eprintid: 1425
rev_number: 13
eprint_status: archive
userid: 17
dir: disk0/00/00/14/25
datestamp: 2012-10-24 09:30:20
lastmod: 2012-11-13 14:35:48
status_changed: 2012-11-13 14:35:48
type: article
metadata_visibility: show
creators_name: Agnetis, Alessandro
creators_name: Coppi, Alberto
creators_name: Corsini, Matteo
creators_name: Dellino, Gabriella
creators_name: Meloni, Carlo
creators_name: Pranzo, Marco
creators_id: 
creators_id: 
creators_id: 
creators_id: gabriella.dellino@imtlucca.it
creators_id: 
creators_id: 
title: Long term evaluation of operating theater planning policies
ispublished: pub
subjects: H1
subjects: QA
divisions: EIC
full_text_status: public
keywords: Surgical planning; Operating room scheduling; Master surgical schedule; Surgical case assignment
abstract: This paper addresses Operating Room (OR) planning policies in elective surgery. In particular, we investigate long-term policies for determining the Master Surgical Schedule (MSS) throughout the year, analyzing the tradeoff between organizational simplicity, favored by an MSS that does not change completely every week, and quality of the service offered to the patients, favored by an MSS that dynamically adapts to the current state of waiting lists, the latter objective being related to a lean approach to hospital management. Surgical cases are selected from the waiting lists according to several parameters, including surgery duration, waiting time and priority class of the operations. We apply the proposed models to the operating theater of a public, medium-size hospital in Empoli, Italy, using Integer Linear Programming formulations, and analyze the scalability of the approach on larger hospitals. The simulations point out that introducing a very limited degree of variability in MSS in terms of OR sessions assignment can largely pay off in terms of resource efficiency and due date performance.
date: 2012-12
date_type: published
publication: Operations Research for Health Care
volume: 1
number: 4
publisher: Elsevier
pagerange: 95-104
id_number: 10.1016/j.orhc.2012.10.001
refereed: TRUE
issn: 2211-6923
official_url: http://www.sciencedirect.com/science/article/pii/S2211692312000380
citation:   Agnetis, Alessandro and Coppi, Alberto and Corsini, Matteo and Dellino, Gabriella and Meloni, Carlo and Pranzo, Marco  Long term evaluation of operating theater planning policies.  Operations Research for Health Care, 1 (4).  pp. 95-104.  ISSN 2211-6923      (2012)  
document_url: http://eprints.imtlucca.it/1425/1/Agnetisetal_ORHC_revised.pdf