Author : Nisha Nataraj
Publisher :
ISBN 13 :
Total Pages : 140 pages
Book Rating : 4.:/5 (824 download)
Book Synopsis A Method for Designing Efficient Routes for Home Healthcare Agencies Considering Uncertain Future Demand by : Nisha Nataraj
Download or read book A Method for Designing Efficient Routes for Home Healthcare Agencies Considering Uncertain Future Demand written by Nisha Nataraj and published by . This book was released on 2012 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Faced with increasing demand for home health care that is rising faster than the supply of resources needed to deliver it and drastic budget cuts, many home care agencies are struggling to remain operational. There is a need for efficient routing that doesn't compromise on the quality of care achieved when a patient is visited by the same nurse over the entire period of care, also known as care-giver continuity or continuity of care. Because care periods often last more than 60 days, care-giver continuity causes scheduling decisions to have a long-term impact b y potentially restricting the agency from making alternative assignments that could reduce routing costs. Our research aims to understand and quantify the benefit of utilizing time horizons of 60-90 days when making routing decisions under the constraint of continuity of care. We do so by defining the Home Health Care Routing Problem (HHCRP) as a variant of the Vehicle Routing Problem (VRP), known as the Consistent VRP, that includes the continuity of care requirement. Unlike related literature on this problem which considers planning horizons of at most a week, computational experiments in a variety of settings suggest the importance of considering planning horizons of 2-3 months when developing schedules for care-givers. Given that it is almost impossible to have complete information about future patients that far ahead, we also present a method that enables planners to design schedules for care-givers in the face of such uncertainty and demonstrate its effectiveness computationally."--Abstract.