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Assistant
Professor, School of Public Policy,
George Mason University,
Arlington, VA
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Stochastic modeling and
simulation in health care
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Application of Geographic Information
Systems (GIS) and Spatial Statistics
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Applied statistics in health care
Ph.D. in Regional Science
December 2002
Concentrations:
Queueing Network Systems, Discrete Event Simulation, Mental Health
Systems
Dissertation Title: “A Queueing Network Model
with Blocking: Analysis of Congested Patient Flows in Mental Health
Systems”
Advisor:
Professor Tony Smith
Dissertation Summary: The dissertation
investigated congestion mechanism in the psychiatric care system in
Philadelphia and possible solutions to address the congestion problems.
Based on data from 1997 and 1998, a mathematical queuing network model
with blocking was developed and solved to assess the steady state
congestion levels at four types of psychiatric facilities. The analyses
identified a bottleneck in the system, offering some policy implications
related to the most efficient way to relieve the congestion. Simulation
analysis (discrete event simulation) was also conducted to investigate
the transient behavior of congestion at each facility.
M.A. in
Regional Science
May 1994
B.A. in Business Administration /
Economics March 1992
(Thesis) Ph.D.
in Environmental and Preventive Medicine March 2005
Concentrations:
Health care system simulations, Medical statistics
Advisor: Professor Hiroshi Iguchi
Visiting Assistant
Professor
2004 -
2005
School of Public
Policy
Post-doctoral
Researcher 2003
- 2005
Department of Electrical and Systems
Engineering
Economic Analyst, School of Medicine
2002 - 2003
Part-time Research Assistant, School of Medicine
1999 - 2001
Research Assistant, Department of Economic Geography Summer 1996
Non-Academic Work Experience
Consultant / Economist 2001 - 2002
Stone & Webster Consultants, Regulation and Privatization Practice
Economic
and financial analyses for water and energy sector privatization
projects. The tasks involved tariff (price) setting,
contingent valuation (CV) studies and
affordability studies related to water sector privatization in
developing countries.
Evaluation Analyst 1998 - 1999
Project Evaluation Department
Evaluated municipal water and sewage
utility restructuring programs in Croatia and Romania. The tasks
involved the review and update of financial models, sensitivity
analyses, other economic studies such as affordability studies, and the
assessment of transition/economic impacts of the projects.
Junior Social Development Consultant
1996 - 1997
Summer
Intern Summer 1996
Social Operations, Region II
Statistical analyses
for social sector reform projects in Latin America. The tasks included
statistical work (i) to determine the tenure types in the housing sector
in Panama, Guatemala and Costa Rica and (ii) to estimate demand for
private and public health care services for children in rural and urban
areas in Haiti.
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R01, National
Institute of Mental Health (NIMH)
Role: Co-P.I.
P.I.
Dr. Eri Kuno, School of Medicine, University of Pennsylvania
The research project extends the
above R21 project, and refines the theoretical work to address
practical, real-world situations.
R21, National Institute of
Mental Health (NIMH) 2003 - 2005
Role: Main Analyst (as a member of Key
Personnel)
P.I.: Dr.
Eri Kuno, School of Medicine, University of Pennsylvania, Philadelphia,
PA
The grant extends the Ph.D. dissertation.
This project is described in the section, Main Current Research Work,
below.
Main
Current Research Work
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NIMH funded grant project
to extend Ph.D. dissertation that assessed the congestion in a mental
health system with long-term care facilities. The main extensions
involve (i) relaxation of assumptions related to patient flows and
arrival/service patterns, (ii) model extension to capture patients’
diagnosis differences (i.e., multi-class queueing model), (iii)
development of a cost optimization model, and (iv) further investigation
of transient blocking behavior using both simulation and mathematical
(i.e., fluid and diffusion models) approaches. Simulation programs have
been developed in Matlab as part of this extension work. A test
web-based (i.e., Java applet) program was also developed in
collaboration with a post-doctoral researcher, Dr. Huang, in the
Department of Computer Science at the University of
Pennsylvania. The goal of this
project is to develop a decision support tool for mental health policy
makers so they can formulate appropriate residential placement choices.
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Bayesian estimation of
Weibull mixture distributions for censored survival models. The length
of stay data of psychiatric patients in various residential settings
have been used to estimate a mixture with a fixed number of components
using Gibbs sampling. In addition, a product-slice-sampler has been
introduced to estimate the conditional posterior distribution of the
Weibull shape parameters.
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Research project to examine the demand on various types of mental
health agencies in Philadelphia. The data include characteristics of
both consumers and providers, their locations, and their neighborhood
characteristics. The determinants of consumers’ agency selection have
been investigated using conditional multinomial logit models. The
results of the regressions will be mapped to compare empirical and
predicted spatial demand patterns using GIS (ArcView). The impacts of
some policy and social structural changes (i.e., budget allocation to
these agencies or changes in racial composition of some areas) on
spatial demand patterns will then be investigated.
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Dispersion model for
foot-and-mouth (FMD) disease using the monthly data in 2001 from
England, U.K. The map of the diseased cattle and its geographical spread
in 2001 has been prepared in GIS (ArcView) to construct a simulation model of disease dispersion under
various scenarios. The effectiveness of disease control and prevention
mechanisms (vaccination, slaughtering, custom-control, etc.) has also
been studied to derive economic consequences of each scenario.
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Koizumi, N.,
Kuno, E., and Smith, T.E. “Modeling Patient Flows Using a Queueing
Network with Blocking” (Health
Care Management Science, Vol. 8, No.1, February 2005) pp. 49-60
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Koizumi, N.,
Iguchi, H and Smith, T.E.
“Comparison and Verification of BSE Surveillance in USA and Japan” (Environmental
Health and Preventive Medicine, Vol.10, No. 3, May 2005)
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Kuno, E., Koizumi, N., Rothbard, A., and Greenwald J. “A
Service System Planning Model for Individuals with Serious Mental
Illness” (Mental Health
Services Research, Vol. 7,
No. 3, September 2005)
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Koizumi,
N. and
McCann, P.
“Housing Decisions in Panama:
A Log-Linear Analysis” (Journal of Housing Economics,
Forthcoming)
Proceedings /
Manuscripts in Progress
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Koizumi, N.
and Kuno, E.
“A Queuing
Network Model with Blocking: Analysis of Congested Patient Flows in
Mental Health Systems” Proceedings of
Western Multi-conference,
The Society for Modeling and Simulation
International, San Antonio, TX, USA
2002, pp40-48
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Koizumi, N.,
McCann, P.
“Housing Decisions in Panama: A
Log-Linear Analysis” Proceedings of European Regional Science Association 2003 Congress,
Jyväskylä,
Finland
Selected Refereed Conference Presentations
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Koizumi, N.
(November 2005) “Cost Minimization Using Simulation: An
Application of a Metamodel to Analyze an Optimal Housing Array for
Mentally Ill” at the North American Conference of Regional
Science Association, Las Vegas, NV, USA
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Koizumi, N.
(November 2004) “Decision
Factors in Mental Health Service Provider Selection and Client Utility
Changes Caused by Changes in the Mix of Service Providers”
at the North American Conference of Regional Science Association,
Seattle,
WA, USA
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Koizumi, N. (October
2003) “A Queueing Network Model with Blocking: Analysis of Congested
Patient Flows in Mental Health Systems” at the Annual Meeting of the
Institute for Operations Research and the
Management Sciences (INFORMS),
Atlanta, GA, USA
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Koizumi, N. and
McCann, P. (August 2003) “Housing Decisions in
Panama: A Log-Linear Analysis”
at the European Conference of Regional Science Association,
Jyväskylä,
Finland
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Koizumi, N. (January 2002)
“A Queuing Network Model
for the Bed Capacity Planning for the Mental Health Care System in
Philadelphia” at the
Western Multi-conference, The Society for Modeling and Simulation
International, San Antonio, TX, USA
P.I.:
Joshua Metlay, M.D., Ph.D., School of Medicine, University of Pennsylvania
Funding Agency:
National Institutes of Health (NIH) / National Institute of
Allergy and Infectious Diseases
Project
Duration: September 1, 2004 - August 31, 2009
Teaching Qualifications
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Microeconomics
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Statistics and Quantitative
Methods
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Urban
and Spatial Economic Theory
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Spatial Statistics using ArcView (GIS application)
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Stochastic
Modeling and Simulation
Courses for Master of Public Policy (MPP) program at School of
Public Policy (SPP), George Mason University:
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Software / Operating Systems
Matlab, ArcView (GIS),
Stata, SAS, SPSS, Arena, Scientific Word, MS Office including all
basic software, PowerPoint, Access and FrontPage / UNIX, Windows
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