Combining simulation and goal programming for healthcare planning in a medical assessment unit

This paper describes a detailed simulation model for healthcare planning in a medical assessment unit (MAU) of a general hospital belonging to the national health service (NHS), UK. The MAU is established to improve the quality of care given to acute medical patients on admission, and to provide the organisational means of rapid assessment and investigation in order to avoid unnecessary admissions. The simulation model enables different scenarios to be tested to eliminate bottlenecks in order to achieve optimal clinical workflow. The link between goal programming (GP) and simulation for efficient resource planning is explored. A GP model is developed for trade-off analysis of the results obtained from the simulation. The implications of MAU management preferences to various objectives are presented.