Risk adjusting capitation: Applications in employed and disabled populationsHealth Care Management Science - Tập 3 - Trang 101-109 - 2000
Carolyn W. Madden, Bret P. Mackay, Susan M. Skillman, Marcia Ciol, Paula K. Diehr
Risk adjustment may be a sensible strategy to reduce selection bias because it links managed care payment directly to the costs of providing services. In this paper we compare risk adjustment models in two populations (public employees and their dependents, and publicly-insured low income individuals with disabilities) in Washington State using two statistical approaches and three health status me...... hiện toàn bộ
Exploring new operational research opportunities within the Home Care context: the chemotherapy at homeHealth Care Management Science - Tập 12 - Trang 179-191 - 2009
Salma Chahed, Eric Marcon, Evren Sahin, Dominique Feillet, Yves Dallery
Home Care (HC) services provide complex and coordinated medical and paramedical care to patients at their homes. As health care services move into the home setting, the need for developing innovative approaches that improve the efficiency of home care organizations increases. We first conduct a literature review of investigations dealing with operation planning within the area of home care managem...... hiện toàn bộ
Keeping pace with the ebbs and flows in daily nursing home operationsHealth Care Management Science - Tập 22 - Trang 350-363 - 2018
René Bekker, Dennis Moeke, Bas Schmidt
Nursing homes are challenged to develop staffing strategies that enable them to efficiently meet the healthcare demand of their residents. In this study, we investigate how demand for care and support fluctuates over time and during the course of a day, using demand data from three independent nursing home departments of a single Dutch nursing home. This demand data is used as input for an optimiz...... hiện toàn bộ
Improving the quality of the coding of primary diagnosis in standardized discharge summariesHealth Care Management Science - Tập 11 - Trang 147-151 - 2008
Paul Avillach, Michel Joubert, Marius Fieschi
We propose to design and test an information-processing model to participate in appraising the quality and the consistency of the coding, for billing, of Standardized Discharge Summaries (SDSs). We designed a model using both symbolic knowledge extracted from the NLM’s UMLS and statistical knowledge. The aim is to retrieve from the ICD-10 terms recorded in a SDS the Principal Diagnosis (PD) at the...... hiện toàn bộ
Towards Decision Support for Waiting Lists: An Operations Management ViewHealth Care Management Science - Tập 4 - Trang 133-142 - 2001
Jan M.H. Vissers, J.D. (Hans) Van Der Bij, Rob J. Kusters
This paper considers the phenomenon of waiting lists in a healthcare setting, which is characterised by limitations on the national expenditure, to explore the potentials of an operations management perspective. A reference framework for waiting list management is described, distinguishing different levels of planning in healthcare – national, regional, hospital and process – that each contributes...... hiện toàn bộ
The Cost Efficiency and Clinical Quality of Institutional Long-Term Care for the ElderlyHealth Care Management Science - Tập 8 - Trang 149-156 - 2005
Juha Laine, Miika Linna, Anja Noro, Unto Häkkinen
This study applied the stochastic frontier cost function with inefficiency effects to estimate the association between quality of care and cost efficiency in institutional long-term care wards for the elderly in Finland. We used several clinical quality indicators for indicating adverse care processes and outcomes, based on the Resident Assessment Instrument (RAI)/Minimum Data Set (MDS). Average c...... hiện toàn bộ
An open source software project for obstetrical procedure scheduling and occupancy analysisHealth Care Management Science - Tập 14 - Trang 56-73 - 2010
Mark W. Isken, Timothy J. Ward, Steven J. Littig
Increases in the rate of births via cesarean section and induced labor have led to challenging scheduling and capacity planning problems for hospital inpatient obstetrical units. We present occupancy and patient scheduling models to help address these challenges. These patient flow models can be used to explore the relationship between procedure scheduling practices and the resulting occupancy on ...... hiện toàn bộ