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In recent years, Customs and Border Protection (CBP) has installed radiation sensors to screen cargo containers entering the United States. They are concerned that terrorists could use containers to smuggle radiological material into the country and carry out attacks with dirty bombs or a nuclear device. Recent studies have questioned the value of improving this screening system with new sensor technology. The cost of delays caused by frequent false alarms outweighs any reduction in the probability of an attack in an expected cost analysis. We extend existing methodology in three ways to demonstrate how additional factors affect the value of screening investments. We examine the effect that screening has in discouraging terrorists. We model multiple levels of screening.Finally, we consider additional objectives beyond cost. We find that the conclusion about screening depends on key inputs to the probability model (reflecting uncertainties) and to the value function (reflecting the stakeholders' fundamental objectives).

The ultimate goal of emergency medical service systems is to save lives. However, most emergency medical service systems have performance measures for responding to 911 calls within a fixed timeframe (i.e., a response time threshold), rather than measures related to patient outcomes. These response time thresholds are used because they are easy to obtain and to understand. This paper proposes a methodology for evaluating the performance of response time thresholds in terms of resulting patient survival rates. A model that locates ambulances to optimize patient survival rates is used for base comparison. Results are illustrated using real-world data collected from Hanover County, Virginia. The results indicate that locating ambulances to maximize seven and eight min response time thresholds simultaneously maximize patient survival. Nine and 10 min response time thresholds result in more equitable patient outcomes, with improved patient survival rates in rural regions.

Emergency medical service (EMS) systems provide urgent medical care and transport. In this study we implement dispatching policies for EMS systems that incorporate the severity of the call in order to increase the survival probability of patients. A simulation model is developed to evaluate the performance of EMS systems. Performance is measured in terms of patients' survival probability, since survival probability more directly mirrors patient outcomes. Different response strategies are evaluated utilizing several examples to study the nature of the optimal dispatching policy. The results show that dispatching the closest vehicle is not always optimal and dispatching vehicles considering priority of the call leads to an increase in the average survival probability of patients. A heuristic algorithm, that is easy to implement, is developed to dispatch ambulances for large-scale EMS systems. Computational examples show that the dispatching algorithm is valuable in increasing the patients' survival probability.

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Abstract:Passenger prescreening is a critical component of aviation security systems. This paper introduces the Multilevel Allocation Problem (MAP), which models the screening of passengers and baggage in a multilevel aviation security system. A passenger is screened by one of several classes, each of which corresponds to a set of procedures using security screening devices, where passengers are differentiated by their perceived risk levels. Each class is defined in terms of its fixed cost (the overhead costs), its marginal cost (the additional cost to screen a passenger), and its security level. The objective of MAP is to assign each passenger to a class such that the total security is maximized subject to passenger assignments and budget constraints. This paper shows that MAP is NP-hard and introduces a Greedy heuristic that obtains approximate solutions to MAP that use no more than two classes. Examples are constructed using data extracted from the Official Airline Guide. Analysis of the examples suggests that fewer security classes for passenger screening may be more effective and that using passenger risk information can lead to more effective security screening strategies.