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MAXIMAL FLOW PROBLEM   369




                        system needs to be developed to better coordinate  According to the proposed operating procedure,
                        the use of the ambulance services at the two hospi-  incoming emergency calls would be identified by zone
                        tals so that together they can provide the fastest  number, and an ambulance from the hospital closest
                        possible emergency service for the city.    to that zone would be assigned the service call. How-
                          A proposal being considered is for all ambulance  ever, if all ambulances from the closest hospital were
                        service calls to be handled through a central dis-  occupied with other emergencies, the service call
                        patcher, who would assign a call to the hospital capa-  would be assigned to the other hospital. Regardless
                        ble of providing the fastest service. In studying this  of which hospital responded to the service call, the
                        proposal, a project team consisting of employees  individual or individuals requiring the emergency serv-
                        from both hospitals met and decided that the best  ice would be taken to the closest hospital.
                        approach would be to divide the city into 20 service  To make the coordinated service as efficient as
                        zones. In the proposed configuration, Western Medi-  possible, the ambulance drivers must know in
                        cal would be located in zone 1 and Binghamton  advance the quickest route to take to each zone, which
                        General in zone 20. A map showing the placement  hospital the individual or individuals in that zone
                        of the 20 zones and the travel time (in minutes)  should be taken to, and the quickest route to that
                        between adjacent zones is provided in Figure 8.20.  hospital.

                              Figure 8.20 Network for Proposed Ambulance Service
                                                                 6         8
                                                        9                          15
                                                                     6                    5
                                                             7
                                               5                                     4         16
                                                     4
                                                                 5      14     6
                                         8                7
                                                                                     20         6
                                                                       5      5            4
                                                        4
                                    4          8                6      13                      17
                                                         8                          7
                                         7
                                                  7                      5                   7
                                  10                       5                  5    19
                                           1                                            6
                                                                   6     12
                                        6                                                  18
                                                      4                         7
                                              7             9
                                    3     8                                 6        9
                                               2              3
                                                       5
                                                                      5
                                                              10              11
                        Managerial Report                           3 A chart for the Binghamton General ambulance
                                                                      drivers that provides the minimum time routes
                        Prepare a report for the two hospital administrators
                                                                      from Binghamton General to every zone in
                        describing your analysis of the problem. Include in your
                                                                      the city, including Western Medical. Include
                        report recommendations regarding the following items:
                                                                      a chart that tells Binghamton General
                        1 A chart for the dispatcher that identifies the primary  drivers which hospital the individuals should
                          hospital ambulance service for every zone in the city.  be taken to and the route that should be
                                                                      followed.
                        2 A chart for the Western Medical ambulance
                          drivers that provides the minimum time routes  4 Include recommendations regarding how the
                          from Western Medical to every zone in the city,  system could be modified to take into account
                          including Binghamton General. Include a chart  varying traffic conditions that occur throughout
                          that tells Western Medical drivers which hospital  the day and changes in driving conditions
                          the individuals should be taken to and the route  resulting from temporary road construction
                          that should be followed.                    projects.




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