Developing a strategic sustainable facility plan for a hospital layout using ELECTRE and Apples procedure
Abstract
Today healthcare globally is growing at a rapid pace and despite the huge technological advancement, healthcare still faces primitive challenges and hence results in the poor service and facility to the needy. Layout planning acts as one major reason which requires improvements for the effective and efficient working of the healthcare facilities. This research aims at optimizing several quantitative criteria related to economic, technology and society which are taken into consideration for the decision-making during the evaluation, analysing and selection of the best layout for an existing healthcare facility. Critical areas for the improvement were found out using statistical analysis based on a survey questionnaire and Apple’s layout procedure is utilised to design the different possible layouts for an efficient facility. The seven criteria namely inter-departmental satisfactory level, the average distance travelled and the average time required for staff flow, the average distance travelled and the average time required for patient flow, the average distance travelled and the average time required for material flow were taken into consideration. The ELECTRE methodology was used as multi-criteria decision making based on decided seven criteria for comparing the different layout by methodical and orderly thinking.
First published online 23 November 2020
Keyword : healthcare facility, layout planning, statistical analysis, Apple’s layout procedure, ELECTRE, outranking
How to Cite
K.E.K, V., Kandasamy, J., Nadeem, S. P., Kumar, A., Šaparauskas, J., Garza-Reyes, J. A., & Trinkūnienė, E. (2021). Developing a strategic sustainable facility plan for a hospital layout using ELECTRE and Apples procedure. International Journal of Strategic Property Management, 25(1), 17-33. https://doi.org/10.3846/ijspm.2020.13733
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Agrebi, M., Abed, M., & Omri, M. N. (2017). ELECTRE I based relevance decision-makers feedback to the location selection of distribution centers. Journal of Advanced Transportation, 1, 1–10. https://doi.org/10.1155/2017/7131094
Ahmadi, A., Pishvaee, M. S., & Jokar, M. R. A. (2017). A survey on multi-floor facility layout problems. Computers & Industrial Engineering, 107, 158–170.
https://doi.org/10.1016/j.cie.2017.03.015
Aiello, G., & Galante, M. E. G. (2006). A multi-objective approach to facility layout problem by genetic search algorithm and Electre method. Robotics and Computer-Integrated Manufacturing, 22(5−6), 447–455.
https://doi.org/10.1016/j.rcim.2005.11.002
Amankwah, O., Choong, W.-W., & Mohammed, A. H. (2019). Modelling the influence of healthcare facilities management service quality on patients satisfaction. Journal of Facilities Management, 17(3), 267–283.
https://doi.org/10.1108/JFM-08-2018-0053
Amine, D., Pierreval, H., & Hajri-Gabouj, S. (2007). Facility layout problems: a survey. Annual Reviews in Control, 31, 255– 267. https://doi.org/10.1016/j.arcontrol.2007.04.001
Beccali, M., Cellura, M., & Mistretta, M. (2003). Decision-making in energy planning. Application of the Electre method at regional level for the diffusion of renewable energy technology. Renewable Energy, 28(13), 2063–2087. https://doi.org/10.1016/S0960-1481(03)00102-2
Benitez, G. B., Da Silveira, G. J., & Fogliatto, F. S. (2019). Layout planning in healthcare facilities: a systematic review. HERD: Health Environments Research & Design Journal, 12(3), 31–44. https://doi.org/10.1177/1937586719855336
Bozer, Y. A., Meller, R. D., & Erlebacher, S. J. (1994). An improvement-type layout algorithm for single and multiplefloor facilities. Management Science, 40(7), 918–932. https://doi.org/10.1287/mnsc.40.7.918
Che-Ani, A. I., & Ali, R. (2019). Facility management demand theory. Journal of Facilities Management, 17(4), 344–355. https://doi.org/10.1108/JFM-09-2018-0057
Chen, C. W., & Sha, D. Y. (2001). A literature review and analysis to the facility layout problem. Journal of the Chinese Institute of Industrial Engineers, 18(1), 55–73. https://doi.org/10.1080/10170660109509447
de Almeida, A. T. (2007). Multicriteria decision model for outsourcing contracts selection based on utility function and ELECTRE method. Computers & Operations Research, 34(12), 3569–3574. https://doi.org/10.1016/j.cor.2006.01.003
Doulabi, R. Z., & Asnaashari, E. (2016). Identifying success factors of healthcare facility construction projects in Iran. Procedia Engineering, 164, 409–415.
https://doi.org/10.1016/j.proeng.2016.11.638
Dwijayanti, K., Dawal, S. Z. M., & Aoyama, H. (2010). A proposed study on facility planning and design in manufacturing process. In International MultiConference of Engineers and Computer Scientists 2010, IMECS 2010 (pp. 1640–1645). Kowloon, Hong Kong.
Fei, L., Xia, J., Feng, Y., & Liu, L. (2019). An ELECTRE-based multiple criteria decision making method for supplier selection using Dempster-Shafer theory. IEEE Access, 7, 84701– 84716. https://doi.org/10.1109/ACCESS.2019.2924945
Girubha, J., Vinodh, S., & Kek, V. (2016). Application of interpretative structural modelling integrated multi criteria decision making methods for sustainable supplier selection. Journal of Modelling in Management, 11(2), 358–388. https://doi.org/10.1108/JM2-02-2014-0012
Gonzalez, M. E. (2019). Improving customer satisfaction of a healthcare facility: reading the customers’ needs. Benchmarking: An International Journal, 26(3), 854–870.
https://doi.org/10.1108/BIJ-01-2017-0007
Helber, S., Böhme, D., Oucherif, F., Lagershausen, S., & Kasper, S. (2016). A hierarchical facility layout planning approach for large and complex hospitals. Flexible Services and Manufacturing Journal, 28(1−2), 5–29. https://doi.org/10.1007/s10696-015-9214-6
Heragu, S. S. (2016). Facilities design (4th ed.). CRC Press.
Holden, R. J. (2009). People or systems? To blame is human. The fix is to engineer. Professional Safety, 54(12), 34.
IBEF Report. (2020). Healthcare industry in India. https://www.ibef.org/industry/healthcare-india.aspx
Joseph, A., & Rashid, M. (2007). The architecture of safety: hospital design. Current Opinion in Critical Care, 13(6), 714–719. https://doi.org/10.1097/MCC.0b013e3282f1be6e
Komarudin, & Wong, K. Y. (2010). Applying ant system for solving unequal area facility layout problems. European Journal of Operational Research, 202(3), 730–746.
https://doi.org/10.1016/j.ejor.2009.06.016
Krupka, D. C., & Sandberg, W. S. (2006). Operating room design and its impact on operating room economics. Current Opinion in Anesthesiology, 19(2), 185–191.
https://doi.org/10.1097/01.aco.0000192795.64678.e7
Łaska, G. (2017). Wind energy and multi-criteria analysis in making decisions on the location of wind farms. Procedia Engineering, 182, 418–424.
https://doi.org/10.1016/j.proeng.2017.03.126
Lather, J. I., Logan, T., Renner, K., & Messner, J. I. (2020). Implementation and evaluation of generative layout options using the graph theoretical approach for a hospital layout problem. Journal of Computing in Civil Engineering, 34(4), 04020014.
https://doi.org/10.1061/(ASCE)CP.1943-5487.0000893
Liu, J., & Liu, J. (2019). Applying multi-objective ant colony optimization algorithm for solving the unequal area facility layout problems. Applied Soft Computing, 74, 167–189.
https://doi.org/10.1016/j.asoc.2018.10.012
Mary, S. S. A., & Suganya, G. (2016). Multi-criteria decision making using ELECTRE. Circuits and Systems, 7(6), 1008–1020. https://doi.org/10.4236/cs.2016.76085
Meller, R. D., & Bozer, Y. A. (1997). Alternative approaches to solve the multi-floor facility layout problem. Journal of Manufacturing Systems, 16(3), 192–203.
https://doi.org/10.1016/S0278-6125(97)88887-5
Meller, R. D., & Gau, K. Y. (1996). The facility layout problem: recent and emerging trends and perspectives. Journal of Manufacturing Systems, 15(5), 351–366.
https://doi.org/10.1016/0278-6125(96)84198-7
Mills, G. R., Deka, L., Price, A. D., Rich-Mahadkar, S., Pantzartzis, E., & Sellars, P. (2015). Critical infrastructure risk in NHS England: predicting the impact of building portfolio age. International Journal of Strategic Property Management, 19(2), 159–172. https://doi.org/10.3846/1648715X.2015.1029562
Mishra, A. R., Singh, R. K., & Motwani, D. (2020). Intuitionistic fuzzy divergence measure-based ELECTRE method for performance of cellular mobile telephone service providers. Neural Computing and Applications, 32(8), 3901–3921.
https://doi.org/10.1007/s00521-018-3716-6
Palatnik, A. M. (2016). To err IS human. Nursing Critical Care, 11(5), 4. https://doi.org/10.1097/01.CCN.0000490961.44977.8d
Palmer, G., Abernathy, J. H., Swinton, G., Allison, D., Greenstein, J., Shappell, S., Juang, K., & Reeves, S. T. (2013). Realizing improved patient care through human-centered operating room design a human factors methodology for observing flow disruptions in the cardiothoracic operating room. The Journal of the American Society of Anesthesiologists, 119(5), 1066–1077. https://doi.org/10.1097/ALN.0b013e31829f68cf
Prugsiganont, S., & Jensen, P. A. (2019). Identification of space management problems in public hospitals: the case of Maharaj Chiang Mai Hospital. Facilities, 37(7/8), 435–454. https://doi.org/10.1108/F-01-2018-0001
Reason, J. (2000). Human error: models and management. BMJ, 320(7237), 768–770. https://doi.org/10.1136/bmj.320.7237.768
Reijula, J., Reijula, E., & Reijula, K. (2016). Insight into healthcare design: lessons learned in two university hospitals. Journal of Facilities Management, 14(3), 266–282.
https://doi.org/10.1108/JFM-01-2016-0001
Riedel, R. (2011). Facilities planning – 4th edition by J.A. Tompkins, J.A. White, Y.A. Bozer and J.M.A. Tanchoco. International Journal of Production Research, 49(24), 7519–7520. https://doi.org/10.1080/00207543.2011.563164
Roy, B. (1991). The outranking foundations approach and the methods. Theory and Decision, 31, 49–73.
https://doi.org/10.1007/BF00134132
Salminen, P., Hokkanen, J., & Lahdelma, R. (1998). Comparing multicriteria methods in the context of environmental problems. European Journal of Operational Research, 104(3), 485–496. https://doi.org/10.1016/S0377-2217(96)00370-0
Schaumann, D., Putievsky Pilosof, N., Gath-Morad, M., & Kalay, Y. E. (2020). Simulating the impact of facility design on operations: a study in an internal medicine ward. Facilities, 38(7/8), 501–522. https://doi.org/10.1108/F-10-2018-0132
Sevkli, M. (2010). An application of the fuzzy ELECTRE method for supplier selection. International Journal of Production Research, 48(12), 3393–3405. https://doi.org/10.1080/00207540902814355
Shariff, S. R., Moin, N. H., & Omar, M. (2012). Location allocation modeling for healthcare facility planning in Malaysia. Computers & Industrial Engineering, 62(4), 1000–1010. https://doi.org/10.1016/j.cie.2011.12.026
Shohet, I. M., & Lavy, S. (2017). Facility maintenance and management: a health care case study. International Journal of Strategic Property Management, 21(2), 170–182.
https://doi.org/10.3846/1648715X.2016.1258374
Shojaie, A. A., Babaie, S., Sayah, E., & Mohammaditabar, D. (2018). Analysis and prioritization of green health suppliers using Fuzzy ELECTRE method with a case study. Global Journal of Flexible Systems Management, 19(1), 39–52.
https://doi.org/10.1007/s40171-017-0168-2
Tongur, V., Hacibeyoglu, M., & Ulker, E. (2019). Solving a bigscaled hospital facility layout problem with meta-heuristics algorithms. Engineering Science and Technology, an International Journal, 23(4), 951–959. https://doi.org/10.1016/j.jestch.2019.10.006
Ulubeyli, S., & Kazaz, A. (2009). A multiple criteria decisionmaking approach to the selection of concrete pumps. Journal of Civil Engineering and Management, 15(4), 369–376.
https://doi.org/10.3846/1392-3730.2009.15.369-376
Wanigarathna, N., Jones, K., Bell, A., & Kapogiannis, G. (2019). Building information modelling to support maintenance management of healthcare built assets. Facilities, 37(7/8), 415–434. https://doi.org/10.1108/F-01-2018-0012
Young, J. M., Tietz, C., & Panagiotopoulos, A. Z. (2019). Activity coefficients and solubility of CaCl2 from molecular simulations. Journal of Chemical & Engineering Data, 65(2), 337–348. https://doi.org/10.1021/acs.jced.9b00688
Yousefli, Z., Nasiri, F., & Moselhi, O. (2017), Healthcare facilities maintenance management: a literature review. Journal of Facilities Management, 15(4), 352–375. https://doi.org/10.1108/JFM-10-2016-0040
Ahmadi, A., Pishvaee, M. S., & Jokar, M. R. A. (2017). A survey on multi-floor facility layout problems. Computers & Industrial Engineering, 107, 158–170.
https://doi.org/10.1016/j.cie.2017.03.015
Aiello, G., & Galante, M. E. G. (2006). A multi-objective approach to facility layout problem by genetic search algorithm and Electre method. Robotics and Computer-Integrated Manufacturing, 22(5−6), 447–455.
https://doi.org/10.1016/j.rcim.2005.11.002
Amankwah, O., Choong, W.-W., & Mohammed, A. H. (2019). Modelling the influence of healthcare facilities management service quality on patients satisfaction. Journal of Facilities Management, 17(3), 267–283.
https://doi.org/10.1108/JFM-08-2018-0053
Amine, D., Pierreval, H., & Hajri-Gabouj, S. (2007). Facility layout problems: a survey. Annual Reviews in Control, 31, 255– 267. https://doi.org/10.1016/j.arcontrol.2007.04.001
Beccali, M., Cellura, M., & Mistretta, M. (2003). Decision-making in energy planning. Application of the Electre method at regional level for the diffusion of renewable energy technology. Renewable Energy, 28(13), 2063–2087. https://doi.org/10.1016/S0960-1481(03)00102-2
Benitez, G. B., Da Silveira, G. J., & Fogliatto, F. S. (2019). Layout planning in healthcare facilities: a systematic review. HERD: Health Environments Research & Design Journal, 12(3), 31–44. https://doi.org/10.1177/1937586719855336
Bozer, Y. A., Meller, R. D., & Erlebacher, S. J. (1994). An improvement-type layout algorithm for single and multiplefloor facilities. Management Science, 40(7), 918–932. https://doi.org/10.1287/mnsc.40.7.918
Che-Ani, A. I., & Ali, R. (2019). Facility management demand theory. Journal of Facilities Management, 17(4), 344–355. https://doi.org/10.1108/JFM-09-2018-0057
Chen, C. W., & Sha, D. Y. (2001). A literature review and analysis to the facility layout problem. Journal of the Chinese Institute of Industrial Engineers, 18(1), 55–73. https://doi.org/10.1080/10170660109509447
de Almeida, A. T. (2007). Multicriteria decision model for outsourcing contracts selection based on utility function and ELECTRE method. Computers & Operations Research, 34(12), 3569–3574. https://doi.org/10.1016/j.cor.2006.01.003
Doulabi, R. Z., & Asnaashari, E. (2016). Identifying success factors of healthcare facility construction projects in Iran. Procedia Engineering, 164, 409–415.
https://doi.org/10.1016/j.proeng.2016.11.638
Dwijayanti, K., Dawal, S. Z. M., & Aoyama, H. (2010). A proposed study on facility planning and design in manufacturing process. In International MultiConference of Engineers and Computer Scientists 2010, IMECS 2010 (pp. 1640–1645). Kowloon, Hong Kong.
Fei, L., Xia, J., Feng, Y., & Liu, L. (2019). An ELECTRE-based multiple criteria decision making method for supplier selection using Dempster-Shafer theory. IEEE Access, 7, 84701– 84716. https://doi.org/10.1109/ACCESS.2019.2924945
Girubha, J., Vinodh, S., & Kek, V. (2016). Application of interpretative structural modelling integrated multi criteria decision making methods for sustainable supplier selection. Journal of Modelling in Management, 11(2), 358–388. https://doi.org/10.1108/JM2-02-2014-0012
Gonzalez, M. E. (2019). Improving customer satisfaction of a healthcare facility: reading the customers’ needs. Benchmarking: An International Journal, 26(3), 854–870.
https://doi.org/10.1108/BIJ-01-2017-0007
Helber, S., Böhme, D., Oucherif, F., Lagershausen, S., & Kasper, S. (2016). A hierarchical facility layout planning approach for large and complex hospitals. Flexible Services and Manufacturing Journal, 28(1−2), 5–29. https://doi.org/10.1007/s10696-015-9214-6
Heragu, S. S. (2016). Facilities design (4th ed.). CRC Press.
Holden, R. J. (2009). People or systems? To blame is human. The fix is to engineer. Professional Safety, 54(12), 34.
IBEF Report. (2020). Healthcare industry in India. https://www.ibef.org/industry/healthcare-india.aspx
Joseph, A., & Rashid, M. (2007). The architecture of safety: hospital design. Current Opinion in Critical Care, 13(6), 714–719. https://doi.org/10.1097/MCC.0b013e3282f1be6e
Komarudin, & Wong, K. Y. (2010). Applying ant system for solving unequal area facility layout problems. European Journal of Operational Research, 202(3), 730–746.
https://doi.org/10.1016/j.ejor.2009.06.016
Krupka, D. C., & Sandberg, W. S. (2006). Operating room design and its impact on operating room economics. Current Opinion in Anesthesiology, 19(2), 185–191.
https://doi.org/10.1097/01.aco.0000192795.64678.e7
Łaska, G. (2017). Wind energy and multi-criteria analysis in making decisions on the location of wind farms. Procedia Engineering, 182, 418–424.
https://doi.org/10.1016/j.proeng.2017.03.126
Lather, J. I., Logan, T., Renner, K., & Messner, J. I. (2020). Implementation and evaluation of generative layout options using the graph theoretical approach for a hospital layout problem. Journal of Computing in Civil Engineering, 34(4), 04020014.
https://doi.org/10.1061/(ASCE)CP.1943-5487.0000893
Liu, J., & Liu, J. (2019). Applying multi-objective ant colony optimization algorithm for solving the unequal area facility layout problems. Applied Soft Computing, 74, 167–189.
https://doi.org/10.1016/j.asoc.2018.10.012
Mary, S. S. A., & Suganya, G. (2016). Multi-criteria decision making using ELECTRE. Circuits and Systems, 7(6), 1008–1020. https://doi.org/10.4236/cs.2016.76085
Meller, R. D., & Bozer, Y. A. (1997). Alternative approaches to solve the multi-floor facility layout problem. Journal of Manufacturing Systems, 16(3), 192–203.
https://doi.org/10.1016/S0278-6125(97)88887-5
Meller, R. D., & Gau, K. Y. (1996). The facility layout problem: recent and emerging trends and perspectives. Journal of Manufacturing Systems, 15(5), 351–366.
https://doi.org/10.1016/0278-6125(96)84198-7
Mills, G. R., Deka, L., Price, A. D., Rich-Mahadkar, S., Pantzartzis, E., & Sellars, P. (2015). Critical infrastructure risk in NHS England: predicting the impact of building portfolio age. International Journal of Strategic Property Management, 19(2), 159–172. https://doi.org/10.3846/1648715X.2015.1029562
Mishra, A. R., Singh, R. K., & Motwani, D. (2020). Intuitionistic fuzzy divergence measure-based ELECTRE method for performance of cellular mobile telephone service providers. Neural Computing and Applications, 32(8), 3901–3921.
https://doi.org/10.1007/s00521-018-3716-6
Palatnik, A. M. (2016). To err IS human. Nursing Critical Care, 11(5), 4. https://doi.org/10.1097/01.CCN.0000490961.44977.8d
Palmer, G., Abernathy, J. H., Swinton, G., Allison, D., Greenstein, J., Shappell, S., Juang, K., & Reeves, S. T. (2013). Realizing improved patient care through human-centered operating room design a human factors methodology for observing flow disruptions in the cardiothoracic operating room. The Journal of the American Society of Anesthesiologists, 119(5), 1066–1077. https://doi.org/10.1097/ALN.0b013e31829f68cf
Prugsiganont, S., & Jensen, P. A. (2019). Identification of space management problems in public hospitals: the case of Maharaj Chiang Mai Hospital. Facilities, 37(7/8), 435–454. https://doi.org/10.1108/F-01-2018-0001
Reason, J. (2000). Human error: models and management. BMJ, 320(7237), 768–770. https://doi.org/10.1136/bmj.320.7237.768
Reijula, J., Reijula, E., & Reijula, K. (2016). Insight into healthcare design: lessons learned in two university hospitals. Journal of Facilities Management, 14(3), 266–282.
https://doi.org/10.1108/JFM-01-2016-0001
Riedel, R. (2011). Facilities planning – 4th edition by J.A. Tompkins, J.A. White, Y.A. Bozer and J.M.A. Tanchoco. International Journal of Production Research, 49(24), 7519–7520. https://doi.org/10.1080/00207543.2011.563164
Roy, B. (1991). The outranking foundations approach and the methods. Theory and Decision, 31, 49–73.
https://doi.org/10.1007/BF00134132
Salminen, P., Hokkanen, J., & Lahdelma, R. (1998). Comparing multicriteria methods in the context of environmental problems. European Journal of Operational Research, 104(3), 485–496. https://doi.org/10.1016/S0377-2217(96)00370-0
Schaumann, D., Putievsky Pilosof, N., Gath-Morad, M., & Kalay, Y. E. (2020). Simulating the impact of facility design on operations: a study in an internal medicine ward. Facilities, 38(7/8), 501–522. https://doi.org/10.1108/F-10-2018-0132
Sevkli, M. (2010). An application of the fuzzy ELECTRE method for supplier selection. International Journal of Production Research, 48(12), 3393–3405. https://doi.org/10.1080/00207540902814355
Shariff, S. R., Moin, N. H., & Omar, M. (2012). Location allocation modeling for healthcare facility planning in Malaysia. Computers & Industrial Engineering, 62(4), 1000–1010. https://doi.org/10.1016/j.cie.2011.12.026
Shohet, I. M., & Lavy, S. (2017). Facility maintenance and management: a health care case study. International Journal of Strategic Property Management, 21(2), 170–182.
https://doi.org/10.3846/1648715X.2016.1258374
Shojaie, A. A., Babaie, S., Sayah, E., & Mohammaditabar, D. (2018). Analysis and prioritization of green health suppliers using Fuzzy ELECTRE method with a case study. Global Journal of Flexible Systems Management, 19(1), 39–52.
https://doi.org/10.1007/s40171-017-0168-2
Tongur, V., Hacibeyoglu, M., & Ulker, E. (2019). Solving a bigscaled hospital facility layout problem with meta-heuristics algorithms. Engineering Science and Technology, an International Journal, 23(4), 951–959. https://doi.org/10.1016/j.jestch.2019.10.006
Ulubeyli, S., & Kazaz, A. (2009). A multiple criteria decisionmaking approach to the selection of concrete pumps. Journal of Civil Engineering and Management, 15(4), 369–376.
https://doi.org/10.3846/1392-3730.2009.15.369-376
Wanigarathna, N., Jones, K., Bell, A., & Kapogiannis, G. (2019). Building information modelling to support maintenance management of healthcare built assets. Facilities, 37(7/8), 415–434. https://doi.org/10.1108/F-01-2018-0012
Young, J. M., Tietz, C., & Panagiotopoulos, A. Z. (2019). Activity coefficients and solubility of CaCl2 from molecular simulations. Journal of Chemical & Engineering Data, 65(2), 337–348. https://doi.org/10.1021/acs.jced.9b00688
Yousefli, Z., Nasiri, F., & Moselhi, O. (2017), Healthcare facilities maintenance management: a literature review. Journal of Facilities Management, 15(4), 352–375. https://doi.org/10.1108/JFM-10-2016-0040