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Erschienen in: Journal of Medical Systems 3/2012

01.06.2012 | ORIGINAL PAPER

Economic and Quality Scheduling for Effective Utilization of Operating Rooms

verfasst von: Angus Jeang, An-Jen Chiang

Erschienen in: Journal of Medical Systems | Ausgabe 3/2012

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Abstract

Under the constraints of limited medical resources and severe competition among hospitals, administrators have begun to pay attention to the opportunities of cost reduction and quality improvement in hospital management, in order to find methods to increase hospital revenue and improve service quality. The operating room should be one of the most important sources of hospital income, yet it is both costly to run and constrictive to inpatient flow. Successful hospital management necessitates the construction of cost-effective and quality operating room scheduling. This paper attempts to model the scheduling problem in the form of mathematical programming with the objective being to minimize the deviation between the total operation time and the total available time in operating rooms. Urgent revisions to the model in consideration of such factors as doctor’s availability, outpatient consulting hours and unfavorable surgery hours can be achieved in a timely manner. With the present approach, surgical procedures can start punctually, inpatient waiting time for surgery and length of stay can be reduced, and staff morale can be enhanced. These improvements will result in cost reduction, and increased hospital revenue without sacrificing the quality of medical care.
Literatur
1.
Zurück zum Zitat Augusto, V., Xie, X., and Perdomo, V., Operating theatre scheduling with patient recovery in both operating rooms and recovery beds. Comput. Ind. Eng. 58(2):231–238, 2010.CrossRef Augusto, V., Xie, X., and Perdomo, V., Operating theatre scheduling with patient recovery in both operating rooms and recovery beds. Comput. Ind. Eng. 58(2):231–238, 2010.CrossRef
2.
Zurück zum Zitat Baker, L. C., Phibbs, C. S., Guarino, C., Supina, D., and Reynolds, J. L., Within-year variation in hospital utilization and its implications for hospital costs. J. Health Econ. 23(1):191–211, 2004.CrossRef Baker, L. C., Phibbs, C. S., Guarino, C., Supina, D., and Reynolds, J. L., Within-year variation in hospital utilization and its implications for hospital costs. J. Health Econ. 23(1):191–211, 2004.CrossRef
3.
Zurück zum Zitat Chaabane, S., Meskens, N., Guinet, A., and Laurent, M., Comparison of two methods of operating theatre planning: Application in Belgian Hospital. International Conference on Service Systems and Service Management 1:386–392, 2006.CrossRef Chaabane, S., Meskens, N., Guinet, A., and Laurent, M., Comparison of two methods of operating theatre planning: Application in Belgian Hospital. International Conference on Service Systems and Service Management 1:386–392, 2006.CrossRef
4.
Zurück zum Zitat Fei, H., Chu, C., Meskens, N., and Artiba, A., Solving surgical cases assignment problem by a branch-and-price approach. Int. J. Prod. Econ. 112(1):96–108, 2008.CrossRef Fei, H., Chu, C., Meskens, N., and Artiba, A., Solving surgical cases assignment problem by a branch-and-price approach. Int. J. Prod. Econ. 112(1):96–108, 2008.CrossRef
5.
Zurück zum Zitat Gaynor, M., and Anderson, G. F., Uncertain demand, the structure of hospital costs, and the cost of empty hospital beds. J. Health Econ. 14(3):291–317, 1995.CrossRef Gaynor, M., and Anderson, G. F., Uncertain demand, the structure of hospital costs, and the cost of empty hospital beds. J. Health Econ. 14(3):291–317, 1995.CrossRef
6.
Zurück zum Zitat Griffith, J. R., Hancock, W. M., and Munson, F. C., Cost Control in Hospitals. Health Administration Press, Ann Arbor, MI, 1976. Griffith, J. R., Hancock, W. M., and Munson, F. C., Cost Control in Hospitals. Health Administration Press, Ann Arbor, MI, 1976.
7.
Zurück zum Zitat Guinet, A., A linear programming approach to define the operating room opening hours. Integrated Design and Production 29:1–10, 2001. Guinet, A., A linear programming approach to define the operating room opening hours. Integrated Design and Production 29:1–10, 2001.
8.
Zurück zum Zitat Guinet, A., and Chaabane, S., Operating theatre planning. Int. J. Prod. Econ. 85:69–81, 2003.CrossRef Guinet, A., and Chaabane, S., Operating theatre planning. Int. J. Prod. Econ. 85:69–81, 2003.CrossRef
9.
Zurück zum Zitat Hans, E., Wullink, G., Van Houdenhoven, M., and Kazemier, G., Robust surgery loading. Eur. J. Oper. Res. 185(3):1038–1050, 2008.MATHCrossRef Hans, E., Wullink, G., Van Houdenhoven, M., and Kazemier, G., Robust surgery loading. Eur. J. Oper. Res. 185(3):1038–1050, 2008.MATHCrossRef
10.
Zurück zum Zitat Harris, A. P., and Zitzmann, W. G., Operating Room Management: Structure, Strategies, and Economics. USA:Mosby, 1998. Harris, A. P., and Zitzmann, W. G., Operating Room Management: Structure, Strategies, and Economics. USA:Mosby, 1998.
11.
Zurück zum Zitat Jebali, A., Hadj Alouane, A. B., and Ladet, P., Operating rooms scheduling. Int. J. Prod. Econ. 99(1–2):52–62, 2006.CrossRef Jebali, A., Hadj Alouane, A. B., and Ladet, P., Operating rooms scheduling. Int. J. Prod. Econ. 99(1–2):52–62, 2006.CrossRef
12.
Zurück zum Zitat John, T. B., and Joan, D., Mount Sinai Hospital uses integer programming to allocate operating room time. Interfaces 32(2):63–73, 2002.CrossRef John, T. B., and Joan, D., Mount Sinai Hospital uses integer programming to allocate operating room time. Interfaces 32(2):63–73, 2002.CrossRef
13.
Zurück zum Zitat Lamiri, M., Xie, X., Dolgui, A., and Grimaud, F., A stochastic model for operating room planning with elective and emergency demand for surgery. Eur. J. Oper. Res. 185(3):1026–1037, 2008.MathSciNetMATHCrossRef Lamiri, M., Xie, X., Dolgui, A., and Grimaud, F., A stochastic model for operating room planning with elective and emergency demand for surgery. Eur. J. Oper. Res. 185(3):1026–1037, 2008.MathSciNetMATHCrossRef
14.
Zurück zum Zitat Li, L., and Benton, W. C., Hospital capacity management decisions emphasis on cost control and quality enhancement. Eur. J. Oper. Res. 146(3):596–614, 2003.MATHCrossRef Li, L., and Benton, W. C., Hospital capacity management decisions emphasis on cost control and quality enhancement. Eur. J. Oper. Res. 146(3):596–614, 2003.MATHCrossRef
15.
Zurück zum Zitat Marcon, E., Kharraja, S., and Simonnet, G., The operating theatre planning by the follow-up of the risk of no realization. Int. J. Prod. Econ. 85(1):83–90, 2003.CrossRef Marcon, E., Kharraja, S., and Simonnet, G., The operating theatre planning by the follow-up of the risk of no realization. Int. J. Prod. Econ. 85(1):83–90, 2003.CrossRef
16.
Zurück zum Zitat Ogulata, S. N., and Erol, R., A hierarchical multiple criteria mathematical programming approach for scheduling general surgery operations in large hospitals. J. Med. Syst. 27(3):259–270, 2003.CrossRef Ogulata, S. N., and Erol, R., A hierarchical multiple criteria mathematical programming approach for scheduling general surgery operations in large hospitals. J. Med. Syst. 27(3):259–270, 2003.CrossRef
17.
Zurück zum Zitat Ozkarahan, I., Allocation of surgeries to operating rooms by goal programming. J. Med. Syst. 24(6):339–378, 2000.CrossRef Ozkarahan, I., Allocation of surgeries to operating rooms by goal programming. J. Med. Syst. 24(6):339–378, 2000.CrossRef
18.
Zurück zum Zitat Perdomo, V., Augusto, V., and Xie, X., Operating Theatre Scheduling Using lagrangian relaxation. International Conference on Service Systems and Service Management 2:1234–1239, 2006.CrossRef Perdomo, V., Augusto, V., and Xie, X., Operating Theatre Scheduling Using lagrangian relaxation. International Conference on Service Systems and Service Management 2:1234–1239, 2006.CrossRef
19.
Zurück zum Zitat Person, M., and Person, J. A., Health economic modeling to support surgery management at a Swedish Hospital. Omega 37:853–863, 2009.CrossRef Person, M., and Person, J. A., Health economic modeling to support surgery management at a Swedish Hospital. Omega 37:853–863, 2009.CrossRef
20.
Zurück zum Zitat Phadke, M. S., Quality Engineering Using Robust Design. Prentice-Hall, New York, 1989. Phadke, M. S., Quality Engineering Using Robust Design. Prentice-Hall, New York, 1989.
21.
Zurück zum Zitat Pham, D. N., and Klinkert, A., Surgical case scheduling as a generalized job shop scheduling problem. Eur. J. Oper. Res. 185(3):1011–1025, 2008.MathSciNetMATHCrossRef Pham, D. N., and Klinkert, A., Surgical case scheduling as a generalized job shop scheduling problem. Eur. J. Oper. Res. 185(3):1011–1025, 2008.MathSciNetMATHCrossRef
22.
Zurück zum Zitat Rosenthal, R. E., GAMS—A User’s Guide. GAMS Development Corporation, Washington, DC, 2008. Rosenthal, R. E., GAMS—A User’s Guide. GAMS Development Corporation, Washington, DC, 2008.
23.
Zurück zum Zitat Sier, D., Tobin, P., and McGurk, C., Scheduling surgical procedures. J. Oper. Res. Soc. 48(9):884–891, 1997.MATH Sier, D., Tobin, P., and McGurk, C., Scheduling surgical procedures. J. Oper. Res. Soc. 48(9):884–891, 1997.MATH
24.
Zurück zum Zitat Smet, M., Cost characteristics of hospitals. Soc. Sci. Med. 55(6):895–906, 2002.CrossRef Smet, M., Cost characteristics of hospitals. Soc. Sci. Med. 55(6):895–906, 2002.CrossRef
25.
Zurück zum Zitat Smith-Daniels, V. L., Schweikhart, S. B., and Smith-Daniels, D. E., Capacity management in health care services: Review and future research directions. Decis Sci 19:889–919, 1988.CrossRef Smith-Daniels, V. L., Schweikhart, S. B., and Smith-Daniels, D. E., Capacity management in health care services: Review and future research directions. Decis Sci 19:889–919, 1988.CrossRef
26.
Zurück zum Zitat Strum, D. P., May, J. H., and Vargas, L. G., Modeling the uncertainty of surgical procedure times. Anesthesiology 92:1160–1167, 2000.CrossRef Strum, D. P., May, J. H., and Vargas, L. G., Modeling the uncertainty of surgical procedure times. Anesthesiology 92:1160–1167, 2000.CrossRef
27.
Zurück zum Zitat Testi, A., Tanfani, E., and Torre, G., A three-phase approach for operating theatre schedules. Health Care Manage. Sci. 10(2):163–172, 2007.CrossRef Testi, A., Tanfani, E., and Torre, G., A three-phase approach for operating theatre schedules. Health Care Manage. Sci. 10(2):163–172, 2007.CrossRef
28.
Zurück zum Zitat Van Oostrum, J., Van Houdenhoven, M., Hurink, J., Hans, E., Wullink, G., and Kazemier, G., A master surgical scheduling approach for cyclic scheduling in operating room departments. OR Spectr. 30(2):355–374, 2008.MATHCrossRef Van Oostrum, J., Van Houdenhoven, M., Hurink, J., Hans, E., Wullink, G., and Kazemier, G., A master surgical scheduling approach for cyclic scheduling in operating room departments. OR Spectr. 30(2):355–374, 2008.MATHCrossRef
29.
Zurück zum Zitat Viapiano, J., and Ward, D. S., Operating room utilization: The need for data. Int. Anesthesiol. Clin. 38(4):127–140, 2000.CrossRef Viapiano, J., and Ward, D. S., Operating room utilization: The need for data. Int. Anesthesiol. Clin. 38(4):127–140, 2000.CrossRef
30.
Zurück zum Zitat Vissers, J. M. H., Adan, I. J. B. F., and Bekkers, J. A., Patient mix optimization in tactical cardiothoracic surgery planning: A case study. J Manag Math 16(3):281–304, 2005.MathSciNetMATH Vissers, J. M. H., Adan, I. J. B. F., and Bekkers, J. A., Patient mix optimization in tactical cardiothoracic surgery planning: A case study. J Manag Math 16(3):281–304, 2005.MathSciNetMATH
31.
Zurück zum Zitat Zekienock, G. B., and Zambricki, C. S., The health care crisis: Impact on surgery in the community hospital setting. Arch. Surg. 136(5):585–591, 2001.CrossRef Zekienock, G. B., and Zambricki, C. S., The health care crisis: Impact on surgery in the community hospital setting. Arch. Surg. 136(5):585–591, 2001.CrossRef
Metadaten
Titel
Economic and Quality Scheduling for Effective Utilization of Operating Rooms
verfasst von
Angus Jeang
An-Jen Chiang
Publikationsdatum
01.06.2012
Verlag
Springer US
Erschienen in
Journal of Medical Systems / Ausgabe 3/2012
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-010-9582-0

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