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Description
Healthcare operations have enjoyed reduced costs, improved patient safety, and

innovation in healthcare policy over a huge variety of applications by tackling prob-

lems via the creation and optimization of descriptive mathematical models to guide

decision-making. Despite these accomplishments, models are stylized representations

of real-world applications, reliant on accurate estimations from historical data to

Healthcare operations have enjoyed reduced costs, improved patient safety, and

innovation in healthcare policy over a huge variety of applications by tackling prob-

lems via the creation and optimization of descriptive mathematical models to guide

decision-making. Despite these accomplishments, models are stylized representations

of real-world applications, reliant on accurate estimations from historical data to jus-

tify their underlying assumptions. To protect against unreliable estimations which

can adversely affect the decisions generated from applications dependent on fully-

realized models, techniques that are robust against misspecications are utilized while

still making use of incoming data for learning. Hence, new robust techniques are ap-

plied that (1) allow for the decision-maker to express a spectrum of pessimism against

model uncertainties while (2) still utilizing incoming data for learning. Two main ap-

plications are investigated with respect to these goals, the first being a percentile

optimization technique with respect to a multi-class queueing system for application

in hospital Emergency Departments. The second studies the use of robust forecasting

techniques in improving developing countries’ vaccine supply chains via (1) an inno-

vative outside of cold chain policy and (2) a district-managed approach to inventory

control. Both of these research application areas utilize data-driven approaches that

feature learning and pessimism-controlled robustness.
ContributorsBren, Austin (Author) / Saghafian, Soroush (Thesis advisor) / Mirchandani, Pitu (Thesis advisor) / Wu, Teresa (Committee member) / Pan, Rong (Committee member) / Arizona State University (Publisher)
Created2018
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Description
This dissertation carries out an inter-disciplinary research of operations research, statistics, power system engineering, and economics. Specifically, this dissertation focuses on a special power system scheduling problem, a unit commitment problem with uncertainty. This scheduling problem is a two-stage decision problem. In the first stage, system operator determines the binary

This dissertation carries out an inter-disciplinary research of operations research, statistics, power system engineering, and economics. Specifically, this dissertation focuses on a special power system scheduling problem, a unit commitment problem with uncertainty. This scheduling problem is a two-stage decision problem. In the first stage, system operator determines the binary commitment status (on or off) of generators in advance. In the second stage, after the realization of uncertainty, the system operator determines generation levels of the generators. The goal of this dissertation is to develop computationally-tractable methodologies and algorithms to solve large-scale unit commitment problems with uncertainty.

In the first part of this dissertation, two-stage models are studied to solve the problem. Two solution methods are studied and improved: stochastic programming and robust optimization. A scenario-based progressive hedging decomposition algorithm is applied. Several new hedging mechanisms and parameter selections rules are proposed and tested. A data-driven uncertainty set is proposed to improve the performance of robust optimization.

In the second part of this dissertation, a framework to reduce the two-stage stochastic program to a single-stage deterministic formulation is proposed. Most computation of the proposed approach can be done by offline studies. With the assistance of offline analysis, simulation, and data mining, the unit commitment problems with uncertainty can be solved efficiently.

Finally, the impacts of uncertainty on energy market prices are studied. A new component of locational marginal price, a marginal security component, which is the weighted shadow prices of the proposed security constraints, is proposed to better represent energy prices.
ContributorsLi, Chao (Author) / Hedman, Kory W (Thesis advisor) / Zhang, Muhong (Thesis advisor) / Mirchandani, Pitu B. (Committee member) / Wu, Teresa (Committee member) / Arizona State University (Publisher)
Created2016
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Description
Optimization of surgical operations is a challenging managerial problem for surgical suite directors. This dissertation presents modeling and solution techniques for operating room (OR) planning and scheduling problems. First, several sequencing and patient appointment time setting heuristics are proposed for scheduling an Outpatient Procedure Center. A discrete event simulation model

Optimization of surgical operations is a challenging managerial problem for surgical suite directors. This dissertation presents modeling and solution techniques for operating room (OR) planning and scheduling problems. First, several sequencing and patient appointment time setting heuristics are proposed for scheduling an Outpatient Procedure Center. A discrete event simulation model is used to evaluate how scheduling heuristics perform with respect to the competing criteria of expected patient waiting time and expected surgical suite overtime for a single day compared to current practice. Next, a bi-criteria Genetic Algorithm is used to determine if better solutions can be obtained for this single day scheduling problem. The efficacy of the bi-criteria Genetic Algorithm, when surgeries are allowed to be moved to other days, is investigated. Numerical experiments based on real data from a large health care provider are presented. The analysis provides insight into the best scheduling heuristics, and the tradeoff between patient and health care provider based criteria. Second, a multi-stage stochastic mixed integer programming formulation for the allocation of surgeries to ORs over a finite planning horizon is studied. The demand for surgery and surgical duration are random variables. The objective is to minimize two competing criteria: expected surgery cancellations and OR overtime. A decomposition method, Progressive Hedging, is implemented to find near optimal surgery plans. Finally, properties of the model are discussed and methods are proposed to improve the performance of the algorithm based on the special structure of the model. It is found simple rules can improve schedules used in practice. Sequencing surgeries from the longest to shortest mean duration causes high expected overtime, and should be avoided, while sequencing from the shortest to longest mean duration performed quite well in our experiments. Expending greater computational effort with more sophisticated optimization methods does not lead to substantial improvements. However, controlling daily procedure mix may achieve substantial improvements in performance. A novel stochastic programming model for a dynamic surgery planning problem is proposed in the dissertation. The efficacy of the progressive hedging algorithm is investigated. It is found there is a significant correlation between the performance of the algorithm and type and number of scenario bundles in a problem instance. The computational time spent to solve scenario subproblems is among the most significant factors that impact the performance of the algorithm. The quality of the solutions can be improved by detecting and preventing cyclical behaviors.
ContributorsGul, Serhat (Author) / Fowler, John W. (Thesis advisor) / Denton, Brian T. (Thesis advisor) / Wu, Teresa (Committee member) / Zhang, Muhong (Committee member) / Arizona State University (Publisher)
Created2010
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Description
Surgery is one of the most important functions in a hospital with respect to operational cost, patient flow, and resource utilization. Planning and scheduling the Operating Room (OR) is important for hospitals to improve efficiency and achieve high quality of service. At the same time, it is a complex task

Surgery is one of the most important functions in a hospital with respect to operational cost, patient flow, and resource utilization. Planning and scheduling the Operating Room (OR) is important for hospitals to improve efficiency and achieve high quality of service. At the same time, it is a complex task due to the conflicting objectives and the uncertain nature of surgeries. In this dissertation, three different methodologies are developed to address OR planning and scheduling problem. First, a simulation-based framework is constructed to analyze the factors that affect the utilization of a catheterization lab and provide decision support for improving the efficiency of operations in a hospital with different priorities of patients. Both operational costs and patient satisfaction metrics are considered. Detailed parametric analysis is performed to provide generic recommendations. Overall it is found the 75th percentile of process duration is always on the efficient frontier and is a good compromise of both objectives. Next, the general OR planning and scheduling problem is formulated with a mixed integer program. The objectives include reducing staff overtime, OR idle time and patient waiting time, as well as satisfying surgeon preferences and regulating patient flow from OR to the Post Anesthesia Care Unit (PACU). Exact solutions are obtained using real data. Heuristics and a random keys genetic algorithm (RKGA) are used in the scheduling phase and compared with the optimal solutions. Interacting effects between planning and scheduling are also investigated. Lastly, a multi-objective simulation optimization approach is developed, which relaxes the deterministic assumption in the second study by integrating an optimization module of a RKGA implementation of the Non-dominated Sorting Genetic Algorithm II (NSGA-II) to search for Pareto optimal solutions, and a simulation module to evaluate the performance of a given schedule. It is experimentally shown to be an effective technique for finding Pareto optimal solutions.
ContributorsLi, Qing (Author) / Fowler, John W (Thesis advisor) / Mohan, Srimathy (Thesis advisor) / Gopalakrishnan, Mohan (Committee member) / Askin, Ronald G. (Committee member) / Wu, Teresa (Committee member) / Arizona State University (Publisher)
Created2010
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Description
This research by studies the computational performance of four different mixed integer programming (MIP) formulations for single machine scheduling problems with varying complexity. These formulations are based on (1) start and completion time variables, (2) time index variables, (3) linear ordering variables and (4) assignment and positional date variables. The

This research by studies the computational performance of four different mixed integer programming (MIP) formulations for single machine scheduling problems with varying complexity. These formulations are based on (1) start and completion time variables, (2) time index variables, (3) linear ordering variables and (4) assignment and positional date variables. The objective functions that are studied in this paper are total weighted completion time, maximum lateness, number of tardy jobs and total weighted tardiness. Based on the computational results, discussion and recommendations are made on which MIP formulation might work best for these problems. The performances of these formulations very much depend on the objective function, number of jobs and the sum of the processing times of all the jobs. Two sets of inequalities are presented that can be used to improve the performance of the formulation with assignment and positional date variables. Further, this research is extend to single machine bicriteria scheduling problems in which jobs belong to either of two different disjoint sets, each set having its own performance measure. These problems have been referred to as interfering job sets in the scheduling literature and also been called multi-agent scheduling where each agent's objective function is to be minimized. In the first single machine interfering problem (P1), the criteria of minimizing total completion time and number of tardy jobs for the two sets of jobs is studied. A Forward SPT-EDD heuristic is presented that attempts to generate set of non-dominated solutions. The complexity of this specific problem is NP-hard. The computational efficiency of the heuristic is compared against the pseudo-polynomial algorithm proposed by Ng et al. [2006]. In the second single machine interfering job sets problem (P2), the criteria of minimizing total weighted completion time and maximum lateness is studied. This is an established NP-hard problem for which a Forward WSPT-EDD heuristic is presented that attempts to generate set of supported points and the solution quality is compared with MIP formulations. For both of these problems, all jobs are available at time zero and the jobs are not allowed to be preempted.
ContributorsKhowala, Ketan (Author) / Fowler, John (Thesis advisor) / Keha, Ahmet (Thesis advisor) / Balasubramanian, Hari J (Committee member) / Wu, Teresa (Committee member) / Zhang, Muhong (Committee member) / Arizona State University (Publisher)
Created2012