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Capacity planning with demand uncertainty for outpatient clinics

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  • Nguyen, Thu Ba T.
  • Sivakumar, Appa Iyer
  • Graves, Stephen C.

Abstract

In this study, we develop a capacity planning model to determine the required number of physicians for an outpatient system with patient reentry. First-visit (FV) patients are assumed to arrive randomly to the system. After their first appointment, the FV patient may require additional appointments, and will then become a re-visit (RV) patient; after each appointment an RV patient will require subsequent visits with a given probability. The system must achieve a set of targets on the appointment lead-times for both FV and RV patients. Furthermore, the system must have sufficient capacity to assure that a given percentile of FV patients is admitted. We develop a deterministic model that finds the required capacity over a finite horizon. We establish the tractability of the deterministic model and show that it provides a reasonable approximation to the stochastic model. We also demonstrate the value from knowing the demands in terms of the required resources. These conclusions are numerically illustrated using real data from the Urology outpatient clinic of the studied hospital.

Suggested Citation

  • Nguyen, Thu Ba T. & Sivakumar, Appa Iyer & Graves, Stephen C., 2018. "Capacity planning with demand uncertainty for outpatient clinics," European Journal of Operational Research, Elsevier, vol. 267(1), pages 338-348.
    • Handle: RePEc:eee:ejores:v:267:y:2018:i:1:p:338-348
    DOI: 10.1016/j.ejor.2017.11.038
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    References listed on IDEAS

    as
    1. Kuiper, Alex & Mandjes, Michel, 2015. "Appointment scheduling in tandem-type service systems," Omega, Elsevier, vol. 57(PB), pages 145-156.
    2. Xiuli Qu & Yidong Peng & Nan Kong & Jing Shi, 2013. "A two-phase approach to scheduling multi-category outpatient appointments – A case study of a women’s clinic," Health Care Management Science, Springer, vol. 16(3), pages 197-216, September.
    3. Kemper, Benjamin & Klaassen, Chris A.J. & Mandjes, Michel, 2014. "Optimized appointment scheduling," European Journal of Operational Research, Elsevier, vol. 239(1), pages 243-255.
    4. David Bamford & Elizabeth Chatziaslan, 2009. "Healthcare capacity measurement," International Journal of Productivity and Performance Management, Emerald Group Publishing Limited, vol. 58(8), pages 748-766, October.
    5. Nan Liu, 2016. "Optimal Choice for Appointment Scheduling Window under Patient No-Show Behavior," Production and Operations Management, Production and Operations Management Society, vol. 25(1), pages 128-142, January.
    6. Ittig, Peter T., 1985. "Capacity planning in service operations: The case of hospital outpatient facilities," Socio-Economic Planning Sciences, Elsevier, vol. 19(6), pages 425-429.
    7. Xiuli Qu & Jing Shi, 2009. "Effect of two-level provider capacities on the performance of open access clinics," Health Care Management Science, Springer, vol. 12(1), pages 99-114, March.
    8. Joanne C. Bennett & D. J. Worthington, 1998. "An Example of a Good but Partially Successful OR Engagement: Improving Outpatient Clinic Operations," Interfaces, INFORMS, vol. 28(5), pages 56-69, October.
    9. S. Creemers & J. Beliën & M. Lambrecht, 2012. "The optimal allocation of server time slots over different classes of customers," Post-Print hal-00800190, HAL.
    10. J Bowers, 2010. "Waiting list behaviour and the consequences for NHS targets," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 61(2), pages 246-254, February.
    11. Linda V. Green & Sergei Savin, 2008. "Reducing Delays for Medical Appointments: A Queueing Approach," Operations Research, INFORMS, vol. 56(6), pages 1526-1538, December.
    12. G. C. Calafiore & L. El Ghaoui, 2006. "On Distributionally Robust Chance-Constrained Linear Programs," Journal of Optimization Theory and Applications, Springer, vol. 130(1), pages 1-22, July.
    13. A. Charnes & W. W. Cooper, 1963. "Deterministic Equivalents for Optimizing and Satisficing under Chance Constraints," Operations Research, INFORMS, vol. 11(1), pages 18-39, February.
    14. Ahmadi-Javid, Amir & Jalali, Zahra & Klassen, Kenneth J, 2017. "Outpatient appointment systems in healthcare: A review of optimization studies," European Journal of Operational Research, Elsevier, vol. 258(1), pages 3-34.
    15. Tugba Cayirli & Evrim Didem Gunes, 2014. "Outpatient appointment scheduling in presence of seasonal walk-ins," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 65(4), pages 512-531, April.
    16. Hari Balasubramanian & Sebastian Biehl & Longjie Dai & Ana Muriel, 2014. "Dynamic allocation of same-day requests in multi-physician primary care practices in the presence of prescheduled appointments," Health Care Management Science, Springer, vol. 17(1), pages 31-48, March.
    17. Qu, Xiuli & Rardin, Ronald L. & Williams, Julie Ann S. & Willis, Deanna R., 2007. "Matching daily healthcare provider capacity to demand in advanced access scheduling systems," European Journal of Operational Research, Elsevier, vol. 183(2), pages 812-826, December.
    18. Sauré, Antoine & Patrick, Jonathan & Tyldesley, Scott & Puterman, Martin L., 2012. "Dynamic multi-appointment patient scheduling for radiation therapy," European Journal of Operational Research, Elsevier, vol. 223(2), pages 573-584.
    19. Creemers, Stefan & Beliën, Jeroen & Lambrecht, Marc, 2012. "The optimal allocation of server time slots over different classes of patients," European Journal of Operational Research, Elsevier, vol. 219(3), pages 508-521.
    20. Linda V. Green & Sergei Savin & Ben Wang, 2006. "Managing Patient Service in a Diagnostic Medical Facility," Operations Research, INFORMS, vol. 54(1), pages 11-25, February.
    21. Street, Andrew & Duckett, Stephen, 1996. "Are waiting lists inevitable?," Health Policy, Elsevier, vol. 36(1), pages 1-15, April.
    22. Thu Nguyen & Appa Sivakumar & Stephen Graves, 2015. "A network flow approach for tactical resource planning in outpatient clinics," Health Care Management Science, Springer, vol. 18(2), pages 124-136, June.
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