Download or read book Integrated Staff and Room Scheduling for Surgeries written by Sandeep Rath and published by . This book was released on 2017 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: We consider the problem of minimizing daily expected resource usage and overtime costs across multiple parallel resources such as anesthesiologists and operating rooms, which are used to conduct a variety of surgical procedures at large multi-specialty hospitals. To address this problem, we develop a two-stage mixed-integer stochastic dynamic programming model with recourse. The first stage allocates these resources across multiple surgeries with uncertain durations and prescribes the sequence of surgeries to these resources. The second stage determines actual start times to surgeries based on realized durations of preceding surgeries and assigns overtime to resources to ensure all surgeries are completed using the allocation and sequence determined in the first stage. We develop a data driven robust optimization method that solves large-scale real-sized versions of this model close to optimality. We validate and implement this model as a decision support system at the UCLA Ronald Reagan Medical Center. This system effectively incorporates the flexibility in the resources and uncertainty in surgical durations, and explicitly trades off resource usage and overtime costs. This has increased the average daily utilization of the anesthesiologists by 3.5% and of the operating rooms by 3.8%. This has led to an average daily cost savings of around 7% or estimated to be $2.2 million on an annual basis. In addition, the insights based on this model have significantly influenced decision making at the operating services department at this hospital.
Download or read book Computerizing Large Integrated Health Networks written by Robert M. Kolodner and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 461 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book has been a long time in the making. The computerization activi ties described in these pages began in 1977 at the Department of Veterans Affairs (VA), but we devoted most of our focus and efforts to building and then implementing the extensive hospital information system known as the Decentralized Hospital Computer System (DHCP) throughout VA. Deliv ering the product has been our primary goal. We spent relatively little time documenting or describing our experiences or lessons learned. Except for some presentations at national meetings and a relatively few publications, almost none of which were in the standard trade journals read by Chief Information Officers (CIOs) and equivalent top managers in the private and nonprofit sectors, VA's accomplishments remained a well-kept secret. In 1988, Helly Orthner encouraged VA staff to consider writing a book, but the press of day-to-day activities always seemed to take precedence, and the book languished on the back burner.
Download or read book Variability in Operating room Scheduling at St Anthony Hospital Oklahoma City Oklahoma written by and published by . This book was released on 1968 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Integration of AI and OR Techniques in Constraint Programming written by Helmut Simonis and published by Springer. This book was released on 2014-05-12 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book constitutes the proceedings of the International Conference on the Integration of Artificial Intelligence (AI) and Operations Research (OR) Techniques in Constraint Programming, CPAIOR 2014, held in Cork, Ireland, in May 2014. The 33 papers presented in this volume were carefully reviewed and selected from 70 submissions. The papers focus on constraint programming and global constraints; scheduling modelling; encodings and SAT logistics; MIP; CSP and complexity; parallelism and search; and data mining and machine learning.
Download or read book Oversight of Customer Service at the Office of Workers Compensation Programs written by United States. Congress. House. Committee on Government Reform. Subcommittee on Government Management, Information, and Technology and published by Agriculture Department. This book was released on 2000 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Transforming Health Care Management written by Ivan Barrick and published by Jones & Bartlett Learning. This book was released on 2009-10-06 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using straightforward, accessible language, this groundbreaking resource is a comprehensive primer on the most progressive tools and techniques currently used for assessing healthcare systems and healthcare process effectiveness. Typically these tools are embedded in programs such as Total Quality Management, continuous process improvement, process reengineering, protocol redesign, or most recently, Six Sigma and organizational transformation. Transforming Health Care Management presents an integrated, multi-disciplinary approach while focusing on fundamental concepts. It will thoroughly prepare the reader to design, implement, manage, operate, monitor or improve technology, processes, and programs and is an ideal text for those studying healthcare information technology, operations research, systems analysis, process improvement, or informatics. Features: Chapters cover highly technical subjects using clear and accessible language. Vignettes from the author’s years of professional experience illustrate particularly complex concepts. Focuses on key concepts and applications rather than theory and jargon. Accompanied by a complete package of instructor resources (downloadable Instructor’s Manual, TestBank, PowerPoint slides) to facilitate teaching and learning.
Download or read book Operating Room Leadership and Management written by Alan D. Kaye and published by Cambridge University Press. This book was released on 2012-10-04 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical resource for all healthcare professionals involved in day-to-day management of operating rooms of all sizes and complexity.
Download or read book Operating Room Leadership and Perioperative Practice Management written by Alan David Kaye and published by Cambridge University Press. This book was released on 2018-12-06 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: An evidence-based guide that describes how to lead an effective operating room, ensuring safety and efficiency while maximizing resources.
Download or read book Information Systems and Technologies for Enhancing Health and Social Care written by Ricardo Martinho and published by IGI Global. This book was released on 2013-03-31 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book provides the latest and most relevant research on the understanding, expansion, and solutions on technologies used for improvements in the health and social care field"--Provided by publisher.
Download or read book Comprehensive Healthcare Simulation Nursing written by Jared M. Kutzin and published by Springer Nature. This book was released on with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care written by Cruz-Cunha, Maria Manuela and published by IGI Global. This book was released on 2013-04-30 with total page 1387 pages. Available in PDF, EPUB and Kindle. Book excerpt: Through the use of ICT tools, such as the internet, portals, and telecommunication devices, the quality of healthcare has improved in local and global health; aiding in the development of a sustainable economy. Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care brings together a valuable research collection on ICT elements needed to improve communication and collaboration between global health institutes, public and private organizations, and foundations. Highlighting the adoption and success factors in the development of technologies for healthcare, this book is essential for IT professionals, technology solution providers, researchers, and students interested in technology and its relationship with healthcare and social services.
Download or read book Planning and Scheduling Surgeries Under Stochastic Environment written by Sangdo Choi and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation presents an integrated approach to planning and scheduling surgeries in operating-rooms (ORs) at strategic, tactical and operational levels. We deal with uncertainties of surgery demand and durations to reflect a reality in OR management. This strategic part of the dissertation studies capacity decisions that allocate surgical specialties to OR days with the objective of minimizing total expected costs due to penalties for any patients who are not accommodated and for under- (i.e., idleness) and over- (i.e., overtime) usage of OR capacity. It presents a prototypical non-linear, stochastic programming model to structure the problem and four adaptations, along with associated solution approaches, with the goal of facilitating solution by overcoming the computational disadvantages of the prototype. Each of these models offers advantages but is also attended by disadvantages. Computational tests compare the four models and solution approaches with respect to solution quality and run time. The tactical part of the dissertation prescribes an approach to optimize a master surgical schedule (MSS), which adheres to the block scheduling policy, using a new type of newsvendor-based model. Our newsvendor approach prescribes the optimal duration of each block and the best permutation, obtained by solving the sequential newsvendor problem, determines the optimal block sequence. We obtain closed-form solutions for the case in which surgery durations follow the normal distribution. Furthermore, we give a closed-form solution for optimal block duration with no-shows. We conduct numerical tests for surgery durations that follow normal, lognormal and gamma distributions. Results show that the closed-form solutions associated with the normal distribution gives close approximations to solutions associated with log-normal and gamma distributions. The operational part of the dissertation prescribes an optimal rule to sequence two or three surgeries in a block. The smallest-variance-first-rule (SV) is generally accepted as the optimal policy for sequencing two surgeries, although it has been proven formally only for several restricted cases. We extend prior work, studying three distributions as models of surgery duration (the lognormal, gamma, and normal) and including overtime in a total-cost objective function comprising surgeon-and-patient- waiting-, operating-room-idle-, and staff over-times. We specify expected waiting- and idle- time as functions of the parameters of surgery duration to identify the best rule to sequence two surgeries. We compare the relative values of expected waiting- and idle- times numerically with that of expected overtime. Results recommend that the SV rule be used to minimize total expected cost of waiting-, idle- and over-time. We find that gamma and normal distributions with the same mean and variance as the lognormal give nearly the same expected waiting- and idle- times, observing that the lognormal in combination with either the gamma or normal gives a similar result. Lastly, the dissertation investigates an appointment system with deterministic arrival times (D) and non-identical exponential service times (M). For two customers, we show that both the smallest-mean-first-rule and the SV minimize the sum of expected waiting- and idle-times. We prove that neither is optimal for three customers, but verifies that the first customer in the sequence should be the one with the smallest variance (mean). The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/148063
Download or read book Implementing Health Care Information Systems written by Helmuth F. Orthner and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This series in Computers and Medicine had its origins when I met Jerry Stone of Springer-Verlag at a SCAMC meeting in 1982. We determined that there was a need for good collections of papers that would help disseminate the results of research and application in this field. I had already decided to do what is now Information Systems for Patient Care, and Jerry contributed the idea of making it part of a series. In 1984 the first book was published, and-thanks to Jerry's efforts - Computers and Medicine was underway. Since that time, there have been many changes. Sadly, Jerry died at a very early age and cannot share in the success of the series that he helped found. On the bright side, however, many of the early goals of the series have been met. As the result of equipment improvements and the consequent lowering of costs, com puters are being used in a growing number of medical applications, and the health care community is very computer literate. Thus, the focus of concern has turned from learning about the technology to understanding how that technology can be exploited in a medical environment.
Download or read book JACM on Ambulatory Surgery written by Seth B. Goldsmith and published by Jones & Bartlett Learning. This book was released on 1994-12 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of articles features information on planning & development issues, financial issues, & managerial issues surrounding ambulatory surgery. Case studies provide an inside look at the actual experiences of four ambulatory surgery programs. Ambulatory care professionals, administrators, & students will find this resource invaluable. This book is attractively priced in soft cover.
Download or read book Surgical Patient Care written by Juan A. Sanchez and published by Springer. This book was released on 2017-05-29 with total page 926 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses exclusively on the surgical patient and on the perioperative environment with its unique socio-technical and cultural issues. It covers preoperative, intraoperative, and postoperative processes and decision making and explores both sharp-end and latent factors contributing to harm and poor quality outcomes. It is intended to be a resource for all healthcare practitioners that interact with the surgical patient. This book provides a framework for understanding and addressing many of the organizational, technical, and cultural aspects of care to one of the most vulnerable patients in the system, the surgical patient. The first section presents foundational principles of safety science and related social science. The second exposes barriers to achieving optimal surgical outcomes and details the various errors and events that occur in the perioperative environment. The third section contains prescriptive and proactive tools and ways to eliminate errors and harm. The final section focuses on developing continuous quality improvement programs with an emphasis on safety and reliability. Surgical Patient Care: Improving Safety, Quality and Value targets an international audience which includes all hospital, ambulatory and clinic-based operating room personnel as well as healthcare administrators and managers, directors of risk management and patient safety, health services researchers, and individuals in higher education in the health professions. It is intended to provide both fundamental knowledge and practical information for those at the front line of patient care. The increasing interest in patient safety worldwide makes this a timely global topic. As such, the content is written for an international audience and contains materials from leading international authors who have implemented many successful programs.
Download or read book Rehabilitation and Physical Therapy An Issue of Veterinary Clinics of North America Small Animal Practice written by David Levine and published by Elsevier Health Sciences. This book was released on 2014-12-24 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue, assemled by Drs. Levine, Marcellin-Little, and Millis focuses on Rehabilitation in small animals. Topics include: Evidence for rehabilitation and physical therapy, Physical Agent Modalities in physical therapy and rehabilitation, Therapeutic Laser in physical therapy and rehabilitation, Principles and application of Stretching and Range of Motion, Principles and application of therapeutic exercises, Nutritional considerations in Rehabilitation, Rehabilitation and physical therapy of the medical and acute care patient, and more!
Download or read book Advances in Nd YAG Laser Surgery written by Stephen N. Joffe and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Nd:YAG laser has finally become the multidisciplinary and muitispeciaity tool of the 1980s. Primarily developed for gastrointestinal applications for controlling bleeding, at present it is also used for endoscopic treatment of gastrointestinal tumors, endobronchial cancer, and bladder and gynecological lesions and finding applications in otorhinolaryngology and neurosurgery. De velopment of laser scalpels and focusing head-pieces has now allowed the Nd:YAG laser to be used for open surgical procedures in general and plastic surgery, head and neck surgery, urology, gynecology, dermatology, and neu rosurgery. The rapid development in ceramic technology has led to contact surgery allowing physicians a choice of excision, vaporization, coagulation, incision, or combinations thereof by easily changing probes rather than having to select new laser wavelengths. This technology is rapidly replacing the carbon dioxide laser which currently has no adequate flexible waveguide for fiberoptic en doscopy, cannot be used in a water medium (e.g., bladder), and has poor coagulation properties when compared to the Nd:YAG laser. Future developments may see the Nd:YAG laser even replacing electro cautery in the operating room due to its greater safety and efficacy. Local hyperthermia (laserthermia) with computer control, photodynamic therapy, and ophthalmic applications make the Nd:YAG laser the most exciting tech nological advancement in medicine and surgery for the 1980s.
