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Hospital Operating Room Capacity Expansion

Author

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  • William S. Lovejoy

    (Michigan Business School, University of Michigan, 701 Tappan, Ann Arbor, Michigan 48109-1234)

  • Ying Li

    (Michigan Business School, University of Michigan, 701 Tappan, Ann Arbor, Michigan 48109-1234)

Abstract

A large midwestern hospital is expecting an increase in surgical caseload. New operating room (OR) capacity can be had by building new ORs or extending the working hours in the current ORs. The choice among these options is complicated by the fact that patients, surgeons and surgical staff, and hospital administrators are all important stakeholders in the health service operation, and each has different priorities. This paper investigates the trade-offs among three performance criteria (wait to get on schedule, scheduled procedure start-time reliability, and hospital profits), which are of particular importance to the different constituencies. The objective is to determine how the hospital can best expand its capacity, acknowledging the key role that each constituency plays in that objective. En route, the paper presents supporting analysis for process improvements and suggestions for optimal participation-inducing staff contracts for extending OR hours of operation.

Suggested Citation

  • William S. Lovejoy & Ying Li, 2002. "Hospital Operating Room Capacity Expansion," Management Science, INFORMS, vol. 48(11), pages 1369-1387, November.
    • Handle: RePEc:inm:ormnsc:v:48:y:2002:i:11:p:1369-1387
    DOI: 10.1287/mnsc.48.11.1369.266
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    References listed on IDEAS

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    Citations

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    Cited by:

    1. Arianna Alfieri & Elisabetta Listorti & Andrea Matta, 2018. "Improving surgical outcomes through optimal volumes allocation," Flexible Services and Manufacturing Journal, Springer, vol. 30(1), pages 272-295, June.
    2. Jan A. Van Mieghem, 2003. "Commissioned Paper: Capacity Management, Investment, and Hedging: Review and Recent Developments," Manufacturing & Service Operations Management, INFORMS, vol. 5(4), pages 269-302, July.
    3. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    4. McRae, Sebastian & Brunner, Jens O., 2020. "Assessing the impact of uncertainty and the level of aggregation in case mix planning," Omega, Elsevier, vol. 97(C).
    5. Chaithanya Bandi & Diwakar Gupta, 2020. "Operating Room Staffing and Scheduling," Manufacturing & Service Operations Management, INFORMS, vol. 22(5), pages 958-974, September.
    6. Astaraky, Davood & Patrick, Jonathan, 2015. "A simulation based approximate dynamic programming approach to multi-class, multi-resource surgical scheduling," European Journal of Operational Research, Elsevier, vol. 245(1), pages 309-319.
    7. Tamer Boyacı & Özalp Özer, 2010. "Information Acquisition for Capacity Planning via Pricing and Advance Selling: When to Stop and Act?," Operations Research, INFORMS, vol. 58(5), pages 1328-1349, October.
    8. 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.
    9. Mohammad Heydari & Kin Keung Lai & Yanan Fan & Xiaoyang Li, 2022. "A Review of Emergency and Disaster Management in the Process of Healthcare Operation Management for Improving Hospital Surgical Intake Capacity," Mathematics, MDPI, vol. 10(15), pages 1-34, August.
    10. Fei, H. & Chu, C. & Meskens, N. & Artiba, A., 2008. "Solving surgical cases assignment problem by a branch-and-price approach," International Journal of Production Economics, Elsevier, vol. 112(1), pages 96-108, March.
    11. Cardoen, Brecht & Demeulemeester, Erik & Beliën, Jeroen, 2010. "Operating room planning and scheduling: A literature review," European Journal of Operational Research, Elsevier, vol. 201(3), pages 921-932, March.
    12. Andreas Fügener & Sebastian Schiffels & Rainer Kolisch, 2017. "Overutilization and underutilization of operating rooms - insights from behavioral health care operations management," Health Care Management Science, Springer, vol. 20(1), pages 115-128, March.
    13. Adrian Fletcher & Dave Worthington, 2009. "What is a ‘generic’ hospital model?—a comparison of ‘generic’ and ‘specific’ hospital models of emergency patient flows," Health Care Management Science, Springer, vol. 12(4), pages 374-391, December.

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