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Full-Text Articles in Business
Managing Clinic Variability With Same-Day Scheduling, Intervention For No-Shows, And Seasonal Capacity Adjustments, Kum Khiong Yang, Tugba Cayirli
Managing Clinic Variability With Same-Day Scheduling, Intervention For No-Shows, And Seasonal Capacity Adjustments, Kum Khiong Yang, Tugba Cayirli
Research Collection Lee Kong Chian School Of Business
This study investigates demand and capacity strategiesfor managing clinic variability. These include (i) same-day scheduling tocontrol random walk-ins, (ii) no-show intervention, where the clinic callsadvance-booked patients a day before to identify and release canceled slots tosame-day patients, and (iii) adjustments to daily number of appointments foradvance-booked patients to match seasonal variations in same-day demand. Thesestrategies are tested over the individual-block/fixed-interval (IBFI) and theDome appointment rules. The resulting appointment systems are tested underscenarios with different levels of same-day demand, demand seasonality,no-shows and cost ratios. The goal is to minimize the weighted sum of patients’wait time and physician’s idle-time and overtime. Our …
Managing Emergency Department Crowding Through Improved Triaging And Resource Allocation, Kum Khiong Yang, Sean Shao Wei Lam, Joyce M. W. Low, Marcus Eng Hock Ong
Managing Emergency Department Crowding Through Improved Triaging And Resource Allocation, Kum Khiong Yang, Sean Shao Wei Lam, Joyce M. W. Low, Marcus Eng Hock Ong
Research Collection Lee Kong Chian School Of Business
Long waiting times in emergency departments (EDs) not only reduce patients’ perceived quality of care, but also increase crowding which can adversely affect patients’ outcomes. Waiting time has been found to affect patients’ outcomes and is closely associated with delays in the provision of ancillary services to ED patients by the diagnostic/treatment laboratories. The focus of this study is to improve the flow of ED patients by testing alternative triage processes and capacity of physicians, triage nurses and laboratories. Three alternative triage processes are examined for managing the flow of ED patients through shared and dedicated laboratories across different utilization …
A Universal Appointment Rule With Patient Classification For Service Times, No-Shows And Walk-Ins, Cayirli Tugba, Kum Khiong Yang
A Universal Appointment Rule With Patient Classification For Service Times, No-Shows And Walk-Ins, Cayirli Tugba, Kum Khiong Yang
Research Collection Lee Kong Chian School Of Business
This study evaluates patient classification for scheduling and sequencing appointments for patients differentiated by their mean and standard deviation of service times, no-show, and walk-in probabilities. Alternative appointment systems are tested through simulation using a universal Dome rule and some of the best traditional appointment rules in the literature. Our findings show that the universal Dome rule performs better in terms of reducing the total cost of patient’s waiting time, doctor’s idle time, and overtime, and its performance improves further with the right sequencing of patient groups. Although it is a challenge to find the best sequence, we propose a …