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Value management of diagnostic equipment with cancelation, no‐show, and emergency patients

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  • Yongbo Xiao
  • Yan Zhu

Abstract

Magnetic resonance imaging and other multifunctional diagnostic facilities, which are considered as scarce resources of hospitals, typically provide services to patients with different medical needs. This article examines the admission policies during the appointment management of such facilities. We consider two categories of patients: regular patients who are scheduled in advance through an appointment system and emergency patients with randomly generated demands during the workday that must be served as soon as possible. According to the actual medical needs of patients, regular patients are segmented into multiple classes with different cancelation rates, no‐show probabilities, unit value contributions, and average service times. Management makes admission decisions on whether or not to accept a service request from a regular patient during the booking horizon to improve the overall value that could be generated during the workday. The decisions should be made by considering the cancelation and no‐show behavior of booked patients as well as the emergency patients that would have to be served because any overtime service would lead to higher costs. We studied the optimal admission decision using a continuous‐time discrete‐state dynamic programming model. Identifying an optimal policy for this discrete model is analytically intractable and numerically inefficient because the state is multidimensional and infinite. We propose to study a deterministic counterpart of the problem (i.e., the fluid control problem) and to develop a time‐based fluid policy that is shown to be asymptotically optimal for large‐scale problems. Furthermore, we propose to adopt a mixed fluid policy that is developed based on the information obtained from the fluid control problem. Numerical experiments demonstrate that this improved policy works effectively for small‐scale problems. © 2016 Wiley Periodicals, Inc. Naval Research Logistics 63: 287–304, 2016

Suggested Citation

  • Yongbo Xiao & Yan Zhu, 2016. "Value management of diagnostic equipment with cancelation, no‐show, and emergency patients," Naval Research Logistics (NRL), John Wiley & Sons, vol. 63(4), pages 287-304, June.
    • Handle: RePEc:wly:navres:v:63:y:2016:i:4:p:287-304
    DOI: 10.1002/nav.21691
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    References listed on IDEAS

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    1. William L. Cooper, 2002. "Asymptotic Behavior of an Allocation Policy for Revenue Management," Operations Research, INFORMS, vol. 50(4), pages 720-727, August.
    2. Youyi Feng & Guillermo Gallego, 1995. "Optimal Starting Times for End-of-Season Sales and Optimal Stopping Times for Promotional Fares," Management Science, INFORMS, vol. 41(8), pages 1371-1391, August.
    3. Chrwan-Jyh Ho & Hon-Shiang Lau, 1992. "Minimizing Total Cost in Scheduling Outpatient Appointments," Management Science, INFORMS, vol. 38(12), pages 1750-1764, December.
    4. Guillermo Gallego & Garrett van Ryzin, 1997. "A Multiproduct Dynamic Pricing Problem and Its Applications to Network Yield Management," Operations Research, INFORMS, vol. 45(1), pages 24-41, February.
    5. Jonathan Patrick & Martin L. Puterman & Maurice Queyranne, 2008. "Dynamic Multipriority Patient Scheduling for a Diagnostic Resource," Operations Research, INFORMS, vol. 56(6), pages 1507-1525, December.
    6. Lamiri, Mehdi & Xie, Xiaolan & Dolgui, Alexandre & Grimaud, Frederic, 2008. "A stochastic model for operating room planning with elective and emergency demand for surgery," European Journal of Operational Research, Elsevier, vol. 185(3), pages 1026-1037, March.
    7. Qian Liu & Garrett van Ryzin, 2008. "On the Choice-Based Linear Programming Model for Network Revenue Management," Manufacturing & Service Operations Management, INFORMS, vol. 10(2), pages 288-310, October.
    8. Yigal Gerchak & Diwakar Gupta & Mordechai Henig, 1996. "Reservation Planning for Elective Surgery Under Uncertain Demand for Emergency Surgery," Management Science, INFORMS, vol. 42(3), pages 321-334, March.
    9. Bo Zeng & Ayten Turkcan & Ji Lin & Mark Lawley, 2010. "Clinic scheduling models with overbooking for patients with heterogeneous no-show probabilities," Annals of Operations Research, Springer, vol. 178(1), pages 121-144, July.
    10. Martin I. Reiman & Qiong Wang, 2008. "An Asymptotically Optimal Policy for a Quantity-Based Network Revenue Management Problem," Mathematics of Operations Research, INFORMS, vol. 33(2), pages 257-282, May.
    11. Richard Van Slyke & Yi Young, 2000. "Finite Horizon Stochastic Knapsacks with Applications to Yield Management," Operations Research, INFORMS, vol. 48(1), pages 155-172, February.
    12. Linda V. Green & Sergei Savin & Ben Wang, 2006. "Managing Patient Service in a Diagnostic Medical Facility," Operations Research, INFORMS, vol. 54(1), pages 11-25, February.
    13. Diwakar Gupta & Lei Wang, 2008. "Revenue Management for a Primary-Care Clinic in the Presence of Patient Choice," Operations Research, INFORMS, vol. 56(3), pages 576-592, June.
    14. Nan Liu & Serhan Ziya & Vidyadhar G. Kulkarni, 2010. "Dynamic Scheduling of Outpatient Appointments Under Patient No-Shows and Cancellations," Manufacturing & Service Operations Management, INFORMS, vol. 12(2), pages 347-364, September.
    15. Constantinos Maglaras & Joern Meissner, 2006. "Dynamic Pricing Strategies for Multiproduct Revenue Management Problems," Manufacturing & Service Operations Management, INFORMS, vol. 8(2), pages 136-148, July.
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