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This paper reports on the Second International Nurse Rostering Competition (INRC-II). Its contributions are (1) a new problem formulation which, differently from INRC-I, is a multi-stage procedure, (2) a competition environment that, as in INRC-I, will continue to serve as a growing testbed for search approaches to the INRC-II problem, and (3) final results of the competition. We discuss also the competition environment, which is an infrastructure including problem and instance definitions, testbeds, validation/simulation tools and rules. The hardness of the competition instances has been evaluated through the behaviour of our own solvers, and confirmed by the solvers of the participants. Finally, we discuss general issues about both nurse rostering problems and optimisation competitions in general.

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We revisit and extend the patient admission scheduling problem, in order to make it suitable for practical applications. The main novelty is that we consider constraints on the utilisation of operating rooms for patients requiring a surgery. In addition, we propose a more elaborate model that includes a flexible planning horizon, a complex notion of patient delay, and new components of the objective function. We design a solution approach based on local search, which explores the search space using a composite neighbourhood. In addition, we develop an instance generator that uses realworld data and statistical distributions so as to synthesise realistic and challenging case studies, which are made available on the web along with our solutions and the validator. Finally, we perform an extensive experimental evaluation of our solution method including statistically principled parameter tuning and an analysis of some features of the model and their corresponding impact on the objective function.