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

Multi-Agent Based Information Systems For Patient Coordination in Hospitals

The health sector is a central domain in every economy. It is challenged by progressing costs and funding issues. Hospitals play a major role for the examination and treatment of patients. The sequence how patients are assigned to hospital units determines the quality of treatment, the resource utilization, as well as the patients’ overall treatment time. Thus, efficient scheduling of patients in hospitals is crucial. Current approaches disregard the decentral organization in hospitals and neglect the varying pathway of patients since they often focus on one single unit solely. We propose an agent-based coordination mechanism that overcomes these limitations. Patients and hospital resources are modeled as autonomous software agents which follow their own objectives. This reflects the decentralized structure in hospitals. Agents are coordinated by a distributed mechanism where software agents improve their situation through negotiations which moves towards an overall pareto-optimum. We show promising evaluations based on experiments

Building Medical Homes in State Medicaid and CHIP Programs

Presents strategies, best practices, and lessons learned from ten states' efforts to advance the medical home model of comprehensive and coordinated care in Medicaid and Children's Health Insurance Programs in order to improve quality and contain costs