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A MIP Model for Rolling Horizon Surgery Scheduling.

Li Luo1, Yong Luo1, Yang You1

  • 1Sichuan University, Chengdu, China.

Journal of Medical Systems
|April 14, 2016
PubMed
Summary
This summary is machine-generated.

This study introduces a rolling horizon scheduling model (RSM) to optimize operating room utilization. The RSM significantly improves operating room usage compared to traditional non-rolling scheduling models (NRSM).

Keywords:
MIPRolling horizon schedulingSurgery scheduling

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Area of Science:

  • Operations Research
  • Healthcare Management
  • Medical Informatics

Background:

  • Current surgery scheduling, often done one day in advance, leads to unbalanced operating room occupancy due to a lack of comprehensive planning.
  • This inefficiency results in underutilization and potential delays in surgical procedures.

Purpose of the Study:

  • To develop and evaluate a rolling horizon mixed integer programming model for surgical scheduling.
  • To compare the effectiveness of the proposed rolling horizon scheduling model (RSM) against a non-rolling scheduling model (NRSM) in optimizing operating room utilization.

Main Methods:

  • Developed a non-rolling scheduling model (NRSM) and a rolling horizon scheduling model (RSM) incorporating cyclic surgical requests and daily updates.
  • Utilized surgical data from five departments at West China Hospital (WCH), simulating surgical demands to compare the two models.
  • Employed mixed integer programming techniques within the rolling horizon framework.

Main Results:

  • The rolling horizon scheduling model (RSM) demonstrated a significantly higher average operating room utilization rate compared to the non-rolling scheduling model (NRSM).
  • RSM enables more flexible planning for unscheduled surgeries, effectively minimizing operating room idle time.
  • The study highlights that daily demand variation significantly impacts surgery scheduling quality.

Conclusions:

  • The rolling horizon scheduling model (RSM) is a superior strategy for balancing operating room occupancy and enhancing overall efficiency.
  • Implementing RSM can lead to substantial improvements in healthcare resource management and patient throughput.
  • Optimized surgical scheduling through advanced modeling is crucial for efficient hospital operations.