This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the "macro system." A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.

This edited volume captures and communicates the best thinking on how to improve healthcare by improving the delivery of services -- providing care when and where it is needed most -- through application of state-of-the-art scheduling systems. Over 12 chapters, the authors cover aspects of setting appointments, allocating healthcare resources, and planning to ensure that capacity matches needs for care. A central theme of the book is increasing healthcare efficiency so that both the cost of care is reduced and more patients have access to care. This can be accomplished through reduction of idle time, lessening the time needed to provide services and matching resources to the needs where they can have the greatest possible impact on health. Within their chapters, authors address: (1) Use of scheduling to improve healthcare efficiency. (2) Objectives, constraints and mathematical formulations. (3) Key methods and techniques for creating schedules. (4) Recent developments that improve the available problem solving methods. (5) Actual applications, demonstrating how the methods can be used. (6) Future directions in which the field of research is heading. Collectively, the chapters provide a comprehensive state-of-the-art review of models and methods for scheduling the delivery of patient care for all parts of the healthcare system. Chapter topics include setting appointments for ambulatory care and outpatient procedures, surgical scheduling, nurse scheduling, bed management and allocation, medical supply logistics and routing and scheduling for home healthcare.

Over the past thirty-five years, a substantial amount of theoretical and empirical scholarly research has been developed across the discipline domains of Transportation. This research has been synthesized into a systematic handbook that examines the scientific concepts, methods, and principles of this growing and evolving field. The Handbook of Transportation Science outlines the field of transportation as a scientific discipline that transcends transportation technology and methods. Whether by car, truck, airplane - or by a mode of transportation that has not yet been conceived - transportation obeys fundamental properties. The science of transportation defines these properties, and demonstrates how our knowledge of one mode of transportation can be used to explain the behavior of another. Transportation scientists are motivated by the desire to explain spatial interactions that result in movement of people or objects from place to place. Its methodologies draw from physics, operations research, probability and control theory.

Over the past thirty-five years, a tremendous body of both theoretical and empirical research has been established on the `science of transportation'. The Handbook of Transportation Science has collected and synthesized this research into a systematic treatment of this field covering its fundamental concepts, methods, and principles. The purpose of this handbook is to define transportation as a scientific discipline that transcends transportation technology and methods. Whether by car, truck, airplane - or by a mode of transportation that has not yet been conceived - transportation obeys fundamental properties. The science of transportation defines these properties, and demonstrates how our knowledge of one mode of transportation can be used to explain the behavior of another. Transportation scientists are motivated by the desire to explain spatial interactions that result in movement of people or objects from place to place. Its methodologies draw from physics, operations research, probability and control theory. It is fundamentally a quantitative discipline, relying on mathematical models and optimization algorithms to explain the phenomena of transportation. The fourteen chapters in the handbook are written by the leading researchers in transportation science in an effort to define and categorize for the first time the scientific nature and state of the art of the field. As such, it is directed to the broader research community, transportation practitioners, and future transportation scientists.

This edited volume captures and communicates the best thinking on how to improve healthcare by improving the delivery of services -- providing care when and where it is needed most -- through application of state-of-the-art scheduling systems. Over 12 chapters, the authors cover aspects of setting appointments, allocating healthcare resources, and planning to ensure that capacity matches needs for care. A central theme of the book is increasing healthcare efficiency so that both the cost of care is reduced and more patients have access to care. This can be accomplished through reduction of idle time, lessening the time needed to provide services and matching resources to the needs where they can have the greatest possible impact on health. Within their chapters, authors address: (1) Use of scheduling to improve healthcare efficiency. (2) Objectives, constraints and mathematical formulations. (3) Key methods and techniques for creating schedules. (4) Recent developments that improve the available problem solving methods. (5) Actual applications, demonstrating how the methods can be used. (6) Future directions in which the field of research is heading. Collectively, the chapters provide a comprehensive state-of-the-art review of models and methods for scheduling the delivery of patient care for all parts of the healthcare system. Chapter topics include setting appointments for ambulatory care and outpatient procedures, surgical scheduling, nurse scheduling, bed management and allocation, medical supply logistics and routing and scheduling for home healthcare.

PATIENT FLOW: Reducing Delay in Healthcare Delivery is dedicated to improving healthcare through reducing the delays experienced by patients. One aspect of this goal is to improve the flow of patients, so that they do not experience unnecessary waits as they flow through a healthcare system. Another aspect is ensuring that services are closely synchronized with patterns of patient demand. Still another aspect is ensuring that ancillary services, such as housekeeping and transportation, are fully coordinate with direct patient care. Past experience shows that effective management of healthcare delays can produce dramatic improvements in medical outcomes, patient satisfaction, and access to service, while also reducing the cost of healthcare. The 15 chapters of this book exposes the healthcare community of researchers, practitioners and administrators to a set of techniques and strategies that can be used by clinicians and administrators to substantially reduce delays in healthcare delivery. It is the first book treatment to have reduction in patient delay as its sole focus, and therefore, provides the foundation by which hospitals can implement change. Reflecting the highly interdisciplinary and practitioner nature of this book, the chapters have been written by doctors, nurses, industrial engineers, system engineers and geographers, and thus, these perspectives provide the comprehensive view needed to address the problem of patient delay.

The book provides a "hands-on" discussion and methods for solving a variety of problems that inhibit prompt and swift health care delivery. Some examples are:

• presents a set of breakthrough strategies that use "real-time" monitoring systems for continuous improvement;
• offers techniques for scheduling staff needs to match patterns in patient demand, and thus reduce predictable delays;
• utilizes simulation modeling techniques for both healthcare design and process improvement;
• provides methods for forecasting the demand for healthcare on a region-wide basis;
• presents queueing theory as a general method for modeling patient waits in healthcare;
• outlines rapid delivery of medication in the event of a catastrophic event, such as a pandemic or terrorist attack;
• demonstrates the importance of optimizing care as patients transition from one care setting to the next care setting with an emphasis on clinical outcomes and the business case;
• provides project management tools to guide the implementation of patient flow projects.

Over the past thirty-five years, a substantial amount of theoretical and empirical scholarly research has been developed across the discipline domains of Transportation. This research has been synthesized into a systematic handbook that examines the scientific concepts, methods, and principles of this growing and evolving field. The Handbook of Transportation Science outlines the field of transportation as a scientific discipline that transcends transportation technology and methods. Whether by car, truck, airplane - or by a mode of transportation that has not yet been conceived - transportation obeys fundamental properties. The science of transportation defines these properties, and demonstrates how our knowledge of one mode of transportation can be used to explain the behavior of another. Transportation scientists are motivated by the desire to explain spatial interactions that result in movement of people or objects from place to place. Its methodologies draw from physics, operations research, probability and control theory.

The eighteen chapters in the Second Edition of the Handbook of Transportation Science are written by the leading researchers in Transportation Science as a continual effort to explore the scientific nature and state-of-the-art of the field. As such, it is directed to all the research and practitioner domains of transportation. It has been expanded from the first edition through the addition of four chapters. Chapter 15 extends the networks section of the book by addressing supply chains, distribution networks and logistics. While the emphasis is on freight transportation, the principles for network design extend to other applications, such as publiceconomics. Chapters 16 through 18 fall in a new section on transportation economics. Chapter 16 addresses revenue management, a relatively recent topic in transportation, which has had substantial impact on the airline industry in particular. Chapter 17 presents spatial interaction models, which provides a mechanism for analyzing patterns of development. Chapter 18 provides the principles of transportation economics, with emphasis on pricing and public policy. In addition to the new chapters, the original chapters have been updated and revised.

Over the past thirty-five years, a tremendous body of both theoretical and empirical research has been established on the science of transportation'. The Handbook of Transportation Science has collected and synthesized this research into a systematic treatment of this field covering its fundamental concepts, methods, and principles. The purpose of this handbook is to define transportation as a scientific discipline that transcends transportation technology and methods. Whether by car, truck, airplane - or by a mode of transportation that has not yet been conceived - transportation obeys fundamental properties. The science of transportation defines these properties, and demonstrates how our knowledge of one mode of transportation can be used to explain the behavior of another. Transportation scientists are motivated by the desire to explain spatial interactions that result in movement of people or objects from place to place. Its methodologies draw from physics, operations research, probability and control theory. It is fundamentally a quantitative discipline, relying on mathematical models and optimization algorithms to explain the phenomena of transportation. The fourteen chapters in the handbook are written by the leading researchers in transportation science in an effort to define and categorize for the first time the scientific nature and state of the art of the field. As such, it is directed to the broader research community, transportation practitioners, and future transportation scientists.

This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the "macro system." A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans.

Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs

Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event.

Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.