The Food Distributed Extendable Complementarity Model (Food-DECO)

[vc_row type=”in_container” full_screen_row_position=”middle” scene_position=”center” text_color=”dark” text_align=”left” top_padding=”30″ overlay_strength=”0.3″ shape_divider_position=”bottom”][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” width=”1/1″ tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid”][vc_column_text][nectar_dropcap color=”#3452ff”]S[/nectar_dropcap]carcity of food is perhaps the most heartbreaking condition on our planet. More than one-quarter of the world’s population has an insecure food supply, and those populations are also in parts of the world expected to be strongly affected by climate change, which will further impact their food security (Wheeler and von Bruan, 2013). Though we understand the facets of food insecurity – biophysical, climatic, economic, and infrastructure – there’s few stakeholder-based modeling tools available that can capture and evaluate the impacts of these dynamics on food security.

Current modeling focuses mostly on food production, which is an important consideration, but food security is about more than just production, and food policy needs to reflect this. For example, drivers such as climate change on food distribution, access of households to buy or obtain food, and the stability or degree of change in food systems over time have been investigated far less than impacts on production. Further, studies that have combined trade models with crop-production models have provided producer prices (von Lampe et al., 2014), but consumer prices, which are a key indicator of food access, also depend on other factors such as transportation and infrastructure, neither of which is modeled in any detail. Nor do current models typically capture seasonal variations in food security. Without these variations, food storage considerations, including food waste in a post-processing step, don’t come into play.

To address this need, we developed the Food Distributed Extendable Complementarity model, or Food-DECO, a Partial Equilibrium food systems model. (Partial Equilibrium, or PE, is designed to consider the microeconomic factors of an economy.) Our model represents stakeholders within the agricultural, transportation, and economic systems associated with food and combines them into a unified whole.

The Food-DECO model advances current state-of-the-art by (1) capturing important food supply chain components, including trade and food distribution that accounts for infrastructure and geography, including consideration of transportation cost and regional price variation; (2) considering food access and food loss and disaggregating consumption by per capita income, age, and gender, which allows us to provide information regarding nutrition (and public health in general) that is more detailed and more accurate; and (3) evaluating the effects of seasonality and system shocks by using a monthly time-step and by explicitly modeling storage capacity. This allows us to consider how food access varies throughout the year as well as across years, and to study the potential buffering effects of storage and food-aid. Such data can inform a realistic model response to shocks like crop failure.

All this matters because food security varies with geography and over time, as do relevant food loss considerations. Food waste also means that not all of the nutrition in the food produced actually gets used. Finally, consumption point estimates are insufficient to measure food security; disaggregation by age, gender, and income is necessary to capture human nutrition appropriately. These considerations are highly relevant for any policy measures seeking to address food security.

In short, our model divides up the area of interest into separate regions, and within each region representative agents, or players, act as an aggregation of the decision-makers in that region. Currently in our model, each region has an agent for crop production, livestock management, storage, and consumption; there also exist distribution players between each pair of regions. Prices are a key part of the model, and among them are shadow prices, which represent the value or cost of constraints. Prices in general, and shadow prices in particular, are useful for dealing with decision overlap, meaning, the producer, storage operator, and consumer whom we are trying to model may not be distinct, especially in a subsistence farming context.

To demonstrate Food-DECO’s capabilities, we applied it over a six-year period to the food system of Ethiopia, which is frequently food insecure. We used four representative crops (cereals, tubers, other vegetables, and pulses) and two animal products (meat and milk), and modeled over five regions representing different political and agro-ecological zones. We then ran the model on a baseline case and tested several intervention strategies against a regional crop failure.[/vc_column_text][/vc_column][/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” scene_position=”center” text_color=”dark” text_align=”left” overlay_strength=”0.3″ shape_divider_position=”bottom” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” width=”1/1″ tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid”][vc_gallery type=”flickity_style” images=”6746,6747″ flickity_controls=”next_prev_arrows” flickity_desktop_columns=”1″ flickity_small_desktop_columns=”1″ flickity_tablet_columns=”1″ flickity_autoplay=”true” flickity_box_shadow=”none” onclick=”link_image” img_size=”full” flickity_autoplay_dur=”6000″][/vc_column][/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” scene_position=”center” text_color=”dark” text_align=”left” overlay_strength=”0.3″ shape_divider_position=”bottom”][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” width=”1/1″ tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid”][vc_column_text]Food-DECO produced results that showed the effects of seasonality and regional distribution networks on human caloric intake while disaggregating those effects by age, gender, and per capita income. We then investigated the effects of a regional crop failure and evaluated the effectiveness of similarly priced interventions. In our experiments, direct food aid and direct cash aid were the most effective policy measures at increasing overall caloric intake, though we recognize that these approaches can have numerous secondary effects that are not currently considered in our model. Improving the capacity of the existing food distribution network between regions in our model actually ended up reducing the nutritional outcomes for the population experiencing the crop failure: food was instead sent in larger quantities to regions that had a high demand for imports. We were able to see this unexpected behavior because we integrated agriculture and transportation modeling in an economically consistent way.

[/vc_column_text][/vc_column][/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” scene_position=”center” text_color=”dark” text_align=”left” overlay_strength=”0.3″ shape_divider_position=”bottom” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” width=”1/1″ tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”7065″ alignment=”center” animation=”Fade In” img_link_large=”yes” border_radius=”none” box_shadow=”small_depth” max_width=”100%”][/vc_column][/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” scene_position=”center” text_color=”dark” text_align=”left” overlay_strength=”0.3″ shape_divider_position=”bottom”][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” width=”1/1″ tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid”][vc_column_text]Despite the limitations of this case study, the application presented here demonstrates the use of models like Food-DECO for the formulation of informed food policy. When formulating short-term disaster preparedness or long-term development plans that involve or affect regional food security, it is valuable to be able to evaluate demographically-specific food security outcomes, consider the potentially counterintuitive impacts of trade during a food shock, and evaluate a range of intervention policies in a socio-economic context. Further development of Food-DECO and models like it can transform our current production-focused lens on climate-resilient development to a more complete, and ultimately more effective, approach to managing evolving food systems.

von Lampe, M., Willenbockel, D., Ahammad, H., Blanc, E., Cai, Y., Calvin, K., Fujimori, S., Hasegawa, T., Havlik, P., Heyhoe, E., Kyle, P., Lotze-Campen, H., d’Croz, D.M., Nelson, G.C., Sands, R.D., Schimtz, C., Tabeau, A., Valin, H., van der Mensbrugghe, D., van Meijl, H., 2014. Why do global long-term scenarios for agriculture differ? An overview of the AgMIP global economic model intercomparison. Agric. Econ. 45: 1–18.[/vc_column_text][/vc_column][/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” equal_height=”yes” content_placement=”top” scene_position=”center” text_color=”dark” text_align=”left” class=”section-top-padding” id=”Book-Chapters” overlay_strength=”0.3″ shape_divider_position=”bottom” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” width=”1/1″ tablet_text_alignment=”default” phone_text_alignment=”default” column_border_width=”none” column_border_style=”solid”][vc_column_text css_animation=”fadeInUp” el_class=”visual-generated-div”]

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Many outpatient facilities with expensive resources, such as infusion and imaging centers, experience surge in their patient arrival at times and are under-utilization at other times. This pattern results in patient safety concerns, patient and staff dissatisfaction, and limitation in growth, among others. Scheduling practices is found to be one of the main contributors to this problem.

We developed a real-time scheduling framework to address the problem, specifically for infusion clinics. The algorithm assumes no knowledge of future appointments and does not change past appointments. Operational constraints are taken into account, and the algorithm can offer multiple choices to patients.

We generalize this framework to a new scheduling model and analyze its performance through competitive ratio. The resource utilization of the real-time algorithm is compared with an optimal algorithm, which knows the entire future. It can be proved that the competitive ratio of the scheduling algorithm is between 3/2 and 5/3 of an optimal algorithm.

This work was performed with the MIT/MGH Collaboration.

In many healthcare services, care is provided continuously, however, the care providers, e.g., doctors and nurses, work in shifts that are discrete. Hence, hand-offs between care providers is inevitable. Hand-offs are generally thought to effect patient care, although it is often hard to quantify the effects due to reverse causal effects between patients’ duration of stay and the number of hand-off events. We use a natural randomized control experiment, induced by physicians’ schedules, in teaching general medicine teams. We employ statistical tools to show that between the two randomly assigned groups of patients, a subset who experiences hand-off experience a different length of stay compared to the other group.

This work was performed with the MIT/MGH Collaboration.

Primary care is an important piece in the healthcare system that affects the downstream medical care of patients heavily. There are specific challenges in primary care as healthcare shifts from fee-for-service to population health management and medical home, focuses on cost savings and integrates quality measures. We consider the primary care unit at a large academic center that is facing similar challenges. In this work we focus on the imbalance in workload, which is a growing regulatory burden and directly concerns any staff in primary care. It can result in missed opportunities to deliver better patient care or providing a good work-environment for the physicians and the staff. We consider the primary care unit at the large academic center and focus on their challenge in balancing staff time with quality of care through a redesign of their system. We employ optimization models to reschedule providers’ sessions to improve the patient flow, and through that, a more balanced work-level for the support staff. 

This work was performed with the MIT/MGH Collaboration.

Perioperative services are one of the vital components of hospitals and any disruption in their operations can leave a downstream effect in the rest of the hospital. A large body of evidence links inefficiencies in perioperative throughput with adverse clinical outcomes. A regular delay in the operating room (OR), may lead to overcrowding in post-surgical units, and consequently, more overnight patients in the hospital. Conversely, an underutilization of OR is not only a waste of an expensive and high-demand resource, but it also means that other services who have a demand are not able to utilize OR. This mismatch in demand and utilization may, in turn, lead to hold-ups in the OR and cause further downstream utilization. We investigate the utilization of operating rooms by each service. The null hypothesis of this work is that the predicted utilization of the OR, i.e., the current block schedule, matches completely with the actual utilization of the service. We test this hypothesis for different utilization definitions, including physical and operational utilization and reject the null hypothesis. We further analyze why a mismatch may exist and how to optimize the schedule to improve patient flow in the hospital.