This study introduces a universal “Dome” appointment rule that can be parameterized through a planning constant for different clinics characterized by the environmental factors—no‐shows, walk‐ins, number of appointments per session, variability of service times, and cost of doctor's time to patients’ time. Simulation and nonlinear regression are used to derive an equation to predict the planning constant as a function of the environmental factors. We also introduce an adjustment procedure for appointment systems to explicitly minimize the disruptive effects of no‐shows and walk‐ins. The procedure adjusts the mean and standard deviation of service times based on the expected probabilities of no‐shows and walk‐ins for a given target number of patients to be served, and it is thus relevant for any appointment rule that uses the mean and standard deviation of service times to construct an appointment schedule. The results show that our Dome rule with the adjustment procedure performs better than the traditional rules in the literature, with a lower total system cost calculated as a weighted sum of patients’ waiting time, doctor's idle time, and doctor's overtime. An open‐source decision‐support tool is also provided so that healthcare managers can easily develop appointment schedules for their clinical environment.

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We describe an integer programming algorithm for determining scheduled start and finish times for the activities of a project subject to resource limitations during each period of the schedule duration. The objective is to maximize the net present value of the project to the firm. A depth-first branch and bound solution procedure searches over the feasible set of finish or completion times for each of the activities of the project. Fathoming criteria based upon the concept of a network cut originally developed to solve the duration minimization version of this problem are extended in this paper to solve the net present value problem. These fathoming decision rules prevent many potentially inferior solutions from being explicitly evaluated. Computational experience reported demonstrates the efficacy of the approach.

In this article, we study the newsvendor problem with endogenous setting of price and quoted lead‐time. This problem can be observed in situations where a firm orders semi‐finished product prior to the selling season and customizes the product in response to customer orders during the selling season. The total demand during the selling season and the lead‐time required for customization are uncertain. The demand for the product depends not only on the selling price but also on the quoted lead‐time. To set the quoted lead‐time, the firm has to carefully balance the benefit of increasing demand as the quoted lead‐time is reduced against the cost of increased tardiness. Our model enables the firm to determine the optimal selling price, quoted lead‐time, and order quantity simultaneously, and provides a new set of insights to managers.