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Full-Text Articles in Operations Research, Systems Engineering and Industrial Engineering
Trade-Off Balancing For Stable And Sustainable Operating Room Scheduling, Amin Abedini
Trade-Off Balancing For Stable And Sustainable Operating Room Scheduling, Amin Abedini
Theses and Dissertations--Mechanical Engineering
The implementation of the mandatory alternative payment model (APM) guarantees savings for Medicare regardless of participant hospitals ability for reducing spending that shifts the cost minimization burden from insurers onto the hospital administrators. Surgical interventions account for more than 30% and 40% of hospitals total cost and total revenue, respectively, with a cost structure consisting of nearly 56% direct cost, thus, large cost reduction is possible through efficient operation management. However, optimizing operating rooms (ORs) schedules is extraordinarily challenging due to the complexities involved in the process. We present new algorithms and managerial guidelines to address the problem of OR …
Stochastic Bi-Level Optimization Models For Efficient Operating Room Planning, Amin Abedini, Wei Li, Honghan Ye
Stochastic Bi-Level Optimization Models For Efficient Operating Room Planning, Amin Abedini, Wei Li, Honghan Ye
Mechanical Engineering Faculty Publications
Within a hospital, the operating room (OR) department has the largest cost and revenue. Because of the aging population, the demand for surgical services has been increasing sharply in recent years. At the other hand, the rate of OR capacity expansion is lower than the rate of increasing demand. As a result, OR managers must leverage their resources by efficient OR planning. OR planning is challenging because of multiple competing\conflicting objectives such cost minimization and throughput maximization. Inherent uncertainty in the surgical procedures and patients arrivals complicate the decision making process. This increases the risk of non-realization of the system …
An Optimization Model For Operating Room Scheduling To Reduce Blocking Across The Perioperative Process, Amin Abedini, Wei Li, Honghan Ye
An Optimization Model For Operating Room Scheduling To Reduce Blocking Across The Perioperative Process, Amin Abedini, Wei Li, Honghan Ye
Mechanical Engineering Faculty Publications
Operating room (OR) scheduling is important. Because of increasing demand for surgical services, hospitals must provide high quality care more efficiently with limited resources. When constructing the OR schedule, it is necessary to consider the availability of downstream resources, such as intensive care unit (ICU) and post anaesthesia care unit (PACU). The unavailability of downstream resources causes blockings between every two consecutive stages. In this paper we address the master surgical schedule (MSS) problem in order to minimize blockings between two consecutive stages. First, we present a blocking minimization (BM) model for the MSS by using integer programming, based on …
Adaptive Multi-Objective Operating Room Planning With Stochastic Demand And Case Times, Vivek Reddy Gunna
Adaptive Multi-Objective Operating Room Planning With Stochastic Demand And Case Times, Vivek Reddy Gunna
Theses and Dissertations--Mechanical Engineering
The operating room (OR) is accountable for most hospital admissions and is one of the most cost and work intensive areas in the hospital. From recent trends, we discover an unexpected parallel increase in expenditure and waiting time. Therefore, improving OR planning has become obligatory, particularly regarding utilization, and service level. Significant challenges in OR planning are the high variations in demand, processing times of surgical specialties, the trade-off between the objectives, and control of OR performance in long-term. Our model provides OR configurations at a strategical level of OR planning to minimize the tradeoff between the utilization and service …