IDEAS home Printed from https://ideas.repec.org/a/bla/popmgt/v24y2015i12p1907-1930.html
   My bibliography  Save this article

Elective Patient Admission and Scheduling under Multiple Resource Constraints

Author

Listed:
  • Christiane Barz
  • Kumar Rajaram

Abstract

type="main" xml:id="poms12395-abs-0001"> We consider a patient admission problem to a hospital with multiple resource constraints (e.g., OR and beds) and a stochastic evolution of patient care requirements across multiple resources. There is a small but significant proportion of emergency patients who arrive randomly and have to be accepted at the hospital. However, the hospital needs to decide whether to accept, postpone, or even reject the admission from a random stream of non-emergency elective patients. We formulate the control process as a Markov decision process to maximize expected contribution net of overbooking costs, develop bounds using approximate dynamic programming, and use them to construct heuristics. We test our methods on data from the Ronald Reagan UCLA Medical Center and find that our intuitive newsvendor-based heuristic performs well across all scenarios.

Suggested Citation

  • Christiane Barz & Kumar Rajaram, 2015. "Elective Patient Admission and Scheduling under Multiple Resource Constraints," Production and Operations Management, Production and Operations Management Society, vol. 24(12), pages 1907-1930, December.
  • Handle: RePEc:bla:popmgt:v:24:y:2015:i:12:p:1907-1930
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1111/poms.2015.24.issue-12
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Carri W. Chan & Linda V. Green & Suparerk Lekwijit & Lijian Lu & Gabriel Escobar, 2019. "Assessing the Impact of Service Level When Customer Needs Are Uncertain: An Empirical Investigation of Hospital Step-Down Units," Management Science, INFORMS, vol. 65(2), pages 751-775, February.
    2. Jie Bai & Andreas Fügener & Jochen Gönsch & Jens O. Brunner & Manfred Blobner, 2021. "Managing admission and discharge processes in intensive care units," Health Care Management Science, Springer, vol. 24(4), pages 666-685, December.
    3. Seokjun Youn & H. Neil Geismar & Michael Pinedo, 2022. "Planning and scheduling in healthcare for better care coordination: Current understanding, trending topics, and future opportunities," Production and Operations Management, Production and Operations Management Society, vol. 31(12), pages 4407-4423, December.
    4. Liping Zhou & Na Geng & Zhibin Jiang & Shan Jiang, 2022. "Integrated Multiresource Capacity Planning and Multitype Patient Scheduling," INFORMS Journal on Computing, INFORMS, vol. 34(1), pages 129-149, January.
    5. Topuz, Kazim & Urban, Timothy L. & Yildirim, Mehmet B., 2024. "A Markovian score model for evaluating provider performance for continuity of care—An explainable analytics approach," European Journal of Operational Research, Elsevier, vol. 317(2), pages 341-351.
    6. Sean Harris & David Claudio, 2022. "Current Trends in Operating Room Scheduling 2015 to 2020: a Literature Review," SN Operations Research Forum, Springer, vol. 3(1), pages 1-42, March.
    7. J. Behnamian & Z. Gharabaghli, 2023. "Multi-objective outpatient scheduling in health centers considering resource constraints and service quality: a robust optimization approach," Journal of Combinatorial Optimization, Springer, vol. 45(2), pages 1-35, March.
    8. Guido, Rosita & Groccia, Maria Carmela & Conforti, Domenico, 2018. "An efficient matheuristic for offline patient-to-bed assignment problems," European Journal of Operational Research, Elsevier, vol. 268(2), pages 486-503.
    9. Pan, Yuqing & Cheng, T.C.E. & He, Yuxuan & Ng, Chi To & Sethi, Suresh P., 2022. "Foresighted medical resources allocation during an epidemic outbreak," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 164(C).
    10. Hessam Bavafa & Charles M. Leys & Lerzan Örmeci & Sergei Savin, 2019. "Managing Portfolio of Elective Surgical Procedures: A Multidimensional Inverse Newsvendor Problem," Operations Research, INFORMS, vol. 67(6), pages 1543-1563, November.
    11. Aisha Tayyab & Saif Ullah & Mohammed Fazle Baki, 2023. "An Outer Approximation Method for Scheduling Elective Surgeries with Sequence Dependent Setup Times to Multiple Operating Rooms," Mathematics, MDPI, vol. 11(11), pages 1-15, May.
    12. Jie Bai & Andreas Fügener & Jan Schoenfelder & Jens O. Brunner, 2018. "Operations research in intensive care unit management: a literature review," Health Care Management Science, Springer, vol. 21(1), pages 1-24, March.
    13. Adam Diamant, 2021. "Dynamic multistage scheduling for patient-centered care plans," Health Care Management Science, Springer, vol. 24(4), pages 827-844, December.
    14. Marynissen, Joren & Demeulemeester, Erik, 2019. "Literature review on multi-appointment scheduling problems in hospitals," European Journal of Operational Research, Elsevier, vol. 272(2), pages 407-419.
    15. Minglong Zhou & Melvyn Sim & Shao‐Wei Lam, 2022. "Advance admission scheduling via resource satisficing," Production and Operations Management, Production and Operations Management Society, vol. 31(11), pages 4002-4020, November.
    16. Elisa F. Long & Eike Nohdurft & Stefan Spinler, 2018. "Spatial Resource Allocation for Emerging Epidemics: A Comparison of Greedy, Myopic, and Dynamic Policies," Manufacturing & Service Operations Management, INFORMS, vol. 20(2), pages 181-198, May.
    17. Bastos, Leonardo S.L. & Marchesi, Janaina F. & Hamacher, Silvio & Fleck, Julia L., 2019. "A mixed integer programming approach to the patient admission scheduling problem," European Journal of Operational Research, Elsevier, vol. 273(3), pages 831-840.
    18. Shuwan Zhu & Wenjuan Fan & Shanlin Yang & Jun Pei & Panos M. Pardalos, 2019. "Operating room planning and surgical case scheduling: a review of literature," Journal of Combinatorial Optimization, Springer, vol. 37(3), pages 757-805, April.
    19. Na Geng & Xiaolan Xie, 2022. "Managing Advance Admission Requests for Obstetric Care," INFORMS Journal on Computing, INFORMS, vol. 34(2), pages 1224-1239, March.
    20. Gang Du & Xinyue Li & Hui Hu & Xiaoling Ouyang, 2018. "Optimizing Daily Service Scheduling for Medical Diagnostic Equipment Considering Patient Satisfaction and Hospital Revenue," Sustainability, MDPI, vol. 10(9), pages 1-23, September.
    21. Dai, Jiajun & Geng, Na & Xie, Xiaolan, 2021. "Dynamic advance scheduling of outpatient appointments in a moving booking window," European Journal of Operational Research, Elsevier, vol. 292(2), pages 622-632.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:popmgt:v:24:y:2015:i:12:p:1907-1930. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1937-5956 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.