A nested-compliance table policy for emergency medical service systems under relocation

Kanchala Sudtachat, Maria E. Mayorga and Laura A. Mclay

Omega, 2016, vol. 58, issue C, 154-168

Abstract: The goal of Emergency Medical Service (EMS) systems is to provide rapid response to emergency calls in order to save lives. This paper proposes a relocation strategy to improve the performance of EMS systems. In practice, EMS systems often use a compliance table to relocate ambulances. A compliance table specifies ambulance base stations as a function of the state of the system. We consider a nested-compliance table, which restricts the number of relocations that can occur simultaneously. We formulate the nested-compliance table model as an integer programming model in order to maximize expected coverage. We determine an optimal nested-compliance table policy using steady state probabilities of a Markov chain model with relocation as input parameters. These parameter approximations are independent of the exact compliance table used. We assume that there is a single type of medical unit, single call priority, and no patient queue. We validate the model by applying the nested-compliance table policies in a simulated system using real-world data. The numerical results show the benefit of our model over a static policy based on the adjusted maximum expected covering location problem (AMEXCLP).

Keywords: Emergency medical service; Relocation; Nested-compliance table; Markov queuing model (search for similar items in EconPapers)
Date: 2016
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (15)

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DOI: 10.1016/j.omega.2015.06.001

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