IDEAS home Printed from https://ideas.repec.org/a/inm/ormnsc/v48y2002i11p1369-1387.html
   My bibliography  Save this article

Hospital Operating Room Capacity Expansion

Author

Listed:
  • William S. Lovejoy

    (Michigan Business School, University of Michigan, 701 Tappan, Ann Arbor, Michigan 48109-1234)

  • Ying Li

    (Michigan Business School, University of Michigan, 701 Tappan, Ann Arbor, Michigan 48109-1234)

Abstract

A large midwestern hospital is expecting an increase in surgical caseload. New operating room (OR) capacity can be had by building new ORs or extending the working hours in the current ORs. The choice among these options is complicated by the fact that patients, surgeons and surgical staff, and hospital administrators are all important stakeholders in the health service operation, and each has different priorities. This paper investigates the trade-offs among three performance criteria (wait to get on schedule, scheduled procedure start-time reliability, and hospital profits), which are of particular importance to the different constituencies. The objective is to determine how the hospital can best expand its capacity, acknowledging the key role that each constituency plays in that objective. En route, the paper presents supporting analysis for process improvements and suggestions for optimal participation-inducing staff contracts for extending OR hours of operation.

Suggested Citation

  • William S. Lovejoy & Ying Li, 2002. "Hospital Operating Room Capacity Expansion," Management Science, INFORMS, vol. 48(11), pages 1369-1387, November.
    • Handle: RePEc:inm:ormnsc:v:48:y:2002:i:11:p:1369-1387
    DOI: 10.1287/mnsc.48.11.1369.266
    as

    Download full text from publisher

    File URL: http://dx.doi.org/10.1287/mnsc.48.11.1369.266
    Download Restriction: no
    File URL: https://libkey.io/10.1287/mnsc.48.11.1369.266?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Fandel, Gunter & Hegemann, Holger, 1989. "Capacity planning of diagnosis systems in hospitals," Engineering Costs and Production Economics, Elsevier, vol. 17(1-4), pages 205-221, August.
    2. Chrwan-Jyh Ho & Hon-Shiang Lau, 1992. "Minimizing Total Cost in Scheduling Outpatient Appointments," Management Science, INFORMS, vol. 38(12), pages 1750-1764, December.
    3. Kim, Seung-Chul & Horowitz, Ira & Young, Karl K. & Buckley, Thomas A., 1999. "Analysis of capacity management of the intensive care unit in a hospital," European Journal of Operational Research, Elsevier, vol. 115(1), pages 36-46, May.
    4. Babad, Yair M. & Dada, Maqbool & Saharia, Aditya N., 1996. "An appointment-based service center with guaranteed service," European Journal of Operational Research, Elsevier, vol. 89(2), pages 246-258, March.
    5. Mark L. Spearman & Rachel Q. Zhang, 1999. "Optimal Lead Time Policies," Management Science, INFORMS, vol. 45(2), pages 290-295, February.
    6. Lawrence M. Wein, 1991. "Due-Date Setting and Priority Sequencing in a Multiclass M/G/1 Queue," Management Science, INFORMS, vol. 37(7), pages 834-850, July.
    7. V. Srinivasan & Allan Shocker, 1973. "Linear programming techniques for multidimensional analysis of preferences," Psychometrika, Springer;The Psychometric Society, vol. 38(3), pages 337-369, September.
    8. Ann Van Ackere, 1990. "Conflicting Interests in the Timing of Jobs," Management Science, INFORMS, vol. 36(8), pages 970-984, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Arianna Alfieri & Elisabetta Listorti & Andrea Matta, 2018. "Improving surgical outcomes through optimal volumes allocation," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 272-295, June.
    2. Jan A. Van Mieghem, 2003. "Commissioned Paper: Capacity Management, Investment, and Hedging: Review and Recent Developments," Manufacturing & Service Operations Management, INFORMS, vol. 5(4), pages 269-302, July.
    3. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    4. McRae, Sebastian & Brunner, Jens O., 2020. "Assessing the impact of uncertainty and the level of aggregation in case mix planning," Omega, Elsevier, vol. 97(C).
    5. Chaithanya Bandi & Diwakar Gupta, 2020. "Operating Room Staffing and Scheduling," Manufacturing & Service Operations Management, INFORMS, vol. 22(5), pages 958-974, September.
    6. Astaraky, Davood & Patrick, Jonathan, 2015. "A simulation based approximate dynamic programming approach to multi-class, multi-resource surgical scheduling," European Journal of Operational Research, Elsevier, vol. 245(1), pages 309-319.
    7. Tamer Boyacı & Özalp Özer, 2010. "Information Acquisition for Capacity Planning via Pricing and Advance Selling: When to Stop and Act?," Operations Research, INFORMS, vol. 58(5), pages 1328-1349, October.
    8. Seokjun Youn & H. Neil Geismar & Michael Pinedo, 2022. "Planning and scheduling in healthcare for better care coordination: Current understanding, trending topics, and future opportunities," Production and Operations Management, Production and Operations Management Society, vol. 31(12), pages 4407-4423, December.
    9. Mohammad Heydari & Kin Keung Lai & Yanan Fan & Xiaoyang Li, 2022. "A Review of Emergency and Disaster Management in the Process of Healthcare Operation Management for Improving Hospital Surgical Intake Capacity," Mathematics, MDPI, vol. 10(15), pages 1-34, August.
    10. Cardoen, Brecht & Demeulemeester, Erik & Beliën, Jeroen, 2010. "Operating room planning and scheduling: A literature review," European Journal of Operational Research, Elsevier, vol. 201(3), pages 921-932, March.
    11. Andreas Fügener & Sebastian Schiffels & Rainer Kolisch, 2017. "Overutilization and underutilization of operating rooms - insights from behavioral health care operations management," Health Care Management Science, Springer, vol. 20(1), pages 115-128, March.
    12. Adrian Fletcher & Dave Worthington, 2009. "What is a ‘generic’ hospital model?—a comparison of ‘generic’ and ‘specific’ hospital models of emergency patient flows," Health Care Management Science, Springer, vol. 12(4), pages 374-391, December.
    13. Fei, H. & Chu, C. & Meskens, N. & Artiba, A., 2008. "Solving surgical cases assignment problem by a branch-and-price approach," International Journal of Production Economics, Elsevier, vol. 112(1), pages 96-108, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Zhi-Long Chen & Nicholas G. Hall, 2008. "Maximum Profit Scheduling," Manufacturing & Service Operations Management, INFORMS, vol. 10(1), pages 84-107, February.
    2. Gökçe Kahveciog̃lu & Barış Balcıog̃lu, 2016. "Coping with production time variability via dynamic lead-time quotation," OR Spectrum: Quantitative Approaches in Management, Springer;Gesellschaft für Operations Research e.V., vol. 38(4), pages 877-898, October.
    3. Maglaras, Constantinos & Van Mieghem, Jan A., 2005. "Queueing systems with leadtime constraints: A fluid-model approach for admission and sequencing control," European Journal of Operational Research, Elsevier, vol. 167(1), pages 179-207, November.
    4. Murat Erkoc & S. David Wu & Haresh Gurnani, 2008. "Delivery‐date and capacity management in a decentralized internal market," Naval Research Logistics (NRL), John Wiley & Sons, vol. 55(5), pages 390-405, August.
    5. A. Baykal Hafızoğlu & Esma S. Gel & Pınar Keskinocak, 2016. "Price and Lead Time Quotation for Contract and Spot Customers," Operations Research, INFORMS, vol. 64(2), pages 406-415, April.
    6. Vahab Vahdat & Jacqueline Griffin & James E. Stahl, 2018. "Decreasing patient length of stay via new flexible exam room allocation policies in ambulatory care clinics," Health Care Management Science, Springer, vol. 21(4), pages 492-516, December.
    7. Sridharan, V. & Li, Xiaoming, 2008. "Improving delivery reliability by a new due-date setting rule," European Journal of Operational Research, Elsevier, vol. 186(3), pages 1201-1211, May.
    8. Charnsirisakskul, Kasarin & Griffin, Paul M. & Keskinocak, Pinar, 2006. "Pricing and scheduling decisions with leadtime flexibility," European Journal of Operational Research, Elsevier, vol. 171(1), pages 153-169, May.
    9. Philipp Afèche & Opher Baron & Yoav Kerner, 2013. "Pricing Time-Sensitive Services Based on Realized Performance," Manufacturing & Service Operations Management, INFORMS, vol. 15(3), pages 492-506, July.
    10. Avishai Mandelbaum & Petar Momčilović, 2017. "Personalized queues: the customer view, via a fluid model of serving least-patient first," Queueing Systems: Theory and Applications, Springer, vol. 87(1), pages 23-53, October.
    11. Dimitris Bertsimas & Ioannis Ch. Paschalidis, 2001. "Probabilistic Service Level Guarantees in Make-to-Stock Manufacturing Systems," Operations Research, INFORMS, vol. 49(1), pages 119-133, February.
    12. Tugba Cayirli & Pinar Dursun & Evrim D. Gunes, 2019. "An integrated analysis of capacity allocation and patient scheduling in presence of seasonal walk-ins," Flexible Services and Manufacturing Journal, Springer, vol. 31(2), pages 524-561, June.
    13. Kadziński, MiŁosz & Greco, Salvatore & SŁowiński, Roman, 2012. "Extreme ranking analysis in robust ordinal regression," Omega, Elsevier, vol. 40(4), pages 488-501.
    14. Weng, Wei & Fujimura, Shigeru, 2012. "Control methods for dynamic time-based manufacturing under customized product lead times," European Journal of Operational Research, Elsevier, vol. 218(1), pages 86-96.
    15. Ruiwei Jiang & Siqian Shen & Yiling Zhang, 2017. "Integer Programming Approaches for Appointment Scheduling with Random No-Shows and Service Durations," Operations Research, INFORMS, vol. 65(6), pages 1638-1656, December.
    16. Vink, Wouter & Kuiper, Alex & Kemper, Benjamin & Bhulai, Sandjai, 2015. "Optimal appointment scheduling in continuous time: The lag order approximation method," European Journal of Operational Research, Elsevier, vol. 240(1), pages 213-219.
    17. Xiuli Chao & Liming Liu & Shaohui Zheng, 2003. "Resource Allocation in Multisite Service Systems with Intersite Customer Flows," Management Science, INFORMS, vol. 49(12), pages 1739-1752, December.
    18. Kadziński, Miłosz & Wójcik, Michał & Ciomek, Krzysztof, 2022. "Review and experimental comparison of ranking and choice procedures for constructing a univocal recommendation in a preference disaggregation setting," Omega, Elsevier, vol. 113(C).
    19. Rachuba, Sebastian & Imhoff, Lisa & Werners, Brigitte, 2022. "Tactical blueprints for surgical weeks – An integrated approach for operating rooms and intensive care units," European Journal of Operational Research, Elsevier, vol. 298(1), pages 243-260.
    20. Mark Davison, 1976. "Fitting and testing carroll's weighted unfolding model for preferences," Psychometrika, Springer;The Psychometric Society, vol. 41(2), pages 233-247, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:inm:ormnsc:v:48:y:2002:i:11:p:1369-1387. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Asher (email available below). General contact details of provider: https://edirc.repec.org/data/inforea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.