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Information sharing and coordinated capacity management in service delivery networks.

机译:服务交付网络中的信息共享和协调的容量管理。

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摘要

Many service organizations offer services through a network of interconnected units with customer flows between them, for example, hospitals and airports. The interconnected nature of the units, along with the highly variable customer arrival and service rates, makes efficiently coordinating capacity among units extremely challenging. Capacity decisions made in isolation will be sub-optimal from a system perspective. Information sharing among the units will lead to better coordination of capacities and minimize the ill-effects of variability. This research, comprised of three essays, focuses on the design and operation of service delivery networks from a capacity management and service offerings perspective, and concentrates on the themes of information sharing and coordinated capacity management. Data collected from a large hospital network is used to analyze these issues.;The first essay addresses capacity planning at the strategic level by considering the impact of competition on a network's service capacity decisions. For-profit physician-owned specialized hospitals are forcing larger healthcare system owned hospitals to reevaluate their strategic options. Using spatial models this competition is analyzed to evaluate when and how should a network hospital specialize some of its facilities. Results indicate that networks with a spatial advantage can compete successfully by making informed capacity choices.;The second essay deals with how to best use information to improve performance of a service network when capacity and service offerings are fixed. Sharing information leads to more effective coordination of capacities; however, such improvements are contingent upon the variability of demand and inbuilt resource flexibilities. A hospital is simulated and the value of sharing information is determined. It is shown that sharing patient information among units leads to a more effective use of flexible capacity, which results in improved system-wide performance as indicated by reduced blocking and reduced average and standard deviation of length of stays. The conditions and capacity management approaches that offer the greatest potential to exploit information and are therefore directly relevant to the practicing manager are determined.;The third essay focuses on understanding the effectiveness of queueing methods for measuring the performance of a service delivery network. The same hospital system that was simulated in Essay 2 is modeled as an open queueing network using queueing approximations developed in the literature for multi-class customers with general arrival and service time distributions. Results indicate that ignoring important issues such as blocking effects in the queueing network model of the hospital leads to inaccurate measures of system performance.
机译:许多服务组织通过互连单元的网络来提供服务,这些单元之间有客户流,例如医院和机场。单元的相互联系的性质,以及高度可变的客户到达率和服务费率,使得有效地协调单元之间的容量极具挑战性。从系统角度来看,单独做出的容量决策将不是最佳选择。各部门之间的信息共享将导致能力的更好协调,并将可变性的不利影响降至最低。这项研究由三篇文章组成,从容量管理和服务提供的角度着眼于服务交付网络的设计和运营,并集中于信息共享和协调容量管理的主题。从大型医院网络收集的数据用于分析这些问题。第一篇文章通过考虑竞争对网络服务能力决策的影响来解决战略层面的能力计划。营利性的医生拥有的专科医院正迫使大型医疗保健系统拥有的医院重新评估其战略选择。使用空间模型,可以分析这场比赛来评估网络医院何时以及如何应对其某些设施进行专业化改造。结果表明,具有空间优势的网络可以通过明智地选择容量来成功竞争。第二篇文章讨论了在容量和服务提供固定的情况下如何最佳利用信息来改善服务网络的性能。共享信息可以更有效地协调能力;但是,这种改进取决于需求的变化和固有的资源灵活性。模拟医院并确定共享信息的价值。结果表明,在各部门之间共享患者信息可以更有效地利用灵活的能力,从而可以改善全系统的性能,这可以通过减少阻塞,减少住院时间的平均数和标准差来表明。确定了最有可能利用信息并因此与实践管理者直接相关的条件和能力管理方法。第三篇文章着重于了解用于度量服务交付网络性能的排队方法的有效性。在论文2中模拟的同一医院系统被建模为开放排队网络,该网络使用文献中针对具有一般到达时间和服务时间分布的多类客户开发的排队近似方法。结果表明,忽略重要问题(例如医院排队网络模型中的阻塞效应)会导致系统性能的度量标准不正确。

著录项

  • 作者

    Tiwari, Vikram.;

  • 作者单位

    Indiana University.;

  • 授予单位 Indiana University.;
  • 学科 Business Administration Management.;Health Sciences Health Care Management.;Operations Research.
  • 学位 Ph.D.
  • 年度 2008
  • 页码 197 p.
  • 总页数 197
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 贸易经济;运筹学;预防医学、卫生学;
  • 关键词

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