Improving Scheduling and Flow in Complex Outpatient Clinics

Craig M. Froehle () and Michael J. Magazine
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Craig M. Froehle: University of Cincinnati
Michael J. Magazine: University of Cincinnati

Chapter Chapter 9 in Handbook of Healthcare Operations Management, 2013, pp 229-250 from Springer

Abstract: Abstract This chapter examines the barriers to, and opportunities for, improving the planning and scheduling of complex outpatient care environments. First, this chapter explores the effects of two phenomena—complexity and uncertainty—that exacerbate operational challenges for clinics. Mitigating the effects of these phenomena is motivation for proposing a framework for managing clinic operations more effectively. By collecting historical data, and using it effectively, staff are better able to create realistic plans for upcoming clinics. The chapter reviews some of the analytical techniques that can be used to then improve that plan, including an example of a mixed-integer program for determining the optimal sequence of clinical activities. Once the clinic session has begun, the nature of the decisions being made in real time is more tactical, but similar analytical approaches may be useful. Combined with powerful information technology, a proposed analytical and coordination framework can help guide systems improvement efforts. The chapter then concludes with discussion of several opportunities for future research on methods for improving decision-making in clinical operations management.

Keywords: Schedule Activity; Appointment Time; Clinic Session; Patient Arrival; Exam Room (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:spr:isochp:978-1-4614-5885-2_9

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DOI: 10.1007/978-1-4614-5885-2_9

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