Abstract
Decision-making to satisfy the basic human needs of health, food, and education is complex, accomplishing this in such a way that solutions are personalized to the needs of the individual has been the focus of my research. This chapter will present an overview of my research with several of my former students in the area of decision-making under conditions of uncertainty with a focus on human-centric decision problems in three primary areas: health care, humanitarian logistics, and education. This research seeks to inform decision-making with the goal of improving decision quality. To this end, this research utilizes and develops theory in the areas of Markov decision processes (MDPs), semi-Markov decision processes (SMDPs), partially observable Markov decision processes (POMDPs), optimization, simulation, and Bayesian decision analysis to address these real-world problems. This research has made an impact on how researchers and practitioners address complex societal issues, such as health disparities, public health preparedness, hunger relief, student performance, and personalized medical decision-making.
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References
American Diabetes Association (2017) Pharmacologic approaches to glycemic treatment. In: Standards of medical care in diabetes-2017. pp S64–S74
Anderson G, Horvath J (2004) The growing burden of chronic disease in America. Public Health Rep (Washington, DC: 1974) 119(3):263–270
Badrick E, Renehan AG (2014) Diabetes and cancer: 5 years into the recent controversy. Eur J Cancer 50(12):2119–2125
Bertsimas D, Sim M (2004) The price of robustness. Oper Res 52(1):35–53
Boyd CM, Fortin M (2010) Future of multimorbidity research: how should understanding of multimorbidity inform health system design? Public Health Rev 32(2):451–474
Brailsford SC (2007) Proceedings of the 2007 winter simulation conference. In: Henderson SG, Biller B, Hsieh M-H, Shortle J, Tew JD, Barton RR (eds). pp 1436–1448
Bristow PJ, Hillman KM, Chey T et al (2000) Rates of in-hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team. Med J Aust 173:236–240
Buist MD, Moore GE, Bernard SA et al (2002) Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. Br Med J 324(7334):387–390
Bynd S, Sen A, Subbe C, Gemmell L (2004) Modified early warning score: one for all and A&E? Br J Anaesth 92(4):611P–612P
Capan M, Ivy JS, Rohleder T, Hickman J, Huddleston JM (2015a) Individualizing and optimizing the use of early warning scores in acute medical care for deteriorating hospitalized patients. Resuscitation 93:107–112. https://doi.org/10.1016/j.resuscitation.2014.12.032
Capan M, Ivy JS, Wilson JR, Huddleston JM (2015b) A stochastic model of acute-care decisions based on patient and provider heterogeneity. Health Care Manag Sci 20(2):187–206. https://doi.org/10.1007/s10729-015-9347-x
Capan M, Wu P, Campbell M, Mascioli S, Jackson EV (2017) Using electronic health records and nursing assessment to redesign clinical early recognition systems. Health Syst 6(2):112–121
Caughey G, Roughead E, Roughead EE (2011) Multimorbidity research challenges: where to go from here? J Comorb 1(1):8–10
CDC/NCHS (2010) National hospital discharge survey, 2000–2010. http://www.cdc.gov/nchs/data/databriefs/db118.htm
Chan PS, Jain R, Nallmothu BK et al (2010) Rapid response teams: a systematic review and meta-analysis. Arch Intern Med 170:18–26
Chang C-H, Lin J-W, Wu L-C, Lai M-S, Chuang L-M (2012) Oral insulin secretagogues, insulin, and cancer risk in type 2 diabetes mellitus. J Clin Endocrinol Metab 97(7):E1170–E1175
Committee on Quality of Health Care in America, Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21st century. National Academies Press, Washington, DC
Confrey J, Maloney A (2010) The construction, refinement, and early validation of the equipartitioning learning trajectory. In: Proceedings of the 9th international conference of the learning sciences, Chicago, vol 1, pp 968–975
Cox CE, Wysham NG (2015) Untangling health trajectories among patients with sepsis. Ann Am Thorac Soc 12(6):796–797
Czura C (2011) Merinoff symposium 2010: sepsis—speaking with one voice. Mol Med 17(1–2):2–3
DeVita MA, Bellomo R, Hillman K, Kellum J, Rotondi A, Teres D, Auerbach A, Chen W, Duncan K, Kenward G, Bell M, Buist M, Chen J, Bion J, Kirby A, Lighthall G, Ovreveit J, Braithwaite RS, Gosbee J, Milbrandt E, Peberdy M, Savitz L, Young L, Harvey M, Galhotra S (2006) Findings of the first consensus conference on medical emergency teams. Crit Care Med 34:2463–2478
Esper AM, Moss M, Lewis CA, Nisbet R, Mannino DM, Martin GS (2006) The role of infection and comorbidity: factors that influence disparities in sepsis. Crit Care Med 34(10):2576–2582
FBCENC (2018) Food Bank of Central & Eastern North Carolina. http://www.foodbankcenc.org/site/PageServer?pagename=FBCENCHome. Accessed 2018
Feeding America (2018). https://hungerandhealth.feedingamerica.org/. Accessed 2018
Food and Agriculture Organization of the United Nations (2018). http://www.fao.org/state-of-food-security-nutrition/en/
Franciosi M, Lucisano G, Lapice E, Strippoli GFM, Pellegrini F, Nicolucci A (2013) Metformin therapy and risk of cancer in patients with type 2 diabetes: systematic review. PLoS One 8(8):1–12
Geraci JM, Escalante CP, Freeman JL, Goodwin JS (2005) Comorbid disease and cancer: the need for more relevant conceptual models in health services research. J Clin Oncol 23(30):7399–7404
Gerteis J, Izrael D, Deitz D, LeRoy L, Ricciardi R, Miller T et al (2014) Multiple chronic conditions chartbook. Agency for Healthcare Research and Quality, Rockville
Giovannetti ER, Wolff JL, Xue Q-L, Weiss CO, Leff B, Boult C et al (2012) Difficulty assisting with health care tasks among caregivers of multimorbid older adults. J Gen Intern Med 27(1):37–44
Gray L, Smyth K, Palmer R, Zhu X, Callahan J (2002) Heterogeneity in older people: examining physiologic failure, age, and comorbidity. J Am Geriatr Soc 50(12):1955–1961
Hamilton BE, Martin JA, Osterman MJK, Driscoll AK, Rossen LM (2017) Births: provisional data for 2016. NVSS Vital Statistics Rapid Release 2(2):1–21. https://www.cdc.gov/nchs/data/vsrr/report002.pdf
Harper LM, Caughey AB, Odibo AO, Roehl KA, Zhao Q, Cahill AG (2012) Normal progress of induced labor. Obstet Gynecol 119(6):1113–1118. https://doi.org/10.1097/AOG.0b013e318253d7aa
Hayes AJ, Leal J, Gray AM, Holman RR, Clarke PM (2013) UKPDS outcomes model 2: a new version of a model to simulate lifetime health outcomes of patients with type 2 diabetes mellitus using data from the 30 year United Kingdom Prospective Diabetes Study: UKPDS 82. Diabetologia 56(9):1925–1933
Hicklin K (2016) Decision models for mode of delivery combining patient and clinician risk perceptions and preferences. North Carolina State University
Hicklin K, Ivy J, Cobb Payton F, Viswanathan M, Myers E (2018) Exploring the value of waiting during labor. Serv Sci 10(3):334–353. https://doi.org/10.1287/serv.2018.0205
Hillman K (2008) Rapid response systems. Indian J Crit Care 12(2):77–81
Howard R (1960) Dynamic programming and Markov processes. M.I.T. Press, Cambridge
Institute of Safe Medication Practices (2010) National survey on drug shortages reveals serious impact of patient safety [WWW document]. http://www.ismp.org/pressroom/PR20100923.pdf. Accessed 19 Feb 2012
Iskander KN, Osuchowski MF, Stearns-Kurosawa DJ, Kurosawa S, Stepien D, Valentine C et al (2013) Sepsis: multiple abnormalities, heterogeneous responses, and evolving understanding. Physiol Rev 93(3):1247–1288
Karlstad O, Starup-Linde J, Vestergaard P, Hjellvik V, Bazelier MT, Schmidt MK et al (2013) Use of insulin and insulin analogs and risk of cancer—systematic review and meta-analysis of observational studies. Curr Drug Saf 8(5):333–348
Kerr EA, Heisler M, Krein SL, Kabeto M, Langa KM, Weir D et al (2007) Beyond comorbidity counts: how do comorbidity type and severity influence diabetes patients’ treatment priorities and self-management? J Gen Intern Med 22(12):1635–1640
Kohn LT, Corrigan JM, Donaldson MS (1999) To err is human: building a safer health system. National Academy Press: Institute of Medicine Report, Washington
Liu V, Escobar GJ, Greene JD, Soule J, Whippy A, Angus DC et al (2014) Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA 312(1):90
Loeb DF, Binswanger IA, Candrian C, Bayliss EA (2015) Primary care physician insights into a typology of the complex patient in primary care. Ann Fam Med 13(5):451–455
Ludikhuize J, Smorenburg SM, de Rooij SE et al (2012) Identification of deteriorating patients on general wards; measurement of vital parameters and potential effectiveness of the modified early warning score. J Crit Care 27(4):424.e7–424.13
Maddigan SL, Feeny DH, Johnson JA (2005) Health-related quality of life deficits associated with diabetes and comorbidities in a Canadian National Population Health Survey. Qual Life Res 14(5):1311–1320
Mannucci PM, Nobili A, REPOSI Investigators (2014) Multimorbidity and polypharmacy in the elderly: lessons from REPOSI. Intern Emerg Med 9(7):723–734
Marengoni A, Onder G (2015) Guidelines, polypharmacy, and drug-drug interactions in patients with multimorbidity. BMJ (Clinical Research Ed) 350(4):h1059
Mazze RS, Strock ES, Bergenstal RM, Criego A, Cuddihy R, Langer O et al (2011) Staged diabetes management. Wiley-Blackwell, Oxford
McGloin H, Adam SK, Singer M (1999) Unexpected deaths and referrals to intensive care of patients on general wards. are some cases potentially avoidable? J R Coll Physicians Lond 33:255–259
Nataraj N (2017) Modeling for the care of complex patients. North Carolina State University, Raleigh
Nataraj N, Ivy JS, Payton FC, Norman J (2018) Diabetes and the hospitalized patient: a cluster analytic framework for characterizing the role of sex, race and comorbidity from 2006 to 2011. Health Care Manag Sci 21(4):534–553
Nation’s Report Card (2015) The nation’s report card: mathematics. https://www.nations reportcard.gov/reading_math_2015/#?grade=4. Acceseed 2.1.2018
National Academy of Engineering (2018) NAE grand challenges for engineering in the 21st century: advance personalized learning. http://www.engineeringchallenges.org/challenges/learning.aspx. Accessed 2.1.2018
National Academy of Sciences, National Academy of Engineering & Institute of Medicine (2007) Rising above the gathering storm: energizing and employing America for a brighter economic future. The National Academies Press, Washington, DC
National Center for Education Statistics (2006) The nation’s report card: mathematics 2005. http://nces.ed.gov/nationsreportcard/pdf/main2005/2006453.pdf. Accessed 2.1.2018
National Research Council Center for Education: Mathematics Learning Study Committee (2001) Adding it up: helping children learn mathematics. The National Academies Press, Washington, DC
National Science Board (2007) National action plan for addressing the critical needs of U.S. science, technology, engineering, and mathematics education system. http://www.nsf.gov/nsb/documents/2007/stem_action.pdf. Accessed 2.1.2018
North Carolina Education Research Data Center (2018) Homepage. Duke University Center for Child and Family Policy. https://childandfamilypolicy.duke.edu/research/nc-education-data-center/. Accessed 2.1.2018
Nunes BP, Flores TR, Mielke GI, Thumé E, Facchini LA (2016) Multimorbidity and mortality in older adults: a systematic review and meta-analysis. Arch Gerontol Geriatr 67:130–138
Piette J, Kerr E (2006) The impact of comorbid chronic conditions on diabetes care. Diabetes Care 29(3):725–731
Prytherch DR, Smith GB, Schmidt PE, Featherstone PI (2010) ViEWS—towards a national early warning score for detecting adult inpatient deterioration. Resuscitation 81(8):932–937
Public Schools of North Carolina (2018a) North Carolina end-of-grade tests at grades 3-8. http://www.ncpublicschools.org/accountability/testing/eog/. Accessed 2.1.2018
Public Schools of North Carolina (2018b) ABC program information. http://www.dpi.state.nc.us/accountability/reporting/abc/2000-01/history. Accessed 2.1.2018
Public Schools of North Carolina (2018c) Educator effectiveness model: EVAAS. http://www.ncpublicschools.org/effectiveness-model/evaas/. Accessed 2.1.2018
Puterman ML (1994) Markov decision processes: discrete stochastic dynamic programming. Wiley-Interscience, New York
Reamer A (2012) Characterizing the progression of performance in mathematics over time: the application of Markovian models to an education system. Doctoral Dissertation. Retrieved from North Carolina State University Libraries: http://www.lib.ncsu.edu/resolver/1840.16/8728. Accessed 2.1.2018
Reamer A, Ivy J, Vila-Parrish A, Young R (2015) Understanding the evolution of mathematics performance in primary education and the implications for STEM learning: a Markovian approach. Comput Hum Behav 47:4–17
Royal College of Physicians (2012) National early warning score (NEWS): standardizing the assessment of acute illness severity in the NHS. Report of a working party. RCP, London
Safford MM, Allison JJ, Kiefe CI (2007) Patient complexity: more than comorbidity. The vector model of complexity. J Gen Intern Med 22(Suppl 3):382–390
Schaink A, Kuluski K, Lyons R, Fortin M (2012) A scoping review and thematic classification of patient complexity: offering a unifying framework. J Comorb 2(1):1–9
Sengul Orgut I (2015) Modeling for the equitable and effective distribution of food donations under capacity constraints. Doctoral dissertation. https://repository.lib.ncsu.edu/bitstream/handle/1840.16/10469/etd.pdf?sequence=2
Sengul Orgut I, Ivy JS, Uzsoy R, Wilson JR (2015) Modeling for the equitable and effective distribution of donated food under capacity constraints. IIE Trans 48(3):252–266
Sengul Orgut I, Ivy JS, Uzsoy R (2017) Modeling for the equitable and effective distribution of food donations under stochastic receiving capacities. IISE Trans 49(6):567–578
Sengul Orgut I, Ivy JS, Uzsoy R, Hale C (2018) Robust optimization approaches for the equitable and effective distribution of donated food. Eur J Oper Res 269(2):516–531
Simon M, Tzur R (2004) Explicating the role of mathematical tasks in conceptual learning: an elaboration of the hypothetical learning trajectory. Math Think Learn 6(2):91–104
Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M et al (2016) The third international consensus definitions for sepsis and septic shock (Sepsis-3). JAMA 315(8):801–810
Smallwood R (1971) The analysis of economic teaching strategies for a simple learning model. J Math Psychol 8:285–301
Smith AF, Wood J (1998) Can some in-hospital cardio-respiratory arrests be prevented? A prospective survey. Resuscitation 37:133–137
Smith GB, Prytherch DR, Schmidt P et al (2006) Hospital-wide physiological surveillance—a new approach to the early identification and management of the sickpatient. Resuscitation 71:19–28
Smith KN, Vila-Parrish AR, Ivy JS, Abel SR (2016) A simulation approach for evaluating medication supply chain structures. Int J Syst Sci Oper Logist 4(1):13–26
Subbe C, Kruger M, Rutherford P, Gemmel L (2001) Validation of a modified early warning score in medical admissions. QJM 94(10):521–526
Taffel SM, Placek PJ, Liss T (1987) Trends in the United States cesarean section rate and reasons for the 1980-85 rise. Am J Public Health 77(8):955–959
Tejada JJ, Diehl K, Ivy JS, Wilson JR, King RE, Ballan MJ et al (2013) Combined DES/SD simulaton model of breast cancer screening for older women: an overview. In: 2013 winter simulations conference (WSC). IEEE, pp 41–53
Tejada JJ, Ivy JS, King RE, Wilson JR, Ballan MJ, Kay MG et al (2014) Combined DES/SD model of breast cancer screening for older women, II: screening-and-treatment simulation. IIE Trans 46(7):707–727
Tsilidis KK, Kasimis JC, Lopez DS, Ntzani EE, Ioannidis JPA (2015) Type 2 diabetes and cancer: umbrella review of meta-analyses of observational studies. BMJ 350:g7607
United States Census Bureau (2016) Small area income and poverty estimates. http://www.census.gov/did/www/saipe/data/interactive/saipe.html?s_appname=saipe&map_yearselector=2014&map_geoselector=aa_c&s_appName=saipe&map_yearSelector=2014&map_geoSelector=aa_c. Accessed 2016
United States Department of Agriculture (2018). https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/measurement.aspx
United States Department of Education (2008) Foundations for success: the final report of the national mathematics advisory panel. http://www2.ed.gov/about/bdscomm/list/mathpanel/report/final-report.pdf. Accessed 2.1.2018
Vila-Parrish AR, Ivy JS, King RE (2008) A simulation based approach for inventory modeling of perishable pharmaceuticals. In: Proceedings of the winter simulation conference, pp 1532–1538
Vila-Parrish AR, Ivy JS, King R, Abel SR (2012) Patient-based pharmaceutical inventory management: a two-stage inventory and production model for perishable products with Markovian demand. Health Syst 1(1):69–83
Vila-Parrish AR, Ivy JS, He B (2015) Impact of the influenza season on a hospital from a pharmaceutical inventory management perspective. Health Syst 4(1):12–28. Special Issue: Public Health Preparedness; Abingdon
Vincent JL, Opal SM, Marshall JC, Tracey KJ (2013) Sepsis definitions: time for change. Lancet 381(9868):774–775
Vogeli C, Shields AE, Lee TA, Gibson TB, Marder WD, Weiss KB et al (2007) Multiple chronic conditions: prevalence, health consequences, and implications for quality, care management, and costs. J Gen Intern Med 22(S3):391–395
Wachter RM, Pronovost PJ (2006) The 100,000 lives campaign: a scientific and policy review. Jt Comm J Qual Patient Saf 32(11):621–627
Wang HE, Shapiro NI, Griffin R, Safford MM, Judd S, Howard G et al (2012) Chronic medical conditions and risk of sepsis. PLoS One 7(10):e48307. Gold JA (ed)
Ward BW, Schiller JS, Goodman RA (2014) Multiple chronic conditions among US adults: a 2012 update. Prev Chronic Dis 11:E62
Wolff JL, Starfield B, Anderson G et al (2002) Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med 162(20):2269
World Health Organization Human Reproduction Programme, 10 April 2015 (2015) WHO statement on caesarean section rates. Reprod Health Matters 23(45):149–150. https://doi.org/10.1016/j.rhm.2015.07.007
Zhang J, Landy HJ, Branch DW, Burkman R, Haberman S, Gregory KD, Hatjis CG et al (2010a) Contemporary patterns of spontaneous labor with normal neonatal outcomes. Obstet Gynecol 116(6):1281–1287
Zhang J, Troendle J, Reddy UM, Laughon SK, Branch DW, Burkman R, Landy HJ et al (2010b) Contemporary cesarean delivery practice in the United States. Am J Obstet Gynecol 203(4):326.e1–326.e10. https://doi.org/10.1016/j.ajog.2010.06.058. Elsevier Inc.
Zhang S, Payton FC, Ivy JS (2013) Characterizing the impact of mental disorders on HIV patient length of stay and total charges. IIE Trans Healthcare Syst Eng 3(3):139–146
Zimmerman E, Woolf S, Haley A (2015) Understanding the relationship between education and health. U.S. Department of Health and Human Services Agency for Healthcare Research and Quality. https://www.ahrq.gov/professionals/education/curriculum-tools/population-health/zimmerman.html. Accessed 2.1.2018
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Ivy, J.S. et al. (2020). To Be Healthy, Wealthy, and Wise: Using Decision Modeling to Personalize Policy in Health, Hunger Relief, and Education. In: Smith, A. (eds) Women in Industrial and Systems Engineering. Women in Engineering and Science. Springer, Cham. https://doi.org/10.1007/978-3-030-11866-2_11
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