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- All Subjects: Stochastic Models
- Creators: Jacobs, Tim
- Creators: Kilinc, Derya
Description
Most staff planning for airline industries are done using point estimates; these do not account for the probabilistic nature of employees not showing up to work, and the airline company risks being under or overstaffed at different times, which increases costs and deteriorates customer service. This model proposes utilizing a stochastic method for American Airlines to schedule their ground crew staff. We developed a stochastic model for scheduling that incorporates the risks of absent employees and as well as reliability so that stakeholders can determine the level of reliability they want to maintain in their system based on the costs. We also incorporated a preferences component to the model in order to increase staff satisfaction in the schedules they get assigned based on their predetermined preferences. Since this is a general staffing model, this can be utilized for an airline crew or virtually any other workforce so long as certain parameters about the population can be determined.
ContributorsOtis, Matthew (Co-author) / Reyes, Katherine (Co-author) / Gel, Esma (Thesis director) / Jacobs, Tim (Committee member) / Clough, Michael (Committee member) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This dissertation addresses access management problems that occur in both emergency and outpatient clinics with the objective of allocating the available resources to improve performance measures by considering the trade-offs. Two main settings are considered for estimating patient willingness-to-wait (WtW) behavior for outpatient appointments with statistical analyses of data: allocation of the limited booking horizon to patients of different priorities by using time windows in an outpatient setting considering patient behavior, and allocation of hospital beds to admitted Emergency Department (ED) patients. For each chapter, a different approach based on the problem context is developed and the performance is analyzed by implementing analytical and simulation models. Real hospital data is used in the analyses to provide evidence that the methodologies introduced are beneficial in addressing real life problems, and real improvements can be achievable by using the policies that are suggested.
This dissertation starts with studying an outpatient clinic context to develop an effective resource allocation mechanism that can improve patient access to clinic appointments. I first start with identifying patient behavior in terms of willingness-to-wait to an outpatient appointment. Two statistical models are developed to estimate patient WtW distribution by using data on booked appointments and appointment requests. Several analyses are conducted on simulated data to observe effectiveness and accuracy of the estimations.
Then, this dissertation introduces a time windows based policy that utilizes patient behavior to improve access by using appointment delay as a lever. The policy improves patient access by allocating the available capacity to the patients from different priorities by dividing the booking horizon into time intervals that can be used by each priority group which strategically delay lower priority patients.
Finally, the patient routing between ED and inpatient units to improve the patient access to hospital beds is studied. The strategy that captures the trade-off between patient safety and quality of care is characterized as a threshold type. Through the simulation experiments developed by real data collected from a hospital, the achievable improvement of implementing such a strategy that considers the safety-quality of care trade-off is illustrated.
This dissertation starts with studying an outpatient clinic context to develop an effective resource allocation mechanism that can improve patient access to clinic appointments. I first start with identifying patient behavior in terms of willingness-to-wait to an outpatient appointment. Two statistical models are developed to estimate patient WtW distribution by using data on booked appointments and appointment requests. Several analyses are conducted on simulated data to observe effectiveness and accuracy of the estimations.
Then, this dissertation introduces a time windows based policy that utilizes patient behavior to improve access by using appointment delay as a lever. The policy improves patient access by allocating the available capacity to the patients from different priorities by dividing the booking horizon into time intervals that can be used by each priority group which strategically delay lower priority patients.
Finally, the patient routing between ED and inpatient units to improve the patient access to hospital beds is studied. The strategy that captures the trade-off between patient safety and quality of care is characterized as a threshold type. Through the simulation experiments developed by real data collected from a hospital, the achievable improvement of implementing such a strategy that considers the safety-quality of care trade-off is illustrated.
ContributorsKilinc, Derya (Author) / Gel, Esma (Thesis advisor) / Pasupathy, Kalyan (Committee member) / Sefair, Jorge (Committee member) / Sir, Mustafa (Committee member) / Yan, Hao (Committee member) / Arizona State University (Publisher)
Created2019