Outpatient clinic scheduling - a simulation approach

The process by which outpatients are scheduled for a doctor´s visit is a crucial determinant of the overall efficiency of the patient flow. The problem at hand consists of determining prioritization (triage) rules so that adequate patient care is guaranteed, resources (provider schedules) are utilized efficiently and a service guarantee can be ensured. We present a simulation framework for the evaluation and optimization of scheduling rules. We outline the basic ingredients of our model, illustrate the kinds of analyses it has enabled us to perform and summarize our experience with a preliminary implementation for the Division of Pediatric Ophthalmology at Cincinnati Children´s Hospital Medical Center. Challenges for adaptations to other settings are also outlined.