172 research outputs found

    Call Center Experience Optimization: A Case for a Virtual Predictive Queue

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    The evolution of the call center into contact centers and the growth of their use in providing customer-facing service by many companies has brought considerable capabilities in maintaining customer relationships but it also has brought challenges in providing quality service when call volumes are high. Limited in their ability to provide service at all times to all customers, companies are forced to balance the costs associated with hiring more customer service representatives and the quality of service provided by a fewer number. A primary challenge when there are not enough customer service representatives to engage the volume of callers in a timely manner is the significant wait times that can be experienced by many customers. Normally, callers are handled in accordance with a first-come, first-served policy with exceptions being skill-based routing to those customer service representatives with specialized skills. A proposed call center infrastructure framework called a Virtual Predictive Queue (VPQ) can allow some customers to benefit from a shorter call queue wait time. This proposed system can be implemented within a call center’s Automatic Call Distribution (ACD) device associated with computer telephony integration (CTI) and theoretically will not violate a first-come, first served policy

    Analysis of buffer allocations in time-dependent and stochastic flow lines

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    This thesis reviews and classifies the literature on the Buffer Allocation Problem under steady-state conditions and on performance evaluation approaches for queueing systems with time-dependent parameters. Subsequently, new performance evaluation approaches are developed. Finally, a local search algorithm for the derivation of time-dependent buffer allocations is proposed. The algorithm is based on numerically observed monotonicity properties of the system performance in the time-dependent buffer allocations. Numerical examples illustrate that time-dependent buffer allocations represent an adequate way of minimizing the average WIP in the flow line while achieving a desired service level

    Disease diagnosis in smart healthcare: Innovation, technologies and applications

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    To promote sustainable development, the smart city implies a global vision that merges artificial intelligence, big data, decision making, information and communication technology (ICT), and the internet-of-things (IoT). The ageing issue is an aspect that researchers, companies and government should devote efforts in developing smart healthcare innovative technology and applications. In this paper, the topic of disease diagnosis in smart healthcare is reviewed. Typical emerging optimization algorithms and machine learning algorithms are summarized. Evolutionary optimization, stochastic optimization and combinatorial optimization are covered. Owning to the fact that there are plenty of applications in healthcare, four applications in the field of diseases diagnosis (which also list in the top 10 causes of global death in 2015), namely cardiovascular diseases, diabetes mellitus, Alzheimer’s disease and other forms of dementia, and tuberculosis, are considered. In addition, challenges in the deployment of disease diagnosis in healthcare have been discussed

    Use of network analysis, and fluid and diffusion approximations for stochastic queueing networks to understand flows of referrals and outcomes in community health care

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    Community services are fundamental in the delivery of health care, providing local care close to or in patient homes. However, planning, managing and evaluating these services can be difficult. One stand out challenge is how these services may be organised to provide coordinated care given their physical distribution, patients using multiple services, and the increasing use of these services by patients with differing needs. This is complicated by a lack of comparable measures for evaluating quality across differing community services. Presented in this thesis is work that I conducted, alongside the North East London Foundation Trust, to understand referrals and the use of outcome data within community services through data visualisation and mathematical modelling. Firstly, I applied several data visualisations, building from a network analysis, to aid the design of a single point of access for referrals into community services - helping to understand patterns of referrals and patient use. Of interest were concurrent uses of services, whether common patterns existed and how multiple referrals occurred over time. This highlighted important dynamics to consider in modelling these services. Secondly, I developed a patient flow model, extending fluid and diffusion approximations of stochastic queueing systems to include complex flow dynamics such as re-entrant patients and the use of multiple services in sequence. Patient health is also incorporated into the model by using states that patients may move between throughout their care, which are used to model the differential impact of care. I also produced novel methods for allocating servers across parallel queues and patient groups. Finally, I developed the concept of ``the flow of outcomes'' - a measure of how individual services contribute to the output of patients in certain health states over time - to provide operational and clinical insight into the performance of a network of services

    Time-dependent stochastic modelling for predicting demand and scheduling of emergency medical services

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    As the prominence of the service sector is increasing in developed nations, new and exciting opportunities are arising for operational researchers to develop and apply models which offer managers solutions to improve the quality of their services. The development of time-dependent stochastic models to analyse complex service systems and generate effective personnel schedules are key to this process, enabling organisations to strike a balance between the provision of a good quality service whilst avoiding unnecessary personnel costs. Specifically within the healthcare sector, there is a need to promote efficient management of an Emergency Medical Service (EMS), where the probability of survival is directly related to the speed of assistance. Motivated by case studies investigating the operation of the Welsh Ambulance Service Trust (WAST), this thesis aims to investigate how operational research (OR) techniques can be developed to analyse priority service systems subject to demand that is of an urgent nature, cannot be backlogged, is heavily time-dependent and highly variable. A workforce capacity planning tool is ultimately developed that integrates a combination of forecasting, queueing theory, stochastic modelling and optimisation techniques into a single spreadsheet model in order to predict future demand upon WAST, set staffing levels, and optimise shift schedules and rosters. The unique linking together of the techniques in a planning tool which further captures time-dependency and two priority classes enables this research to outperform previous approaches, which have generally only considered a single class of customer, or generated staffing recommendations using approximation methods that are only reliable under limited conditions. The research presented in this thesis is novel in several ways. Primarily, the first section considers the potential of a nonparametric modelling technique known as Singular Spectrum Analysis (SSA) to improve the accuracy of demand forecasts. Secondly, the main body of work is dedicated to adapting numerical queueing theory techniques to accurately model the behaviour of time-dependent multi-server priority systems across shift boundaries and evaluate the likelihood of excessive waits for service for two customer classes. The final section addresses how shifts can be optimally scheduled using heuristic search techniques. The main conclusions are that in addition to offering a more flexible approach, the forecasts generated by SSA compare favourably to those obtained using traditional methods, and both approximate and numerical modelling techniques may be duly extended to set staffing levels in complex priority systems

    Dynamic contact centers with impatient customers and retrials

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    Queueing and Optimization Models for Hospital Patient Flow

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