An Optimisation-based Framework for Complex Business Process: Healthcare Application

The Irish healthcare system is currently facing major pressures due to rising demand, caused by population growth, ageing and high expectations of service quality. This pressure on the Irish healthcare system creates a need for support from research institutions in dealing with decision areas such as resource allocation and performance measurement. While approaches such as modelling, simulation, multi-criteria decision analysis, performance management, and optimisation can – when applied skilfully – improve healthcare performance, they represent just one part of the solution. Accordingly, to achieve significant and sustainable performance, this research aims to develop a practical, yet effective, optimisation-based framework for managing complex processes in the healthcare domain. Through an extensive review of the literature on the aforementioned solution techniques, limitations of using each technique on its own are identified in order to define a practical integrated approach toward developing the proposed framework. During the framework validation phase, real-time strategies have to be optimised to solve Emergency Department performance issues in a major hospital. Results show a potential of significant reduction in patients average length of stay (i.e. 48% of average patient throughput time) whilst reducing the over-reliance on overstretched nursing resources, that resulted in an increase of staff utilisation between 7% and 10%. Given the high uncertainty in healthcare service demand, using the integrated framework allows decision makers to find optimal staff schedules that improve emergency department performance. The proposed optimum staff schedule reduces the average waiting time of patients by 57% and also contributes to reduce number of patients left without treatment to 8% instead of 17%. The developed framework has been implemented by the hospital partner with a high level of success

Decision Support System for Managing Reverse Supply Chain

Reverse logistics are becoming more and more important in the overall Industry area because of the environment and business factors. Planning and implementing a suitable reverse logistics network could bring more profit, customer satisfaction, and an excellent social picture for companies. But, most of the logistics networks are not equipped to handle the return products in reverse channels. Reverse logistics processes and plans rely heavily on reversing the supply chain so that companies can correctly identify and categorize returned products for disposition, an area that offers many opportunities for additional revenue. The science of reverse logistics includes return policy administration, product recall protocols, repairs processing, product repackaging, parts management, recycling, product disposition management, maximizing liquidation values and much more. The focus of this project is to develop a reverse logistics management system/ tools (RLMS). The proposed tools are demonstrated in the following order. First, we identify the risks involved in the reverse supply chain. Survey tool is used to collect data and information required for analysis. The methodologies that are used to identify key risks are the six sigma tools, namely Define, Measure, Analyse, Improve and Control (DMAIC), SWOT analysis, cause and effect, and Risk Mapping. An improved decision-making method using fuzzy set theory for converting linguistic data into numeric risk ratings has been attempted. In this study, the concept of ‘Left and Right dominance approach’(Chen and Liu, 2001) and Method of ‘In center of centroids’ (Thoran et al., 2012a,b) for generalized trapezoidal fuzzy numbers has been used to quantify the ‘degree of risk’ in terms of crisp ratings. After the analysis, the key risks are identified are categorized, and an action requirement plan suggested for providing guidelines for the managers to manage the risk successfully in the context of reverse logistics. Next, from risk assessment findings, information technology risk presents the highest risk impact on the performance of the reverse logistics, especially lack of use of a decision support system (DSS). We propose a novel multi-attribute decision (MADM) support tool that can categorizes return products and make the best alternative selection of recovery and disposal option using carefully considered criteria using MADM decision making methodologies such as fuzzy MOORA and VIKOR. The project can be applied to all types of industries. Once the returned products are collected and categorized at the retailers/ Points of return (PoR), an optimized network is required to determine the number of reprocessing centres to be opened and the optimized optimum material flow between retailers, reprocessing, recycling and disposal centers at minimum costs. The research develops a mixed integer linear programming model for two scenarios, namely considering direct shipping from retailer/ PoR to the respective reprocessing centers and considering the use of centralized return centers (CRC). The models are solved using LINGO 15 software and excel solver tools respectively. The advantage of the implementation of our solution is that it will help improve performance and reduce time. This benefits the company by having a reduction in their cost due to uncertainties and also contributes to better customer satisfaction. Implementation of these tools at ABZ computer distributing company demonstrates how the reverse logistics management tools can used in order to be beneficial to the organization. The tool is designed to be easily implemented at minimal cost and serves as a valuable tool for personnel faced with significant and costly decisions regarding risk assessment, decision making and network optimization in the reverse supply chain practices

A systematic review of decision-making in remanufacturing

Potential benefits have made remanufacturing attractive over the last decade. Nevertheless, the complexity and uncertainties associated with the process of managing returned products make remanufacturing challenging. Since this process involves enormous decision-making practices, various methods/techniques have been developed. This review is to specify the current challenges and opportunities for decision-making in remanufacturing. To achieve this, we perform a systematic review over decision-making in remanufacturing by classifying decisions into different managerial levels and areas. Adopting a systematic approach which provides a repeatable, transparent and scientific process, 241 key articles have been identified following a multi-stage review process. Our review indicates that most studies focuses on strategic-level(48%) and tactical-level (34%)with only 5% focusing on operational-level and the rest on two levels(13%). Regarding decision-making methods, most studies propose mathematical models (60%) followed by analytical models (31%). Furthermore, only 36% of the studies address uncertainties in which stochastic approach is mostly applied. A total of 21 knowledge gaps are highlighted to direct future research work

Applied Metaheuristic Computing

For decades, Applied Metaheuristic Computing (AMC) has been a prevailing optimization technique for tackling perplexing engineering and business problems, such as scheduling, routing, ordering, bin packing, assignment, facility layout planning, among others. This is partly because the classic exact methods are constrained with prior assumptions, and partly due to the heuristics being problem-dependent and lacking generalization. AMC, on the contrary, guides the course of low-level heuristics to search beyond the local optimality, which impairs the capability of traditional computation methods. This topic series has collected quality papers proposing cutting-edge methodology and innovative applications which drive the advances of AMC

Energy-aware scheduling in distributed computing systems

Distributed computing systems, such as data centers, are key for supporting modern computing demands. However, the energy consumption of data centers has become a major concern over the last decade. Worldwide energy consumption in 2012 was estimated to be around 270 TWh, and grim forecasts predict it will quadruple by 2030. Maximizing energy efficiency while also maximizing computing efficiency is a major challenge for modern data centers. This work addresses this challenge by scheduling the operation of modern data centers, considering a multi-objective approach for simultaneously optimizing both efficiency objectives. Multiple data center scenarios are studied, such as scheduling a single data center and scheduling a federation of several geographically-distributed data centers. Mathematical models are formulated for each scenario, considering the modeling of their most relevant components such as computing resources, computing workload, cooling system, networking, and green energy generators, among others. A set of accurate heuristic and metaheuristic algorithms are designed for addressing the scheduling problem. These scheduling algorithms are comprehensively studied, and compared with each other, using statistical tools to evaluate their efficacy when addressing realistic workloads and scenarios. Experimental results show the designed scheduling algorithms are able to significantly increase the energy efficiency of data centers when compared to traditional scheduling methods, while providing a diverse set of trade-off solutions regarding the computing efficiency of the data center. These results confirm the effectiveness of the proposed algorithmic approaches for data center infrastructures.Los sistemas informáticos distribuidos, como los centros de datos, son clave para satisfacer la demanda informática moderna. Sin embargo, su consumo de energético se ha convertido en una gran preocupación. Se estima que mundialmente su consumo energético rondó los 270 TWh en el año 2012, y algunos prevén que este consumo se cuadruplicará para el año 2030. Maximizar simultáneamente la eficiencia energética y computacional de los centros de datos es un desafío crítico. Esta tesis aborda dicho desafío mediante la planificación de la operativa del centro de datos considerando un enfoque multiobjetivo para optimizar simultáneamente ambos objetivos de eficiencia. En esta tesis se estudian múltiples variantes del problema, desde la planificación de un único centro de datos hasta la de una federación de múltiples centros de datos geográficmentea distribuidos. Para esto, se formulan modelos matemáticos para cada variante del problema, modelado sus componentes más relevantes, como: recursos computacionales, carga de trabajo, refrigeración, redes, energía verde, etc. Para resolver el problema de planificación planteado, se diseñan un conjunto de algoritmos heurísticos y metaheurísticos. Estos son estudiados exhaustivamente y su eficiencia es evaluada utilizando una batería de herramientas estadísticas. Los resultados experimentales muestran que los algoritmos de planificación diseñados son capaces de aumentar significativamente la eficiencia energética de un centros de datos en comparación con métodos tradicionales planificación. A su vez, los métodos propuestos proporcionan un conjunto diverso de soluciones con diferente nivel de compromiso respecto a la eficiencia computacional del centro de datos. Estos resultados confirman la eficacia del enfoque algorítmico propuesto

A Review on the Lifecycle Strategies Enhancing Remanufacturing

Remanufacturing is a domain that has increasingly been exploited during recent years due to its numerous advantages and the increasing need for society to promote a circular economy leading to sustainability. Remanufacturing is one of the main end-of-life (EoL) options that can lead to a circular economy. There is therefore a strong need to prioritize this option over other available options at the end-of-life stage of a product because it is the only recovery option that maintains the same quality as that of a new product. This review focuses on the different lifecycle strategies that can help improve remanufacturing; in other words, the various strategies prior to, during or after the end-of-life of a product that can increase the chances of that product being remanufactured rather than being recycled or disposed of after its end-of-use. The emergence of the fourth industrial revolution, also known as industry 4.0 (I4.0), will help enhance data acquisition and sharing between different stages in the supply chain, as well boost smart remanufacturing techniques. This review examines how strategies like design for remanufacturing (DfRem), remaining useful life (RUL), product service system (PSS), closed-loop supply chain (CLSC), smart remanufacturing, EoL product collection and reverse logistics (RL) can enhance remanufacturing. We should bear in mind that not all products can be remanufactured, so other options are also considered. This review mainly focuses on products that can be remanufactured. For this review, we used 181 research papers from three databases; Science Direct, Web of Science and Scopus

An Integrated Framework for Staffing and Shift Scheduling in Hospitals

Over the years, one of the main concerns confronting hospital management is optimising the staffing and scheduling decisions. Consequences of inappropriate staffing can adversely impact on hospital performance, patient experience and staff satisfaction alike. A comprehensive review of literature (more than 1300 journal articles) is presented in a new taxonomy of three dimensions; problem contextualisation, solution approach, evaluation perspective and uncertainty. Utilising Operations Research methods, solutions can provide a positive contribution in underpinning staffing and scheduling decisions. However, there are still opportunities to integrate decision levels; incorporate practitioners view in solution architectures; consider staff behaviour impact, and offer comprehensive applied frameworks. Practitioners’ perspectives have been collated using an extensive exploratory study in Irish hospitals. A preliminary questionnaire has indicated the need of effective staffing and scheduling decisions before semi-structured interviews have taken place with twenty-five managers (fourteen Directors and eleven head nurses) across eleven major acute Irish hospitals (about 50% of healthcare service deliverers). Thematic analysis has produced five key themes; demand for care, staffing and scheduling issues, organisational aspects, management concern, and technology-enabled. In addition to other factors that can contribute to the problem such as coordination, environment complexity, understaffing, variability and lack of decision support. A multi-method approach including data analytics, modelling and simulation, machine learning, and optimisation has been employed in order to deliver adequate staffing and shift scheduling framework. A comprehensive portfolio of critical factors regarding patients, staff and hospitals are included in the decision. The framework was piloted in the Emergency Department of one of the leading and busiest university hospitals in Dublin (Tallaght Hospital). Solutions resulted from the framework (i.e. new shifts, staff workload balance, increased demands) have showed significant improvement in all key performance measures (e.g. patient waiting time, staff utilisation). Management team of the hospital endorsed the solution framework and are currently discussing enablers to implement the recommendation

Operational Research: Methods and Applications

Throughout its history, Operational Research has evolved to include a variety of methods, models and algorithms that have been applied to a diverse and wide range of contexts. This encyclopedic article consists of two main sections: methods and applications. The first aims to summarise the up-to-date knowledge and provide an overview of the state-of-the-art methods and key developments in the various subdomains of the field. The second offers a wide-ranging list of areas where Operational Research has been applied. The article is meant to be read in a nonlinear fashion. It should be used as a point of reference or first-port-of-call for a diverse pool of readers: academics, researchers, students, and practitioners. The entries within the methods and applications sections are presented in alphabetical order. The authors dedicate this paper to the 2023 Turkey/Syria earthquake victims. We sincerely hope that advances in OR will play a role towards minimising the pain and suffering caused by this and future catastrophes