Robust Appointment Scheduling with Heterogeneous Costs

Designing simple appointment systems that under uncertainty in service times, try to achieve both high utilization of expensive medical equipment and personnel as well as short waiting time for patients, has long been an interesting and challenging problem in health care. We consider a robust version of the appointment scheduling problem, introduced by Mittal et al. (2014), with the goal of finding simple and easy-to-use algorithms. Previous work focused on the special case where per-unit costs due to under-utilization of equipment/personnel are homogeneous i.e., costs are linear and identical. We consider the heterogeneous case and devise an LP that has a simple closed-form solution. This solution yields the first constant-factor approximation for the problem. We also find special cases beyond homogeneous costs where the LP leads to closed form optimal schedules. Our approach and results extend more generally to convex piece-wise linear costs. For the case where the order of patients is changeable, we focus on linear costs and show that the problem is strongly NP-hard when the under-utilization costs are heterogeneous. For changeable order with homogeneous under-utilization costs, it was previously shown that an EPTAS exists. We instead find an extremely simple, ratio-based ordering that is 1.0604 approximate

Scheduling a multi class queue with many exponential servers: asymptotic optimality in heavy traffic

We consider the problem of scheduling a queueing system in which many statistically identical servers cater to several classes of impatient customers. Service times and impatience clocks are exponential while arrival processes are renewal. Our cost is an expected cumulative discounted function, linear or nonlinear, of appropriately normalized performance measures. As a special case, the cost per unit time can be a function of the number of customers waiting to be served in each class, the number actually being served, the abandonment rate, the delay experienced by customers, the number of idling servers, as well as certain combinations thereof. We study the system in an asymptotic heavy-traffic regime where the number of servers n and the offered load r are simultaneously scaled up and carefully balanced: n\approx r+\beta \sqrtr for some scalar \beta. This yields an operation that enjoys the benefits of both heavy traffic (high server utilization) and light traffic (high service levels.