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Dynamic optimization of chemotherapy outpatient scheduling with uncertainty

Author

Listed:
  • Shoshana Hahn-Goldberg
  • Michael Carter
  • J. Beck
  • Maureen Trudeau
  • Philomena Sousa
  • Kathy Beattie
Abstract
Chemotherapy outpatient scheduling is a complex, dynamic, uncertain problem. Chemotherapy centres are facing increasing demands and they need to increase their efficiency; however there are very few studies looking at using optimization technology on the chemotherapy scheduling problem. We address dynamic uncertainty that arises from requests for appointments that arrive in real time and uncertainty due to last minute scheduling changes. We propose dynamic template scheduling, a novel technique that combines proactive and online optimization and we apply it to the chemotherapy outpatient scheduling problem. We create a proactive template of an expected day in the chemotherapy centre using a deterministic optimization model and a sample of appointments. As requests for appointments arrive, we use the template to schedule them. When a request arrives that does not fit the template, we update the template online using the optimization model and a revised set of appointments. To accommodate last minute additions and cancellations to the schedule, we propose a shuffling algorithm that moves appointment start times within a predefined time limit. We test the use of dynamic template scheduling against the optimal offline solution and the actual performance of the cancer centre. We find improvements in makespan of up to 20 % when using dynamic template scheduling compared to current practice. Copyright Springer Science+Business Media New York 2014

Suggested Citation

  • Shoshana Hahn-Goldberg & Michael Carter & J. Beck & Maureen Trudeau & Philomena Sousa & Kathy Beattie, 2014. "Dynamic optimization of chemotherapy outpatient scheduling with uncertainty," Health Care Management Science, Springer, vol. 17(4), pages 379-392, December.
    • Handle: RePEc:kap:hcarem:v:17:y:2014:i:4:p:379-392
    DOI: 10.1007/s10729-014-9268-0
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    References listed on IDEAS

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    1. Rolf H. Möhring & Frederik Stork, 2000. "Linear preselective policies for stochastic project scheduling," Mathematical Methods of Operations Research, Springer;Gesellschaft für Operations Research (GOR);Nederlands Genootschap voor Besliskunde (NGB), vol. 52(3), pages 501-515, December.
    2. Vissers, J. & Wijngaard, J., 1979. "The outpatient appointment system: Design of a simulation study," European Journal of Operational Research, Elsevier, vol. 3(6), pages 459-463, November.
    3. Pascal Hentenryck & Russell Bent & Luc Mercier & Yannis Vergados, 2009. "Online stochastic reservation systems," Annals of Operations Research, Springer, vol. 171(1), pages 101-126, October.
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    Cited by:

    1. Giuliana Carello & Paolo Landa & Elena Tànfani & Angela Testi, 2022. "Master chemotherapy planning and clinicians rostering in a hospital outpatient cancer centre," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 30(1), pages 159-187, March.
    2. Hadid, Majed & Elomri, Adel & Mekkawy, Tarek El & Jouini, Oualid & Kerbache, Laoucine & Hamad, Anas, 2022. "Operations management of outpatient chemotherapy process: An optimization-oriented comprehensive review," Operations Research Perspectives, Elsevier, vol. 9(C).
    3. Agnetis, Alessandro & Bianciardi, Caterina & Iasparra, Nicola, 2019. "Integrating lean thinking and mathematical optimization: A case study in appointment scheduling of hematological treatments," Operations Research Perspectives, Elsevier, vol. 6(C).
    4. Ming Lv & Yi Li & Bo Kou & Zhili Zhou, 2017. "Integer programming for improving radiotherapy treatment efficiency," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-9, July.
    5. J. Behnamian & Z. Gharabaghli, 2023. "Multi-objective outpatient scheduling in health centers considering resource constraints and service quality: a robust optimization approach," Journal of Combinatorial Optimization, Springer, vol. 45(2), pages 1-35, March.
    6. Majed Hadid & Adel Elomri & Regina Padmanabhan & Laoucine Kerbache & Oualid Jouini & Abdelfatteh El Omri & Amir Nounou & Anas Hamad, 2022. "Clustering and Stochastic Simulation Optimization for Outpatient Chemotherapy Appointment Planning and Scheduling," IJERPH, MDPI, vol. 19(23), pages 1-34, November.
    7. Alireza F. Hesaraki & Nico P. Dellaert & Ton Kok, 2023. "Online scheduling using a fixed template: the case of outpatient chemotherapy drug administration," Health Care Management Science, Springer, vol. 26(1), pages 117-137, March.
    8. Marynissen, Joren & Demeulemeester, Erik, 2019. "Literature review on multi-appointment scheduling problems in hospitals," European Journal of Operational Research, Elsevier, vol. 272(2), pages 407-419.
    9. Michelle Alvarado & Lewis Ntaimo, 2018. "Chemotherapy appointment scheduling under uncertainty using mean-risk stochastic integer programming," Health Care Management Science, Springer, vol. 21(1), pages 87-104, March.
    10. Vahab Vahdat & Jacqueline Griffin & James E. Stahl, 2018. "Decreasing patient length of stay via new flexible exam room allocation policies in ambulatory care clinics," Health Care Management Science, Springer, vol. 21(4), pages 492-516, December.
    11. Bakker, Hannah & Dunke, Fabian & Nickel, Stefan, 2020. "A structuring review on multi-stage optimization under uncertainty: Aligning concepts from theory and practice," Omega, Elsevier, vol. 96(C).
    12. Reihaneh, Mohammad & Ansari, Sina & Farhadi, Farbod, 2023. "Patient appointment scheduling at hemodialysis centers: An exact branch and price approach," European Journal of Operational Research, Elsevier, vol. 309(1), pages 35-52.
    13. M. A. Miranda & S. Salvatierra & I. Rodríguez & M. J. Álvarez & V. Rodríguez, 2020. "Characterization of the flow of patients in a hospital from complex networks," Health Care Management Science, Springer, vol. 23(1), pages 66-79, March.
    14. M. Heshmat & A. Eltawil, 2021. "Solving operational problems in outpatient chemotherapy clinics using mathematical programming and simulation," Annals of Operations Research, Springer, vol. 298(1), pages 289-306, March.
    15. Hesaraki, Alireza F. & Dellaert, Nico P. & de Kok, Ton, 2019. "Generating outpatient chemotherapy appointment templates with balanced flowtime and makespan," European Journal of Operational Research, Elsevier, vol. 275(1), pages 304-318.
    16. Hyun-Jung Alvarez-Oh & Hari Balasubramanian & Ekin Koker & Ana Muriel, 2018. "Stochastic Appointment Scheduling in a Team Primary Care Practice with Two Flexible Nurses and Two Dedicated Providers," Service Science, INFORMS, vol. 10(3), pages 241-260, September.
    17. Ahmadi-Javid, Amir & Jalali, Zahra & Klassen, Kenneth J, 2017. "Outpatient appointment systems in healthcare: A review of optimization studies," European Journal of Operational Research, Elsevier, vol. 258(1), pages 3-34.
    18. Mona Issabakhsh & Seokgi Lee & Hyojung Kang, 2021. "Scheduling patient appointment in an infusion center: a mixed integer robust optimization approach," Health Care Management Science, Springer, vol. 24(1), pages 117-139, March.
    19. Guillaume Lamé & Oualid Jouini & Julie Stal-Le Cardinal, 2016. "Outpatient Chemotherapy Planning: a Literature Review with Insights from a Case Study," Post-Print hal-01324488, HAL.

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