Building Cyclic Schedules for Emergency Department Physicians

  • Authors:
  • Yann Ferrand;Michael Magazine;Uday S. Rao;Todd F. Glass

  • Affiliations:
  • Department of Operations and Business Analytics, University of Cincinnati, Cincinnati, Ohio 45221;Department of Operations and Business Analytics, University of Cincinnati, Cincinnati, Ohio 45221;Department of Operations and Business Analytics, University of Cincinnati, Cincinnati, Ohio 45221;Cincinnati Children's Hospital Medical Center, Liberty Campus, Cincinnati, Ohio 45229

  • Venue:
  • Interfaces
  • Year:
  • 2011

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Abstract

Physicians at a branch of the emergency department at Cincinnati Children's Hospital Medical Center complained that their schedules were too erratic because of the multitude of operating requirements, regulatory constraints, physician preferences, and holiday requests. We addressed this issue by using integer programming to build cyclic schedules that can be repeated throughout the year. These schedules are flexible enough to handle incorporating holidays, work assignments, and vacation requests ex post. After we rolled out the calendar-year-based cyclic schedule, we captured statistics to assess the viability and the quality of the yearly schedule generated. Surveys of the physicians and the scheduler after implementation showed that the new schedule provides predictability and well-balanced work patterns.