A comparison of multivariate and univariate time series approaches to modelling and forecasting Emergency Department demand in Western Australia.

The model identification process for VARMA, ARMA and Winters method.Display Omitted VARMA, ARMA and Winters methods are used extensively for planning and management.Multivariate VARMA model is a reliable tool for predicting ED demand by category.It outperforms the standard univariate ARMA and Winters' methods. ObjectiveTo develop multivariate vector-ARMA (VARMA) forecast models for predicting emergency department (ED) demand in Western Australia (WA) and compare them to the benchmark univariate autoregressive moving average (ARMA) and Winters' models. MethodsSeven-year monthly WA state-wide public hospital ED presentation data from 2006/07 to 2012/13 were modelled. Graphical and VARMA modelling methods were used for descriptive analysis and model fitting. The VARMA models were compared to the benchmark univariate ARMA and Winters' models to determine their accuracy to predict ED demand. The best models were evaluated by using error correction methods for accuracy. ResultsDescriptive analysis of all the dependent variables showed an increasing pattern of ED use with seasonal trends over time. The VARMA models provided a more precise and accurate forecast with smaller confidence intervals and better measures of accuracy in predicting ED demand in WA than the ARMA and Winters' method. ConclusionVARMA models are a reliable forecasting method to predict ED demand for strategic planning and resource allocation. While the ARMA models are a closely competing alternative, they under-estimated future ED demand.