The objective of my researches is to specify new scientific approaches for health care system design and control. I deal with hospitals and more generally with health care networks which involve general practitioners, hospitals, rest homes… The scientific domains are: network layout, resource location and dimensioning, human and material resource planning, scheduling… The health care management problems investigated are: operating theatre control, hospital regrouping management, emergency network reengineering, home care resource coordination, hospital supply chain, emergency management plan… The system optimizations are based on economical, human, societal and environmental criteria.
For more than 15 years, I have managed or co-managed 3 projects sponsored by the Region Rhône-Alpes, 2 others by CNRS (National Center for Scientific Research), and 1 other by European Community: GHC (Gestion Hospitalière Cooperante) project about research needs in health care systems, HRP (Planification des Ressources Hospitalières) operating theatre management project, HRP2 (Hopitaux, regroupement, partage et pilotage) project about care unit grouping between several hospitals, HRP3 (Hopitaux en Reseau : Prevoir, Partager et Piloter) emergency network project, OSAD (Organisation des Soins A Domicile) home health care project, THREATS project (Terrorist attacks on Hospitals: Risk and Emergency Assessment, Tools & Systems)…
HRP/AGBO (Planification des Ressources Hospitalières/Aide à la gestion des blocs opératoires) project: Management of operating rooms is moving nowadays. Financial constraints as well as new operating practices prompt the hospital manager to optimize the operating room utilization. The manufacturing systems faced a similar situation in the early 1980, due to the increase in the cost of the energetic products and the new competitive environment. Manufacturers had to improve dramatically their management capabilities in order to overcome their financial and technical difficulties. If the manufacturing management is extensively developed nowadays, the operating room is still running on an intuitive, individual and manual basis. The purpose of this project is to describe the main features of the manufacturing management which could be suitable to hospital management and to adapt and implement those relevant to the management of operating rooms.
HRP2 (Hopitaux, regroupement, partage et pilotage) project: To reduce cost and optimize the use of resources, hospitals are prompted to regroup facilities and human resources, especially in the surgical or diagnosis suites. The principle of sharing resources from several surgical or medicine specialties in a multi-disciplinary suite raises a number of issues, particularly regarding the design of the new structure (resource dimensioning, organizational alternatives) and its steering process (scheduling, allocating human and material resources…). Decision makers are lacking tools to address these challenges. This project proposes a global decision support methodology for designing the surgical/medicine suite and steering the pooled human resources, available on the web site: http://systmh.insa-lyon.fr/.
HRP3 (Hopitaux en Reseau : Prevoir, Partager et Piloter) project: This project has studied the overcrowding in Emergency Departments (EDs) which cannot be ascribed simply to the departments’ organization. Lack of coordination in the entire emergency services network has pushed ED into a costly and low-efficacy situation. The main HRP3 deliverable is a simulation model designed for improving the organization and resource allocation of emergency services networks. Six proposals for improvements and their combinations could be simulated in order to evaluate their efficacy and efficiency. Other project deliverable looks at a web-based decision support system (http://sirene.disp-lab.fr/) that was built and implemented to facilitate the sharing of this simulation model with hospital decision makers.
OSAD (Organisation des Soins A Domicile) project: Home health care (HHC) structures must face various management problems involving independent actors. This project proposes an investigation on decision support problems for managing coupled human and material resources in HHC structures. It aims to improve the organization and the functioning of these systems, by identifying the "best practices" in terms of organization and tools, allowing satisfying the main stakeholders in HHC through the achievement of performance indicators, such as the efficiency of interventions, the costs associated with the functioning of the system, and quality of work for staff. Some models of decision support have been developed to better manage human and material resources and better coordinate the activities of HHC.
The THREATS (Terrorist attacks on Hospitals: Risk and Emergency Assessment, Tools & Systems) project aims to increase the resilience of EU hospitals as a critical infrastructure, by improving their protection capability and security awareness against terrorist attacks. Its objectives are: (1) to develop a reliable method for assessing the risks and vulnerabilities of major EU health infrastructures to terrorist attacks; (2) to prepare specific security and threat assessment models and tools applicable to the Health sector using other EU projects against terrorism, (3) to challenge these tools through application to San Raffaele Hospital in Milan, and (4) to disseminate guidelines designed to optimize the preparedness of hospitals’ healthcare infrastructures against terrorist attacks. THREATS project (http://www.threatsproject.eu/index.html) is sponsored by the CIPS program of the European Community. Main results can be found at : http://threats.disp-lab.fr/
I am the Chairman of the Steering Committee of the Conferences GISEH (Gestion et Ingenierie des SystEmes Hospitaliers), it supervises the scientific committee in order to: open the conferences on one hand to hospital managers, physicians and nurses and on the other hand to Industrial Engineering and Social Sciences researchers ; assess the paper quality regarding conference relevance (application field) and subject diversity. The 9th GISEH Conference will take place in Geneva during August 2018.
From 2003 until 2015, I have created and managed with Eric Marcon of Jean Monnet University, the Research Groupe GISEH from GDR CNRS MACS (Modelisation, Analyse et Conduite des Systemes dynamiques). This research group deals with scientific concepts methods and tools transfer from manufacturing to health care. Today this francophone group involves 312 members. Associated Francophone groups have joined us: Belgium, Canada, Gabon, Morocco and Tunisia.
I teach Operation Research, Staffing and Scheduling, and Business Process Engineering.
List of main publications related to health care system management:
Chen W., A. Guinet, A. Ruiz, (2016). Modelling the logistics response to a bioterrorist anthrax attack. European Journal of Operational Research, 254, 458-471.
Chen W., A. Guinet, A. Ruiz, (2015). Modeling and simulation of a hospital evacuation before a forecasted flood. Operations Research for Health Care. 4, 36-43.
Ben Bachouch R., A. Guinet, S. Hajri-Gabouj, (2012) «A mixed linear model for hospital bed planning», International Journal of production Economics, International Journal of Production Economics, 140, 833-843.
Saadani N.H., A. Guinet, (2012) « Heuristics for operating theatre scheduling: following the patient », Supply Chain Forum, 13, 38-49.
Ben Bachouch R., A. Guinet, S. Hajri-Gabouj, (2011) “A decision making tool for home health care nurses planning”, Supply Chain Forum, 12, 14-20.
Di Martinelly C., A. Guinet, F. Riane, (2010) “Reengineering the Hospital Supply Chain: A Methodological Approach Applied to A Case Study”, VDM Verlag Dr. Müller, 188 pages.
Wang T., A. Guinet, A. Belaidi, B. Besombes (2009). Modeling and simulation of emergency services with ARIS and Arena - Case study: the Emergency department of Saint Joseph and Saint Luc Hospital. Production Planning and Control, 20, 484-49.
Guinet A. et S. Chaabane, (2003). Operating Theatre Planning, International Journal of Production Economics, 85, 69-81.