Integrating nurse and surgery scheduling.

Scheduling; Surgery scheduling; International; Theory; Applications; Euro; Researchers;

A multilevel integrative approach to hospital case mix and capacity planning.

Hospital case mix and capacity planning involves the decision making both on patient volumes that can be taken care of at a hospital and on resource requirements and capacity management. In this research, to advance both the hospital resource efficiency and the health care service level, a multilevel integrative approach to the planning problem is proposed on the basis of mathematical programming modeling and simulation analysis. It consists of three stages, namely the case mix planning phase, the master surgery scheduling phase and the operational performance evaluation phase. At the case mix planning phase, a hospital is assumed to choose the optimal patient mix and volume that can bring the maximum overall financial contribution under the given resource capacity. Then, in order to improve the patient service level potentially, the total expected bed shortage due to the variable length of stay of patients is minimized through reallocating the bed capacity and building balanced master surgery schedules at the master surgery scheduling phase. After that, the performance evaluation is carried out at the operational stage through simulation analysis, and a few effective operational policies are suggested and analyzed to enhance the trade-offs between resource efficiency and service level. The three stages are interacting and are combined in an iterative way to make sound decisions both on the patient case mix and on the resource allocation.Health care; Case mix and capacity planning; Master surgery schedule; Multilevel; Resource efficiency; Service level;

Heuristic branch-and-price for building long term trainee schedules.

Branch-and-price is an increasingly important technique for solving large integer programming models. Staff scheduling has been a particularly fruitful area since these problems typically exhibit a decomposable structure. Beside computational efficiency branch-and-price produces two other important advantages in comparison with pure integer programming. Firstly, it often allows for a more accurate problem statement since many constraints which are hard to formulate in the integer program could be easily incorporated in the column generator. Secondly, a branch-and-price algorithm can easily be turned into an effective heuristic when optimality is no major concern. We illustrate these advantages for a medical trainee scheduling problem encountered at Oogziekenhuis Gasthuisberg Leuven and present some computational results together with implementation issues.Advantages; Area; Branch-and-price; Constraint; Efficiency; Heuristic; Integer programming; Model; Models; Problems; Research; Scheduling; Staff scheduling; Structure;

Integer programming for building robust surgery schedules.

This paper proposes and evaluates a number of models for building robust cyclic surgery schedules. The developed models involve two types of constraints. Demand constraints ensure that each surgeon (or surgical group) obtains a specific number of operating room (OR) blocks. Capacity con- straints limit the available OR blocks on each day. Furthermore, the number of operated patients per block and the length of stay (LOS) of each operated patient are dependent on the type of surgery. Both are considered stochas- tic, following a multinomial distribution. We develop a number of MIP-based heuristics and a metaheuristic to minimize the expected total bed shortage and present computational results.Constraint; Demand; Distribution; Expected; Heuristic; Integer programming; Model; Models; Resource leveling; Surgery scheduling;

Railway scheduling reduces the expected project makespan.

The Critical Chain Scheduling and Buffer Management (CC/BM) methodology, proposed by Goldratt (1997), introduced the concepts of feeding buffers, project buffers and resource buffers as well as the roadrunner mentality. This last concept, in which activities are started as soon as possible, was introduced in order to speed up projects by taking advantage of predecessors finishing early. Later on, the railway scheduling concept of never starting activities earlier than planned was introduced as a way to increase the stability of the project, typically at the cost of an increase in the expected project makespan. In this paper, we will indicate a realistic situation in which railway scheduling improves both the stability and the expected project makespan over roadrunner scheduling.Railway scheduling; Roadrunner scheduling; Feeding buffer; Priority list; Resource availability;

Local search methods for the discrete time/resource trade-off problem in project networks.

Abstract: In this paper we consider the discrete time/resource trade-off problem in project networks. Given a project network consisting of nodes (activities) and arcs (technological precedence relations specifying that an activity can only start when al of its predecessors have been completed), in which the duration of the activities is a discrete, on-increasing function of the amount of a single renewable resource committed to it, the discrete time/resource trade-off problem minimizes the project makespan subject to precedence constraints and a single renewable resource constraint. For each activity a work content is specified such that all execution modes (duration-resource pairs) for performing the activity are allowed as long as the product of the duration and the resource requirement is at least as large as the specified work content. We present a tabu search procedure which is based on subdividing the problem into a mode assignment phase and a resource-constrained project scheduling phase with fixed mode assignments. Extensive computational experience, including a comparison with other local search methods, is reported.Scheduling; Methods; Networks; Product; Assignment;

'Don’t leave me this way!' Drivers of parental hostility and employee spin-offs’ performance

Many entrepreneurs commercialize an idea they initially developed as employees of an incumbent firm. While some face retaliatory reactions from their (former) employer, others are left alone or even supported. It is not clear, however, why some employee spin-offs face parental hostility while others do not, and to what extent this parental hostility affects employee spin-offs’ performance. Integrating the resource-based view with insights on competition and retaliation, we propose that parental hostility increases with the (perceived) competitive threat posed by an employee spin-off. Specifically, we advance employee spin-offs’ initial strategic actions (offering substitute products, hiring employees of the parent, and attempting to first develop the idea inside the parent) as key drivers of parental hostility and consequent spin-off performance. Results from a pooled dataset of 1083 employee spin-offs in Germany confirm that these initial strategic actions trigger parental hostility, which in turn, and contrary to expectations, positively affects employee spin-offs’ innovation and economic performance. These results advance the literature on employee spin-offs in several ways and have important practical implications

Exact and heuristic reactive planning procedures for multi-mode resource-constrained projects.

The multi-mode resource-constrained project scheduling problem (MRCPSP) involves the determination of a baseline schedule of the project activities, which can be executed in multiple modes, satisfying the precedence relations and resource constraints while minimizing the project duration. During the execution of the project, the baseline schedule may become infeasible due to activity duration and resource disruptions. We propose and evaluate a number of dedicated exact reactive scheduling procedures as well as a tabu search heuristic for repairing a disrupted schedule. We report on promising computational results obtained on a set of benchmark problems.Project scheduling; Uncertainty; Reactive scheduling; Multi-mode RCPSP;

RESCON: Educational project scheduling software.

In this article we discuss a freely downloadable educational software tool for illustrating project scheduling and project management concepts. The tool features exact and heuristic scheduling procedures and visualizes project networks, project schedules, resource profiles, activity slacks, and project duration distributions.Project scheduling; Project management; Educational software; Visualization; Scheduling algorithms;