Select, Route and Schedule: Optimizing Community Paramedicine Service Delivery with Mandatory Visits and Patient Prioritization

Many patients receive reactive care in the United States healthcare system, including those who frequent emergency rooms and who are recently discharged from a hospital. Community paramedicine is a recent healthcare innovation that enables proactive visitation of patients at home, often shortly after emergency department and hospital discharge. We propose an optimization framework for managing a community paramedicine program with the goals of lowering hospital costs, reducing readmissions and emergency department visits, as well as increasing patient welfare. We develop a prioritization method for patient visits based on patient health features, and this information is integrated into an optimization-based approach that selects patients, schedules patient visits and routes healthcare providers to maximize overall patient welfare, while favoring shorter tours. We carry out computational experiments on a variety of test instances based on real data from a hospital system in upstate New York and discuss insights resulting from our computational findings.

Citation

Azizi, S., Faber, B., Johnson, S., Konrad, R., Trapp, A.C. 2020. Select, Route and Schedule: Optimizing Community Paramedicine Service Delivery with Mandatory Visits and Patient Prioritization. Technical Report. URL http://optimization-online.org/DB_HTML/2020/12/8151.html

Article

Download

View Select, Route and Schedule: Optimizing Community Paramedicine Service Delivery with Mandatory Visits and Patient Prioritization