Optimal staffing strategies for points of dispensing. (May 2015)

• Record Type: Journal Article
• Authors: Hernandez, Ivan; Ramirez-Marquez, Jose E.; Starr, David; McKay, Ryan; Guthartz, Seth; Motherwell, Matt; Barcellona, Jessica
• Is Part Of: Computers & industrial engineering. Volume 83(2015)
• Page Start: 172
• Page End: 183
• Publication Date: 2015-05
• Subjects: Multi-criteria analysis -- OR in health services -- Simulation -- Uncertainty modeling; Engineering -- Data processing -- Periodicals; Industrial engineering -- Periodicals; 620.00285
• DOI: 10.1016/j.cie.2015.02.015
• Languages: English
• ISSNs: 0360-8352

Abstract

Graphical abstract: Highlights: We present a method for optimizing resources on a network of queues. We proposed a method for verifying complex simulations. We use novel visualization tools for showing trade-off spaces. We apply our framework to a real life emergency response in New York City. Abstract: We present a heuristic-based multi-objective optimization approach for minimizing staff and maximizing throughput at Points-of-Dispensing (PODs). PODs are sites quickly set up by local health departments to rapidly dispense life-saving medical countermeasures during large-scale public health emergencies. Current modeling tools require decision makers to modify their models and re-run them for each "what if" scenario they are charged with preparing for, e.g. what happens if more/less staff are available. The exploration of these "what if" scenarios becomes tedious if there are many variables to change and the decision space quickly becomes too large to analyze effectively. Currently, to understand the trade-offs between throughput and staffing levels, public health emergency managers must maximize throughput subject to a specified staffing level. Then, they must repeatedly change the constraint (altering the maximum staff allowed) and re-run the model. In contrast, by approaching the problem from a multi-objective perspective and integrating discrete event and optimization tools, we automate of the exploration of the decision space. This approach allows public health emergency planners to examine far more potential solutions and to focus tangible planning resources on areas that show theoretical promise. Such an approach can also expose previously unidentified constraints in existing plans.