Forecasting Mental Health Hospital Bed Occupancy: A Regime-Switching AutoRegressive Hidden Markov Model Approach

Healthcare Management
Hospital Bed Occupancy
Python
Time Series Forecasting
Machine Learning
Regime Switching Hidden Markov Model
5th Welsh Postgraduate Research Cluster Workshop in Economy, Enterprise and Productivity
Author

Mustafa Aslan

Published

September 16, 2025

Slides

Date: Sep 16 2025 11:00 AM – 13:00 PM
Event: 5th Welsh Postgraduate Research Cluster Workshop
Location: School of Management, Swansea University, UK

Context

At the 5th Welsh Postgraduate Research Cluster Workshop, we will present our research on forecasting mental health hospital bed occupancy using a Regime Switching Autoregressive Hidden Markov Model (RS-ARHMM). This model is designed to capture the dynamic and often unpredictable nature of hospital bed occupancy, which is influenced by various factors that are even not directly observable.

Abstract

Hospital bed occupancy is a critical metric for healthcare systems, directly impacting patient care quality and operational efficiency. Accurate forecasting of bed occupancy can aid in resource allocation, staffing, and overall hospital management. The presentation introduces a Regime Switching Autoregressive Hidden Markov Model (RS-ARHMM) to forecast hospital bed occupancy, capturing the dynamic nature of healthcare demand. The RS-ARHMM model combines the strengths of autoregressive models in handling time series data with the flexibility of Markov switching to account for regime changes in occupancy patterns. The model is applied to historical bed occupancy data from a mental health hospital, demonstrating its ability to adapt to sudden changes in demand. Results indicate that the RS-ARHMM model outperforms both traditional and modern forecasting methods, providing more accurate and reliable predictions in terms of probabilistic forecasting methods. This approach offers a valuable tool for hospital administrators and policymakers to enhance staffing strategies and resource management, ultimately improving patient outcomes and operational efficiency.