Problem_ID	1	 	 	 	 	 	 	X
 								
SCENARIO_SETTINGS								
Num_Planning_Periods	18			126	135			
 								
Policy_Change_Scenario_Settings			9 & 15	109 & 163				
 	Starting Policy	Changed Policy	OptTime	SimTime		Is it Changed?		
Coverage_Hospital_Care_Patients	HIGH	HIGH	1	1		-		
Incentive_Hospital_Care_Resources	HIGH	HIGH	1	1		-		
Incentive_Hospital_Care_Institutions	HIGH	HIGH	1	1		-		
 								
Coverage_Home_Care_Patients	LOW	MOD	12	55		YES		
Incentive_Home_Care_Resources	LOW	MOD	12	55		YES		
Incentive_Home_Care_Institutions	LOW	MOD	12	55		YES		
 								
Change_in_Resource_Supply		0,00	12	55		-		
 								
PATIENTS		Note		Parameter				SERVICE DEMAND
Num_Patient_Groups	3			num_pg				100% HOME CARE
Num_Patient_Agents[pg]	t=1	same for following periods						100% HOSPITAL
p1	2000	Low Income						40% HOME CARE, 60% HOSPITAL
p2	750	Mid Income						25% HOME CARE, 75% HOSPITAL
p3	250	High Income						Current supply is assumed to cover this, assuming no eff gains
Total	3000	tot_p_agents						
 								
RESOURCES								AVAILABLE SUPPLY
Num_Res_Groups	3			num_rg				Assuming no eff gains
Num_Res_Agents[rg]				num_rg_agents_r				
r1	35	Less Experienced						
r2	35	Moderate Experienced						
r3	35	High Experienced						
Total	105			tot_r_agents				
Std_Cap_Res_Groups	160	hour/month		std_cap_rg				DUE TO ONE-BY-ONE INITIALIZATION
Std_LT_Res_Groups	2	months		std_LT_rg				
 								
INSTITUTIONS								
Num_Institution_Groups	3			num_ig				
Num_Ins_Agents[ig]				num_ig_agents_i				
i1	2	Low Cost						
i2	2	Moderate Cost						
i3	2	High Cost						
Total	6			tot_i_agents				
Buffer_Ratio	0,1	Ratio of Buffer Capacity if fully utilized		std_buffer_ratio				
 								
CARE_PLAN_ALT.S		(1: hospital care, 2: homecare)						
Num_CPA	2			num_c				
Std_Cap_Reqs[c]				st_cr_c				
c1	4	hr/month		Hospital-based				
c2	8	hr/month		Home-based				
 								
SYSTEM_LEVEL_FNS								
Num_Steps_Eff_Gain_Fn	3					num_steps_capreq_fn		
Cap_Req_Coeff_Fn_j	LB	UB	Value			0: a, 1:b, 2: value		
Step_0	0,00	0,25	1,00	NO EFF GAIN				
Step_1	0,25	0,50	0,88	LOW EFF GAIN			0,06	Decrements
Step_2	0,50	1,00	0,82	MOD EFF GAIN			0,03	
 								
Num_Steps_Comp_Fn	3					num_comp_steps		
Res_Comp_Fn_l	LB	UB	Value			0: a, 1:b, 2: value		
Step_0	0,00	0,50	0	LOW COMPETITION				
Step_1	0,50	0,80	1	MODERATE COMPETITION				
Step_2	0,80	1,00	2	HIGH COMPETITION				
 								
UTILITY_GAINS								
Adequacy_of_Matching								
Pat - Res Mismatch					due to experience			
 	Resource							
Patient	rg_1	rg_2	rg_3					
pg_1	0,15	0,10	0,00	Low Inc				
pg_2	0,10	0,15	0,10	Mid Inc				
pg_3	0,00	0,10	0,15	High Inc				
Pat - Ins Mismatch					due to cost class			
 	Institution							
Patient	ig_1	ig_2	ig_3					
pg_1	0,15	0,10	0,00	Low Inc				
pg_2	0,10	0,15	0,10	Mid Inc				
pg_3	0,00	0,10	0,15	High Inc				
Res - Ins Mismatch					due to cost class			
 	Institution							
Resource	ig_1	ig_2	ig_3					
rg_1	0,15	0,10	0,00	<5 y				
rg_2	0,10	0,15	0,10	5-10 y				
rg_3	0,00	0,10	0,15	>15 y				
 								
Effect_of_Coverage_and Incentives					 based on Competition Level			
 								
Patients_Perspective								
 	LO	MOD	HI					
P_Hospital_Care_Covered_High	0,50	0,45	0,35		HIGH	Impact_Type_1		100%
P_Hospital_Care_Covered_Mod	0,40	0,35	0,25		MOD			50%
P_Hospital_Care_Covered_Low	0,30	0,25	0,15		LOW			0%
 								
P_Home_Care_Covered_High	0,60	0,50	0,34		HIGH	Impact_Type_4		100%
P_Home_Care_Covered_Mod	0,50	0,40	0,24		MOD			50%
P_Home_Care_Covered_Low	0,40	0,30	0,14		LOW			0%
 								
Resources_Perspective								
 	LO	MOD	HI					
R_Hospital_Care_Incentive_High	0,35	0,40	0,50					100%
R_Hospital_Care_Incentive_Mod	0,25	0,30	0,40					50%
R_Hospital_Care_Incentive_Low	0,15	0,20	0,30					0%
 								
R_Home_Care_Incentive_High	0,35	0,40	0,50					100%
R_Home_Care_Incentive_Mod	0,25	0,30	0,40					50%
R_Home_Care_Incentive_Low	0,15	0,20	0,30					0%
 								
Institutions_Perspective								
 	LO	MOD	HI					
I_Hospital_Care_Incentive_High	0,60	0,45	0,20		HIGH	Impact_Type_2		100%
I_Hospital_Care_Incentive_Mod	0,55	0,40	0,15		MOD			50%
I_Hospital_Care_Incentive_Low	0,50	0,35	0,10		LOW			0%
 								
I_Home_Care_Incentive_High	0,50	0,45	0,35		HIGH	Impact_Type_5		100%
I_Home_Care_Incentive_Mod	0,45	0,40	0,30		MOD			50%
I_Home_Care_Incentive_Low	0,40	0,35	0,25		LOW			0%
 								
max_possible_utilities	max	min						
for_patients	0,90	0,14						
for_institutions	0,90	0,10						
for_resources	0,80	0,15						
 								
SIMULATION_PAR.S								
Num_Simulation_Periods	108		num_t_sim					
 								
OPTIMIZATION_PAR.S								
Phase_Solution_Sequence								
Patients_Problem	1							
Institutions_Problem	2							
Resources_Problem	3							
Num_Optimization_Periods	22		num_t_opt					
Initial_Delta	0,3		Initial_Delta					
Final_Delta	0		Final_Delta					
Delta_Decrement	0,02		Delta_Decrement					
Maximum_Num_Iterations	16		num_k					
Num_Phases	3		num_m					
Epsilon_Value	0,00000001		epsilon					
Central_Opt_Soln_Time	3600							
Opt_Initial_Soln_Time	3600							
Opt_Regular_Soln_Time	3600							
Big_M1	16800							
Big_M2	24000							
Big_M3	20487,80488							X
