title: A proposed scheduling model to improve use of computed tomography facilities.
abstract: A nonpreemptive queuing system based upon operations management theory is used to evaluate expected steady state wait periods for traditional and distributed CT scheduling models. Both models are constructed using two classes of patient service--emergent and nonemergent. The former model uses only one point of service per scanner while the latter employs multiple points of service in order to accomplish all of the functions necessary to complete a CT scan. Sample data are drawn from a tertiary care hospital-based system using a traditional service model. Comparison of a traditional and distributed service system, each with emergent and nonemergent service classes, shows that breaking as many activities as possible out of the scanner should provide substantial improvements in cost efficiency and service for patients having CT scans. Nonemergent patients may experience as much as an 89% reduction in steady-state wait times while emergent patients may experience as much as a 59% reduction in wait times. The cost efficiencies recognized either through increased scanner utilization or reduced scanner needs, even with only modest improvements, should more than offset any additional personnel needed to implement a distributed model. Proper implementation of a distributed scheduling model for CT scanning can provide substantial cost efficiencies and improvements in service for both nonemergent and emergent CT scans.
authors.affiliation: Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri 63110, USA. reinus@mir.wustl.edu
authors.forename: W R
authors.initials: WR
authors.lastname: Reinus
authors.forename: A
authors.initials: A
authors.lastname: Enyan
authors.forename: P
authors.initials: P
authors.lastname: Flanagan
authors.forename: B
authors.initials: B
authors.lastname: Pim
authors.forename: D S
authors.initials: DS
authors.lastname: Sallee
authors.forename: J
authors.initials: J
authors.lastname: Segrist
mesh_terms: D001071:Appointments and Schedules; D003195:Computer Communication Networks / Q000458:organization & administration; D003198:Computer Simulation; D003362:Cost-Benefit Analysis; D017598:Efficiency, Organizational; D004630:Emergencies; D006801:Humans; D009874:Operations Research; D019095:Point-of-Care Systems / Q000458:organization & administration*; D011873:Radiology Information Systems / Q000458:organization & administration*; D013598:Systems Theory; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data*; D017749:Total Quality Management / Q000458:organization & administration*