当前位置:文档之家› Health Care Manage Sci DOI 10.1007s10729-006-9006-3 The application of forecasting techniqu

Health Care Manage Sci DOI 10.1007s10729-006-9006-3 The application of forecasting techniqu

Health Care Manage Sci DOI 10.1007s10729-006-9006-3 The application of forecasting techniqu
Health Care Manage Sci DOI 10.1007s10729-006-9006-3 The application of forecasting techniqu

Health Care Manage Sci

DOI10.1007/s10729-006-9006-3

The application of forecasting techniques to modeling emergency medical system calls in Calgary,Alberta Nabil Channouf·Pierre L’Ecuyer·

Armann Ingolfsson·Athanassios N.Avramidis

Received:20June2006/Accepted:1October2006

?Springer Science+Business Media,LLC2006

Abstract We develop and evaluate time-series models of call volume to the emergency medical service of a major Canadian city.Our objective is to offer simple and effective models that could be used for realistic simulation of the system and for forecasting daily and hourly call volumes.Notable features of the analyzed time series are:a positive trend,daily,weekly,and yearly seasonal cycles,special-day effects,and posi-tive autocorrelation.We estimate models of daily vol-umes via two approaches:(1)autoregressive models of data obtained after eliminating trend,seasonality,and special-day effects;and(2)doubly-seasonal ARIMA models with special-day effects.We compare the es-timated models in terms of goodness-of-?t and fore-casting accuracy.We also consider two possibilities for the hourly model:(3)a multinomial distribution for the vector of number of calls in each hour conditional on the total volume of calls during the day and(4)?tting a time series to the data at the hourly level.For our data, (1)and(3)are superior.

Keywords Emergency medical service·Arrivals·Time series·Simulation·Forecasting

N.Channouf·P.L’Ecuyer·A.N.Avramidis

DIRO,Universitéde Montréal,Montréal,Canada

A.Ingolfsson(B)

School of Business,University of Alberta,

Edmonton,Alberta T6G2R6,Canada

e-mail:armann.ingolfsson@ualberta.ca 1Introduction

Most cities in the developed world have organizations that provide Emergency Medical Service(EMS),con-sisting of pre-hospital medical care and transport to a medical facility.Demand for such services is increasing throughout the developed world,in large part because of the aging of the population.In the U.S.,EMS funding decreased following conversion of direct federal fund-ing to block grants to states[11,37]that have,in many cases,been used for purposes other than EMS.Tighter budgets make ef?cient use of resources increasingly important.Reliable demand forecasts are crucial input to resource use planning,and the focus of this paper is on how to generate such forecasts.

Almost all demand to EMS systems arrives by phone,through calls to an emergency number(911in North America).Calls that arrive to911are initially routed to EMS,?re,or police.Calls routed to EMS are then evaluated,which involves obtaining an address, determining the nature and importance of the incident, and possibly providing instructions to a bystander on the use of CPR or other?rst-aid procedures.Dispatch-ing an ambulance to the call,the next step,is a sepa-rate function that can occur partly in parallel with call evaluation.The crew of the dispatched vehicle(s)then begins traveling toward the scene of the call,where they assess the situation,provide on-site medical care, and determine whether transport to a medical facility is necessary(this is the case roughly75%of the time). Once at the medical facility,EMS staff remain with the patient until they have transferred responsibility for her or his care to a nurse or physician.The crew may then need to complete various forms before it becomes available to take new calls.

Health Care Manage Sci

The resource requirements per EMS call are on the order of a few minutes for call evaluation and dispatch, and on the order of an hour for an ambulance and its crew.The latter component is growing in many locations because of increased waiting times in hospital emergency rooms[13,14,33,34].

The primary performance measure for an EMS sys-tem is typically the fraction of calls reached within some time standard,from the instant the call was made.In North America,a typical target is to reach90%of the most urgent calls within9min.Although universal standards are lacking[28],the response time is typically considered to begin when call evaluation begins and end when an ambulance reaches the call address.Sec-ondary performance measures include waiting times on the phone before reaching a911operator;(for example, 90%in10s[29]or95%in5s[12]),average call eval-uation times,average dispatch times,and average time spent at hospital.

The main decisions that require medium-term call volume forecasts(a few days to a few weeks into the future)are scheduling decisions for call evaluators,dis-patchers,and,most importantly,ambulances and their crews.Longer-term call volume forecasts are needed for strategic planning of system expansion or reorga-nization.Shorter-term(intra-day)forecasts could be used to inform decisions about when to call in extra resources.

Service level standards for EMS systems are imper-fect proxies for the real goal of such systems,namely to save lives and prevent suffering(see[15]for a dis-cussion of models that attempt to quantify such goals more explicitly).Meeting these service-level standards is expensive,so it is a problem of substantial economic and social interest to manage EMS systems ef?ciently. Generally speaking,ef?ciency involves balancing qual-ity of service against system costs.An important input to this operational problem is the call volume.Uncer-tainty in future call volume complicates the process of determining levels of EMS staf?ng and equipment.It is therefore important to correctly model the stochastic nature of call volumes,and in particular,to make pre-dictions of future call volumes,including uncertainty estimates(via prediction intervals).

Operations researchers have been developing plan-ning models for EMS systems,as well as police and ?re services,since the1970s.Green and Kolesar[17] provide a recent perspective on the impact of this work. Swersey[35]surveys the academic literature on this topic and[16]provides an EMS-practitioner-oriented literature survey.EMS planning models include simula-tion models([20]and[22]are recent examples),analyt-ical queueing models(notably the hypercube queueing model,see Larson[24,25]),and optimization models

for location of facilities and units.All of these mod-

els require estimates of demand as input.Typically,

planning models assume that demand follows a Poisson

process—an assumption that is supported by both theo-

retical arguments[e.g.,19]and empirical evidence[e.g.,

18,39].However,empirical studies of demand for both

EMS and other services(notably Brown et al.[9])indi-

cate that the rate of the Poisson arrival process varies

with time and may be random.The work we report

in this paper is aimed at estimating the arrival rate

during day-long or hour-long periods.We elaborate in

Section3on how our estimates can be used to support

simulation and analytical studies that assume a Poisson

arrival process.

Goldberg[16]mentions that“the ability to predict

demand is of paramount importance”but that this area

has seen little systematic study.The work that has been

done can be divided in two categories:(1)models of

the spatial distribution of demand,as a function of

demographic variables and(2)models of how demand

evolves over time.In the?rst category,Kamenetsky

et al.[23]surveyed the literature before1982and pre-

sented regression models to predict EMS demand as

a function of population,employment,and two other

demographic variables.Their models successfully ex-

plained most of the variation in demand(R2=0.92) among200spatial units in southwestern Pennsylvania.

McConnell and Wilson[27]is a more recent article

from this category which focuses on the increasingly im-

portant impact of the age distribution in a community

on EMS demand.We refer the reader to Kamenetsky

et al.[23]and McConnell and Wilson[27]for further

relevant references.

This paper falls in the second category,of modeling

and forecasting EMS demand over time.EMS demand

varies strongly by time of day and day of week,for

example see Zhu et al.[39]and Gunes and Szechtman

[18].Past related work that attempts to forecast daily

EMS demand includes Mabert[26],who analyzed

emergency call arrivals to the Indianapolis Police

Department.He considered several simple methods

based on de-seasonalized data and found that one

of them outperforms a simple ARIMA model[7].

In a similar vein,Baker and Fitzpatrick[4]used

Winter’s exponential smoothing models to separately

forecast the daily volume of emergency and“routine”

EMS calls and used goal programming to choose the

exponential smoothing parameters.

Recent work on forecasting arrivals to call centers

from a variety of industries is also relevant.For the pre-

diction of daily call volumes to a retailer’s call center,

Andrews and Cunningham[3]incorporate advertising

Health Care Manage Sci

effects in an ARIMA model with transfer functions;their covariates are indicator variables of certain special days and catalog mailing days.Bianchi et al.[6]use an ARIMA model for forecasting daily arrivals at a tele-marketing center,compare against the Holt–Winters model,and show the bene?ts of outlier elimination.Tych et al.[36]forecast hourly arrivals in a retail bank call center via a relatively complex model with unob-served components named “dynamic harmonic regres-sion”and show that it outperforms seasonal ARIMA models;one unusual feature of their methodology is that estimation is done in the frequency domain.Brown et al.[9]develop methods for the prediction of the arrival rates over short intervals in a day,notably via linear regression on previous day’s call volume.

In this paper,we study models of daily and hourly EMS call volumes and we demonstrate their application using historical observations from Calgary,Alberta.Although we focus on the Calgary data,we expect the models could be used to model EMS demand in other cities as well and we will comment on likely similarities and differences between cities.

We have 50months (from 2000to 2004)of data from the Calgary EMS system.Preliminary analysis reveals a positive trend,seasonality at the daily,weekly,and yearly cycle,special-day effects,and autocorrelation.In view of this,we consider two main approaches:(1)autoregressive models of the residual error of a model with trend,seasonality,and special-day effects;and (2)doubly-seasonal ARIMA models for the residuals of a model that captures only special-day effects.Within approach (1),we explore models whose effects are the day-of-week and month-of-year.We also consider a model with cross effects (interaction terms)and a more parsimonious model,also with cross effects,but where

only the statistically signi?cant effects are retained.The latter turns out to be the best performer in terms of both goodness-of-?t and forecasting accuracy.All the models are estimated with the ?rst 36months of data and the forecasting error is measured with the data from the last 14months.We used the R and SAS statistical software for the analysis.

The remainder of the paper is organized as follows.Section 2provides descriptive and preliminary data analysis.In Section 3we present the different models of daily arrivals and compare them in terms of quality of ?t (in-sample)and forecast accuracy (out-of-sample).In Section 4,we address the problem of predicting hourly call volumes.Section 5offers conclusions.

2Preliminary data analysis

We have data from January 1,2000to March 16,2004,containing the time of occurrence of each ambulance call,the assessed call priority,and the geographical zone where the call originated.We work with the number of calls in each hour instead of their times of occurrence,to facilitate the application of time series models.We explain in the next section how such hourly counts can be related to a stochastic model of the times of individual arrivals.The average number of arrivals is about 174/day,or about 7/h.

Figure 1provides a ?rst view of the data;it shows the daily volume for year 2000.The ?gure suggests a pos-itive trend,larger volume in July and December,and shows some unusually large values,e.g.,on January 1,July 8,November 11,December 1;and low values,e.g.,on January 26,September 9.Figure 2shows monthly volume over the entire period.This plot reveals a clear

Fig.1The daily call volume for the year 2000.Some outliers appears in the plot

120140160180

200

220

days

n u m b e r o f c a l l s

O

O

O

O

O

O

1(112000)

100

200

366(31122000)

Health Care Manage Sci

Fig.2The monthly call

volume over the entire period

450050005500

6000months

n u m b e r o f c a l l

s

112243650

positive trend;the likely explanation is a combination of population growth and aging in the city.Figure 3shows average volume by hour over the weekly cycle.The plot reveals a clear hour-of-day seasonality:over a 24-h cycle,higher call volumes are usually observed between 10a.m.and 8p.m.;substantially lower volumes are seen overnight.One also observes day-of-week effects.Closer inspection reveals,not surprisingly,in-creased activity during Friday and Saturday evening and early night.With respect to daily volume,larger values are observed over Friday and Saturday relative to the other days of the week.These observations would have to be taken into account when designing shift schedules for the ambulance crews.

Figures 4and 5give box-plots of the daily volume for each day of the week and monthly volume for each month of the year,respectively.Each box plot gives the

median,the ?rst and third quartiles (the bottom and top of the central box),the interquartile range (the height of the box),and two bars located at a distance of 1.5times the interquartile range below the ?rst quartile and above the fourth quartile,respectively.The small cir-cles denote the individual observations that fall above or below these two bars.We see again that Friday and Saturday have more volume than the average.July,December,and November are the busiest months (in this order)while April is the most quiet month.

3Models for daily arrivals

We now consider ?ve different time-series models for the arrival volumes over successive days.Although in the end we conclude that one of these models ?ts

Fig.3The average hourly call volume over the weekly cycle

246810

12

hours (24x7 days)

n u m b e r o f c a l l s

14385

127168

Mon.Tue.Wed.Thu.Fri.Sat.Sun.

Health Care Manage Sci Fig.4Box plots of arrival volumes per day for each day of the week

50100150200250

n u m b e r o f c a l l

s

Mon.Tue.Wed.Thu.Fri.Sat.Sun.

the Calgary data best,we discuss all of them because different models from the collection that we present may be appropriate depending on the city being studied and the purpose of the analysis.These models are de?ned and studied in Sections 3.1to 3.5.In Section 3.6,we compare these models in terms of both quality of ?t (in-sample)and forecast accuracy (out-of-sample).Throughout the paper,t denotes the time index in days and the number of arrivals on day t is denoted Y t ,for t =1,2,...,n ,where n =1,537.The models are ?tted to the ?rst 1,096observations (January 1,2000through December 31,2002),and the remaining 441observations are used for prediction (January 1,2003through March 16,2004).

There are compelling theoretical reasons to assume that call arrivals follow a nonhomogeneous Poisson process (NHPP).The Palm–Khintchine theorem [e.g.,10]states,approximately,that the superposition of arrival processes from many small and indepen-dent “sources”(patients,in an EMS context)is well-approximated by a Poisson process.The rate of this process will vary with time (because medical emergen-cies are more likely to occur at certain times)and the rate may not be known with certainty (because it may be in?uenced by factors other than time).

For purposes of illustration,suppose that arrivals during hour h follow a Poisson process with a random rate that remains constant during the hour.Conditional on the number of calls during the hour,call it Z h ,the arrival times of individual calls within the hour are independently and uniformly distributed between 0and 1.This is the “order statistic property”for a Poisson process and it holds regardless of whether the arrival rate is deterministic or random [see 32,Sections 4.5–4.6].Our models in this and the next section quantify the distribution of the daily arrival counts Y t and the

Fig.5Box plots of mean daily arrival volumes per month

150200250

n u m b e r o f c a l l

s

Jan.Feb.Mar.Apr.May Jun.Jul.Aug.Sep.Oct.Nov.Dec.

Health Care Manage Sci

hourly counts Z h .One can use the following procedure to simulate call arrival times on day t :

1.Simulate the daily count Y t .As we will see in this

section,this involves simulating the residual from a standard autoregressive process.

2.Given Y t ,generate the vector Z t of hourly counts

on day t .As we will see in the next section,this involves simulating a multinomial random https://www.doczj.com/doc/ff12739008.html,e the order statistic property to distribute the

simulated number of arrivals in each hour.If the arrival rate varies too rapidly to be approx-imated as constant over hour-long periods,then it is straightforward to modify our models to use shorter periods,for example half-hours.Thus,if one limits at-tention to this general and plausible NHPP model,then each of our models of arrival counts by period yield corresponding stochastic models of all the arrival times,which can support analytical and simulation studies.3.1Model 1:?xed-effect model with independent

residuals One would expect to see month-of-year and day-of-week effects in EMS demand in most cities.Our pre-liminary analysis of the Calgary data indicates a positive trend and con?rms the presence of month-of-year and day-of-week effects.This suggests the following linear model as a ?rst approximation:Y j ,k ,l =a +?βj +?γk +?αl +? j ,k ,l ,

(1)

where Y j ,k ,l is the number of calls on a day of type j

in month k of year l ,the parameters a ,?βj ,?γk ,and ?αl ,

are real-valued constants,and the residuals j ,k ,l are independent and identically distributed (i.i.d.)normal

random variables with mean 0.The preliminary analysis

suggests that for Calgary,the yearly effect is approxi-mately a linear function of l ,which allows us to express the model more conveniently as Y t =a +bt +

7 j =1

βj C t ,j +

12 k =1

γk S t ,k +E t ,(2)

where a ,b ,the βj ,and the γk are constants,the indica-tor C t ,j is 1if observation t is on the j th day of the week

and 0otherwise,the indicator S t ,k is 1if observation t is in the k th month of the year and 0otherwise.In other cities,it might be more appropriate to model the yearly effect as a nonlinear function of t .We assume that the residuals E t are i.i.d.normal with mean 0and variance σ2E ,0,i.e.,a Gaussian white noise process.Given the presence of the constant parameter a ,we impose the standard identi?ability constraints:

7 j =1

βj =

12 k =1

γk =0.(3)

(Without these constraints,there would be redundant parameters;for example,adding a constant κto all the βj ’s and subtracting κfrom a would give the same model.)We estimated the parameters for the regres-sion model (2)using least squares and obtained the residuals displayed in Fig.6,in which the circled points are at a distance larger than 3?σE ,0from zero,where ?σ2E ,0is the empirical variance of the residuals.There is a single residual larger than 4?σE ,0,which corresponds to January 1,2002,and seven other residuals larger than 3?σE ,0:December 1,2000;January 1,2001;May 27,2001;August 2,2001;September 8,2001;June 27,2002;July 12,2002.The single residual smaller than ?3?σE ,0is on July 30,2001.January 1appears to be

Fig.6The residuals E t for the simple linear model of Eq.2

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–20

2

4

Time (days)

s t a n d a r d i z e d r e s i d u a l s

150010001096

O O

O

O

O

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O

O

O Some suspect outliers

Health Care Manage Sci

a special day,with a call volume systematically larger than average.The month of July also has a larger vol-ume per day than the other months(in the data).One potential explanation that we decided to consider is the Calgary Stampede,held every year in July.The Stam-pede includes one of the largest rodeos in the world and it is the most important annual festival in Calgary (https://www.doczj.com/doc/ff12739008.html,).The dates for this event are:July7–16,2000;July6–15,2001;July5–14,2002; and July4–13,2003.To account for those two types of special days,we add two indicator variables H t,1and H t,2to our model,where H t,1is1if observation t is on January1and0otherwise,whereas H t,2is1if obser-vation t is on one of the40Stampede days enumerated above,and0otherwise.This gives the model

Y t=a+bt+

7

j=1

βj C t,j+

12

k=1

γk S t,k

+ω1H t,1+ω2H t,2+E t,(4) in which we now have two additional real-valued para-metersω1andω2,and the residuals now have variance

σ2 E .The timing,nature,and number of such special

events will vary between cities but the same gen-eral approach can be used if the dates of the special events are known.We estimate all the parameters of this linear regression model by standard least-squares, using the?rst n=1,096observations.If we denote the parameter estimates by?a,?b,?βj,?γk,?ω1and?ω2,then the estimates of Y t and E t are given by

?Y

t=?a+?bt+

7

j=1

j

C t,j+

12

k=1

?γk S t,k

+?ω1H t,1+?ω2H t,2(5) and

?E

t=Y t??Y

t.(6)

A naive estimator ofσ2

E would be the empirical

variance

?σ2E=1

n?s

n

t=1

?E2

t

,(7)

where s=21is the number of parameters estimated in the model.However,this variance estimator is biased if the residuals are correlated[5],and we will see in a moment that they are.

We must test the hypothesis that the residuals are a white-noise process,i.e.,normally distributed and uncorrelated with zero mean and constant variance. Stationarity and normality of the residuals is plausible, based on Fig.6and on Q–Q(quantile–quantile)plots not shown here.To test for autocorrelation,we use the Ljung-Box test statistic,de?ned by

Q=n(n+2)

l

i=1

?r2i

n?i

,

where n is the number of residuals,?r i is the lag-i sample autocorrelation in the sequence of residuals,and l is the maximum lag up to which we want to test the autocor-relations.Under the null hypothesis that the residuals are uncorrelated and n s,Q has approximately a chi-square distribution with l degrees of freedom.Here we have n=1,096and s=21.We apply the test with l= 30and obtain Q=154.8.The corresponding p-value is smaller than2.2×10?16,so the null hypothesis is clearly rejected.This strong evidence of the presence of correlation between the residuals motivates our next model.

3.2Model2:an autoregressive process for the errors of

Model1

We improve Model1by?tting a time-series model to the residuals E t.Since the E t process appears to be normal and stationary,it suf?ces to capture the auto-correlation structure.We do this with an autoregressive process of order p(an AR(p)process),de?ned by

E t=φ1E t?1+···+φp E t?p+a t,(8) where the a t are i.i.d.normal with mean zero and varianceσ2a.Based on the residuals de?ned by Eq.6, and using standard tools of model identi?cation[7,38], we?nd that p=3is adequate(different values of p will be appropriate for different cities).When estimating the coef?cientsφl in a model with p>3,we?nd that the coef?cientsφl for l>3are non-signi?cant at the 5%level.For example,the p-value of the t-test forφ4 is about0.153.

The model obtained by combining Eqs.4and8with p=3can be written alternatively as

φ(B)

?

?Y

t?a?bt?

7

j=1

βj C t,j

?

12

k=1

γk S t,k?ω1H t,1?ω2H t,2

=a t,(9)

whereφ(B)=1?φ1B?φ2B2?φ3B3,B is the back-shift operator de?ned by B p E t=E t?p,andφ1,φ2,φ3 are the autoregressive parameters.We estimate the parameters(a,b,β1,...,β7,γ1,...,γ12,ω1,ω2,φ1,φ2,φ3) by(nonlinear)least squares[1,page67],based on the observations Y t for t=4,...,n,where n=1096.

Health Care Manage Sci Table1Parameter estimates for Model2

Parameter a bω1ω2

Intercept Trend/month Jan.1Stampede

Estimate149.30.03160.5 2.7

St.error 3.30.00311.0 4.5

p-val.of t-test<0.001<0.001<0.0010.544

1β2β3β4β5β6β7

Mon.Tue.Wed.Thu.Fri.Sat.Sun. Estimate?4.2?5.0?5.3?0.98.57.6?0.8

St.error 2.5 2.5 2.5 2.5 2.5 2.5 2.5

p-val.of t-test0.0950.0460.0340.7190.0010.0020.747 Parameterγ1γ2γ3γ4γ5γ6γ7

Jan.Feb.Mar.Apr.May Jun.Jul. Estimate?5.6?4.1?2.5?4.00.5 4.113.2

St.error 2.9 2.8 2.8 2.8 2.7 2.8 2.9

p-val.of t-test0.0480.1520.3580.1490.8490.138<0.001 8γ9γ10γ11γ12

Aug.Sep.Oct.Nov.Dec.

Estimate?1.3?0.3?4.30.3 4.1

St.error 2.8 2.8 2.8 2.8 2.8

p-val.of t-test0.6270.9280.1210.9160.150

Parameterφ1φ2φ3σ2a

Estimate0.1920.1080.083250.1

St.error0.0300.0310.030–

p-val.of t-test<0.001<0.0010.006

The parameter estimates are given in Table1,to-

gether with their standard errors and the p-value of a

t-test of the null hypothesis that the given parameter

is zero,for each parameter.We then compute the

residuals?a t=?φ(B)(Y t??Y t)in a similar manner as for

Model1and we estimateσ2a by

?σ2a=1

n?s

n

t=4

?a2t,(10)

where n=1,096and s=24.This gives?σ2a=250.1. Figure7presents visual diagnostics for residual normal-ity:we see the estimated residual density and a normal Q–Q plot,i.e.,the empirical quantiles of normalized residuals plotted versus the corresponding quantiles of the standard normal distribution(with mean0and variance1).Figure8is a diagnostic for(lack of)residual autocorrelation:it shows the standardized residuals,the sample autocorrelations up to lag30,and the p-values of the Ljung-Box test for each lag.We conclude that the residuals a t appear to be white noise.Thus,Model2is a much better?t than Model1.

The most signi?cant parameters in Table1are a(the mean),b(the positive trend),ω1(the positive January 1effect),φ1,φ2,andφ3(the positive AR parameters),γ7(the positive July effect),andβ5andβ6(the positive Friday and Saturday effects).Other parameters signi?-cant at the10%level areβ1toβ3(the negative effects of Monday–Wednesday)andγ1(the negative effect of January).(Since April has the lowest average in Fig.5,

one may?nd it surprising that January has signi?cant negative coef?cient and not April.But the average for January becomes smaller after removing the January 1effect.Also,this estimation uses only the?rst1,096 days of data,whereas Fig.5combines all1,537days). This gives a total of13signi?cant parameters.We could eliminate the other ones;we will do that in Section3.4. Observe thatω2(the Stampede effect)is not signi?cant; most of the increased volume during the Stampede days is captured by the July effect.In fact,the average volume per day is about186during the Stampede days compared with180during the other days of July and 174on average during the year.

We can also use this model to estimate the variance of the residuals E t in Model1.Their sample variance (7)underestimatesσ2

E

=Var[E t]because they are pos-itively correlated.If we multiply both sides of Eq.8by E t and take the expectation,we get

σ2E=E[E2t]=φ1γ1+φ2γ2+φ3γ3+σ2a

=(φ1ρ1+φ2ρ2+φ3ρ3)σ2E+σ2a,

whereγi=Cov(E t,E t?i)andρi=Corr(E t,E t?i)for each i.Replacing all quantities in this last expression

by their estimates and resolving forσ2

E

,we obtain?σ2

E

=

291.8as an estimate ofσ2

E

.By comparing with the estimateσ2a=250.1,we see that Model1has about 17%more variance than Model2.

Health Care Manage Sci Fig.7Diagnostic for normality of residuals for Model

2

–50

50

Estimated density (kernel)

0.000

0.0050.0100.015

0.020

–3

–2–10123

–40

–2002040

60

Normal Q–Q Plot

Theoretical Quantiles

S a m p l e Q u a n t i l e

s

3.3Model 3:adding cross effects

We now extend Model 2by adding second-order terms to capture the interaction between the day-of-week and month-of-year factors.We simply add the term

7 j =112 k =1

δj ,k M t ,j ,k

(11)

to the right side of Eq.4and subtract the same term inside the brackets in Eq.9,where the indicator vari-

able M t ,j ,k is 1if observation t is on the j th day of the week and k th month of the year.This introduces the additional model parameters δj ,k ,which must satisfy the

identi?ability constraints

12k =1δj ,k =0for each j and 7

j =1δj ,k =0for each k .

We found that the estimates for the parameters βj ,γk ,and ωi in this model were almost the same as in Model 2.Table 2gives the estimated values of the parameters that differ from those of Model 2,together with the p -value of a t -test that the given parameter is zero.The estimated variance of the residuals has

Fig.8Diagnostic for (lack of)residual autocorrelation for Model 2

Standardized Residuals

Time

0200400

6008001000

–3024

0510********

0.00.40.8

Lag

A C F

ACF of Residuals

24

6810

0.00.40.8p values for Ljung–Box statistic

Lag

p v a l u e

Health Care Manage Sci Table2Parameter estimates for Model3

Mon.Tue.Wed.Thu.Fri.Sat.Sun.

Parameterδ1,1δ2,1δ3,1δ4,1δ5,1δ6,1δ7,1Jan. Est.?0.3 5.0 4.6?6.9 4.0?6.3?0.2

St.error 3.9 4.0 4.0 4.2 4.2 4.2 4.2

p-val.of t-test0.9420.2100.2560.1020.3390.1370.965 Parameterδ1,2δ2,2δ3,2δ4,2δ5,2δ6,2δ7,2Feb. Est.?5.4 5.6 3.7?3.6 1.0 2.9?4.2

St.error 4.2 4.1 4.2 4.2 4.2 4.2 4.2

p-val.of t-test0.1930.1730.3820.3860.8050.4860.321 Parameterδ1,3δ2,3δ3,3δ4,3δ5,3δ6,3δ7,3Mar. Est.8.1 6.2?3.7 6.20.5?12.3?4.9

St.error 4.1 4.2 4.1 3.9 3.9 4.2 4.2

p-val.of t-test0.0520.1370.3640.1130.8910.0030.240 Parameterδ1,4δ2,4δ3,4δ4,4δ5,4δ6,4δ7,4Apr. Est. 1.7?3.70.4 4.2?3.3 4.1?3.4

St.error 4.2 4.2 4.2 4.2 4.2 3.9 3.9

p-val.of t-test0.6860.3690.9270.3140.4340.2870.393 Parameterδ1,5δ2,5δ3,5δ4,5δ5,5δ6,5δ7,5May Est. 5.6?0.8?0.50.1?6.6?1.8 4.0

St.error 3.8 3.9 3.9 4.2 4.2 4.2 4.2

p-val.of t-test0.1430.8400.9080.9860.1130.6630.345 Parameterδ1,6δ2,6δ3,6δ4,6δ5,6δ6,6δ7,6Jun. Est.?2.6?4.5?1.311.5?6.7 3.00.7

St.error 4.1 4.1 4.2 3.8 3.9 4.2 4.2

p-val.of t-test0.5250.2760.7470.0030.0830.4680.875

1,7δ2,7δ3,7δ4,7δ5,7δ6,7δ7,7

Est.?3.9?4.6 1.50.2 6.6 1.8?1.6

St.error 3.9 4.2 4.2 4.2 4.2 3.8 3.9

p-val.of t-test0.3240.2690.7280.9540.1120.6490.685

1,8δ2,8δ3,8δ4,8δ5,8δ6,8δ7,8

Est. 6.1 4.7?1.4?0.8?3.10.1?5.4

St.error 4.2 3.9 3.9 3.9 4.2 4.2 4.2

p-val.of t-test0.1420.2270.7110.8330.4520.9860.195

1,9δ2,9δ3,9δ4,9δ5,9δ6,9δ7,9

Est.?1.6?5.3?4.5?2.3 2.9 4.9 5.9

St.error7.1 6.8 6.7 6.7 5.4 5.87.9

p-val.of t-test0.8190.4410.5020.7320.5940.3990.457

1,10δ2,10δ3,10δ4,10δ5,10δ6,10δ7,10

Est.0.9?1.5?3.7?6.8 3.20.87.1

St.error 4.0 4.0 4.2 4.2 4.2 4.2 3.9

p-val.of t-test0.8220.7020.3710.1050.4360.8390.073

1,11δ2,11δ3,11δ4,11δ5,11δ6,11δ7,11

Est.?1.20.17.8?2.2 4.5?5.4?3.5

St.error 4.3 3.9 3.9 3.9 4.1 4.1 4.6

p-val.of t-test0.7750.9820.0440.5780.2800.1870.444

1,12δ2,12δ3,12δ4,12δ5,12δ6,12δ7,12

Est.?7.3?1.1?2.70.4?3.18.2 5.7

St.error 4.3 4.3 4.2 4.2 3.9 3.9 4.0

p-val.of t-test0.0920.7970.5180.9240.4170.0360.154

Parameterφ1232a

Est.0.2130.1260.085241.5

St.error0.0300.0310.031–

p-val.of t-test<0.001<0.0010.006

Health Care Manage Sci Fig.9Diagnostic for the normality of residuals,Model 3

–50

50

Estimated density (kernel)

0.000

0.0050.0100.015

0.020

–3

–2–10123

–40

–2002040

60

Normal Q–Q Plot

Theoretical Quantiles

S a m p l e Q u a n t i l e

s

been reduced to σ2

a =241.5,about 4%less than for Model 2.The diagnostics for the residuals are in Fig.9.The Ljung-Box test does not detect correlation in the residuals (we have n =1,096,get Q =5.394,and the p -value of the test is 0.944)(Fig.10).

The slightly better ?t of this model compared with Model 2is obtained at the expense of a much larger number of parameters and several of these parameters do not appear to be signi?cant.The next step is to remove them.

3.4Model 4:considering only the signi?cant parameters

This model is a stripped-down version of Model 3,in which we keep only the parameters that are signi?cant at the 10%level (i.e.,for which the p -value of the t -test in Table 1or 2is less than 0.10).In Table 2,eight para-meters δj ,k and three parameters φi are signi?cant at the 90%level.There are ten other signi?cant parameters in Table 1,for a total of 20.With the identi?ability

Fig.10Diagnostic for the correlation between residuals,Model 3

Standardized Residuals

Time

0200400

6008001000

–2024

0510********

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Lag

A C F

ACF of Residuals

24

6810

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Lag

p v a l u e

Health Care Manage Sci

Table 3Parameter estimates for Model 4Parameter a

b

ω1Intercept Trend/month Jan.1Estimate 149.60.03257.8St.error

1.9

0.00310.7p -val.of t -test <0.001<0.001<0.001Parameter β1β2β3β5β6Mon.Tue.Wed.Fri.Sat.Estimate ?4.3?5.3?6.27.87.9St.error

1.5 1.4

1.4

1.4

1.5

p -val.of t -test 0.004<0.001<0.001

<0.001<0.001

Parameter γ1γ7Jan.Jul.Estimate ?5.712.4St.error

2.9 2.7

p -val.of t -test 0.050<0.001Parameter

δ1,3δ6,3δ4,6δ5,6δ7,10δ3,11δ1,12δ6,12Mon.Sat.Thu.Fri.Sun.Wed.Mon.Sat.Mar.Mar.Jun.Jun.Oct.Nov.Dec.Dec.Estimate 7.9?11.112.0?7.18.38.5?7.88.2St.error

4.2 4.3 3.9 3.9 3.8 4.0 4.5 4.1p -val.of t -test 0.0600.0100.0020.0690.0290.0340.0830.046

Parameter φ1φ2φ3σ2a Estimate 0.2120.1320.094241.6St.error

0.0300.0310.031–

p -val.of t -test

<0.001

<0.001

0.002

constraints,there remain s =15independent parame-ters out of those 20.The same strategy of including only the signi?cant parameters from Model 3could be used in other cities,but the set of signi?cant parameters will vary between cities,of course.We reestimate the model with those parameters only (all other parameters are set at zero)and obtain the values given in Table 3.All these parameters are signif-icant.The most signi?cant interaction parameters δj ,k are for Saturday in March (negative interaction)and

Fig.11Diagnostic for the normality of residuals,Model

4

–500

50

Estimated density (kernel)0.000

0.0050.0100.015

0.020–3–2–10123

–40–200204060

Normal Q–Q Plot

Theoretical Quantiles

S a m p l e Q u a n t i l e

s

Health Care Manage Sci Fig.12Diagnostic for the correlation between residuals,Model 4

Standardized Residuals

Time

0200400

6008001000

–2024

0510********

0.00.40.8

Lag

A C F

ACF of Residuals

24

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Lag

p v a l u e

Thursday in June (positive interaction).Other mildly signi?cant interactions,at the 10%level,are (by order of signi?cance)Saturday in December,Wednesday in November,Monday in March,Sunday in October,Fri-day in June,and Monday in December.

The estimated variance of the residuals is σ2

a =241.9.The diagnostics for the residuals are in Figs.11and 12.The Ljung-Box test does not detect correlation in the residuals (we have n =1,096,get Q =11.581,and the p -value of the test is 0.48).

3.5Model 5:a doubly-seasonal ARIMA process We now consider a different model:an ARIMA model with two seasonal cycles.We decompose our time series as

Y t =N t +ω1H t ,1+ω2H t ,2,

(12)

where {N t }is modeled as a doubly-seasonal ARIMA process and the other components capture the special days (January 1and Stampede days).Given the season-ality patterns across the weekly and yearly cycle implied by the analysis in Section 2,we propose an ARIMA model with two seasonal cycles:a weekly cycle,with period s 1=7,and an approximate annual cycle,with period s 2=365.This choice of periodicities means that the conditional mean of N t is regressed on N t ?365;for example,January 1,2004is regressed on January 1,2003.In other words,after eliminating February 29

(which we did),this regression “aligns”the same dates across years.

The general form of a doubly-seasonal ARIMA model with periods s 1and s 2is [7,8,38]:

φ(B ) s 1(B s 1) s 2(B s 2)?d ?d 1s 1

?d 2

s 2N t

=θ(B ) s 1(B s 1) s 2(B s 2)a t ,(13)

where ?d

s =(1?B s )d ,φ, s 1, s 2,θ, s 1,and s 2are polynomial functions of order p ,p 1,p 2,q ,q 1,and q 2,respectively,and {a t }is a Gaussian white noise process.This model is referred to as an ARIMA (p ,d ,q )×(p 1,d 1,q 1)s 1×(p 2,d 2,q 2)s 2process.

We follow a standard model-building protocol to identify the model (choice of the polynomial orders and exponents d ,d 1,and d 2),estimate the parameters (ω1,ω2,and the polynomial coef?cients),and perform diag-nostic checks [7,38].ARIMA models with more than one seasonal cycle are dif?cult to estimate in general,because the multiple seasonalities complicate Eq.13with several operators,due to the multiplicative nature of the expressions involved.A concrete selection cri-terion must be adopted for model selection.Here,we used Akaike’s information criterion (AIC),discussed in Section 3.6.We keep the model with minimum AIC,subject to non-rejection of the null hypothesis that model residuals are a white-noise process [7].Based on this criterion,we identify the following model for N t :

(1?φ7B 7?φ14B 14?φ28B 28)(1?φ365B 365)(1?B )N t

=(1?θ1B )a t .

(14)

Health Care Manage Sci Table4Parameter estimates,Model5

Parameterω1ω2

Jan.1Stampede

Estimate43.816.6

St.error12.0 3.8

p-val.of t-test<0.001<0.001

Parameterφ7φ14φ28φ365θ1σ2a Estimate0.0640.1030.0820.1280.905251.7 St.error0.030.030.030.040.01–

p-val.of t-test0.0380.0010.0070.001<0.0001

The parameters are estimated jointly via least squares based on Eqs.12and14,i.e.,we?nd the parameter val-ues that minimize the sum of squares of the estimated residuals.The estimates are given in Table4,together with their p-values.Note that Model5has considerably fewer parameters than the other models.It is also inter-esting to observe that for this model,the parameterω2 (Stampede days effect)is highly signi?cant,in contrast with Models2to4.The explanation is that there is no “July effect”term in the model.

3.6Model comparison:Goodness of?t and forecast

performance

In this section,we compare the?ve models in terms of their quality of?t and forecasting performance.The results are in Table5.

With respect to quality of?t,we report the standard error of model residuals,?σa,the number s of parameters estimated,and Akaike’s information criterion(AIC, see Akaike[2]and Wei[38,page153]).The AIC has the advantage of taking into account both the mean-square error of the residuals and the number of esti-mated parameters in the model.It is designed to be an approximately unbiased estimator of the Kullback–Leibler distance(or cross-entropy or relative entropy)between the true model and?tted model.It is de?ned by

AIC(s)=n ln(?σ2a)+2s,(15) where n is the number of observations,s is the number of estimated parameters in the model,and?σ2a is the maximum likelihood estimator of the variance of resid-uals,which is approximately the same as the sample variance(10)under the assumption that the residuals are i.i.d.normal[30].Bias-reduced variants known as the AICC are discussed,e.g.,in[8,pages301–304].

A model with minimal AIC is a good compromise between parsimony and small(empirical)variance of the residuals.

The models of Sections3.1–3.5were?tted to the ?rst1,096days of data.We then used the estimated models to forecast for the remaining441days(t= 1,097,...,1,537),at forecast lag ranging from1day ahead to21days ahead.The lag- forecast error at day t is de?ned as

e t( )=Y t+ ??Y t( ),

where?Y t( )is the forecast of Y t+ based on the informa-tion available on day t.Forecasts for doubly-seasonal ARIMA processes obey fairly complicated recursive formulas;see,for example,Brockwell and Davis

Table5Comparison of models for daily arrivals

Model1Model2Model3Model4Model5

?σ2a291.8250.1241.5241.6251.7 St.error of?t?σa17.0815.8115.5415.5515.87 s212490157 Degrees of freedom10751072100610811088 AIC(s)6099619460456068

RMSE(1)17.8215.3815.3113.9115.68 MRAE(1)(in%)7.58 6.14 6.14 5.72 6.91

Health Care Manage Sci Fig.13Forecast RMSE(s )for Models 1–5,for forecast lags =1,...,21

1214

1618

20Horizon

R M S E

123456789101112131415161718192021

model 1 model 2 model 3 model 4 model 5

[8,pages 175-182],but forecasting software facilitates their computation.

Commonly used forecast-accuracy metrics are the Root Mean Square Error (RMSE)and the Mean Rel-ative Absolute Error (MRAE)at various forecast lags,de?ned in our case as

RMSE ( )= 1442? 1538? t =1097e 2t

( )and MRAE ( )=

1

442? 1538? t =1097|e t ( )|Y t +

.for lag .The MRAE standardizes each forecasting error term by the corresponding process value Y t + ,to re?ect the idea that larger numbers usually require less absolute accuracy;it must be used with caution because it may be in?ated substantially by a few moderate absolute errors that correspond to very small values |Y t + |.

Table 5summarizes the model evaluation.The upper part of the table collects information on the ?t with the data used for the estimation (the ?rst 36months).

It recalls the estimated variance of the residuals,?σ2

a ,then its square root ?σa called the standard error of ?t ,the number s of independent estimated parameters,the number n ?s of degrees of freedom,and the AIC (s )

criterion (for Model 1,?σ2

a is replaced by ?σ2E ,de?ned at the end of Section 3.2).According to the AIC criterion,Model 4is the winner,followed by Model 5and then Model 2.It must be underlined,however,that Model 5was selected by minimizing the AIC over a class of ARIMA models,so the AIC measure is biased to its advantage.

The second part of the table gives the RMSE and MRAE for the forecasts of lag 1.The RMSE for lags 1to 21are displayed in Fig.13.For small lags,Model 4is clearly the best model in terms of forecast accuracy,followed by Models 2and 3.For lags s ≥13(approx-imately),RMSE (s )is about the same for all models except Model 5,whose forecasts are much noisier.En-couragingly,the AIC measure at the estimation stage has successfully identi?ed the best model.

In interpreting the standard error of ?t and the RMSE,it is helpful to recall from our preliminary data analysis that the average number of calls per day was about 174.If calls were generated by a stationary Pois-son process with a rate of 174/day,then the standard deviation of the number of calls per day would be √

174=13.2.The Model 4RMSE with a lag of 1comes close to this value.This suggests that,given knowledge of call volumes up to a certain point in time,the Poisson arrival rate for the next 24h is almost deterministic.The RMSE for longer lags is higher,suggesting that when modeling arrivals more than one day into the future,one should view them as being generated by a Poisson process with a random arrival rate.The discussion at the beginning of this Section outlines how one can quantify the distribution for the arrival rate.

4Modeling hourly arrivals

Now that we have a good model of day-by-day call volumes,we turn to the modeling of hour-by-hour call volumes.We will denote the number of calls during hour h by Z h ,where h =1,...,24n and n =1,537.We investigate two modeling and forecasting approaches.

Health Care Manage Sci Both build on a model for the daily call volume Y t and

add to that model a component that divides the daily

volume across the24h of the day.Our?rst approach is

via the conditional distribution of the vector of number

of calls in each hour,given the total daily call volume.

The second approach?ts a time-series model directly

to the data at the hourly level.

4.1Model6:modeling the conditional distribution

Here we use Model4for the daily arrival volumes,

then assume that on day t,the conditional distribution

of the vector Z t=(Z24(t?1)+1,...,Z24t),given Y t,is

independent of what happens on days other than t.A

simple candidate for this conditional distribution is a

multinomial distribution with parameters(N,p1,...,

p24),where N=Y t.Each p i represents the probability

that a randomly selected call arriving during the day

arrives in hour i.The vector(p1,...,p24)is called

the daily pro?https://www.doczj.com/doc/ff12739008.html,e of the multinomial distribution

implies that the hours of occurrence of different calls

on day t are independent,conditional on Y t.

Figure3suggests that different days of the week

should have different daily pro?les;for instance,Fri-

days and Saturdays have a very different pro?le than

the other days.Based on a more detailed analysis of

our data,we regrouped the days of the week into four

daily pro?le categories:(1)Monday–Wednesday,(2)

Thursday and Sunday,(3)Friday,and(4)Saturday.

Each category c has a different daily pro?le vector

(p c,1,...,p c,24)for category c,for c=1,2,3,4.The

probability p c,i is estimated as the fraction of calls in

category c that occur in hour i,i.e.,

?p c,i=

n

t=1

Z24(t?1)+i P t,c

t=1

h=1

Z24(t?1)+h P t,c

,(16)

for i=1,2,...,24,where the indicator variable P t,c is 1if day t is in category c and0otherwise.A positive aspect of this model is that the model for Y t remains exactly the same as before.We could also use other distributions than the multinomial for the conditional distribution of Z t.

One way of testing the goodness-of-?t of this model is as follows.Under the multinomial assumption,condi-tional on Y t and if day t is in category c,the chi-square statistic

Q t=

24

i=1

(Z24(t?1)+i?Y t p c,i)2

Y t p c,i

should have approximately the chi-square distribution with23degrees of freedom if Y t p c,i is large enough (e.g.,larger than5)for all i[31].So we could compute these Q t’s for all days and compare their empirical distribution to the chi-square distribution.But it turns out that Y t p c,i is often rather small(less than5)for the night hours.For this reason,before applying the test we regrouped four early morning hours,from3:00a.m. to7:00a.m.,in a single period.All other hours count for one period each.This gives m=21periods and the expected number of calls in each period is at least?ve under the multinomial model.The probability that a call is in period i on a day of category c is then

?p c,i=

?

?

?

p c,i for i=1,2,3,

p c,4+p c,5+p c,6+p c,7for i=4,

p c,i+3for i=5, (21)

(17)

Let?Z t,i be the number of calls in period i of day t. We have

m

i=1

?Z

t,i=Y t.For a day of category c,con-ditional on Y t,our multinomial(null)hypothesis now states that?Z t=(?Z t,1,...,?Z t,m)has the multinomial distribution with parameters(Y t,?p c,1,...,?p c,m).To es-timate the parameters?p c,i,we use the consistent esti-mators??p c,i obtained simply by summing the?p c,i’s of category4appropriately and using the correct hour-to-period correspondence as in Eq.17.Then,for large enough n,the Pearson test statistic

Q m?1,t=

m

i=1

(?Z t,i?Y t??p c,i)2

Y t??p c,i

,(18)

should have approximately the chi-square distribution with m?1=20degrees of freedom under the multino-mial model.

We computed the1,537values of Q m?1,t for our data, and compared their empirical distribution(distribution A)to the chi-square distribution(distribution C)via a Q–Q plot.Having found a bit of discrepancy in the right tail,we thought that perhaps the chi-square distribution is not a good enough approximation of the exact distri-bution of Q m?1,t under the multinomial model,so we also generated(by simulation)a times series of1,537 successive realizations of Y t under Model4,then a sample of vectors?Z t conditional on Y t under the multi-nomial distribution hypothesis,and computed the cor-responding values of Q m?1,t,for t=1,...,1,537.The empirical distribution of this sample is called distribu-tion B.Figure14shows a Q–Q plot of distribution A against distribution B.The?t is excellent except in the right tail.The observations in the right tail correspond to days where the observed daily pro?le differed signif-icantly from the usual daily pro?le for that type of day. This could be due to unusual(perhaps unpredictable) events that happened on those days.This has occurred on Sunday October29,2000,Monday March19,2001, Friday April13,2001,Monday September30,2001,

Health Care Manage Sci Fig.14Q–Q plot of the empirical distribution A against the empirical

distribution B of a sample of Q m ?1,t generated from Model 6under the

multinomial assumption

102030

4050

10203040

50Generated

O b s e r v e d

Sunday October 28,2001,Saturday October 28,2002,Saturday May 21,2003,and on January 1of each year.For January 1,the different pro?le could be predicted because it happens every year.We conclude that even though the ?t is not perfect in the right tail,it is gen-erally good enough to justify the use of the multino-mial model in practice,in particular for purposes of forecasting.

We now turn to forecasting hourly volumes with this model.If h is the i th hour of day t ,a forecast of Z h made days before day t (at the end of day t ? ,so =1means at the beginning of day t )is simply

?p

c ,i ?Y t ? ( ),where ?Y t ? ( )is the forecast of Y t as de?ne

d in Section 3.6and c is th

e category for day t .

To forecast Z h on the day that hour h occurs,we

could use ?p

c ,i ?Y t ?1(1),but we shoul

d b

e able to do better by taking into account the information we have in addition to the call volume o

f the previous days,i.e.,the call volume on day t ,up to hour h ?1.For example,suppose that at 11:00a.m.we want call volume forecasts for each of the next 13h.We assume we already know the number of calls durin

g the ?rst 11

h of the day.If W t ,11is that number,then a naive idea would be to estimate the remaining call volume on day

t as ?Y

t ?1(1)?W t ,11and then use ?p

c ,i (?Y t ?1(1)?W t ,11)?p

c ,12+···+?p c ,24(19)

as a forecast for the i th hour,for i >11.This is a bad

idea because a larger W t ,11results in a smaller forecast for the rest of the day,suggesting a negative correlation

between the volumes over the different hours of the

day.In reality,the correlation is typically positive.

Let W t ,i =Z 24(t ?1)+1+···+Z 24(t ?1)+i be the num-ber of calls during the ?rst i hours of day t .Under

our model,?Y

t =?Y t ?1(1)is a suf?cient statistic for the information from previous https://www.doczj.com/doc/ff12739008.html,ing Bayes’formula,

the conditional distribution of Y t given ?Y t and W t ,i is P

Y t =y |?Y

t ,W t ,i =w =

P W t ,i =w |Y t =y P

Y t =y |?Y t

P W t ,i =w |?Y

t (20)

for all integers 0≤w ≤y .The distribution of W t ,i conditional on Y t =y is binomial with parameters

(y ,p c ,1:i ),where p c ,1:i =

i =1p c , .Even though Y t can only take integer values,Model 4approximates its

distribution conditional on ?Y

t by a normal with mean ?Y t and variance σ2

Y =Var [φ?1(B )(a t )].This could be used to write down a speci?c expression for the probabilities in Eq.20and computing them numerically.For Y t ,the probability of any integer value y can be approximated by integrating the normal density over the interval [y ?1/2,y +1/2].Note that conditional on W t ,i and Y t ,the vector (Z t ,i +1,...,Z t ,24)has a multinomial distribu-tion with parameters (Y t ?W t ,i ,p c ,i +1/(1?p c ,1:i ),...,p c ,24/(1?p c ,1:i )).

For forecasting,we may only need the conditional

expectation E [Y t |?Y

t ,W t ,i ]instead of the entire distri-bution (20).If we assume that the pair (Y t ,W t ,i )has approximately a bivariate normal distribution,which is close to the truth under our model when p c ,1:i is not to

Health Care Manage Sci

close to 0or 1and Y t has a large enough expectation,then we have [21,page 93]:

E Y t |?Y

t ,W t ,i =w

=?Y t +Cov [Y t ,W t ,i |?Y t ]Var [W t ,i |?Y

t ]×(w ?E [W t ,i |?Y

t ]).(21)

But E [W t ,i |?Y

t ]=p c ,1:i ?Y t ,Cov [Y t ,W t ,i |?Y t ]=p c ,1:i σ2

a ,

and

Var [W t ,i |?Y

t ]=E Y t [Var [W t ,i |?Y t ,Y t ]]+Var Y t [E [W t ,i |?Y

t ,Y t ]]=?Y t p c ,1:i (1?p c ,1:i )+p 2c ,1:i σ2a .

Combining this with Eq.21,we obtain E [Y t |?Y

t ,W t ,i =w ]=?Y t +w ?p c ,1:i ?Y

t (1?p c ,1:i )?Y t /σ2a +p c ,1:i

.(22)

We will see the results of applying this formula later in

this section.

4.2Model 7:an extension of Model 4with an

hour-of-day effect We write this model as Z h =p c ,i Y t +W h

if h is the i th hour of day t and c is the category for day t ,where the process Y t obeys one of the previous day-to-day models and the process W h is AR (q )for some q .

If Y t obeys Model 4,for instance,then the variance σ2a of the residuals in that model would have to be

reduced,to account for the additional variance coming

from the W h ’s.This gives the following:Z h =p c ,i

?Y

t +E t

+24 l =1

αl D h ,l +W h ,(23)

where D h ,l =1if h is the l -th hour of the day and 0otherwise,and {E t }and {W h }are AR processes.

An important distinction between Models 6and 7is the following.With Model 6,there is positive correla-tion between the arrivals counts in different hours of the same day,regardless of the distance between those hours,and the only correlation between the hours of two successive days is due to the autocorrelations in the process E t .With Model 7,on the other hand,the correlation between hours on the same day decreases with the distance between them and there is also an additional correlation between hours on two successive days but that are close in time (e.g.,Friday evening and Saturday morning hours).

When we estimate the model,we add the two

constraints 24

l =1αl =0and 24t h =24(t ?1)+1W h =0,for t =1,...,n ,and we force {E t }to be an AR(3)process as in models for days.We estimated the process {W h }.The largest (observed)lag for which the autoregressive parameter was signi?cant at the 5%level is lag 44,but few autoregressive parameters for lags larger than 25were signi?cant at the 1%level.For this reason,we decided to retain an AR(25)model for W h and an AR(3)model for E t .We reestimated the model in Eq.23with these constraints.This is our Model 7.With it,we obtained a standard error of ?t of 3.6.The residuals diagnostic is shown on Fig.15.

Fig.15Diagnostic for residual normality,hourly Model

7

–20

–10

10

20

Estimated density (kernel)

0.00

0.020.040.06

0.0

8

–4

–2024

–10

–5051015

Normal Q–Q Plot

Theoretical Quantiles

S a m p l e Q u a n t i l e s

Health Care Manage Sci

4.3Comparison of Models 6and 7

We compare the forecasting performance of Models 6and 7by measuring the root mean square error (RMSE)at different lags in the 441days for t =1,097,...,1,537.For h =24(t ?1)+1,...,24t ,we de?ne the lag-r error

at hour h by e h (r )=Z h +r ??Z

h (r ),where ?Z h (r )is the forecast of Z h +r based on the selected model.We consider two cases:

(1)For the forecasts of the 24coming hours of day t

when we are at the beginning of day t and have ?Y

t as a forecast of Y t from Model 4,we measure the error by

RMSE (r )=

14411536 t =1096e 224(t ?1)(r );(2)For the forecasts of the hours i =12,...,24of day

t after having observed the ?rst 11hours,using the formula (22)to update the forecast of Y t for Model 6,we measure the error by

RMSE (r )=

14411537

t =1097e 224(t ?1)+11(r ).Table 6gives a representative subset of the results.Overall,Model 6outperforms Model 7for both Cases (1)and (2);its RMSE is never larger and it is often clearly smaller.For a very short horizon of 1h,it is not surprising that the two models perform about the same,because they both catch the relatively strong correla-tion between two successive hours.For longer horizons,they also perform about the same,presumably because the true correlation is not very strong in that case.But for the values of r in between (horizons of a few hours),Model 6clearly performs better.For example,if we are at 11:00a.m.(we have observed W t ,11)and want to predict the volume of calls between 4:00and 5:00p.m.on the same day (6h ahead),the RMSE is 3.7

for Model 7compared to 2.3for Model 6.We also see the bene?t of using information about the call volume during the early hours of the day when forecasting for the latter part of the day.For example,using Model 6at 11:00a.m.to forecast the call volume between 4:00and 5:00p.m.,the RMSE is 3.5if we ignore the call volume from midnight to 11:00a.m.but it drops to 2.3if we incorporate this information.

5Conclusion

We have considered a variety of time series models for estimating and forecasting daily and hourly EMS call volumes.EMS demand is in?uenced by when people work,commute,sleep,and celebrate,and our models attempt to capture these in?uences at least in part via yearly,weekly,and daily seasonal cycles,as well as special treatment of New Year’s day and the Stampede,the most important festival in the city we studied.

We used three basic approaches for daily call vol-umes:standard regression ignoring dependencies,re-gression models with correlated residuals,and a third approach (doubly-seasonal ARIMA)that takes into ac-count a speci?c cross-effect dependency structure at the start and captures the correlations between residuals as well.The usual interpretation of these models is that the ?rst deterministic part captures the seasonal and non-seasonal components,and the second stochastic part (errors)captures the effect of omitted or non-observable effects such as serial correlation.We ?nd that a model from the second category,that includes a selected subset of signi?cant day-of-week main effects,month-of-year main effects,and interaction terms,per-forms best when forecasting 1or 2days into the fu-ture.The advantage of this model over the standard regression model decreases as the length of the forecast horizon increases,and disappears at around 2weeks.

Table 6RMSEs by origin and horizon for the two hourly models

Horizon r

Model 6Model 7Case (1):

12(11:00–12:00a.m.) 3.1 3.5Forecasts of Z 24(t ?1)+r to Z 24t ,14(1:00–2:00p.m.) 3.1 3.9at time h =24(t ?1)

17(4:00–5:00p.m.) 3.5 3.923(10:00–11:00p.m.) 3.1 3.224(11:00–12:00p.m.) 3.2 3.3Case (2):

1(11:00–12:00a.m .) 3.1 3.1Forecasts of Z 24(t ?1)+11+r to Z 24t ,3(1:00–2:00p.m.) 2.9 3.5at time h =24(t ?1)+11

6(4:00–5:00p.m .) 2.3 3.712(10:00–11:00p.m.) 3.1 3.213(11:00–12:00p.m.)

3.1

3.1

Health Care Manage Sci

The doubly-seasonal ARIMA model performed poorly when forecasting more than a week into the future.

For hourly call volumes,we used two approaches: one built around the conditional distribution of hourly volumes,conditional on the daily volume,and another that?ts a time-series model to the hourly data.Both approaches can be combined with any of the daily call volume models that we investigated,and we illus-trated its use with the best-performing daily call volume model.We also showed how one could compute intra-day forecast updates,which could be useful for real-time staf?ng decisions.We found that the conditional distribution approach generally worked better.We demonstrated that updating hourly forecasts using call volume from the early part of the day can improve fore-cast accuracy considerably,at least for certain hours of the day.

The models we present are simple and practical, and could be used for routine forecasting for an EMS system,as well as in simulation models of such sys-tems.Our models that combine regression and ARMA processes showed an improvement over pure seasonal ARIMA.We also demonstrated the importance of modeling the effects of special days,day-of-week,and month-of-year.

Although we expect that the general approach de-scribed in this paper should be applicable in other cities, it is important to investigate whether this is the case. In future research,it would be interesting and useful to develop models that forecast the spatial distribution of demand,not only based on time but also on demo-graphic variables.

Acknowledgements This work has been supported by NSERC-Canada Grants no.ODGP-0110050and CRDPJ-251320,a grant from Bell Canada via the Bell University Laboratories,and a Canada Research Chair to P.L’Ecuyer as well as NSERC-Canada Grant no.203534to A.Ingolfsson.We thank the Cal-gary EMS department(particularly Heather Klein-Swormink and Tom Sampson)for making this work possible,J.Cheng, E.Erkut,D.Haight,and T.Riehl for useful discussions and assistance with data preparation,and the anonymous referees for useful comments.

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SCI收录期刊影响因子排名表

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口语测试

八口语测试 1 口语的特点 ●交互性:口语交际是交际双方或多方的活动,通过交际各方相互交流传递信息。 ●即时性: 口语活动一般要求参与者对谈话对方的言语立即作出反应(包括回答问 题、补充、反对、赞成、延续等)。由于这种反应具有即时性,说话者来不及精心 准备话语,因此话语中多有迟疑、停顿、口误、冗余成分等。 ●副语言因素: 口语中说话者往往借助语调、重音、音量等副语言手段来增加表达效 果。 ●非语言因素: 说话者在说话时常借助手势、目光、表情等体势语来表情达意。 ●与听的不可分割性: 除了自言自语、演讲、口授等,一般场合下的口语活动是在“… 听→说→听→说…”的过程中进行的。 2 口语能力的构成 Weir & Bygate (1992) 将口语能力分为微语言技能(micro-linguistic skills)、常规技能(routine skills)和应变技能(improvisation skills)三个层次。 ●微语言技能(micro-linguistic skills) ◆Accuracy in phonology, grammar, lexis, etc. ●常规技能(routine skills) ?Information routines ◆Expository routines: narration, description, instruction, comparison, etc. (expository essay, expository writing:说明文) ◆Evaluative routines: explanations, predictions, justifications, preferences, decisions, etc. ?Interaction routines ◆Sequences of turns: telephone conversations, interviews, conversations at parties, etc. ●应变技能(improvisation skills) ?Negotiation of meaning ◆Level of explicitness: Speakers need to choose an appropriate level of explicitness, taking into account what the listener knows and can accommodate; ◆Procedures of negotiation: speakers need to be concerned about selecting an appropriate level of specificity in the light of listener response, including use of paraphrase, metaphor, choice of general of specific lexical items, conversational adjustments to contact and ensure understanding, and repetition and clarification procedures. ?Management of interaction ◆Agenda management: referring to co ntrol over the content (participants’ right to choose the topic, or introduce topics they want to talk about) and control over the development or duration of a topic; ◆Turn-taking: knowing how to signal that one wants to speak, recognizing the right moment to get a turn, how not to lose one’s turn, recognizing other people’s signals of desire to speak, knowing how to let other persons have a

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B:Ill be doing web design. · 我在做网页设计。 A:Web design?That sounds like work for a spider? 网页设计?听起来好象在替蜘蛛工作。 B:Im talking about designing pages for the World Wide Web; the Internet.我说的是替国际网络万维网设计网页。 计算机英语口语对话(三) A:Why does a company need a web site? 为何公司需要网站? ~ B:Not all companies need a web site, but it can be very helful in lots of ways. 不是每家公司都需要网站,不过在很多方面倒是很有帮助的。 For instance , many people search the web when they are looking for a place to buy something. 譬如说,有很多人想买东西时就会上网搜索, and if your company has a good web site ,you are much more likely to get that customersbusiness. 如果你的公司有个不错的网站,生意就很可能做起来了。 计算机英语口语对话(四) A:I dont understand why this E-mail keeps getting returned to me. …

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