price

discrimination in networks and show that our heuristics give approximately

optimal expected profits for large random networks.

3 - Multivariate Subexponential Distributions And Their Applications

Julian Sun, Cornell, Ithaca, NY, 14850, United States,

ys598@cornell.edu

, Gennady Samorodnitsky

We propose a new definition of a multivariate subexponential distribution. We

compare this definition with the two existing notions of multivariate

subexponentiality, and compute the asymptotic behavior of the ruin probability in

the context of an insurance portfolio, when multivariate subexponentiality holds.

Previously such results were available only in the case of multivariate regularly

varying claims.

WA77

Legends E- Omni

Opt, Integer Programing V

Contributed Session

Chair: Victoire Denoyel, PhD Candidate, ESSEC Business School,

Paris, France,

victoire.denoyel@essec.edu

1 - Territory Design With Risk For A Micro Finance Institution

Tahir Ekin, Assistant Professor of Quantitative Methods, Texas

State University, 601 University Dr. Mccoy 411, San Marcos, TX,

78666, United States,

t_e18@txstate.edu

, Fabian Lopez Perez,

Francis Mendez, Jesus Jimenez

Micro finance institutions (MFIs) play an important role in emerging economies

as part of programs that aim to reduce income inequality and poverty. This talk

addresses a territory planning problem for a MFI. We propose a mixed integer

programming model that lets the decision maker choose the location of the

branches to be designated as territory centers and allocate the customers to these

territory centers with respect to risk and planning criteria: the total workload,

monetary amount of loans and profit allocation. In order to solve this model for

the large size instances of the MFI, we utilize heuristics such as fixing variables,

perturbation, and dynamic relocation of territory centers.

2 - Model Of Ambulance Deployment And Dispatch Arrangement And

Simulation-based Assessment Of Mass Casualty Incident

Yu-Ching Lee, Assistant Professor, National Tsing Hua University,

Hsinchu, Taiwan,

liuyentingthomas@gmail.com,

Yen-Ting Liu,

Albert Y. Chen, Yu-Shih Chen

A major focus of emergency medical service (EMS) systems is to save lives,

minimize response time and to increase the survival rate in both the cases of

stochastic events and extreme events. The extreme events, such as natural

disaster (earthquake) and man-made disaster (terrorist attacks), are usually not

predictable and need multiple rounds of ambulance dispatch. This paper is

committed to model the deployment and split dispatch of ambulances, and to

generate numerical results to assess the overall services, hoping to be an

optimization-model-aided support to the real world operations.

3 - Solving Utility-maximization Multinomial Choice Problems:

When Is The First-choice Model A Good Approximation?

Victoire Denoyel, PhD Candidate, ESSEC Business School, Paris,

France,

victoire.denoyel@essec.edu,

Victoire Denoyel, PhD

Candidate, Brooklyn College, Brooklyn, NY, NY, United States,

victoire.denoyel@essec.edu,

Laurent Alfandari, Aurelie Thiele

For optimization problems with a utility maximization objective, it is common to

model consumer behavior with MNL logit. This can lead to high fractional

complexity when binary decision variables are involved. A first-choice or

assignment model is computationally simpler although less close to reality. We

design the first comparison of the two approaches in the context of optimization.

Our main contribution is to quantify which probabilistic assumptions allow the

use of the solution of the first-choice model as an approximation to the MNL logit

model. Applications vary from policy to retail or facility location.

WA77