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Robust Allocation of Operating Rooms: a Cutting Plane Approach to handle Lognormal Case Durations
(2018)
The problem of allocating operating rooms (OR) to surgical cases is a challenging task, involving both combinatorial aspects
and uncertainty handling. We formulate this problem as a parallel machines scheduling problem, in which job durations follow a lognormal distribution,
and a fixed assignment of jobs to machines must be computed.
We propose a cutting-plane approach to solve the robust counterpart of this optimization problem.
To this end, we develop an algorithm based on fixed-point iterations that identifies worst-case scenarios and generates cut inequalities.
The main result of this article uses Hilbert's projective geometry to prove the convergence of this procedure under mild conditions.
We also propose two exact solution methods for a similar problem, but with a polyhedral uncertainty set, for which
only approximation approaches were known. Our model can
be extended to balance the load over several planning periods in a rolling horizon.
We present extensive numerical experiments for instances based on real data from a major hospital in Berlin. In particular, we find that:
(i) our approach performs well compared to a previous model that ignored the distribution of case durations;
(ii) compared to an alternative stochastic programming approach, robust optimization yields solutions that are more robust against uncertainty, at a small price in terms of average cost;
(iii) the \emph{longest expected processing time first} (LEPT) heuristic performs well and efficiently protects against extreme scenarios, but only if a good prediction model for the durations is available.
Finally, we draw a number of managerial implications from these observations.
Let G be a directed acyclic graph with n arcs, a source s and a sink t. We introduce the cone K of flow matrices, which is a polyhedral cone
generated by the matrices $\vec{1}_P\vec{1}_P^T\in\RR^{n\times n}$, where
$\vec{1}_P\in\RR^n$ is the incidence vector of the (s,t)-path P.
We show that several hard flow (or path) optimization problems, that cannot be solved by using the standard arc-representation
of a flow, reduce to a linear optimization problem over $\mathcal{K}$.
This cone is intractable: we prove that the membership problem associated to $\mathcal{K}$
is NP-complete. However, the affine hull of this cone admits a nice description,
and we give an algorithm which computes in polynomial-time the decomposition of a matrix
$X\in \operatorname{span} \mathcal{K}$ as a linear combination of some $\vec{1}_P\vec{1}_P^T$'s.
Then, we provide two convergent approximation hierarchies, one of them based on a
completely positive representation of~K.
We illustrate this approach by computing bounds for
the quadratic shortest path problem, as well as
a maximum flow problem with pairwise arc-capacities.