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INFORMS Philadelphia – 2015

79

3 - A Hybrid Social Network-system Dynamics Model of

Team Performance

Kyle Lewis, Professor, U. California - Santa Barbara, 1318 Phelps

Hall, Santa Barbara, CA, 93106, United States of America,

klewis@tmp.ucsb.edu,

Edward Anderson

Social network analysis has explored many aspects of inter-personal interaction,

yet it is limited in its power to describe important features of team behavior. We

present a hybrid system dynamics-agent based methodology that extends the

power of SNA to analyzing emergent team behavior. We present a proof-of-

concept hybrid model and use it to simulate the: differential effects of hierarchy;

impact of overspecialization; role of generalists; and disruption created by

member turnover.

4 - IT Governance Mechanisms and Organizational Performance:

Investigating the Moderating Role of Platform

Hossein Kalantar, PhD Student, University of Colorado Denver,

1475 Lawrence Street, Denver, CO, 80202, United States of

America,

Hossein.Kalantar@ucdenver.edu

, Jiban Khuntia

Information Technology governance plays a key role in creating value through IT

within an enterprise. There are studies that show the positive impacts of IT

governance on organizational performance. However, there are not many studies

that answer “How IT governance improves organizational performance”. In this

study, we investigate the moderating role of platforms, on the relationship

between IT governance and organizational performance. Context of Health IT

organizations was selected to conduct this study.

5 - Organizational Changes to Benefit from Big Data

Amit Das, Associate Professor, Qatar University, P.O. Box 2713,

Doha, Qatar,

amit.das@qu.edu.qa

While developments in computing have ushered in the age of Big Data, accounts

of Big Data being actually used to improve the management of organizations are

still relatively rare. We ascribe this to the incompatibility of traditional

management practices with the form of evidence-based decision-making enabled

by Big Data. We suggest that the profession of management is not alone in its

struggle to incorporate Big Data into its established routines.

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41-Room 102A, CC

Optimization Methods in Healthcare Scheduling

Sponsor: Manufacturing & Service Oper

Mgmt/Healthcare Operations

Sponsored Session

Chair: Retsef Levi, J. Spencer Standish (1945) Professor of Operations

Management, Sloan School of Management, MIT, 100 Main Street,

BDG E62-562, Cambridge, MA, 02142, United States of America,

retsef@mit.edu

1 - Real-time Pooling for Multi-site Imaging Facilities

David Shmoys, Cornell University, School of ORIE, Rhodes Hall,

Ithaca, NY, 14853, United States of America,

david.shmoys@cornell.edu

, Chaoxu Tong, Shane Henderson

MRI patients waste a great deal of time in the waiting room; this is largely due to

the misalignment between scheduled and actual imaging time. By selecting

among a pool of nearby MRI facilities, we can redirect patients shortly before

their scheduled appointment time. We demonstrate that this improved load-

balancing can decrease patient waiting time. Working with New York Presbyterian

Hospital, we are implementing a trial for our approach in a complicated real-life

environment.

2 - Increasing throughput in a Large Oncology Infusion Unit

Ana Cecilia Zenteno Langle, Massachusetts General Hospital,

55 Fruit Street, White 400, Boston, MA, 02114, United States of

America,

azentenolangle@mgh.harvard.edu,

Retsef Levi,

Wendi Rieb, Inga Lennes, Mara Bloom, Bethany Daily,

Peter Dunn

We describe a data-driven online scheduling algorithm aimed at generating a

more predictable and balanced intra-day resource utilization in the Infusion Unit

at the Massachusetts General Hospital Cancer Center. The implementation of the

algorithm, which is based on integer optimization and simulation methods, has a

projected impact of reducing by 30% the average peak utilization and its standard

deviation by 35%. The hospital has contracted with an outside vendor to build a

customized IT tool.

3 - Simultaneous Scheduling of Nurses in Multiple Hospital Units

using Stochastic Integer Programming

Sanjay Mehrotra, Northwestern University, Industrial

Engineering and Management, 2145 Sheridan Road,

Evanston, IL, 60208, United States of America,

mehrotra@northwestern.edu

, Kibaek Kim

We will present theoretical and computational results on simultaneous scheduling

of nurses in multiple hospital units using a two-stage stochastic mixed integer

programming model. The model allows a nurse pool as well as sharing of nurses

from a more specialized unit to a lesser one. We show that the integrality of the

second stage can be convexified in our model, which allows for the solution of

larger scale models.

4 - Logic-Based Benders’ Decomposition Approaches with

Application to Operating Room Scheduling

Vahid Roshanaei, PhD Candidate, University of Toronto, 5 King’s

College Road, Toronto, ON, Canada,

vroshana@mie.utoronto.ca

,

Dionne Aleman, David Urbach

We develop three logic-based Benders’ decomposition (LBBD) approaches and a

cut propagation mechanism to solve location-allocation integer programs (IPs).

Each LBBD is implemented in four different ways, yielding 24 distinct LBBD

variants. We illustrate the LBBDs’ performance on the distributed operating room

scheduling problem, where patients and operating rooms are scheduled across

hospitals. Our LBBDs are 10-100x faster than IP+Gurobi and are more successful

at finding optimal solutions.

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42-Room 102B, CC

Healthcare Operations Modeling and Optimization

Sponsor: Manufacturing & Service Oper

Mgmt/Healthcare Operations

Sponsored Session

Chair: David Kaufman, University of Michigan, 1205 Beal Ave.,

1710 IOE Building, Ann Arbor, MI, United States of America,

davidlk@umich.edu

1 - Allocating Operating Room Time for Elective Surgery

Steven Shechter, Associate Professor, Sauder School of Business,

University of British Columbia, University of British Columbia,

Vancouver, BC, Canada,

steven.shechter@sauder.ubc.ca

,

Mahesh Nagarajan, Stephanie Carew

We examine how to allocate operating room hours to different surgical specialties

at the British Columbia Children’s Hospital. This is a longer-run planning decision

which has major effects on the wait time experience of the patient population. To

evaluate policies, we construct and validate a simulation model of patient arrival

and appointment processes. We then apply optimization and dynamic

programming techniques to recommend improved allocation policies.

2 - Panel Size, Office Visits and Care Coordination Events in

Primary Care

Hari Balasubramanian, University of Massachusetts Amherst, 160

Governors Drive, Amhert, MA, 01002, United States of America,

hbalasubraman@ecs.umass.edu,

Michael Rossi

Using the Medical Expenditure Panel Survey (MEPS, AHRQ), we present a

method to estimate office visit and care coordination workload generated by

patients in a primary care panel. The method uses individual patient histories for

a one year period.

3 - Allocating Scarce Resources in a Patient Centered

Medical Home (pcmh)

Jingxing Wang, University of Michigan, 1205 Beal Ave., Ann

Arbor, MI, 48109, United States of America,

jeffwjx@umich.edu

,

Romesh Saigal

We consider a two stage stochastic allocation problem to assign the number of

hours of Primary Care Physician to teams in a PCMH. In the first stage, a

preliminary assignment is made. In the second stage, the demand is observed and

the preliminary assignment adjusted to meet it exactly. We use real options

theory and present three ways to achieve a fair and consistent mechanism to price

the disruption caused by adjustment. The assignments are made such that the

price of disruption is the same.

4 - An Outpatient Planning Optimization Model for Integrated Care

and Access Management

David Kaufman, University of Michigan, 1205 Beal Ave.,

1710 IOE Building, Ann Arbor, MI, United States of America,

davidlk@umich.edu

, Jivan Deglise-hawkinson, Todd Huschka,

Mark Van Oyen, Jonathan Helm

We present a data-driven methodology for outpatient scheduling. Our work is the

result of a practice-based collaboration with a major medical destination center.

Our capacity planning model seeks to meet visit targets on the time delay from

the appointment request to the appointment occurrence by patient type while

managing the patient mix, which is steered by goals such as increasing the

volume of new patient visits. The focus of the talk is on model validation and

insights.

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