An Evidence-Based Decision Support Framework for Clinician Medical Scheduling

In healthcare management, waiting time for consultation is an important measure that has strong associations with patient's satisfaction (i.e., the longer patients wait for consultation, the less satisfied they are). To this end, it is required to optimize medical scheduling for clinicians. A t...

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Main Authors: Minsu Cho, Minseok Song, Sooyoung Yoo, Hajo A. Reijers
Format: Article
Language:English
Published: IEEE 2019-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/8621008/
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author Minsu Cho
Minseok Song
Sooyoung Yoo
Hajo A. Reijers
author_facet Minsu Cho
Minseok Song
Sooyoung Yoo
Hajo A. Reijers
author_sort Minsu Cho
collection DOAJ
description In healthcare management, waiting time for consultation is an important measure that has strong associations with patient's satisfaction (i.e., the longer patients wait for consultation, the less satisfied they are). To this end, it is required to optimize medical scheduling for clinicians. A typical approach for deriving the optimized schedules is to perform experiments using discrete event simulation. The existing work has developed how to build a simulation model based on process mining techniques. However, applying this method for outpatient processes straightforwardly, in particular medical scheduling, is challenging: 1) the collected data from electronic health record system requires a series of processes to acquire simulation parameters from the raw data; and 2) even if the derived simulation model fully reflects the reality, there is no systematic approach to deriving effective improvements for simulation analysis, i.e., experimental scenarios. To overcome these challenges, this paper proposes a novel decision support framework for a clinician's schedule using simulation analysis. In the proposed framework, a data-driven simulation model is constructed based on process mining analysis, which includes process discovery, patient arrival rate analysis, and service time analysis. Also, a series of steps to derive the optimal improvement method from the simulation analysis is included in the framework. To demonstrate the usefulness of our approach, we present the case study results with real-world data in a hospital.
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spelling doaj.art-5fde17d5453345dab7447ac786f58fef2022-12-21T22:25:30ZengIEEEIEEE Access2169-35362019-01-017152391524910.1109/ACCESS.2019.28941168621008An Evidence-Based Decision Support Framework for Clinician Medical SchedulingMinsu Cho0Minseok Song1https://orcid.org/0000-0002-6813-8853Sooyoung Yoo2Hajo A. Reijers3Department of Industrial and Management Engineering, Pohang University of Science and Technology, Pohang, South KoreaDepartment of Industrial and Management Engineering, Pohang University of Science and Technology, Pohang, South KoreaHealth ICT Research Center, Seoul National University Bundang Hospital, Bundang-gu, South KoreaDepartment of Information and Computing Sciences, Utrecht University, Utrecht, The NetherlandsIn healthcare management, waiting time for consultation is an important measure that has strong associations with patient's satisfaction (i.e., the longer patients wait for consultation, the less satisfied they are). To this end, it is required to optimize medical scheduling for clinicians. A typical approach for deriving the optimized schedules is to perform experiments using discrete event simulation. The existing work has developed how to build a simulation model based on process mining techniques. However, applying this method for outpatient processes straightforwardly, in particular medical scheduling, is challenging: 1) the collected data from electronic health record system requires a series of processes to acquire simulation parameters from the raw data; and 2) even if the derived simulation model fully reflects the reality, there is no systematic approach to deriving effective improvements for simulation analysis, i.e., experimental scenarios. To overcome these challenges, this paper proposes a novel decision support framework for a clinician's schedule using simulation analysis. In the proposed framework, a data-driven simulation model is constructed based on process mining analysis, which includes process discovery, patient arrival rate analysis, and service time analysis. Also, a series of steps to derive the optimal improvement method from the simulation analysis is included in the framework. To demonstrate the usefulness of our approach, we present the case study results with real-world data in a hospital.https://ieeexplore.ieee.org/document/8621008/Simulation modelingprocess miningpersonal clinician schedulesexperimental analyseswaiting time for consultation
spellingShingle Minsu Cho
Minseok Song
Sooyoung Yoo
Hajo A. Reijers
An Evidence-Based Decision Support Framework for Clinician Medical Scheduling
IEEE Access
Simulation modeling
process mining
personal clinician schedules
experimental analyses
waiting time for consultation
title An Evidence-Based Decision Support Framework for Clinician Medical Scheduling
title_full An Evidence-Based Decision Support Framework for Clinician Medical Scheduling
title_fullStr An Evidence-Based Decision Support Framework for Clinician Medical Scheduling
title_full_unstemmed An Evidence-Based Decision Support Framework for Clinician Medical Scheduling
title_short An Evidence-Based Decision Support Framework for Clinician Medical Scheduling
title_sort evidence based decision support framework for clinician medical scheduling
topic Simulation modeling
process mining
personal clinician schedules
experimental analyses
waiting time for consultation
url https://ieeexplore.ieee.org/document/8621008/
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