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An integrated approach to demand and capacity planning in outpatient clinics

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  • Izady, Navid

Abstract

An outpatient clinic serving two independent demand streams, one representing advance booking requests and the other same-day requests, is considered. Advance requests book their appointments through an electronic booking system for a future day, and same-day requests are served on the day they arise. A compact policy formulation is proposed that incorporates major operational levers suggested in the literature. It combines a slot publication policy, which specifies the pattern under which slots are released to the booking system, with an expediting policy that adjusts the daily workload of advance patients. Relying on a wide range of numerical experiments, a heuristic search method is developed for finding the joint publication and expediting policies, minimizing the cost of overtime slots whilst ensuring a waiting and an access constraint is met. Several managerial insights are derived using a combination of illustrative and real data, highlighting the importance of taking an integrated approach towards the operational levers captured by our policy formulation.

Suggested Citation

  • Izady, Navid, 2019. "An integrated approach to demand and capacity planning in outpatient clinics," European Journal of Operational Research, Elsevier, vol. 279(2), pages 645-656.
    • Handle: RePEc:eee:ejores:v:279:y:2019:i:2:p:645-656
    DOI: 10.1016/j.ejor.2019.06.001
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    References listed on IDEAS

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    1. Houyuan Jiang & Zhan Pang & Sergei Savin, 2012. "Performance-Based Contracts for Outpatient Medical Services," Manufacturing & Service Operations Management, INFORMS, vol. 14(4), pages 654-669, October.
    2. Jacob Feldman & Nan Liu & Huseyin Topaloglu & Serhan Ziya, 2014. "Appointment Scheduling Under Patient Preference and No-Show Behavior," Operations Research, INFORMS, vol. 62(4), pages 794-811, August.
    3. Navid Izady, 2015. "Appointment Capacity Planning in Specialty Clinics: A Queueing Approach," Operations Research, INFORMS, vol. 63(4), pages 916-930, August.
    4. Linda V. Green & Sergei Savin, 2008. "Reducing Delays for Medical Appointments: A Queueing Approach," Operations Research, INFORMS, vol. 56(6), pages 1526-1538, December.
    5. Stefan Creemers & Marc Lambrecht, 2010. "Queueing models for appointment-driven systems," Annals of Operations Research, Springer, vol. 178(1), pages 155-172, July.
    6. Dixon, Anna & Robertson, Ruth & Bal, Roland, 2010. "The experience of implementing choice at point of referral: a comparison of the Netherlands and England," Health Economics, Policy and Law, Cambridge University Press, vol. 5(3), pages 295-317, July.
    7. Qu, Xiuli & Rardin, Ronald L. & Williams, Julie Ann S. & Willis, Deanna R., 2007. "Matching daily healthcare provider capacity to demand in advanced access scheduling systems," European Journal of Operational Research, Elsevier, vol. 183(2), pages 812-826, December.
    8. Renata Kopach & Po-Ching DeLaurentis & Mark Lawley & Kumar Muthuraman & Leyla Ozsen & Ron Rardin & Hong Wan & Paul Intrevado & Xiuli Qu & Deanna Willis, 2007. "Effects of clinical characteristics on successful open access scheduling," Health Care Management Science, Springer, vol. 10(2), pages 111-124, June.
    9. Nan Liu & Serhan Ziya, 2014. "Panel Size and Overbooking Decisions for Appointment-Based Services under Patient No-Shows," Production and Operations Management, Production and Operations Management Society, vol. 23(12), pages 2209-2223, December.
    10. Van-Anh Truong, 2015. "Optimal Advance Scheduling," Management Science, INFORMS, vol. 61(7), pages 1584-1597, July.
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    Cited by:

    1. Adam Diamant, 2021. "Dynamic multistage scheduling for patient-centered care plans," Health Care Management Science, Springer, vol. 24(4), pages 827-844, December.
    2. Chamberlain, Jonathan & Simhon, Eran & Starobinski, David, 2021. "Preemptible queues with advance reservations: Strategic behavior and revenue management," European Journal of Operational Research, Elsevier, vol. 293(2), pages 561-578.
    3. Liping Zhou & Na Geng & Zhibin Jiang & Shan Jiang, 2022. "Integrated Multiresource Capacity Planning and Multitype Patient Scheduling," INFORMS Journal on Computing, INFORMS, vol. 34(1), pages 129-149, January.

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