Dynamic Hospital Resource Scheduling During Pandemics with Stochastic Optimization

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Yewande Ojo
https://orcid.org/0009-0008-5580-2090
John Ogbemhe
Oluwabukunmi Victor Babatunde
https://orcid.org/0009-0004-5863-2761
Subomi Okeowo
Olubayo Babatunde
John Adebisi

Abstract

The COVID-19 pandemic has highlighted the need to effectively manage hospital resources: ICU beds and ventilators. These resources are significant for sustaining life, especially in severe cases. Traditional deterministic models often fall short in addressing the uncertainties associated with patient inflows and resource availability.  This paper develops a novel two-stage stochastic programming model which aims to dynamically allocate resources to deal with the variability of inpatient admissions. To this end, the scenarios are developed using Monte Carlo simulation based on the probabilities estimated from the historical data. The model is created in Python language and solved using the Gurobi optimizer in 0.05s, a large-scale scenario optimization analysis problem with 42 variables and 35 constraints. The KPIs show the highest utilization of ventilators at 66. 67% and the average reduction of 53.5 in the number of offers an ICU practical shortfall leading to better patient care and shorter wait times. This research presents a data-driven tool to enhance the decision-making process and the healthcare system's overall readiness to maintain its strategic reserves by implementing flexible staffing models to improve preparation for disasters such as the pandemic. Its stochastic optimization framework makes hospital resource allocation more efficient, offering a scalable, resilient solution for tackling future pandemic challenges.

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How to Cite
[1]
Y. Ojo, J. Ogbemhe, O. V. Babatunde, S. Okeowo, O. Babatunde, and J. Adebisi, “Dynamic Hospital Resource Scheduling During Pandemics with Stochastic Optimization”, AJERD, vol. 8, no. 2, pp. 32–43, May 2025.
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References

Douglas, I. S., Mehta, A. & Mansoori, J. (2024). Policy proposals for mitigating ICU strain: Insights from the COVID-19 pandemic. Annals of the American Thoracic Society, (ja).

Grant, L. R. (2024). Lessons learned from the Kyrgyz Republic's public health response to COVID-19. Health Security.

Guicciardi, S. (2024). Healthcare services re-organization based on lessons learned during COVID-19 pandemic. Conceptual frameworks and measurement and assessment tools for public health emergency preparedness.

Eriskin, L., Karatas, M. & Zheng, Y. J. (2024). A robust multi-objective model for healthcare resource management and location planning during pandemics. Annals of Operations Research, 335(3), 1471–1518.

Yang, H., et al. (2021). Epidemic informatics and control: A holistic approach from system informatics to epidemic response and risk management in public health. In AI and Analytics for Public Health – Proceedings of the 2020 INFORMS International Conference on Service Science, Springer Berlin/Heidelberg, (1–46).

Essoussi, I. E., Masmoudi, M. & Babai, M. Z. (2023). Multi-criteria decision-making for collaborative COVID-19 surge management and inter-hospital patients’ transfer optimisation. International Journal of Production Research, 61(23), 7992–8021.

Pappas, H. & Frisch, P. (2022). Leveraging technology as a response to the COVID pandemic: Adapting diverse technologies, workflow, and processes to optimize integrated clinical management. CRC Press.

Biswas, S., Belamkar, P., Sarma, D., Tirkolaee, E. B. & Bera, U. K. (2024). A multi-objective optimization approach for resource allocation and transportation planning in institutional quarantine centres. Annals of Operations Research, 1–45.

Dillon, M., Oliveira, F. & Abbasi, B. (2017). A two-stage stochastic programming model for inventory management in the blood supply chain. International Journal of Production Economics, 187, 27–41.

Zahiri, B., Torabi, S. A., Mohammadi, M. & Aghabegloo, M. (2018). A multi-stage stochastic programming approach for blood supply chain planning. Computers & Industrial Engineering, 122, 1–14.

Kaye, A. D., et al. (2021). Economic impact of COVID-19 pandemic on healthcare facilities and systems: International perspectives. Best Practice & Research Clinical Anaesthesiology, 35(3), 293–306.

Rachaniotis, N. P., Dasaklis, T. K. & Pappis, C. P. (2012). A deterministic resource scheduling model in epidemic control: A case study. European Journal of Operational Research, 216(1), 225–231.

Dehnoei, S. (2020). A stochastic optimization approach for staff scheduling decisions at inpatient clinics. Université d'Ottawa/University of Ottawa.

Woodruff, C., Vu, L., Morgansen, K. A. & Tomlin, D. (2011). Deterministic modeling and evaluation of decision-making dynamics in sequential two-alternative forced choice tasks. Proceedings of the IEEE, 100(3), 734–750.

Corlu, C. G., Akcay, A. & Xie, W. (2020). Stochastic simulation under input uncertainty: A review. Operations Research Perspectives, 7, 100162.

Govindan, K., Fard, F. S. N., Asgari, F., Sorooshian, S. & Mina, H. (2024). Designing a resilient reverse network to manage the infectious healthcare waste under uncertainty: A stochastic optimization approach. Computers & Industrial Engineering, 194, 110390.

Tordecilla, R. D., Juan, A. A., Montoya-Torres, J. R., Quintero-Araujo, C. L. & Panadero, J. (2021). Simulation-optimization methods for designing and assessing resilient supply chain networks under uncertainty scenarios: A review. Simulation Modelling Practice and Theory, 106, 102166.

Bhattacharjee, P. & Ray, P. K. (2014). Patient flow modelling and performance analysis of healthcare delivery processes in hospitals: A review and reflections. Computers & Industrial Engineering, 78, 299–312.

Büyüktahtakın, I. E. (2022). Stage-t scenario dominance for risk-averse multi-stage stochastic mixed-integer programs. Annals of Operations Research, 309(1), 1–35.

Devadas, R. M., Hiremani, V., Bhavya, K. & Rani, N. S. (2024). Stochastic calculus-guided reinforcement learning: A probabilistic framework for optimal decision-making. MethodsX, 102790.

Xu, J. & Sen, S. (2021). Decision intelligence for nationwide ventilator allocation during the COVID-19 pandemic. SN Computer Science, 2(6), 423.

Eshkiti, A., Sabouhi, F. & Bozorgi-Amiri, A. (2023). A data-driven optimization model to response to COVID-19 pandemic: A case study. Annals of Operations Research, 328(1), 337–386.

Yinusa, A. & Faezipour, M. (2023). Optimizing healthcare delivery: A model for staffing, patient assignment, and resource allocation. Applied System Innovation, 6(5), 78.

Blanco, V., Gázquez, R. & Leal, M. (2023). Mathematical optimization models for reallocating and sharing health equipment in pandemic situations. Top, 31(2), 355–390.

Fattahi, M., Keyvanshokooh, E., Kannan, D. & Govindan, K. (2023). Resource planning strategies for healthcare systems during a pandemic. European Journal of Operational Research, 304(1), 192–206.

Mazlan, A. A., Daud, S. M., Sam, S. M., Abas, H., Rasid, S. Z. A. & Yusof, M. F. (2020). Scalability challenges in healthcare blockchain system—a systematic review. IEEE Access, 8, 23663–23673.

Alizadeh, R., Allen, J. K. & Mistree, F. (2020). Managing computational complexity using surrogate models: A critical review. Research in Engineering Design, 31(3), 275–298.

Mengesha, G. (2024). Advanced computational methods for simulating and optimizing stochastic fracture: A systematic literature review. International Journal of Emerging Science and Engineering, 12(10), 10.35940.

Wang, X. (2022). The fairness of ventilator allocation during the COVID‐19 pandemic. Bioethics, 36(6), 715–723.