Integrated Block Sharing: A Win–Win Strategy for Hospitals and Surgeons

Integrated Block Sharing: A Win–Win Strategy for Hospitals and Surgeons

0.00 Avg rating0 Votes
Article ID: iaor20126337
Volume: 14
Issue: 4
Start Page Number: 567
End Page Number: 583
Publication Date: Sep 2012
Journal: Manufacturing & Service Operations Management
Authors: , ,
Keywords: simulation: applications, scheduling, decision theory: multiple criteria
Abstract:

We consider the problem of balancing two competing objectives in the pursuit of efficient management of operating rooms in a hospital: providing surgeons with predictable, reliable access to the operating room and maintaining high utilization of capacity. The common solution to the first problem (in practice) is to grant exclusive ‘block time,’ in which a portion of the week in an operating room is designated to a particular surgeon, barring other surgeons from using this room/time. As a major improvement over this existing approach, we model the possibility of ‘shared’ block time, which need only satisfy capacity constraints in expectation. We reduce the computational difficulty of the resulting NP‐hard block‐scheduling problem by implementing a column‐generation approach and demonstrate the efficacy of this technique using simulation, calibrated to a real hospital's historical data and objectives.Our simulations illustrate substantial benefits to hospitals under a variety of circumstances and demonstrate the advantages of our new approach relative to a benchmark method taken from the recent literature.

Reviews

Required fields are marked *. Your email address will not be published.