Cluster Analysis of Hospital Inpatient Service Efficiency Based on BOR, BTO, TOI, AvLOS Indicators using Agglomerative Hierarchical Clustering

Purpose: The research proposed an approach for grouping hospital inpatient service efficiency that have the same characteristics into certain clusters based on BOR, BTO, TOI, and AvLOS indicators using Agglomerative Hierarchical Clustering.Design/methodology/approach: Applying Agglomerative Hierarchical Clustering with dissimilarity measures such as single linkage, complete linkage, average linkage, and ward linkage.Findings/result: The experiment result has shown that ward linkage was given a quite good score of silhouette coefficient reached 0.4454 for the evaluation of cluster quality. The cluster formed using ward linkage was more proportional than the other dissimilarity measures. Ward linkage has generated cluster 0 consists of 23 members, cluster 1 consists of 34 members, while both of cluster 2 and 3 consists of only 1 member respectively. The experiment reported that each cluster had problems with inpatient indicators that were not ideal and even exceeded the ideal limit, but cluster 0 generated the ideal BOR and TOI parameters, both reached 52.17% (12 of 23 hospital inpatient) and 78.36% (18 of 23 hospital inpatient) respectively.Originality/value/state of the art: Based on previous research, this study provides an alternative to produce more proportional, representative and quality clusters in mapping hospital inpatient service efficiency that have the same characteristics into certain clusters using Agglomerative Hierarchical Clustering Method compared to the K-means Clustering Method which is often trapped in local optima.