An Integer Programming Model for the Dynamic Location and Relocation of Emergency Vehicles: A Case Study

In this paper, we address the dynamic Emergency Medical Service (EMS) systems. A dynamic location model is presented that tries to locate and relocate the ambulances. The proposed model controls the movements and locations of ambulances in order to provide a better coverage of the demand points under different fluctuation patterns that may happen during a given period of time. Some numerical experiments have been carried out by using some real-world data sets that have been collected through the French EMS system.Comment: Proceedings of the 12th International Symposium on Operational Research (SOR'2013), Slovenia, September 2013, pp. 343-350, (2013

Ambulance Emergency Response Optimization in Developing Countries

The lack of emergency medical transportation is viewed as the main barrier to the access of emergency medical care in low and middle-income countries (LMICs). In this paper, we present a robust optimization approach to optimize both the location and routing of emergency response vehicles, accounting for uncertainty in travel times and spatial demand characteristic of LMICs. We traveled to Dhaka, Bangladesh, the sixth largest and third most densely populated city in the world, to conduct field research resulting in the collection of two unique datasets that inform our approach. This data is leveraged to develop machine learning methodologies to estimate demand for emergency medical services in a LMIC setting and to predict the travel time between any two locations in the road network for different times of day and days of the week. We combine our robust optimization and machine learning frameworks with real data to provide an in-depth investigation into three policy-related questions. First, we demonstrate that outpost locations optimized for weekday rush hour lead to good performance for all times of day and days of the week. Second, we find that significant improvements in emergency response times can be achieved by re-locating a small number of outposts and that the performance of the current system could be replicated using only 30% of the resources. Lastly, we show that a fleet of small motorcycle-based ambulances has the potential to significantly outperform traditional ambulance vans. In particular, they are able to capture three times more demand while reducing the median response time by 42% due to increased routing flexibility offered by nimble vehicles on a larger road network. Our results provide practical insights for emergency response optimization that can be leveraged by hospital-based and private ambulance providers in Dhaka and other urban centers in LMICs

Beyond Chance-Constrained Convex Mixed-Integer Optimization: A Generalized Calafiore-Campi Algorithm and the notion of SS-optimization

The scenario approach developed by Calafiore and Campi to attack chance-constrained convex programs utilizes random sampling on the uncertainty parameter to substitute the original problem with a representative continuous convex optimization with $N$ convex constraints which is a relaxation of the original. Calafiore and Campi provided an explicit estimate on the size $N$ of the sampling relaxation to yield high-likelihood feasible solutions of the chance-constrained problem. They measured the probability of the original constraints to be violated by the random optimal solution from the relaxation of size $N$. This paper has two main contributions. First, we present a generalization of the Calafiore-Campi results to both integer and mixed-integer variables. In fact, we demonstrate that their sampling estimates work naturally for variables restricted to some subset $S$ of $\mathbb R^d$. The key elements are generalizations of Helly's theorem where the convex sets are required to intersect $S \subset \mathbb R^d$. The size of samples in both algorithms will be directly determined by the $S$-Helly numbers. Motivated by the first half of the paper, for any subset $S \subset \mathbb R^d$, we introduce the notion of an $S$-optimization problem, where the variables take on values over $S$. It generalizes continuous, integer, and mixed-integer optimization. We illustrate with examples the expressive power of $S$-optimization to capture sophisticated combinatorial optimization problems with difficult modular constraints. We reinforce the evidence that $S$-optimization is "the right concept" by showing that the well-known randomized sampling algorithm of K. Clarkson for low-dimensional convex optimization problems can be extended to work with variables taking values over $S$.Comment: 16 pages, 0 figures. This paper has been revised and split into two parts. This version is the second part of the original paper. The first part of the original paper is arXiv:1508.02380 (the original article contained 24 pages, 3 figures

A survey of health care models that encompass multiple departments

In this survey we review quantitative health care models to illustrate the extent to which they encompass multiple hospital departments. The paper provides general overviews of the relationships that exists between major hospital departments and describes how these relationships are accounted for by researchers. We find the atomistic view of hospitals often taken by researchers is partially due to the ambiguity of patient care trajectories. To this end clinical pathways literature is reviewed to illustrate its potential for clarifying patient flows and for providing a holistic hospital perspective

Distribution-Free Model for Ambulance Location Problem with Ambiguous Demand

Ambulance location problem is a key issue in Emergency Medical Service (EMS) system, which is to determine where to locate ambulances such that the emergency calls can be responded efficiently. Most related researches focus on deterministic problems or assume that the probability distribution of demand can be estimated. In practice, however, it is difficult to obtain perfect information on probability distribution. This paper investigates the ambulance location problem with partial demand information; i.e., only the mean and covariance matrix of the demands are known. The problem consists of determining base locations and the employment of ambulances, to minimize the total cost. A new distribution-free chance constrained model is proposed. Then two approximated mixed integer programming (MIP) formulations are developed to solve it. Finally, numerical experiments on benchmarks (Nickel et al., 2016) and 120 randomly generated instances are conducted, and computational results show that our proposed two formulations can ensure a high service level in a short time. Specifically, the second formulation takes less cost while guaranteeing an appropriate service level. Document type: Articl