APPOINTMENT SCHEDULING WITH OVERBOOKING TO MITIGATE PRODUCTIVITY LOSS FROM NO-SHOWS

The challenge of balancing the interests of patients with those of healthcare providers is increased when patients fail to show up for scheduled appointments. Overbooking appointments mitigates the lost productivity caused by no-shows but increases patient wait time and provider overtime. In this paper, simulation analysis is used to develop and test the performance of scheduling rules that are designed specifically to accommodate excess overbooked appointments. Our analysis provides new insights into rules that perform well to increase provider productivity while balancing the increased waiting time and overtime costs of overbooked schedules.

[1]  Stephen R. Lawrence,et al.  Clinic Overbooking to Improve Patient Access and Increase Provider Productivity , 2007, Decis. Sci..

[2]  N Chesanow.  Can't stay on schedule? Here's a solution. , 1996, Medical economics.

[3]  Emre A. Veral,et al.  OUTPATIENT SCHEDULING IN HEALTH CARE: A REVIEW OF LITERATURE , 2003 .

[4]  J. D. Welch.  Appointment Systems in Hospital Outpatient Departments , 1964 .

[5]  M. K. Chung,et al.  Tuning up your patient schedule. , 2002, Family practice management.

[6]  Thomas R Rohleder,et al.  Rolling Horizon Appointment Scheduling: A Simulation Study , 2002, Health care management science.

[7]  Brant E. Fries,et al.  Determination of Optimal Variable-Sized Multiple-Block Appointment Systems , 1981, Oper. Res..

[8]  William Shonick,et al.  An Approach to Reducing the Adverse Effects of Broken Appointments in Primary Care Systems , 1977, Medical care.

[9]  B. D. Spencer,et al.  APPOINTMENT SYSTEMS IN HOSPITAL OUTPATIENT DEPARTMENTS , 1952 .

[10]  Smith Ht,et al.  Effective patient scheduling. , 1977 .

[11]  R. Fetter,et al.  Patients' waiting time and doctors' idle time in the outpatient setting. , 1966, Health services research.

[12]  Hon-Shiang Lau,et al.  Minimizing total cost in scheduling outpatient appointments , 1992 .

[13]  Barron Wm.  Failed appointments. Who misses them, why they are missed, and what can be done. , 1980 .

[14]  Norman T. J. Baii.  A STUDY OF QUEUES AND APPOINTMENT SYSTEMS IN HOSPITAL OUT-PATIENT DEPARTMENTS, WITH SPECIAL REFERENCE TO WAITING-TIMES , 1952 .

[15]  J. Wijngaard,et al.  The outpatient appointment system: Design of a simulation study , 1979 .