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Optimizing the Strategic Patient Mix Peter T. Vanberkel1,2

Summary: Optimizing the Strategic Patient Mix
Peter T. Vanberkel1,2
Richard J. Boucherie1
, Erwin W. Hans1
, Johann L. Hurink1
Centre for Healthcare Operations Improvement and Research,
University of Twente, Enschede, The Netherlands
Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital,
Amsterdam, The Netherlands
In this paper we address the decision of choosing a patient mix for a hospital that leads
to the most beneficial treatment case mix. We illustrate how capacity, case mix and patient
mix decisions are interrelated and how understanding this complex relationship is crucial for
achieving the maximum benefit from the fee-for-service financing system. Although studies
to determine the case mix that is of maximum benefit exist in the literature, the hospital
actions necessary to realize this case mix has seen less attention. We model the hospital as an
M/G/ queueing system to evaluate the impact of accepting certain patient types. Using
this queueing model to generate the parameters, an optimization problem is formulated. We


Source: Al Hanbali, Ahmad - Department of Applied Mathematics, Universiteit Twente


Collections: Engineering