A dual bin-packing approach to scheduling surgical cases at a publicly-funded hospital
Publicly-funded hospitals are typically allocated an annual budget by the government based on the number of enrollees in the region. Given tight budget constraints, the capacity of resources is fairly fixed. Such hospitals strive to maximize the utilization of their resources through continuous improvement and optimization techniques. We address a surgical case scheduling problem experienced at a publicly-funded hospital and conceptualize this multi-period, multi-resource, priority-based case scheduling problem as an unequal-sized, multi-bin, multi-dimensional dual bin-packing problem. A mixed integer programming model and a heuristic based on the first fit decreasing algorithm are presented. Resource availability, case priorities, and variation in surgery times are key features included in our model. Our proposed approach led to substantial savings, 20% reduction in number of days and up to 20% increase in operating room utilization, when compared to real schedules obtained from the surgical department at a publicly-funded hospital.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Belien, Jeroen & Demeulemeester, Erik, 2007. "Building cyclic master surgery schedules with leveled resulting bed occupancy," European Journal of Operational Research, Elsevier, vol. 176(2), pages 1185-1204, January.
- Cardoen, Brecht & Demeulemeester, Erik & Beliën, Jeroen, 2009. "Optimizing a multiple objective surgical case sequencing problem," International Journal of Production Economics, Elsevier, vol. 119(2), pages 354-366, June.
- Lamiri, Mehdi & Grimaud, Frédéric & Xie, Xiaolan, 2009. "Optimization methods for a stochastic surgery planning problem," International Journal of Production Economics, Elsevier, vol. 120(2), pages 400-410, August.
- Parikh, Pratik J. & Meller, Russell D., 2008. "Selecting between batch and zone order picking strategies in a distribution center," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 44(5), pages 696-719, September.
- Guinet, Alain & Chaabane, Sondes, 2003. "Operating theatre planning," International Journal of Production Economics, Elsevier, vol. 85(1), pages 69-81, July.
- Jebali, AIda & Hadj Alouane, Atidel B. & Ladet, Pierre, 2006. "Operating rooms scheduling," International Journal of Production Economics, Elsevier, vol. 99(1-2), pages 52-62, February.
- Pablo Santibáñez & Mehmet Begen & Derek Atkins, 2007. "Surgical block scheduling in a system of hospitals: an application to resource and wait list management in a British Columbia health authority," Health Care Management Science, Springer, vol. 10(3), pages 269-282, September.
- Brian Denton & James Viapiano & Andrea Vogl, 2007. "Optimization of surgery sequencing and scheduling decisions under uncertainty," Health Care Management Science, Springer, vol. 10(1), pages 13-24, February.
- Hans, Erwin & Wullink, Gerhard & van Houdenhoven, Mark & Kazemier, Geert, 2008. "Robust surgery loading," European Journal of Operational Research, Elsevier, vol. 185(3), pages 1038-1050, March.
- Pham, Dinh-Nguyen & Klinkert, Andreas, 2008. "Surgical case scheduling as a generalized job shop scheduling problem," European Journal of Operational Research, Elsevier, vol. 185(3), pages 1011-1025, March.
- 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.
When requesting a correction, please mention this item's handle: RePEc:eee:ejores:v:224:y:2013:i:3:p:583-591. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei)
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.