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An integrated rolling horizon approach to increase operating theatre efficiency

Author

Listed:
  • Belinda Spratt

    (Queensland University of Technology)

  • Erhan Kozan

    (Queensland University of Technology)

Abstract

Demand for healthcare is increasing rapidly. To meet demand, we must improve the efficiency of our public health services. We present a mixed integer programming formulation that simultaneously tackles the integrated master surgical schedule and surgical case assignment problems under a modified block scheduling policy. That is, we allocate specialties, surgeons, and patients to surgical time blocks. We consider volatile surgical durations and non-elective arrivals while applying a rolling horizon approach to adjust the schedule after cancellations, equipment failure, or new arrivals on the waiting list. The model is based on a case study of an Australian public hospital with a large surgical department. The formulation includes significant detail and provides practitioners with a globally implementable model. We produce good feasible solutions in short amounts of computational time with a constructive heuristic and two hyper-metaheuristics. Using a rolling horizon schedule increases patient throughput and can help reduce waiting lists.

Suggested Citation

  • Belinda Spratt & Erhan Kozan, 2021. "An integrated rolling horizon approach to increase operating theatre efficiency," Journal of Scheduling, Springer, vol. 24(1), pages 3-25, February.
    • Handle: RePEc:spr:jsched:v:24:y:2021:i:1:d:10.1007_s10951-020-00655-6
    DOI: 10.1007/s10951-020-00655-6
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    References listed on IDEAS

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