RESEARCH GROUP · France

Research Group for Optimization and Management of Medical Operations

Optimizing urgent surgical care pathways through health data by combining medical sciences, care pathway engineering, health economics, and the social and human sciences.

Learn more
ANR PROJECT

ANR DOSE

A multidisciplinary data-driven approach to optimize the care pathways of patients undergoing emergency surgery, both at the patient level and across an entire hospital center.

4 Work Packages 3 PhD Theses 2025–2029
PEPR PROJECT

PEPR NETSURG

A cooperative digital twin of a hospital network designed to improve the management of urgent surgical care pathways at the patient, hospital, and regional levels.

6 Work Packages 1 PostDoc Thesis 2026–2030
THE GROUP

GRO2M

GRO2M develops innovative approaches to improve the management of patients undergoing emergency surgery, from hospital admission to discharge and return home. Our work relies on healthcare data from health data warehouses to model and optimise perioperative surgical care pathways. The outcome of our research is the development of a digital twin of urgent surgical care pathways, implementable in healthcare departments to support medical decision-making and the rational use of resources.

WHY IT MATTERS

Our Rationale

Hospital systems face growing pressure from rising emergency care demands, scarce medical and paramedical resources, and mounting financial constraints. Unplanned surgical pathways represent a major challenge in quality, safety, and efficiency — prolonged access delays to the operating theatre are directly linked to increased morbidity, mortality, and length of hospital stay.

Yet the organisation of these pathways remains largely based on empirical regulation, with little support from robust predictive tools. Advances in hospital data warehouses, national health databases, and AI methods now make it possible to model care trajectories dynamically — enabling better understanding of organisational and clinical delays, and supporting optimised prioritisation and resource allocation strategies.

It is within this interdisciplinary ambition that GRO2M was founded — to produce scientific knowledge and concrete solutions that sustainably transform the organisation of medical operations, serving patients, healthcare professionals, and the long-term sustainability of health systems alike.

OUR OBJECTIVES

What We Aim to Achieve

Translational Research

Bridge the gap between fundamental science and clinical practice through close collaboration between research laboratories and hospital departments.

AI for Healthcare

Develop intelligent machine-learning tools trained on real hospital data to support clinical decision-making, predict care delays, and improve patient outcomes in emergency settings.

Process Optimisation

Optimise surgical workflows, operating theatre scheduling, and hospital resource allocation using operations research methods and data-driven prioritisation strategies.

Digital Twins

Build virtual replicas of hospital care pathways to simulate saturation scenarios, anticipate bottlenecks, and support real-time decision-making at both institutional and regional levels.

MULTIDISCIPLINARY TEAM

Our Institutions

GRO2M brings together medical, scientific, and engineering teams from leading French institutions around a shared objective: improving the organisation of emergency surgical care.

Medicine & Clinical
AP-HP
CHU de Nantes
CHU de Lille
Engineering & OR
CentraleSupélec
Mines Saint-Étienne
SKEMA Business School
Epidemiology & SHS
Sorbonne Université
Nantes Université
Université de Lille
Centre Léon Bérard
Paris School of Economics
AP-HP
CHU de Nantes
CHU de Lille
CentraleSupélec
Mines Saint-Étienne
SKEMA Business School
Sorbonne Université
Nantes Université
Université de Lille
Centre Léon Bérard
Paris School of Economics
AP-HP
CHU de Nantes
CHU de Lille
CentraleSupélec
Mines Saint-Étienne
SKEMA Business School
Sorbonne Université
Nantes Université
Université de Lille
Centre Léon Bérard
Paris School of Economics
WORKING GROUP

GRO2M Members

GRO2M brings together surgeons, engineers, data scientists, and clinicians around a shared ambition: making surgery smarter, safer, and more precise.

 
 
OUR FUNDERS

Institutional Support

Our research is made possible through funding from major French and European research agencies.

 
 
SCIENTIFIC OUTPUT

Our Contributions

GRO2M contributes to structuring national research on the optimization of urgent surgical care pathways. Its work focuses in particular on the definition of quality indicators, pathway modeling, the development of prioritization methods, medico-economic analysis, quality of work life, and the design of hospital digital twins.

 
LATEST

News & events

Find here the group’s main scientific, institutional, and operational updates: funding awards, regulatory advances, publications, conference presentations, recruitment, thesis defenses, and key milestones of the DOSE and NETSURG projects.

 
ANR Project · 2025–2029

DOSE – A multidisciplinary Data-driven approach for care pathway Optimization of non-elective SurgEry patients

DOSE aims to develop a multidisciplinary data-driven approach to optimize the care pathways of patients undergoing emergency surgery at the scale of a hospital center. The project relies on data from the AP-HP Health Data Warehouse and the French National Health Data System (SNDS) to better understand the determinants of care pathways, identify relevant quality indicators, and develop decision-support tools for the organization of emergency operating rooms.

4
Work Packages
3
PhD Theses
WORK PACKAGES

Scientific Structure

WP1
Data-driven modeling of emergency surgery care pathways
The overall goal of this WP is to propose and develop data-driven methods and algorithms for personalized modeling/prediction of care pathways, resource requirements and delays for emergency surgery patients based on their relevant healthcare records.
WP2
Development of Key Performance Indicators (KPIs)
The aim of WP2 is to develop the key performance indicators based on which the patient flow optimization policies will be performed. Three families of KPIs will be considered: medical, SHS, and medico-economic indicators.
WP3
Prioritization of the patient flow
This WP intends to develop optimization methods for the dynamic scheduling (prioritization) of EOR patients in the different hospital units delivering the focus activities of the care pathways identified in WP1.
WP4
Development of the hospital digital twin
This WP intends to develop optimization methods for the dynamic scheduling (prioritization) of EOR patients in the different hospital units delivering the focus activities of the care pathways identified in WP1.
PROJECT TIMELINE

Scientific Progress

The DOSE project is funded for a scientific duration of 48 months, with a planned start in April 2025 and completion in 2029.

The initial phases focus on data structuring, data quality improvement, linkage with the French National Health Data System (SNDS), and the development of the first care pathway indicators.

PEPR Project · 2026–2030

NETSURG — A Cooperative Hospital Network Digital Twin for the Management of Non-Elective Surgery Care Pathways

NETSURG aims to develop a multi-scale digital twin to optimize urgent surgical care pathways within hospital networks. The project models care pathways at three levels: the patient, the hospital, and the regional hospital network. It integrates clinical, medico-economic, social, patient-centered, and healthcare professional-centered criteria. The project relies on data from the AP-HP, Nantes, and Lille health data warehouses.

6
Work Packages
1
PostDoc Thesis
WORK PACKAGES

Scientific Structure

WP1
Data Acquisition and Engineering
Build interoperable datasets from the Paris, Nantes, and Lille data warehouses, with linkage to the French National Health Data System (SNDS).
WP2
Multidisciplinary Indicators
Develop medical, medico-economic, and socio-human indicators to guide optimization.
WP3
Care Pathway Modeling at the Network Level
Use process mining and machine learning to model durations, delays, patient orientation, and resource utilization.
WP4
Hospital Digital Twin
Create a hospital digital twin to optimize patient flows within a healthcare institution.
WP5
Hospital Network Digital Twin
Connect hospital digital twins to simulate and optimize cooperation between hospitals.
WP6
Validation
Evaluate the models through in silico simulation and shadow trials.
PROJECT TIMELINE

Scientific Progress

NETSURG builds on the preliminary results of the DOSE project. AP-HP data have already been structured for an initial large cohort, with planned expansion to Nantes and Lille. The project targets approximately 340,000 patients from major French hospital data warehouses. The official launch of the project is scheduled for May 28, 2026.

DOCTORAL PROGRAMMES

NETSURG aims to develop a multi-scale digital twin to optimize urgent surgical care pathways within hospital networks. The project models care pathways at three levels: the patient, the hospital, and the regional hospital network. It integrates clinical, medico-economic, social, patient-centered, and healthcare professional-centered criteria. The project relies on data from the AP-HP, Nantes, and Lille health data warehouses.

 

PhD & Masters Theses

 
 
GET IN TOUCH

Contact us

Our team is open to academic, hospital, institutional, and methodological collaborations in the fields of care pathways, perioperative medicine, health data, hospital engineering, health economics, and the social and human sciences.

Email
contact.gro2m@gmail.com
GRO2M — Groupe de Recherche en Optimisation et management des Opérations Médicales
© 2026 GRO2M · All rights reserved