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APPLICATIONS OF REVENUE MANAGEMENT IN HEALTHCARE

Most profit oriented organizations are constantly striving to improve their revenues while keeping costs under control, in a continuous effort to meet customers‟ demand. After its proven success in the airline industry, the revenue management approach is implemented today in many industries and organizations that face the challenge of satisfying customers‟ uncertain demand with a relatively fixed amount of resources (Talluri and Van Ryzin 2004). Revenue management has the potential to complement existing scheduling and pricing policies, and help organizations reach important improvements in profitability through a better management of capacity and demand.
The work presented in this thesis investigates the use of revenue management techniques in the service sector, when demand for service arrives from several competing customer classes and the amount of resource required to provide service for each customer is stochastic. We look into efficiently allocating a limited resource (i.e., time) among requests for service when facing variable resource usage per request, by deciding on the amount of resource to be protected for each customer and surgery class. The capacity allocation policies we develop lead to maximizing the organization‟s expected revenue over the planning horizon, while making no assumption about the order of customers‟ arrival. After the development of the theory in Chapter 3, we show how the mathematical model works by implementing it in the healthcare industry, more specifically in the operating room area, towards protecting time for elective procedures and patient classes. By doing this, we develop advance patient scheduling and capacity allocation policies and apply them to scheduling situations faced by operating rooms to determine optimal time allocations for various types of surgical procedures.
The main contribution is the development of the methodology to handle random resource utilization in the context of revenue management, with focus in healthcare. We also develop a heuristics which could be used for larger size problems. We show how the optimal and heuristic-based solutions apply to real-life situations. Both the model and the heuristic find applications in healthcare where demand for service arrives randomly over time from various customer segments, and requires uncertain resource usage per request.

Identiferoai:union.ndltd.org:PITT/oai:PITTETD:etd-07292009-144217
Date30 September 2009
CreatorsStanciu, Alia
ContributorsJerry May, David Strum, Pandu Tadikamalla, Jennifer Shang, Luis G. Vargas
PublisherUniversity of Pittsburgh
Source SetsUniversity of Pittsburgh
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.library.pitt.edu/ETD/available/etd-07292009-144217/
Rightsunrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.

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