TY - JOUR A1 - Agnetis, Alessandro A1 - Coppi, Alberto A1 - Corsini, Matteo A1 - Dellino, Gabriella A1 - Meloni, Carlo A1 - Pranzo, Marco UR - http://eprints.imtlucca.it/1447/ JF - MECOSAN. Management ed economia sanitaria Y1 - 2012/11// PB - Sipis AV - none SN - 1121-6921 ID - eprints1447 TI - Operations management e sanità: un sistema di supporto alle decisioni per la programmazione della chirurgia elettiva N2 - The operating theater is the most critical resource of the surgical process. From a lean perspective, the planning of surgical activities must maintain an alignment between demand and offer. Therefore, it is necessary to find the right trade-off between the need of keeping organizational complexity low, and the need to give appropriate precedence to surgeries in view of their priority class and waiting times. In this paper we introduce decisional models to determine the Master Surgical Schedule (MSS) and the detailed surgical case assignment. Experimental results carried out on the operating theater of San Giuseppe hospital in Empoli (Italy) show that the introduction of even small amounts of flexibility in the MSS allows to improve operating room usage and quality of service. ER -