Health Care Management Science

, Volume 10, Issue 3, pp 269–282 | Cite as

Surgical block scheduling in a system of hospitals: an application to resource and wait list management in a British Columbia health authority

Article

Abstract

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 trade-offs 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.

Keywords

Health care Hospitals Operating rooms Wait list management Surgical scheduling Programming Optimization Integer Applications 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Pablo Santibáñez
    • 1
  • Mehmet Begen
    • 2
  • Derek Atkins
    • 2
  1. 1.Fraser Health AuthoritySurreyCanada
  2. 2.Sauder School of BusinessUniversity of British ColumbiaVancouver V6T 1Z2Canada

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