An integrated rolling horizon approach to increase operating theatre efficiency

Belinda Spratt () and Erhan Kozan ()
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Belinda Spratt: Queensland University of Technology
Erhan Kozan: Queensland University of Technology

Journal of Scheduling, 2021, vol. 24, issue 1, No 2, 3-25

Abstract: 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.

Keywords: Healthcare management; Efficiency in health; Operating theatre planning and scheduling; Robust (search for similar items in EconPapers)
Date: 2021
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DOI: 10.1007/s10951-020-00655-6

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