Prediction accuracy versus rescheduling flexibility in elective surgery management

The availability of downstream resources plays is critical in planning the admission of elective surgery patients. The most crucial one is inpatient beds. To ensure bed availability, hospitals may use machine learning (ML) models to predict patients' length-of-stay (LOS) in the admission planning stage. However, the real value of the LOS for each patient may differ from the predicted one, potentially making the schedule infeasible. To address such infeasibilities, it is possible to implement rescheduling strategies that take advantage of operational flexibility. For example, planners may postpone admission dates, relocate patients to different wards, or even transfer patients who are already admitted among wards. A straightforward assumption is that better LOS predictions can help reduce the impact of rescheduling. However, the training process of ML models that can make such accurate predictions can be very costly. Building on previous work that proposed simulated ML for evaluating data-driven approaches, this paper explores the relationship between LOS prediction accuracy and rescheduling flexibility across various corrective policies. Specifically, we examine the most effective patient rescheduling strategies under LOS prediction errors to prevent bed overflows while optimizing resource utilization