BioMed Central Medical Research Methodology
Geisel School of Medicine
The ability to accurately forecast census counts in hospital departments has considerable implications for hospital resource allocation. In recent years several different methods have been proposed forecasting census counts, however many of these approaches do not use available patient-specific information. In this paper we present an ensemble-based methodology for forecasting the census under a framework that simultaneously incorporates both (i) arrival trends over time and (ii) patient-specific baseline and time-varying information. The proposed model for predicting census has three components, namely: current census count, number of daily arrivals and number of daily departures. To model the number of daily arrivals, we use a seasonality adjusted Poisson Autoregressive (PAR) model where the parameter estimates are obtained via conditional maximum likelihood. The number of daily departures is predicted by modeling the probability of departure from the census using logistic regression models that are adjusted for the amount of time spent in the census and incorporate both patient-specific baseline and time varying patient-specific covariate information. We illustrate our approach using neonatal intensive care unit (NICU) data collected at Women & Infants Hospital, Providence RI, which consists of 1001 consecutive NICU admissions between April 1st 2008 and March 31st 2009.
Koestler DC, Ombao H, Bender J. Ensemble-based methods for forecasting census in hospital units. BMC Med Res Methodol. 2013 May 30;13:67. doi: 10.1186/1471-2288-13-67. PMID: 23721123; PMCID: PMC3680345.
Dartmouth Digital Commons Citation
Koestler, Devin C.; Ombao, Hernando; and Bender, Jesse, "Ensemble-Based Methods for Forecasting Census in Hospital Units" (2013). Dartmouth Scholarship. 643.