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Optimal Workflow Decisions for Investigators in Systems with Interruptions

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  • Gregory Dobson

    (Simon School of Business, University of Rochester, Rochester, New York 14617)

  • Tolga Tezcan

    (Simon School of Business, University of Rochester, Rochester, New York 14617)

  • Vera Tilson

    (Simon School of Business, University of Rochester, Rochester, New York 14617)

Abstract

We model a system that consists of a stream of customers processed through three steps by two resources. The first resource, an investigator, handles the first step, in which she collects information from the customer and decides what work will be done in the second step by the second resource, the back office. In the third step, the investigator returns to the customer armed with the additional information or analysis done by the back office and provides the customer with a conclusion, solution, or diagnosis. The investigator has to prioritize either seeing a new customer or completing the work with a customer already in the system. While serving one customer, the investigator may be interrupted by requests from the other customers in the system. Our main objective is to understand the impact of the investigator's choices on system throughput. In addition, we are interested in the occupancy of the system (and thus the flow time of customers). We create a stylized queueing model to examine the investigator's decisions and show that, when interruptions are not an issue, the investigator should prioritize new customers to maximize throughput, keeping the system as full as possible. If customers who have been in the system for a long time generate interruptions and thus additional work for the investigator, we show that it is asymptotically optimal for the investigator to keep the system occupancy low and prioritize discharging customers. Our conclusions are based on a model of a re-entrant queue with dedicated servers serving multiple stations, with two novel features: a buffer that is shared between stations, and jobs in the system generating additional work for the servers. This paper was accepted by Assaf Zeevi, stochastic models and simulation.

Suggested Citation

  • Gregory Dobson & Tolga Tezcan & Vera Tilson, 2013. "Optimal Workflow Decisions for Investigators in Systems with Interruptions," Management Science, INFORMS, vol. 59(5), pages 1125-1141, May.
  • Handle: RePEc:inm:ormnsc:v:59:y:2013:i:5:p:1125-1141
    DOI: 10.1287/mnsc.1120.1632
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    as
    1. Bin Hu & Saif Benjaafar, 2009. "Partitioning of Servers in Queueing Systems During Rush Hour," Manufacturing & Service Operations Management, INFORMS, vol. 11(3), pages 416-428, October.
    2. Philippe B. Chevalier & Lawrence M. Wein, 1993. "Scheduling Networks of Queues: Heavy Traffic Analysis of a Multistation Closed Network," Operations Research, INFORMS, vol. 41(4), pages 743-758, August.
    3. Omar Besbes & Costis Maglaras, 2009. "Revenue Optimization for a Make-to-Order Queue in an Uncertain Market Environment," Operations Research, INFORMS, vol. 57(6), pages 1438-1450, December.
    4. Izak Duenyas & Diwakar Gupta & Tava Lennon Olsen, 1998. "Control of a Single-Server Tandem Queueing System with Setups," Operations Research, INFORMS, vol. 46(2), pages 218-230, April.
    5. McClain, John O. & Thomas, L. Joseph & Sox, Charles, 1992. ""On-the-fly" line balancing with very little WIP," International Journal of Production Economics, Elsevier, vol. 27(3), pages 283-289, October.
    6. J. Michael Harrison & Lawrence M. Wein, 1990. "Scheduling Networks of Queues: Heavy Traffic Analysis of a Two-Station Closed Network," Operations Research, INFORMS, vol. 38(6), pages 1052-1064, December.
    7. Sigrún Andradóttir & Hayriye Ayhan, 2005. "Throughput Maximization for Tandem Lines with Two Stations and Flexible Servers," Operations Research, INFORMS, vol. 53(3), pages 516-531, June.
    8. Itay Gurvich & Ward Whitt, 2009. "Scheduling Flexible Servers with Convex Delay Costs in Many-Server Service Systems," Manufacturing & Service Operations Management, INFORMS, vol. 11(2), pages 237-253, June.
    9. Ward Whitt, 1999. "Partitioning Customers into Service Groups," Management Science, INFORMS, vol. 45(11), pages 1579-1592, November.
    10. J. G. Dai & Tolga Tezcan, 2011. "State Space Collapse in Many-Server Diffusion Limits of Parallel Server Systems," Mathematics of Operations Research, INFORMS, vol. 36(2), pages 271-320, May.
    11. Emil Zavadlav & John O. McClain & L. Joseph Thomas, 1996. "Self-Buffering, Self-Balancing, Self-Flushing Production Lines," Management Science, INFORMS, vol. 42(8), pages 1151-1164, August.
    12. Avishai Mandelbaum & Alexander L. Stolyar, 2004. "Scheduling Flexible Servers with Convex Delay Costs: Heavy-Traffic Optimality of the Generalized cμ-Rule," Operations Research, INFORMS, vol. 52(6), pages 836-855, December.
    13. Ramesh Arumugam & Maria Mayorga & Kevin Taaffe, 2009. "Inventory based allocation policies for flexible servers in serial systems," Annals of Operations Research, Springer, vol. 172(1), pages 1-23, November.
    14. Noah Gans & Ger Koole & Avishai Mandelbaum, 2003. "Telephone Call Centers: Tutorial, Review, and Research Prospects," Manufacturing & Service Operations Management, INFORMS, vol. 5(2), pages 79-141, September.
    15. Wendell G. Gilland, 2001. "Effective Sequencing Rules for Closed Manufacturing Networks," Operations Research, INFORMS, vol. 49(5), pages 759-770, October.
    16. Eser Kırkızlar & Sigrún Andradóttir & Hayriye Ayhan, 2012. "Flexible Servers in Understaffed Tandem Lines," Production and Operations Management, Production and Operations Management Society, vol. 21(4), pages 761-777, July.
    17. Nilay Tan{i}k Argon & Serhan Ziya, 2009. "Priority Assignment Under Imperfect Information on Customer Type Identities," Manufacturing & Service Operations Management, INFORMS, vol. 11(4), pages 674-693, June.
    18. John J. Bartholdi & Donald D. Eisenstein, 1996. "A Production Line that Balances Itself," Operations Research, INFORMS, vol. 44(1), pages 21-34, February.
    19. Lawrence M. Wein, 1990. "Scheduling Networks of Queues: Heavy Traffic Analysis of a Two-Station Network with Controllable Inputs," Operations Research, INFORMS, vol. 38(6), pages 1065-1078, December.
    20. Sigrún Andradóttir & Hayriye Ayhan & Douglas G. Down, 2001. "Server Assignment Policies for Maximizing the Steady-State Throughput of Finite Queueing Systems," Management Science, INFORMS, vol. 47(10), pages 1421-1439, October.
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