Springer Proceedings in Mathematics & Statistics Paola Cappanera · Jingshan Li Andrea Matta · Evren Sahin Nico J. Vandaele · Filippo Visintin Editors Health Care Systems Engineering HCSE, Florence, Italy, May 2017 Springer Proceedings in Mathematics & Statistics Volume 210 Springer Proceedings in Mathematics & Statistics This book series features volumes composed of selected contributions from workshops and conferences in all areas of current research in mathematics and statistics, including operation research and optimization. In addition to an overall evaluation of the interest, scientific quality, and timeliness of each proposal at the hands of the publisher, individual contributions are all refereed to the high quality standards of leading journals in the field. Thus, this series provides the research community with well-edited, authoritative reports on developments in the most exciting areas of mathematical and statistical research today. More information about this series at http://www.springer.com/series/10533 ⋅ Paola Cappanera Jingshan Li ⋅ Andrea Matta Evren Sahin ⋅ Nico J. Vandaele Filippo Visintin Editors Health Care Systems Engineering HCSE, Florence, Italy, May 2017 123 Editors PaolaCappanera Evren Sahin Dipartimento di Ingegneria Laboratoire GénieIndustriel dell’Informazione ÉcoleCentrale Paris University of Florence Châtenay-Malabry Florence France Italy NicoJ.Vandaele Jingshan Li OGProductie enLogistiek Leuven Department ofIndustrial andSystems Katholieke Universiteit Leuven Engineering Leuven University of Wisconsin–Madison Belgium Madison,WI USA Filippo Visintin Dipartimento di IngegneriaIndustriale Andrea Matta University of Florence Department ofMechanical Engineering Florence Politecnico di Milano Italy Milan Italy ISSN 2194-1009 ISSN 2194-1017 (electronic) SpringerProceedings in Mathematics& Statistics ISBN978-3-319-66145-2 ISBN978-3-319-66146-9 (eBook) https://doi.org/10.1007/978-3-319-66146-9 LibraryofCongressControlNumber:2017955271 MathematicsSubjectClassification(2010): S15007,T22008,H27002,527030,I18030 ©SpringerInternationalPublishingAG2017 Thisworkissubjecttocopyright.AllrightsarereservedbythePublisher,whetherthewholeorpart of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission orinformationstorageandretrieval,electronicadaptation,computersoftware,orbysimilarordissimilar methodologynowknownorhereafterdeveloped. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publicationdoesnotimply,evenintheabsenceofaspecificstatement,thatsuchnamesareexemptfrom therelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authorsortheeditorsgiveawarranty,expressorimplied,withrespecttothematerialcontainedhereinor for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictionalclaimsinpublishedmapsandinstitutionalaffiliations. Printedonacid-freepaper ThisSpringerimprintispublishedbySpringerNature TheregisteredcompanyisSpringerInternationalPublishingAG Theregisteredcompanyaddressis:Gewerbestrasse11,6330Cham,Switzerland Foreword Proceedings HCSE 2017 The International Conference on Health Care Systems Engineering provides an opportunity to discuss state-of-the-art operations management issues in healthcare deliverysystems.The thirdeditionofthis conferencetook place inFlorenceatthe Meyer Children’s Hospital—a unique location in a beautiful city. One facet of the uniqueness of the Meyer Children’s Hospital is that it was built not to look like a hospital. This inspiring atmosphere carried over directly to the participants. Sci- entists and practitioners used the opportunity to discuss new ideas, methods, and technologies and how they can be brought into practice. Topics included predictive models and information systems in healthcare, healthcare logistics, planning and location, clinical pathways, patient-centered services, emergency department management, and many more. What makes HCSE a veryspecialconferenceisthebroadness ofthetopicsand at the same time the dialogue between researchers and practitioners to better evaluate the value of the presented ideas. Moreover, for each session, there is not only a chair person assigned, but also a discussant. This improves the quality and intensity of the discussion after each talk enormously. The hospital tour at the Meyer Children’s Hospital as well as the perfect social program completed the positive impression of HCSE 2017 in Florence. I am very much looking forward to future editions of HCSE. Prof. Stefan Nickel Karlsruhe Institute of Technology—KIT, Karlsruhe Germany v Preface This volume is dedicated to the peer-reviewed contributions accepted for presen- tation at the Third International Conference on Health Care Systems Engineering (HCSE 2017) that took place in Florence, Italy, from May 29–31, 2017. This conference aims at giving evidence of how quantitative operations management (OM) methods can support complex decisions arising in healthcare processes. A distinguishing feature of the conference with respect to the other OM con- ferences on similar topics is to bring together medical staff and OM people to (i)shareknowledge,(ii)shareperspectives—oftendifferentandpossiblyconflicting —with the aim of finally (iii) come to a problem solution. The conference is purposelyorganizedinplenaryandsingle-streamregularsessionssoastofosterthe discussions and collaborations between OM scientists and clinicians. Anotherpeculiarfeatureoftheconferenceisthelocationwhichisquiteunusual for an OM conference: Each edition was hosted inside a hospital and for HCSE 2017 the hosting hospital was the Meyer Children’s Hospital in Florence. We wouldliketoexpressourgratitudetotheGeneralDirectorDr.AlbertoZanobinifor letting us visit and use the (outstanding) hospital facilities throughout the conference. Inthiseditionoftheconference,wehadthehonorofhosttwokeynotespeakers to whom we express our truly deep gratitude: Prof. Stefan Nickel from the Karl- sruhe Institute of Technology—KIT (Germany) and Prof. Angela Testi from the UniversityofGenoa(Italy).Theircontributions wereperfectlyfitting theobjective of the conference and were very much appreciated by the audience. Each of the contributions submitted to the conference has undergone a peer-review process which involved at least two reviewers selected by the Con- ferenceScientificCommittee.Atotalof29contributionswerefinallyacceptedand organized in six regular sessions (25 contributions) and a young session (4 con- tributions). Each session was chaired by an academic and a clinician discussant, both experts in the field. This conference was indeed multidisciplinary and inter- national with 84 authors spread in 18 countries and in 3 continents. The regular sessions cover a wide spectrum of topics in the management of healthcaresystems,andtheyfeaturethefollowingtopics:(i)predictivemodelsand vii viii Preface information system, (ii) planning and location, (iii) protection and analytical approaches, (iv) emergency department management, (v) robustness management, and (vi) scheduling. Young session is a novelty of this edition: Young scholars, i.e., graduated stu- dents and Ph.D. students, have been given the opportunity to submit an extended abstract instead of a full paper and to present their ongoing research on emerging topics in healthcare management in a dedicated session. Presentations have been held in a friendly, inspiring, and bridge-building environment, where young scholars received valuable feedback from the audience to finalize their research. Themostpromisingresearchwasawardedbyacommitteemadeofmembersofthe Scientific Committee and experts in the field, and the winner was Fabian Schäfer presentingthepaper:F.Schäfer,M.Walther,A.Hübner,Patient-BedAllocationin Large Hospitals. WewouldliketothankProf.Nickelwhoacceptedtowritetheforewordofthis volume, all the members of the Scientific Committee who gave us the opportunity tohostHCSE2017,allthespeakers,authors,attendees,discussants,andreviewers for their valuable help in guaranteeing the quality of the accepted contributions. Each of them has contributed to the success of HCSE 2017. We are deeply indebted to the young people from the local organizing com- mittee, i.e., to Caterina Caprara and Roberta Rossi because without their help everything would have been more difficult to manage. Finally, we would like to express our sincere wishes for the success of the next edition of the conference, HCSE 2019! Florence, Italy Paola Cappanera Filippo Visintin Contents Part I Regular Contributions How to Protect a Hospital Against Cyber Attacks . . . . . . . . . . . . . . . . . 3 Alain Guinet Analytical Approaches to Operating Room Management. . . . . . . . . . . . 17 David Scheinker and Margaret L. Brandeau A New Decomposition Approach for the Home Health Care Problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Nadia Lahrichi, Ettore Lanzarone and Semih Yalçındağ Strategic Operations Management in Healthcare: A Reference Model for Cardiac Rehabilitation . . . . . . . . . . . . . . . . . . . 37 Barbara Resta, Vittorio Giudici, Sergio Cavalieri, Wei Deng Solvang, Stefano Dotti and Paolo Gaiardelli Mining the Patient Flow Through an Emergency Department to Deal with Overcrowding. . . . . . . . . . . . . . . . . . . . . . . . . 49 Davide Duma and Roberto Aringhieri A Location Problem for Medically Under-Served Areas in Korea . . . . . 61 Hoon Jang, Kyosang Hwang, Taeho Lee, Minji Kim, Hansu Shin and Taesik Lee A Choice Model for Estimating Realized Accessibility: Case Study for Obstetrics Care in Korea. . . . . . . . . . . . . . . . . . . . . . . . 73 Kyosang Hwang, Hoon Jang, Taeho Lee, Minji Kim, Hansu Shin and Taesik Lee Handling Time-Related Demands in the Home Care Nurse-to-Patient Assignment Problem with the Implementor-Adversarial Approach . . . . 87 Giuliana Carello, Ettore Lanzarone, Daniele Laricini and Mara Servilio ix x Contents A Cardinality-Constrained Robust Approach for the Ambulance Location and Dispatching Problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Vittorio Nicoletta, Ettore Lanzarone, Valérie Bélanger and Angel Ruiz A Practical Approach to Machine Learning for Clinical Decision Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Daniel Miller, David Scheinker and Nicholas Bambos User-Centered Development of an Information System in Patient’s Motor Capacity Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . 121 Justine Coton, D. Vincent-Genod, Guillaume Thomann, Carole Vuillerot and François Villeneuve A Hybrid Simulation Approach to Analyse Patient Boarding in Emergency Departments. . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Paolo Landa, Michele Sonnessa, Marina Resta, Elena Tànfani and Angela Testi Estimation of Case Numbers at Pandemics and Testing of Hospital Resource’s Sufficiency with Simulation Modeling. . . . . . . . . . . . . . . . . . 145 Pınar Miç and Melik Koyuncu Empirical Data Driven Intensive Care Unit Drugs Inventory Policies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Paola Cappanera, Maddalena Nonato and Roberta Rossi A Decision-Making Tool for the Calculation of a Robust Planning for Home Service Employees. . . . . . . . . . . . . . . . . . . . . . . . . . 167 Maria Di Mascolo, Marie-Laure Espinouse, Pierre Gruau and Jérôme Radureau Service Reconfiguration in Healthcare Systems: The Case of a New Focused Hospital Unit . . . . . . . . . . . . . . . . . . . . . . . 179 Alessandro Stefanini, Davide Aloini, Riccardo Dulmin and Valeria Mininno Improving Emergency Medical Services with Time-Region-Specific Cruising Ambulances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 Jiun-Yu Yu and Kwei-Long Huang A Simulation Model for Optimizing Staffing in the Emergency Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201 Melik Koyuncu, Ozgur M. Araz, Wes Zeger and Paul Damien Patient Pathways Discovery and Analysis Using Process Mining Techniques: An Emergency Department Case Study . . . . . . . . . . . . . . . 209 Waleed Abo-Hamad