Optimizing perioperative decision making: improved information for clinical workflow planning.

Bradley N. Doebbeling, Matthew M. Burton, Eric A. Wiebke, Spencer Miller, Laurence Baxter, Donald Miller, Jorge Alvarez, Joseph Pekny

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Perioperative care is complex and involves multiple interconnected subsystems. Delayed starts, prolonged cases and overtime are common. Surgical procedures account for 40-70% of hospital revenues and 30-40% of total costs. Most planning and scheduling in healthcare is done without modern planning tools, which have potential for improving access by assisting in operations planning support. We identified key planning scenarios of interest to perioperative leaders, in order to examine the feasibility of applying combinatorial optimization software solving some of those planning issues in the operative setting. Perioperative leaders desire a broad range of tools for planning and assessing alternate solutions. Our modeled solutions generated feasible solutions that varied as expected, based on resource and policy assumptions and found better utilization of scarce resources. Combinatorial optimization modeling can effectively evaluate alternatives to support key decisions for planning clinical workflow and improving care efficiency and satisfaction.

Original languageEnglish (US)
Pages (from-to)154-163
Number of pages10
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2012
StatePublished - 2012
Externally publishedYes

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Workflow
Decision Making
Perioperative Care
Software
Delivery of Health Care
Costs and Cost Analysis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Doebbeling, B. N., Burton, M. M., Wiebke, E. A., Miller, S., Baxter, L., Miller, D., ... Pekny, J. (2012). Optimizing perioperative decision making: improved information for clinical workflow planning. AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2012, 154-163.

Optimizing perioperative decision making : improved information for clinical workflow planning. / Doebbeling, Bradley N.; Burton, Matthew M.; Wiebke, Eric A.; Miller, Spencer; Baxter, Laurence; Miller, Donald; Alvarez, Jorge; Pekny, Joseph.

In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, Vol. 2012, 2012, p. 154-163.

Research output: Contribution to journalArticle

Doebbeling, BN, Burton, MM, Wiebke, EA, Miller, S, Baxter, L, Miller, D, Alvarez, J & Pekny, J 2012, 'Optimizing perioperative decision making: improved information for clinical workflow planning.', AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, vol. 2012, pp. 154-163.
Doebbeling, Bradley N. ; Burton, Matthew M. ; Wiebke, Eric A. ; Miller, Spencer ; Baxter, Laurence ; Miller, Donald ; Alvarez, Jorge ; Pekny, Joseph. / Optimizing perioperative decision making : improved information for clinical workflow planning. In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium. 2012 ; Vol. 2012. pp. 154-163.
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