A Markov Decision Model for Hospital Ward Admission Scheduling

Authors(1) :-Kizito Paul Mubiru

Hospitals continually face the challenge of planning and allocating hospitals wards to incoming patients in a stochastic demand environment. In this paper, a finite horizon Markov decision process model is developed and analyzed for the hospital ward allocation activity. The model focuses explicitly on developing policies for determining when to admit additional patients using weekly data from incoming patients and the availability of vacancies in hospital wards. Adopting a Markov decision process approach, the states of a Markov chain represent possible states of demand for ward occupancy. The decision of whether or not to admit additional patients is made using dynamic programming over a finite period planning horizon. A numerical example demonstrates the existence of an optimal state-dependent admission policy as well as the corresponding total operational costs in hospital wards.

Authors and Affiliations

Kizito Paul Mubiru
Department of Mechanical & Production Engineering, Kyambogo University, Uganda

Admission,hospital ward,markov decision

  1. Mulligan J, 1987, Hospital Scale Economies due to Stochastic Demand and Service, Economics Letters,23(2),pp.193-197.
  2. Carey K, 1998, Stochastic Demand for Hospitals and Optimizing Excess Bed Capacity, Journal of Regulatory Economics, 14(2), pp.165-187.
  3. Bagust A, 1999, Dynamics of Bed use in Accommodating Emergency Admissions: Stochastic Simulation Model, BMJ, 319:155
  4. Harper P & Shahani A,2002,Modeling for the Planning and Management of Bed Capacities in Hospitals, Journal of Operational Research Society,53(1),pp.11-18.
  5. Hughes D & McGuire A,2003,Stochastic Demand, Production Responses and Hospital Costs, Journal of Health Economics,22(6),pp.999-1010.
  6. Green L, 2006, Capacity Planning and Management in Hospitals, International Series in Operations Research and Management Science, 70(2), pp.15-41.
  7. Smet M, 2007, Measuring Performance in the Presence of Stochastic Demand for Hospital Services: An Analysis of Belgian general care hospitals, Journal of Productivity Analysis, 27(1), pp.13-29.
  8. Lovell C,Rodriguez-Alvarerz A & Wall A,2009,The Effects of Stochastic Demand and expense preference behaviour on Public Hospital costs and excess capacity, Health Economics,8(2),pp.227-235.
  9. Boutsioli Z, 2010, Forecasting the Stochastic Demand for inpatient care: The Case of Greek National Health system, Health Service Management Research, 23(3), pp.116-128.
  10. Ayvaz,Nur,Huh & Woonghee T,2010,Allocation of Hospital Capacity to Multiple types of patients, Journal of Revenue and Pricing Management,9(5),pp.386-398.

Publication Details

Published in : Volume 1 | Issue 4 | July-August 2015
Date of Publication : 2015-08-25
License:  This work is licensed under a Creative Commons Attribution 4.0 International License.
Page(s) : 188-195
Manuscript Number : IJSRSET151413
Publisher : Technoscience Academy

Print ISSN : 2395-1990, Online ISSN : 2394-4099

Cite This Article :

Kizito Paul Mubiru, " A Markov Decision Model for Hospital Ward Admission Scheduling, International Journal of Scientific Research in Science, Engineering and Technology(IJSRSET), Print ISSN : 2395-1990, Online ISSN : 2394-4099, Volume 1, Issue 4, pp.188-195, July-August-2015.
Journal URL : http://ijsrset.com/IJSRSET151413

Article Preview

Follow Us

Contact Us