Summary: Tactical Resource Allocation and Elective Patient
Admission Planning in Care Pathways
Peter J.H. Hulshof*
, Richard J. Boucherie, Erwin W. Hans
, Johann L. Hurink
Center for Healthcare Operations Improvement and Research (CHOIR), University of Twente, Enschede, the Netherlands
Tactical planning of resources in hospitals concerns elective patient admission planning and the intermediate
term allocation of resource capacities. Its main objectives are to achieve equitable access for patients, to
meet production targets/to serve the strategically agreed number of patients, and to use resources efficiently.
This paper proposes a method to develop a tactical resource allocation and elective patient admission plan.
These tactical plans allocate available resources to various care pathways and determine the selection of
patients to be served that are at a particular stage of their care pathways. Our method is developed in
a Mixed Integer Linear Programming framework and copes with multiple resources, multiple time periods
and multiple patient groups with various uncertain care pathways, thereby integrating decision making for
a chain of hospital resources. Computational results indicate that our method leads to a more equitable
distribution of resources and provides control of patient access times, the number of patients served and the
faction of allocated resource capacity. Our approach is generic, as the base MIP and the solution approach
allow for including various extensions to both the objective criteria and the constraints. Consequently, the
proposed method is applicable in various settings of tactical hospital management.
Key words : Care pathways, tactical planning, resource capacity planning, patient admission planning,