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Scheduling hospital services: the efficacy of elective-surgery quotas

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  • Kim, Seung-Chul
  • Horowitz, Ira

Abstract

We take advantage of the advance-scheduling property for elective surgeries by exploring whether the use of a daily quota system with a 1-week or 2-week scheduling window would improve the performance of a typical intensive care unit (ICU) that serves patients coming from a number of different sources within the hospital. The exploration is carried out via a simulation model whose parameters are established from actual ICU data that were gathered over a 6-month period. It is shown that formally linking one controllable upstream process, namely the scheduling of elective surgeries through a quota system, to the downstream ICU admission process, can have beneficial effects throughout the hospital.

Suggested Citation

  • Kim, Seung-Chul & Horowitz, Ira, 2002. "Scheduling hospital services: the efficacy of elective-surgery quotas," Omega, Elsevier, vol. 30(5), pages 335-346, October.
    • Handle: RePEc:eee:jomega:v:30:y:2002:i:5:p:335-346
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    Cited by:

    1. 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.
    2. Ben Bachouch, Rym & Guinet, Alain & Hajri-Gabouj, Sonia, 2012. "An integer linear model for hospital bed planning," International Journal of Production Economics, Elsevier, vol. 140(2), pages 833-843.
    3. repec:ipg:wpaper:2013-014 is not listed on IDEAS
    4. J Patrick & M L Puterman, 2007. "Improving resource utilization for diagnostic services through flexible inpatient scheduling: A method for improving resource utilization," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 235-245, February.
    5. 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.
    6. Nico Dellaert & Jully Jeunet, 2013. "Pareto optimal strategies for improved operational plans of elective patients under multiple constrained resources," Working Papers 2013-14, Department of Research, Ipag Business School.
    7. Jie Bai & Andreas Fügener & Jochen Gönsch & Jens O. Brunner & Manfred Blobner, 2021. "Managing admission and discharge processes in intensive care units," Health Care Management Science, Springer, vol. 24(4), pages 666-685, December.
    8. Range, Troels Martin & Kozlowski, Dawid & Petersen, Niels Chr., 2019. "Dynamic job assignment: A column generation approach with an application to surgery allocation," European Journal of Operational Research, Elsevier, vol. 272(1), pages 78-93.
    9. Khaniyev, Taghi & Kayış, Enis & Güllü, Refik, 2020. "Next-day operating room scheduling with uncertain surgery durations: Exact analysis and heuristics," European Journal of Operational Research, Elsevier, vol. 286(1), pages 49-62.
    10. Na Geng & Xiaolan Xie, 2022. "Managing Advance Admission Requests for Obstetric Care," INFORMS Journal on Computing, INFORMS, vol. 34(2), pages 1224-1239, March.
    11. Steffen Heider & Jan Schoenfelder & Thomas Koperna & Jens O. Brunner, 2022. "Balancing control and autonomy in master surgery scheduling: Benefits of ICU quotas for recovery units," Health Care Management Science, Springer, vol. 25(2), pages 311-332, June.
    12. Chern, Ching-Chin & Chien, Pei-Szu & Chen, Shu-Yi, 2008. "A heuristic algorithm for the hospital health examination scheduling problem," European Journal of Operational Research, Elsevier, vol. 186(3), pages 1137-1157, May.
    13. Range, Troels Martin & Kozlowski, Dawid & Petersen, Niels Chr., 2016. "Dynamic job assignment: A column generation approach with an application to surgery allocation," Discussion Papers on Economics 4/2016, University of Southern Denmark, Department of Economics.
    14. Jie Bai & Andreas Fügener & Jan Schoenfelder & Jens O. Brunner, 2018. "Operations research in intensive care unit management: a literature review," Health Care Management Science, Springer, vol. 21(1), pages 1-24, March.
    15. Kuang Xu, 2015. "Necessity of Future Information in Admission Control," Operations Research, INFORMS, vol. 63(5), pages 1213-1226, October.
    16. 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.
    17. Wang, Yu & Tang, Jiafu & Fung, Richard Y.K., 2014. "A column-generation-based heuristic algorithm for solving operating theater planning problem under stochastic demand and surgery cancellation risk," International Journal of Production Economics, Elsevier, vol. 158(C), pages 28-36.
    18. Persson, Marie & Persson, Jan A., 2009. "Health economic modeling to support surgery management at a Swedish hospital," Omega, Elsevier, vol. 37(4), pages 853-863, August.
    19. Yin-Chi Chan & Eric W. M. Wong & Gavin Joynt & Paul Lai & Moshe Zukerman, 2018. "Overflow models for the admission of intensive care patients," Health Care Management Science, Springer, vol. 21(4), pages 554-572, December.
    20. Francesca Guerriero & Rosita Guido, 2011. "Operational research in the management of the operating theatre: a survey," Health Care Management Science, Springer, vol. 14(1), pages 89-114, March.

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