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An Optimization based on Simulation Approach to the Patient Admission Scheduling Problem: Diagnostic Imaging Department Case Study

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Abstract

The growing influx of patients in healthcare providers is the result of an aging population and emerging self-consciousness about health. In order to guarantee the welfare of all the healthcare stakeholders, it is mandatory to implement methodologies that optimize the healthcare providers' efficiency while increasing patient throughput and reducing patient's total waiting time. This paper presents a case study of a conventional radiology workflow analysis in a Portuguese healthcare provider. Modeling tools were applied to define the existing workflow. Re-engineered workflows were analyzed using the developed simulation tool. The integration of modeling and simulation tools allowed the identification of system bottlenecks. The new workflow of an imaging department entails a reduction of 41 % of the total completion time.

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References

  1. Granja C, Cruz P, Mendes A. Healthcare Decision Support System. In 10th International Chemical and Biological Engineering Conference p. 1099–1104, 2008

  2. Direcção de Serviços de Epidemiologia e Estatísticas de Saúde - Divisão de Estatísticas da Saúde. Centros de Saúde e Hospitais - Recursos e Produção do SNS 2007. Lisboa:; Report No.: 1645–8893, 2008

  3. Diwas SKC, Terwiesch C: The effects of focus on performance: Evidence from California Hospitals. Manage Sci 57(11):1897–1912, 2011

    Article  Google Scholar 

  4. Lee CW, Kwak NK: Strategic Enterprise Resource Planning in a Health-Care System Using a Multicriteria Decision-Making Model. J Med Syst 35(2):265–275, 2011

    Article  PubMed  Google Scholar 

  5. Vissers JMH, Adan IJBF, Dellaert NP: Developing a platform for comparison of hospital admission systems: An illustration. Eur J Oper Res 180(3):1290–1301, 2007

    Article  Google Scholar 

  6. Arenas M, Bilbao A, Caballero R, Gomez T, Rodriguez MV, Ruiz F: Analysis via goal programming of the minimum achievable stay in surgical waiting lists. J Oper Res Soc 53(4):387–396, 2002

    Article  Google Scholar 

  7. Vanberkel PT, Boucherie RJ, Hans EW, Hurink JL, van Lent WAM, van Harten WH: An exact approach for re-lating recovering surgical patient workload to the master surgical schedule. J Oper Res Soc 62(10):1851–1860, 2011

    Article  Google Scholar 

  8. Patrick J, Puterman ML: Improving resource utilization for diagnostic services through flexible inpatient sched-uling: A method for improving resource utilization. J Oper Res Soc 58(2):235–245, 2007

    Google Scholar 

  9. Kolesar P: A markovian model for hospital admission scheduling. Manag Sci 16(6):384–396, 1970

    Article  Google Scholar 

  10. Adan I, Vissers JMH: Patient mix optimisation in hospital admission planning: a case study. Int J Oper Prod Man 22(4):445–461, 2002

    Article  Google Scholar 

  11. Ceschia S, Schaerf A: Local search and lower bounds for the patient admission problem. Comput Oper Res. 38:1452–1463, 2011

    Article  Google Scholar 

  12. Ahmed M, Alkhamis T: Simulation optimisation for an emergency department healthcare. Eur J Oper Res 198(3):936–942, 2008

    Article  Google Scholar 

  13. Persson M, Persson J: Health economic modeling to support surgery management at a Swedish hospital. Omega 37(4):853–863, 2009

    Article  Google Scholar 

  14. Topaloglu S: A multi-objective programming model for scheduling emergency medicine residents. Comput Ind Eng 51(3):375–388, 2006

    Article  Google Scholar 

  15. Su S, Shih CL: Managing a mixed-registration-type appointment system in outpatient clinics. Int J Med Inform 70(1):31–40, 2003

    Article  PubMed  Google Scholar 

  16. Li MF, Tsai JCH, Chen WJ, Lin HS, Pan HB, Yang TL. Redefining the sonography workflow through the application of a departmental computerized workflow management system. Int J Med Inform 2012

  17. European Association of Radiology. [Online]. Available from: http://www.ear-online.org

  18. American College of Radiology. [Online]. Available from: http://www.acr.org

  19. Reiner BI, Siegel EL: The cutting edge: strategies to enhance radiologist workflow in a filmless/paperless imaging department. J Digitl Imaging 15(3):178–1900, 2002

    Article  Google Scholar 

  20. Siegel EL, Reiner B: Work Flow Redesign: The Key to Success When Using PACS. J Digitl Imaging 16(1):164–168, 2003

    Article  Google Scholar 

  21. Ralston MD, Coleman RM, Beaulieu DM, Scrutchfield K, Perkins T: Progress toward paperless radiology in the digital environment: Planning, implementation, and benefits. J Digitl Imaging 17(2):134–143, 2004

    Article  Google Scholar 

  22. Reiner B, Siegel E, Carrino JA: Workflow optimization: current trends and future directions. J Digitl Imaging 15(3):141–152, 2002

    Article  Google Scholar 

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Correspondence to Adélio Mendes.

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Granja, C., Almada-Lobo, B., Janela, F. et al. An Optimization based on Simulation Approach to the Patient Admission Scheduling Problem: Diagnostic Imaging Department Case Study. J Digit Imaging 27, 33–40 (2014). https://doi.org/10.1007/s10278-013-9626-3

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  • DOI: https://doi.org/10.1007/s10278-013-9626-3

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