Collaborative Research: Optimization of the Design and Operation of Surgery Delivery Systems

这项资助旨在改善手术交付系统（sds）的设计和操作。有四个主要的研究目标。首先，开发新的模型和方法，以确定不确定情况下手术资源的最佳投资和配置。第二，构建预先调度系统，在多手术室环境中分配手术。第三，开发健壮的实时调度系统，考虑意外事件对初始调度的影响。第四，开发一个复杂的离散事件模拟模型来评估上述模型，并将它们与现有政策进行比较。这个项目的广泛影响将通过提高医疗保健提供系统的一个关键部分的效率来影响所有美国人。手术室占医院收入的40%以上，初步研究表明，这些稀缺资源没有得到最佳配置。更快地获得护理将直接改善患者的预后，更有效地分配手术室将降低医疗保健成本，并使医疗保健提供者能够专注于其他活动。

This grant aims to improve the design and operation of surgical delivery systems (SDSs). There are four primary research goals. First, develop new models and methodologies for determining the optimal investment and configuration of surgical resources under uncertainty. Second, construct advance scheduling systems that allocate surgeries in a multi-OR setting. Third, develop robust real-time scheduling systems that consider the impact of unanticipated events on initial schedules. Fourth, develop a sophisticated discrete-event simulation model to evaluate the models described above, and compare them to existing policies. The broader impacts of this project will affect all Americans by improving the efficiency of a critical part of the health-care delivery system. ORs account for more than 40 percent of a hospital's revenues, and preliminary research indicates that these scarce resources are not being optimally deployed. Faster access to care will directly improve patient outcomes, and more efficient allocation of ORs will reduce health care costs, and permit health care providers to focus on other activities.