A dual bin-packing approach to scheduling surgical cases at a publicly-funded hospital

Publicly-funded hospitals are typically allocated an annual budget by the government based on the number of enrollees in the region. Given tight budget constraints, the capacity of resources is fairly fixed. Such hospitals strive to maximize the utilization of their resources through continuous improvement and optimization techniques. We address a surgical case scheduling problem experienced at a publicly-funded hospital and conceptualize this multi-period, multi-resource, priority-based case scheduling problem as an unequal-sized, multi-bin, multi-dimensional dual bin-packing problem. A mixed integer programming model and a heuristic based on the first fit decreasing algorithm are presented. Resource availability, case priorities, and variation in surgery times are key features included in our model. Our proposed approach led to substantial savings, 20% reduction in number of days and up to 20% increase in operating room utilization, when compared to real schedules obtained from the surgical department at a publicly-funded hospital.     

An integrated approach for scheduling health care activities in a hospital

To effectively utilise hospital beds, operating rooms (OR) and other treatment spaces, it is necessary to precisely plan patient admissions and treatments in advance. As patient treatment and recovery times are unequal and uncertain, this is not easy. In response, a sophisticated flexible job-shop scheduling (FJSS) model is introduced, whereby patients, beds, hospital wards and health care activities are respectively treated as jobs, single machines, parallel machines and operations. Our approach is novel because an entire hospital is describable and schedulable in one integrated approach. The scheduling model can be used to recompute timings after deviations, delays, postponements and cancellations. It also includes advanced conditions such as activity and machine setup times, transfer times between activities, blocking limitations and no wait conditions, timing and occupancy restrictions, buffering for robustness, fixed activities and sequences, release times and strict deadlines. To solve the FJSS problem, constructive algorithms and hybrid meta-heuristics have been developed. Our numerical testing shows that the proposed solution techniques are capable of solving problems of real world size. This outcome further highlights the value of the scheduling model and its potential for integration into actual hospital information systems.     

An Ant Colony Optimization Algorithm for Shop Scheduling Problems

We deal with the application of ant colony optimization to group shop scheduling, which is a general shop scheduling problem that includes, among others, the open shop scheduling problem and the job shop scheduling problem as special cases. The contributions of this paper are twofold. First, we propose a neighborhood structure for this problem by extending the well-known neighborhood structure derived by Nowicki and Smutnicki for the job shop scheduling problem. Then, we develop an ant colony optimization approach, which uses a strong non-delay guidance for constructing solutions and which employs black-box local search procedures to improve the constructed solutions. We compare this algorithm to an adaptation of the tabu search by Nowicki and Smutnicki to group shop scheduling. Despite its general nature, our algorithm works particularly well when applied to open shop scheduling instances, where it improves the best known solutions for 15 of the 28 tested instances. Moreover, our algorithm is the first competitive ant colony optimization approach for job shop scheduling instances.     

Two-stage production scheduling with an outsourcing option

This paper considers a two-stage production scheduling problem in which each activity requires two operations to be processed in stages 1 and 2, respectively. There are two options for processing each operation: the first is to produce it by utilizing in-house resources, while the second is to outsource it to a subcontractor. For in-house operations, a schedule is constructed and its performance is measured by the makespan, that is, the latest completion time of operations processed in-house. Operations by subcontractors are instantaneous but require outsourcing cost. The objective is to minimize the weighted sum of the makespan and the total outsourcing cost. This paper analyzes how the model’s computational complexity changes according to unit outsourcing costs in both stages and describes the boundary between NP-hard and polynomially solvable cases. Finally, this paper presents an approximation algorithm for one NP-hard case.     

Reducing patient-flow delays in surgical suites through determining start-times of surgical cases

A scheduling strategy to determine starting times of surgeries in multiple operating rooms (OR) is presented. The constraints are resource limit of a downstream facility, post-anesthesia care unit (PACU), and the service time uncertainties. Given sets of surgeries that need to be done on a day, this problem is formulated as a flexible job shop model with fuzzy sets. Patient-waitings in the process flow, clinical resource idling, and total completion times are considered for evaluation. This multi-objective problem is solved by a two-stage decision process. A genetic algorithm is used for determining relative order of surgeries in the first stage and definite starting times for all the surgical cases are obtained by a decision-heuristic in the second stage. The resultant schedule is evaluated by a Monte-Carlo simulation. The performance is shown to be better than our previous approach, a simulation based scheduling which already outperforms simple scheduling rules in regional hospitals. Additionally, the ratio of PACU to OR is examined using the proposed scheduling strategy.     

Flow shop scheduling with heterogeneous workers

We propose an extension to the flow shop scheduling problem named Heterogeneous Flow Shop Scheduling Problem (Het-FSSP), where two simultaneous issues have to be resolved: finding the best worker assignment to the workstations, and solving the corresponding scheduling problem. This problem is motivated by Sheltered Work centers for Disabled, whose main objective is the labor integration of persons with disabilities, an important aim not only for these centers but for any company desiring to overcome the traditional standardized vision of the workforce. In such a scenario the goal is to maintain high productivity levels by minimizing the maximum completion time, while respecting the diverse capabilities and paces of the heterogeneous workers, which increases the complexity of finding an optimal schedule. We present a mathematical model that extends a flow shop model to admit a heterogeneous worker assignment, and propose a heuristic based on scatter search and path relinking to solve the problem. Computational results show that this approach finds good solutions within a short time, providing the production managers with practical approaches for this combined assignment and scheduling problem.     

Two-machine flow shop total tardiness scheduling problem with deteriorating jobs

This paper studies a two-machine scheduling problem with deteriorating jobs which their processing times depend on their waiting time. We develop a branch and bound algorithm to minimize the total tardiness criteria. A lower bound, several dominance properties and an initial upper bound derived from a heuristic algorithm are used to increase the speed of branch and bound algorithm and decrease its required memory space. Computational results are presented to evaluate effectiveness and efficiency of the algorithms.     

Bilevel programming approach applied to the flow shop scheduling problem under fuzziness

This paper presents a fuzzy bilevel programming approach to solve the flow shop scheduling problem. The problem considered here differs from the standard form in that operators are assigned to the machines and imposing a hierarchy of two decision makers with fuzzy processing times. The shop owner considered higher level and assigns the jobs to the machines in order to minimize the flow time while the customer is the lower level and decides on a job schedule in order to minimize the makespan. In this paper, we use the concepts of tolerance membership function at each level to define a fuzzy decision model for generating optimal (satisfactory) solution for bilevel flow shop scheduling problem. A solution algorithm for solving this problem is given. Mathematics Subject Classification: 90C70, 90B36, 90C99     

Mixed integer goal programming models for the flexible job-shop scheduling problems with separable and non-separable sequence dependent setup times

The optimization problem addressed in this paper is an advanced form of the flexible job shop scheduling problem (FJSP) which also covers process plan flexibility and separable/non-separable sequence dependent setup times in addition to routing flexibility. Upon transforming the problem into an equivalent network problem, two mixed integer goal programming models are formulated. In the first model (Model A) the sequence dependent setup times are non-separable. In the second one (Model B) they are separable. Model B is obtained from Model A with a minor modification. The formulation of the models is described on a small sized numerical example and the solutions are interpreted. Finally, computational results are obtained on test problems.     

A tabu search and a genetic algorithm for solving a bicriteria general job shop scheduling problem

This paper deals with a general job shop scheduling problem with multiple constraints, coming from printing and boarding industry. The objective is the minimization of two criteria, the makespan and the maximum lateness, and we are interested in finding an approximation of the Pareto frontier. We propose a fast and elitist genetic algorithm based on NSGA-II for solving the problem. The initial population of this algorithm is either randomly generated or partially generated by using a tabu search algorithm, that minimizes a linear combination of the two criteria. Both the genetic and the tabu search algorithms are tested on benchmark instances from flexible job shop literature and computational results show the interest of both methods to obtain an efficient and effective resolution method.     

Open shop scheduling with some additional constraints

An open shop scheduling problem is presented; preemptions during processing of a job on a processorp is allowed but the job cannot be sent on another processorq before it is finished onp. A graph-theoretical model is described and a characterization is given for problems where schedules with such restricted preemptions useT time units whereT is the maximum of the processing times of the jobs and of the working times of the processors. The general case is shown to be NP-complete. We also consider the case where some constraints of simultaneity are present. Complexity of the problem is discussed and a solvable case is described.     

Single-machine scheduling with deteriorating jobs and learning effects to minimize the makespan

This paper studies the single-machine scheduling problem with deteriorating jobs and learning considerations. The objective is to minimize the makespan. We first show that the schedule produced by the largest growth rate rule is unbounded for our model, although it is an optimal solution for the scheduling problem with deteriorating jobs and no learning. We then consider three special cases of the problem, each corresponding to a specific practical scheduling scenario. Based on the derived optimal properties, we develop an optimal algorithm for each of these cases. Finally, we consider a relaxed model of the second special case, and present a heuristic and analyze its worst-case performance bound.     

Production scheduling with alternative process plans

This paper deals with a scheduling problem with alternative process plans that was motivated by a production of wire harnesses where certain parts can be processed manually or automatically by different types of machines. Only a subset of all the given activities will form the solution, so the decision whether the activity will appear in the final schedule has to be made during the scheduling process. The problem considered is an extension of the resource constrained project scheduling problem (RCPSP) with unary resources, positive and negative time-lags and sequence dependent setup times. We extend classic RCPSP problem by a definition of alternative branchings, represented by the Petri nets formalism allowing one to define alternatives and parallelism within one data structure. For this representation of the problem, an integer linear programming model is formulated and the reduction of the problem, using time symmetry mapping, is shown. Finally, a heuristic algorithm based on priority schedule construction with an unscheduling step is proposed for the nested version of the problem and it is used to solve the case study of the wire harnesses production.     

Nested partitions for the large-scale extended job shop scheduling problem

This paper addresses the large-scale extended job shop scheduling problem while considering the bill of material and the working shifts constraints. We propose two approaches for the problem. One is based on dispatching rules (DR), and the other is an application of the Nested Partitions (NP) Framework. A sampling approach for the exact feasible subregion is developed to complete the NP method. Furthermore, to efficiently search each subregion, a weighted sampling approach is also presented. Computational experiments show that the NP method with weighted sampling can find good solutions for most large-scale extended job shop scheduling problems.     

Tabu search for a class of scheduling problems

Scheduling problems are often modeled as resourceconstrained problems in which critical resource assignments to tasks are known and the best assignment of resource time must be made subject to these constraints. Generalization toresource scheduling, where resource assignments are chosen concurrently with times results is a problem which is much more difficult. A simplified model of the general resource scheduling model is possible, however, in which tasks must be assigned a singleprimary resource, subject to constraints resulting from preassignment ofsecondary, or auxiliary, resources. This paper describes extensions and enhancements of tabu search for the special case of the resource scheduling problem described above. The class of problems is further restricted to those where it is reasonable to enumerate both feasible time and primary resource assignments. Potential applications include shift oriented production and manpower scheduling problems as well as course scheduling where classrooms (instructors) are primary and instructors (rooms) and students are secondary resources. The underlying model is a type of quadratic multiple choice problem which we call multiple choice quadratic vertex packing (MCQVP). Results for strategic oscillation and biased candidate sampling strategies are shown for reasonably sized real and randomly generated, synthetic, problem instances. The strategies are compared with other variations using consistent measures of solution time and quality developed for this study.     

Flexible job shop scheduling with overlapping in operations

In this paper, flexible job shop scheduling problem with a new approach, overlapping in operations, is discussed. In many flexible job shops, a customer demand can be released more than one for each job, where demand determines the quantity of each finished job ordered by a customer. In these models each job has a demand more than one. This assumption is an important and practical issue for many flexible job shops such as petrochemical industries. To consider this assumption, we use a new approach, named overlapping in operations. In this approach, embedded operations of each job can be performed due to overlap considerations in which each operation may be overlapped with the others because of its nature. The overlapping is limited by structural constraints, such as the dimensions of the box to be packed or the capacity of the container used to move the pieces from one machine to the next. Since this problem is well known as NP-Hard class, a hierarchical approach used simulated annealing algorithm is developed to solve large problem instances. Moreover, a mixed integer linear programming (MILP) method is presented. To evaluate the validity of the proposed SA algorithm, the results are compared with the optimal solution obtained with the traditional optimization technique (The Branch and Bound method). The computational results validate the efficiency and effectiveness of the proposed algorithm. Also the computational results show that the overlapping considering can improve the makespan and machines utilization measures. So the proposed algorithm can be applied easily in real factory conditions and for the large size problems and it should thus be useful to both practitioners and researchers.     

Optimal policies in stochastic shop scheduling

In this paper a survey is presented of some of the recent results in stochastic open shop, flow shop and job shop scheduling. The distributions of the processing times of the jobs are known in advance, but the actual processing times are not known in advance. The jobs may have due dates. Optimal preemptive and nonpreemptive policies are determined for the minimization of various objective functions, such as the expected makespan, the expected flow time and the expected number of late jobs. The effect of various degrees of dependence between the processing times of any given job on the various machines is investigated. Under given conditions bounds are obtained for the expected makespan in the different models.Partially supported by the National Science Foundation (NSF), under grant ECS-8115344 with the Georgia Institute of Technology.     

Routing open shop and flow shop scheduling problems

We consider a generalization of the classical open shop and flow shop scheduling problems where the jobs are located at the vertices of an undirected graph and the machines, initially located at the same vertex, have to travel along the graph to process the jobs. The objective is to minimize the makespan. In the tour-version the makespan means the time by which each machine has processed all jobs and returned to the initial location. While in the path-version the makespan represents the maximum completion time of the jobs. We present improved approximation algorithms for various cases of the open shop problem on a general graph, and the tour-version of the two-machine flow shop problem on a tree. Also, we prove that both versions of the latter problem are NP-hard, which answers an open question posed in the literature.     

Master physician scheduling problem

We study a real-world problem arising from the operations of a hospital service provider, which we term the master physician scheduling problem. It is a planning problem of assigning physicians’ full range of day-to-day duties (including surgery, clinics, scopes, calls, administration) to the defined time slots/shifts over a time horizon, incorporating a large number of constraints and complex physician preferences. The goals are to satisfy as many physicians’ preferences and duty requirements as possible while ensuring optimum usage of available resources. We propose mathematical programming models that represent different variants of this problem. The models were tested on a real case from the Surgery Department of a local government hospital, as well as on randomly generated problem instances. The computational results are reported together with analysis on the optimal solutions obtained. For large-scale instances that could not be solved by the exact method, we propose a heuristic algorithm to generate good solutions.     

The hybrid flow shop scheduling problem

The scheduling of flow shops with multiple parallel machines per stage, usually referred to as the hybrid flow shop (HFS), is a complex combinatorial problem encountered in many real world applications. Given its importance and complexity, the HFS problem has been intensively studied. This paper presents a literature review on exact, heuristic and metaheuristic methods that have been proposed for its solution. The paper briefly discusses and reviews several variants of the HFS problem, each in turn considering different assumptions, constraints and objective functions. Research opportunities in HFS are also discussed.