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INFORMS Nashville – 2016

437

WC30

202B-MCC

Data-Driven Models in Healthcare

Sponsored: Manufacturing & Service Oper Mgmt,

Healthcare Operations

Sponsored Session

Chair: Yichuan Ding, University of British Columbia, 2053 Main Mall,

Sauder School of Business, Vancouver, BC, V6T1Z2, Canada,

daniel.ding@sauder.ubc.ca

1 - Bundled Payments And Value Based Delivery

Jillian B Jaeker, Boston University,

jjaeker@bu.edu

This study aims to understand the care pathways, both inpatient and outpatient

(i.e. end-to-end), for congestive heart failure (CHF) patients, and how these

pathways impact the costs and quality of care. Specifically, our objective is to

identify pathways that are associated with lower or higher than normal

readmission rates, and the associated financial costs of these pathways. Moreover,

we work with hospitals that are participating in the Bundled Payments for Care

Improvement (BPCI) initiative and explore if any recent interventions on behalf

of these hospitals affects the probability of 30 day readmission and total episode

costs.

2 - Dynamic Allocation Of Vaccine Stocks For Pandemic

Influenza Mitigation

Ozden O Dalgic, University of Waterloo, Waterloo, ON, Canada,

oodalgic@uwaterloo.ca

Vaccination is our best response against influenza pandemics. However, finding

effective vaccine allocation strategies with current modeling technics can be

challenging. In this study, we propose a hybrid approach combining simulation

and analytical modeling. We employ a model based on a chain-binomial

transition scheme calibrated to an existing agent-based simulation model. The

proposed approach efficiently evaluates the performance of a given vaccine

allocation strategy by reducing the number of random variates. Numerical

experiments show that the proposed approach results in effective dynamic

vaccine allocation strategies.

3 - Designing Personalized Anticoagulation Therapy

Rouba Ibrahim, University College London,

rouba.e.ibrahim@gmail.com,

Vedat Verter, Beste Kucukyazici,

Michel Gendreau, Mark Blostein

We develop an analytical framework for personalizing the anticoagulation

therapy of patients who are taking warfarin, and present results from a case study

using data collected at the anticoagulation clinic of the Jewish General Hospital in

Montreal.

4 - Do Patients From Rural Areas Get Proper Referral For

Surgical Care

Yichuan Ding, University of British Columbia, 2053 Main Mall,

Vancouver, BC, V6T1Z2, Canada,

daniel.ding@sauder.ubc.ca

We examined surgical records throughout 98 hospitals in British Columbia during

year 1995-2004, and had two interesting observations: (1) hospitals in rural areas

are correlated with smaller likelihood of post-surgical complications, possibly

because those hospitals have less risky case mix groups; (2) patients from rural

areas, however, are correlated with lower risk of post-surgical complications. We

conduct further investigation and find that the reason for (2) to happen might be

the inefficient communication between the referral hospital and the one that the

surgery takes place.

WC31

202C-MCC

Consumer Behavior in Services

Sponsored: Manufacturing & Service Oper Mgmt,

Service Operations

Sponsored Session

Chair: Qiuping Yu, Assistant Professor, Kelley School of Business,

Indiana University, 1275 E 10th St, Bloomington, IN, 47401,

United States,

qiupyu@indiana.edu

1 - Rational Abandonment From Observable Priority Queues

Philipp Afèche, Rotman School of Management, University of

Toronto, Toronto, ON, Canada,

afeche@rotman.utoronto.ca

,

Vahid Sarhangian

The literature on customer behavior in queueing systems largely focuses on

customers’ joining decisions and ignores their subsequent abandonment

decisions. Such abandonment behavior is important in priority queues, which are

prevalent in practice. We characterize the equilibrium joining and abandonment

behavior of utility-maximizing customers in an observable priority queue. We

then discuss how the abandonment process in our equilibrium model compares to

that under the standard exogenous abandonment model, and to its empirical

counterpart in a real system.

2 - Learning Quality Through Service Outcomes

Senthil Veeraraghavan, The Wharton School, University of

Pennsylvania,

senthilv@wharton.upenn.edu

, Laurens G Debo

We study a new firm whose service value is unknown to arriving customers.

Service outcomes are random depending on the quality of the service provider.

Customers decide whether patronize the service based on the limited service

outcomes/reviews that they observe. We consider how service policies influence

consumer learning and social welfare.

3 - Design Of Discretionary Service Lines: An Operational Driver

Of Variety

Laurens Debo, Tuck School of Business, Dartmouth College, 100

Tuck Drive, Hanover, NH, 03755, United States,

Laurens.g.Debo@tuck.dartmouth.edu,

Cuihong Li

For discretionary services, the longer the service time, the more value is created

for the customer. In the presence of variability, longer service times also create

more congestion. Hence, a service firm needs to trade off congestion costs with

value creation in service line design. We find that it is optimal to offer a service

line with multiple varieties (that differ in duration and price), even when

customers are homogeneous.

4 - Linking Customer Behavior And Delay Announcements:

Are Customers Really Rational?

Eric Webb, Kelley School of Business, Indiana University,

Bloomington, IN, United States,

ermwebb@indiana.edu

,

Qiuping Yu, Kurt M Bretthauer

We empirically explore customer abandonment behavior in the presence of delay

information using data from a call center. Previous work has assumed that

customers are at least partially rational in responding to announcements. In

contrast, we relax all rationality assumptions. Our findings indicate that

customers exhibit loss aversion behavior. In addition, customers may update their

announcement-induced reference point as they hear subsequent announcements.

Our results also indicate that customers may fall for the sunk cost fallacy while

waiting in the queue. We show the impact of these effects on staffing decisions

using a classic staffing model.

WC32

203A-MCC

Risk Analysis III

Contributed Session

Chair: Dexiang Wu, Stockholm University, Stockholm Business School,

Stockholm, 106 91, Sweden,

dexiang.wu@sbs.su.se

1 - Modeling Behavior Of Attackers Against The Uncertainty Of

Cascading Failure

Sinan Tas, Assistant Professor, University of Wisconsin-Platteville,

1 University Plaza, Platteville, WI, 53818, United States,

tass@uwplatt.edu

Cascading failure is a common phenomenon in capacity-constrained networks

such as power grids. What if attackers consider manipulating the additional

impact of cascading failure to enhance the damage to the network? We analyze

various attacker types and corresponding defensive investments when cascading

failure is modeled stochastically in a game-theoretic setting.

2 - Analysis Of Intraday Data Effects On Two-stage Risk-averse

Portfolio Optimization

Sitki Gulten, Stockton University, School of Business,

101 Vera King Farris Drive, Galloway, NJ, 08205, United States,

sitki.gulten@stockton.edu

This study examines the application of risk-averse optimization techniques to

daily portfolio management. First, I develop efficient clustering methods for

scenario tree construction. Then, I construct a two-stage stochastic programming

problem with conditional measures of risk, which is used to re-balance the

portfolio on a rolling horizon basis, with transaction costs included. Finally, I

present an extensive simulation study on both interday and high-frequency

intraday real-world data of the methodology.

3 - Exploring Multi-stage Recovery Resilience

Daniel Hernando Romero, University of South Florida, 4411 Shady

Terrace Ln, Unit A, Apt 212, Tampa, FL, 33613, United States,

danielromero@mail.usf.edu

, Alex Savachkin, Alvaro Sierra,

Weimar Ardila

Multi-stage recovery models enable resilience measurement in the scenarios

where the recovery time is long, so it is estimated en months or years. High

magnitude disruptive events severely affect communities and generate long

lasting consequences. These scenarios require model flexibility to capture different

recovery rates and transitions between recovery stages.

WC32