Surgical block scheduling in a system of hospitals: an application to resource and wait list management in a British Columbia health authority.
Scheduling surgical specialties in a medical facility is a very complex process. The choice of schedules and resource availability impact directly on the number of patients treated by specialty, cancellations, wait times, and the overall performance of the system. In this paper we present a system-wide model developed to allow management to explore tradeoffs between OR availability, bed capacity, surgeons' booking privileges, and wait lists. We developed a mixed integer programming model to schedule surgical blocks for each specialty into ORs and applied it to the hospitals in a British Columbia Health Authority, considering OR time availability and post-surgical resource constraints. The results offer promising insights into resource optimization and wait list management, showing that without increasing post-surgical resources hospitals could handle more cases by scheduling specialties differently.
Santibáñez
Pablo
P
Fraser Health Authority, 10334 152A Street, Surrey, BC V3R 7P8, Canada. pablo.santibanez@fraserhealth.ca
Begen
Mehmet
M
Atkins
Derek
D
D001071:Appointments and Schedules; D001955:British Columbia; D003198:Computer Simulation; D017598:Efficiency, Organizational; D015276:Health Care Rationing / Q000458:organization & administration; D006739:Hospital Administration; D006801:Humans; D009873:Operating Rooms / Q000458:organization & administration*; D013997:Time Factors; D017748:Time Management; D014850:Waiting Lists
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