Data-Driven Robust Optimization in Healthcare Applications

Healthcare operations have enjoyed reduced costs, improved patient safety, and

innovation in healthcare policy over a huge variety of applications by tackling prob-

lems via the creation and optimization of descriptive mathematical models to guide

decision-making. Despite these accomplishments, models are stylized representations

of real-world applications, reliant on accurate estimations from historical data to jus-

tify their underlying assumptions. To protect against unreliable estimations which

can adversely affect the decisions generated from applications dependent on fully-

realized models, techniques that are robust against misspecications are utilized while

still making use of incoming data for learning. Hence, new robust techniques are ap-

plied that (1) allow for the decision-maker to express a spectrum of pessimism against

model uncertainties while (2) still utilizing incoming data for learning. Two main ap-

plications are investigated with respect to these goals, the first being a percentile

optimization technique with respect to a multi-class queueing system for application

in hospital Emergency Departments. The second studies the use of robust forecasting

techniques in improving developing countries’ vaccine supply chains via (1) an inno-

vative outside of cold chain policy and (2) a district-managed approach to inventory

control. Both of these research application areas utilize data-driven approaches that

feature learning and pessimism-controlled robustness.