Participants:
Faculty/Clinicians/Staff: Amy Cohn, Brian Denton, Diane Drago, Christopher Friese, Seth Guikema, Corinne Hardecki, Carol McMahon, Kelly Procailo, Carolina Typaldos, Irene Turkewycz, Alon Weizer, Louise Salamin
Students: Hassan Abbas, Sarah Bach, Jeremy Castaing, Ajaay Chandrasekaran, Chhavi Chaudhry, Aaron Claussen, Alex Fauer, Christine Gonzalez, Lauren Hirth, Madalina Jiga, John Li, Kevin Li, Vera Lo, Brittany Lopez, Stephen Macpherson, Dale Malette, Pamela Martinez Villarreal, Andrea McAuliffe, Jonathon McCormick, Ian McKenzie, Alex Mize, Vanessa Morales, Justin Moss , Anna Munaco, Elizabeth Olin, Donald Richardson, Samantha Roth, Matt Rouhana, Meng Sang, Jordan Schebil, Matt See, Stephanie See, Chloe Smither, Brooke Szymanski, Hwon Tak, Allison Winnik, Gabriel Zayas-Caban, Jonathon Zhou
Project Contact: [email protected]
Project Synopsis:
In this project, we are focusing on a variety of ways to improve the experience of patients receiving outpatient chemotherapy at the University of Michigan Rogel Cancer Center. The project began by looking at how patients are scheduled for their infusion treatment. We quickly learned that the actual infusion treatment is only one step in a far more complicated process. When a patient comes in to receive their chemotherapy, they start by having their blood drawn. Then the lab has to process the blood test so that when they visit the clinic to see their oncologist, the oncologist has their blood results. This allows the oncologist to make a treatment decision and place an order with the pharmacy so that the drugs can be mixed. Only after all those steps are completed can the patient actually receive the chemotherapy. We discovered that potential roadblocks exist at every step in this process. We have worked with the Rogel Cancer Center to study this complex system and to improve patient experience.
Papers, Posters, & Presentations:
Papers:
- Donald Richardson, Amy Cohn, “Modeling the Impact of Make-ahead Chemotherapy Drug Policies through Discrete-event Simulation.” Accepted in the 2018 Winter Simulation Conference Proceedings. IEEE Press. (Paper in Press)
- Jeremy Castaing, Amy Cohn, Brian T. Denton & Alon Weizer (2016) “A stochastic programming approach to reduce patient wait times and overtime in an outpatient infusion center,” IIE Transactions on Healthcare Systems Engineering, 6:3, 111-125, DOI: 10.1080/19488300.2016.1189468
- Richardson, D., S. Guikema, and A. Cohn. “Predicting Patient Treatment Deferrals at an Outpatient Chemotherapy Infusion Center: A Statistical Approach.” Journal of Clinical Oncology Clinical Cancer Informatics 1, 1-8, 2017.
- A. Heiney, S. Potiris, B. Denton, A. Cohn, and C. Friese. “Computer simulation and stochastic programming to reduce patient wait times in an outpatient infusion center.” Journal of Clinical Oncology 31: PP 181, 2013.
Presentations:
- “Improving Chemotherapy Make-ahead Policies through Discrete-Event Simulation.” IISE Annual Conference, Orlando FL, May 2018.
- “An Approach to Improve Chemotherapy Make-Ahead Policies.” IISE Annual Conference, Orlando FL, May 2018.
- “Improving Make-Ahead Chemotherapy Drug Policies in the Outpatient Infusion Center Pharmacy.” Healthcare Systems Process Improvement Conference, Orlando FL, March 2017.
- “Discrete Event Simulation Of Outpatient Flow In A Phlebotomy Clinic.” INFORMS Annual Meeting, Nashville TN, November 2016.
- “Determining The Optimal Schedule For Premixing Chemotherapy Drugs.” INFORMS Annual Meeting, Nashville TN, November 2016.
- “Discrete Event Simulation of Outpatient Flow in a Phlebotomy Clinic.” ISERC, Anaheim CA, June 2016.
- “Improving Outpatient Flow in a Chemotherapy Infusion Center.” Healthcare Systems Process Improvement Conference, Houston TX, February 2016.
- “Stochastic Optimization to Reduce Wait Times in an Outpatient Infusion Center.” INFORMS Annual Meeting, Philadelphia PA, November 2015.
- “Determining an Optimal Schedule for Pre-Mixing Chemotherapy Drugs.” INFORMS Annual Meeting, November 2015, Philadelphia PA.
- “Simulation of a Phlebotomy Station in an Outpatient Chemotherapy Infusion Clinic.” INFORMS Annual Meeting, November 2015, Philadelphia PA.
- “Improving Patient Flow in an Outpatient Chemotherapy Infusion Center.” INFORMS Conference on Healthcare, July 2015, Nashville TN.
- “Determining an Optimal Schedule for Pre-Mixing Chemotherapy Drugs.” INFORMS Conference on Healthcare, July 2015, Nashville TN.
- “Stochastic Optimization to Reduce Wait Times in an Outpatient Infusion Center.” INFORMS Annual Meeting, San Francisco CA, November 2014.
- “Reducing Patient Delays in Outpatient Infusion Centers.” INFORMS Annual Meeting, San Francisco CA, November 2014.
- “Stochastic Optimization to Reduce Wait Times in an Outpatient Infusion Center.” IFORS, Barcelona, July 2014.
- “Scheduling and Patient Flow in an Outpatient Chemotherapy Infusion Center.” ISERC, Montreal Canada, June 2014.
- “Stochastic Programming to Improve Service Quality in an Outpatient Infusion Center.” INFORMS Annual Meeting, Minneapolis MN, October 2013.
- “Using Discrete Event Simulation to Improve Service Quality in an Ambulatory Oncology Infusion Center.” INFORMS Conference on Healthcare, Chicago IL, June 2013.
Posters:
- “An Adaptable Approach to Improve Chemotherapy Pre-mix Policies.” Undergraduate Research Symposium, Ann Arbor MI, April 2019.
- “A Dynamic Approach to Improve Chemotherapy Pre-Mix Policies.” CHEPS Symposium, Ann Arbor MI, November 2017.
- “Predicting Patient Treatment Deferrals/No-shows to Improve Chemotherapy Pre-Mix Policies.” INFORMS Annual Meeting, Houston TX, October 2017.
- “A Dynamic Approach to Improve Chemotherapy Pre-Mix Policies.” INFORMS Annual Meeting, Houston TX, October 2017.
- “Improving Make-ahead Chemotherapy Drug Policies in the Outpatient Infusion Center Pharmacy.” Healthcare Systems Process Improvement Conference, Orlando FL, March 2017.
- “Improving Patient Flow in an Outpatient Cancer Center.” Engineering Graduate Symposium, Ann Arbor MI, October 2016.
- “Improving Make-Ahead Chemotherapy Drug Policies in the Outpatient Infusion Center Pharmacy.” Engineering Graduate Symposium, Ann Arbor MI, October 2016.
- “Simulating Patient Flow through a Phlebotomy Clinic.” Healthcare Systems Process Improvement Conference, Houston TX, February 2016.
- “Improving Patient Flow in an Outpatient Infusion Center.” Healthcare Systems Process Improvement Conference, Houston TX, February 2016.
- “Improving Patient Flow in an Outpatient Chemotherapy Infusion Center.” Engineering Graduate Symposium, Ann Arbor MI, October 2015.
- “Determining an Optimal Schedule for Pre-Mixing Chemotherapy Drugs.” Engineering Graduate Symposium, Ann Arbor MI, October 2015.
- “Improving Patient Flow in an Outpatient Infusion Center.” Healthcare Systems Process Improvement Conference, Orlando FL, February 2015.
- “Improving Patient Flow in an outpatient Infusion Center.” CHEPS Symposium, Ann Arbor MI, September 2014.
- “Reducing Patient Delays in an Outpatient Infusion Center.” Engineering Graduate Symposium, Ann Arbor MI, October 2014.
- “Improving Patient Flow in an Outpatient Infusion Center.” Healthcare Systems Process Improvement Conference, Orlando FL, February 2014.
- “Improving Patient Flow in an Outpatient Infusion Center.” Northwestern Health Systems Optimization Workshop, Chicago IL, September 2014.
- “Computer Simulation and Mathematical Optimization to Reduce Patient Wait Times in an Outpatient Infusion Center.” American Society of Clinical Oncology Meeting, Chicago IL, June 2013.
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