Markov decision process applied to the control of hospital elective admissions

  • Authors:
  • Luiz Guilherme Nadal Nunes;Solon Veníncio de Carvalho;Rita de Cássia Meneses Rodrigues

  • Affiliations:
  • Sarah Network of Rehabilitation Hospitals, SMHS Quadra 501 Conjunto A, Brasília, DF 70330-150, Brazil;Brazilian National Institute for Space Research, Av. dos Astronautas, 1758, Jd. Granja, São José dos Campos, SP 12227-010, Brazil;Brazilian National Institute for Space Research, Av. dos Astronautas, 1758, Jd. Granja, São José dos Campos, SP 12227-010, Brazil

  • Venue:
  • Artificial Intelligence in Medicine
  • Year:
  • 2009

Quantified Score

Hi-index 0.00

Visualization

Abstract

Objective: To present a decision model for elective (non-emergency) patient admissions control for distinct specialties on a periodic basis. The purpose of controlling patient admissions is to promote a more efficient utilization of hospital resources, thereby preventing idleness or excessive use of these resources, while considering their relative importance. Methods: The patient admission control is modeled as a Markov decision process. A hypothetical prototype is implemented, applying the value iteration algorithm. Results: The model is able to generate an optimal admission control policy that maintains resource consumption close to the desired levels of utilization, while optimizing the established deviation costs. Conclusion: This is a complex model due to its stochastic dynamic and dimensionality. The model has great potential for application, and requires the development of customized solution methods.