Skip to main content
Top
Published in: Journal of Medical Systems 3/2012

01-06-2012 | ORIGINAL PAPER

Economic and Quality Scheduling for Effective Utilization of Operating Rooms

Authors: Angus Jeang, An-Jen Chiang

Published in: Journal of Medical Systems | Issue 3/2012

Login to get access

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.
Literature
1.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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
Metadata
Title
Economic and Quality Scheduling for Effective Utilization of Operating Rooms
Authors
Angus Jeang
An-Jen Chiang
Publication date
01-06-2012
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 3/2012
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-010-9582-0

Other articles of this Issue 3/2012

Journal of Medical Systems 3/2012 Go to the issue