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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Prediction of Appointment Duration in Personal Services</article-title>
      </title-group>
      <contrib-group>
        <aff id="aff0">
          <label>0</label>
          <institution>University of Rostock</institution>
          ,
          <addr-line>18051 Rostock</addr-line>
          ,
          <country country="DE">Germany</country>
        </aff>
      </contrib-group>
      <fpage>0000</fpage>
      <lpage>0003</lpage>
      <abstract>
        <p>The estimation of the duration of appointments is an important, often manual planning task. Efficiency and effectivity of work depend on the quality of these estimations. Idle times and appointments that do not reach their goals due to time limitations are the consequence of bad scheduling. For personal services, a lot of context information is required for estimations. Employees that schedule appointments may not have the possibility to process all context information or lack experience. An IT-based predictor for appointment durations could help here. This work investigates the feasibility of such a predictor by analyzing the application of first predictor models to a sample dataset from practice. First implications for this field are drawn from the result.</p>
      </abstract>
      <kwd-group>
        <kwd>Time Prediction</kwd>
        <kwd>Personal Service</kwd>
        <kwd>Data Science</kwd>
        <kwd>Time Estimation</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <p>Time is a non-renewable resource, and it cannot be increased, preserved, or saved. In
the context of scheduling appointments, the prediction of the duration of an
appointment is an important task. If the appointment lasts shorter than expected, idle times may
occur. If it lasts longer than expected, following appointments must be rescheduled, or
the appointment will end without reaching its goal. Either way, coordination effort
increases, and efficiency as well as effectivity of work decrease.</p>
      <p>Usually, the duration of appointments is estimated based on personal experiences
when is appointment is being planned. This is a complex task that involves, for
example, the assessment of appointment goals, the background, and the number of involved
participants or even the time of day. However, sometimes there is no experience or
relevant context information available when planning an appointment.</p>
      <p>What if data analysis can provide help here? In certain domains such as personal
services provision, the duration of appointments, the topics, the participants, and other
data are recorded for billing purposes. This work investigates the possibility of
predicting the duration of appointments based on historical data from such records. This is a
first step, evaluating the general feasibility. A neural network has been trained for the
prediction of appointment durations and compared to an average based prediction as a
baseline.</p>
      <p>The remainder of this paper is constructed as follows. Section 2 discusses related
work in the domain of machine learning based time prediction. From an industrial
perspective, the terms ‘time prediction’ or ‘time estimation’ are used here, referring to
processing times or cycle times, for example. From the perspective of appointments in
personal services, we use the term ‘appointment duration’. Section 3 provides a deeper
insight into the domain of personal services and assumptions made for the estimation
approach. In the following, Section 4 describes and evaluates the approach based on a
prototypical application. The last section provides a summary and outlook.
2</p>
    </sec>
    <sec id="sec-2">
      <title>Related Work</title>
      <p>
        Forecasting activities on the basis of prediction of time play a very important role in
several domains [
        <xref ref-type="bibr" rid="ref1 ref2">1, 2</xref>
        ]. Time prediction is one of the most challenging tasks in the
context of forecasting and has received a lot of interest in research in recent years [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. The
accuracy of time forecasting can be fundamental to decisions in processes in today’s
business world [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. The subjectivity of assessments and the increasing importance of
time forecasting are the reasons why tools for time forecasting are indispensable in
today’s business [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
      </p>
      <p>We have studied various scientific publications related to predicting work time.
These sources describe the prediction of working time in various subject areas such as
agriculture and manufacturing.</p>
      <p>
        Marco Fedrizzi et al. compared linear and non-linear approaches to predict the time
it takes for an agricultural automatic production machine to complete a required field
operation. An artificial neural network was used as a non-linear approach. The linear
approach was represented by multiple linear regression. For the prediction, different
forms of agricultural fields were considered, as well as different ways of processing
these fields [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. As a result, it was found that an artificial neural network gives much
more accurate results than multiple linear regression in such subject areas. A further
advantage of neural networks is the possibility to have categorical, continuous as well
as discrete variables as inputs. This supports various possibilities to describe the context
of recorded and estimated times.
      </p>
      <p>
        Bozena Hola et al. presented a methodology for determining earthworks execution
time and costs. Artificial neural networks were used to determine the productivity of
selected sets of machines [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. The investigations and analyses showed that the selected
feed-forward multilayer error backpropagation neural network with a conjugate
gradient algorithm is useful for predicting productivity.
      </p>
      <p>
        Yu et al. [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] proposed clustered neural networks for the prediction of travel times.
They achieved good prediction results based on a traffic simulation. Potentials for
further development are seen in the improvement of neural network construction.
      </p>
      <p>
        Phillip Backus et al. compared classification and regression tree, nearest neighbor,
and artificial neural network algorithms for factory cycle-time predictions for lots.
Their research showed that regression trees provide more accurate results in such
subject areas. Regression trees are a flexible tool to define important variables and define
similarity between lots [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. Furthermore, the scientists concluded that variables need
not be scaled to common units in such predictors. Predictions were improved by using
an unsupervised algorithm, such as clustering, to form similar groups of lots and then
apply the tree algorithm to the clusters.
      </p>
      <p>
        Yu and Cai [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] used support vector machines (SVM) for the prediction of working
times in aircraft assembly. However, all input variables have been metric values.
      </p>
      <p>In general, the time prediction approaches using neural networks show promising
results and allow multiple kinds of variables as an input describing the context. Another
promising approach are regression trees that have the same advantages as neural
networks and showed a better accuracy compared to neural networks in the study of
Backus et. al. However, regression trees tend to overfit, and small changes in the
training data may result in big changes in the tree structure. For the first evaluation of
machine learning based prediction of appointment durations, the neural network approach
has been selected.
3</p>
    </sec>
    <sec id="sec-3">
      <title>Problem Description</title>
      <p>
        The common characteristic of Personal Services is that they are directed at persons
instead of things. The recipient of the service is at the same time in the role of a
coproducer. This situation as a key element in Personal Services reduces the predictability
and increases the uncertainty in the corresponding work processes. Therefore, many
Personal Service processes show characteristics of knowledge-intensive processes that
come with a high variability and high autonomy of the actors. Fließ et al. [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] describe
three phases or personal services: pre-service, service, and post-service. Personal
Services are often integrated into a longer-term meta-process, which then also has
longterm objectives. In this case, we speak of Long-Term Personal Services that involve
multiple service encounters. Examples would be services in Physiotherapy,
Psychotherapy, Family Care, or Coaching.
      </p>
      <p>
        Since the nature of Personal Services is the interaction between people, human
interaction and relationships play a strong role for service performance and thus should
be considered when analyzing service processes. This long-term relationship has great
importance, for example, in therapy and coaching settings. Looking at the long-term
process, context changes are likely to influence the outcome as well. An example
would be a changing life situation caused by a new occupation. Information with regard
to context and relationship is commonly available in unstructured documentation,
including, for example, diaries, written assessments, or communication content. [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]
      </p>
      <p>From the perspective of the prediction of appointment durations, each service
encounter is considered an appointment. The duration of a service encounter is influenced
by the client, the representative of the service provider, and the current situation,
including long-term and short-term aspects of the service process. All these influences
provide input variables for the prediction of the appointment duration.</p>
      <p>For simplification of the approach, we assume that each service encounter can be
scheduled independently. Hence, the duration is not influenced by other appointments
of the involved actors. Furthermore, we do not divide between planned (actual
appointments) and unplanned service encounters. Not every phone call is planned in advance,
and there might be crisis situations that require immediate action. Still, a prediction of
the duration of unplanned activities provides valuable information for rescheduling
future appointments.
4</p>
    </sec>
    <sec id="sec-4">
      <title>Prototypical Application</title>
      <p>For the feasibility analysis of appointment duration prediction for personal services, we
use a dataset of a small German family care company. The dataset is described in
Section 4.1. Section 4.2 then portrays the data preparation and the implementation of the
neural network for the prediction. This is followed by the evaluation of the approach in
section 4.3.
4.1</p>
      <sec id="sec-4-1">
        <title>Data Understanding</title>
        <p>The company provides personal services like coaching and consulting that
characterized a personal interaction between service provider and service consumer. Generally,
service delivery is bound to appointments between both involved parties. The dataset
contains the following features of each appointment (task):
start - Task execution start time
stop - Task execution stop time
project_id - Unique identifier of the client (service consumer)
task_id - Unique identifier of task type
user_id - Unique identifier of employee (service provider)
Task execution start and stop time are presented in timestamp format and consist of
year, month, date, hour, and minutes (e.g. 01.03.2016 17:15). Each row of the dataset
consists of information about only one appointment instance. An exemplary part of the
dataset can be seen in Figure 1. Table 1 shows the task types that can be distinguished
by the task_id. In total, the dataset contains 39,849 records that have been collected
for billing purposes starting in 2016. The duration of an appointment can be calculated
by the difference between stop and start timestamps. This results in multiples of 15
minutes.</p>
        <p>The original dataset also contained data like the names of additional actors that are
involved and unstructured documentation of the appointment itself as well as achieved
results or diagnostic information. These contents have been filtered out for data privacy
reasons. Therefore, the data that has been available for this study provides only little
context information. The influence of employee and client personality can be
considered by a predictor because both are identified. The data contained 6088 unique
combinations of task_id, project_id, and user_id – specific combinations of
employee, client, and performed task type. This results in an average of 6.5 records per
combination. The task_ids are not evenly present in the dataset. Figure 2 shows the
distribution of task_ids in the data.</p>
        <p>
          The influence of time as an additional context element can be taken into account
using the timestamps. Motivation and capacity of human actors change during a
workday, during a working week and also depend on the season of the year. There is a
nonlinear effect. Hence, capacity does not continually decrease or increase during a day for
example. However, several studies analyzing human performance show a periodicity
in a 24 hours period (daily), a 7 days period (weekly), and a 365 days period (yearly).
Some examples of studies with regard to daily performance cycles can be found in [
          <xref ref-type="bibr" rid="ref11">11</xref>
          ].
Furthermore, business planning is generally based on such periods.
4.2
        </p>
      </sec>
      <sec id="sec-4-2">
        <title>Data Preparation and Predictor Models</title>
        <p>In order to predict the duration of an appointment, three predictor models have been
investigated:
1. Average duration per task type as a baseline predictor
2. Average duration of a task type per employee and client. As a predictor that fits to
the influence of different actors involved in the appointments
3. A neural network that has involved actors, task types, and time information as inputs
as a machine learning based predictor</p>
        <p>All data processing and prediction model implementation has been done using
Python, pandas1, and scikit-learn2. Using the toolset, some data preparation steps have
been performed before the training and application of the predictor models. After
removing records with null values, durations have been calculated as the difference
between stop and start timestamps. Furthermore, combinations of task_id,
project_id, and user_id that occurred only once in the data have been removed.
Otherwise, the second average-based predictor would benefit in evaluation because of no
prediction errors in these cases, although there is no real prediction having just one
value. The boxplot in Figure 3 shows several outliers for the different task types. All
records with values outside 1.5 IQR (InterQuartile Range) marked by the whiskers have
been removed from the dataset. After these steps, 34091 records remained for training
and evaluation.
With regard to time information, the data is sparse (there are periods without records),
small (2622 records per task type on average), and is assumingly overlaid by several
other influence factors (e.g. different employees and clients). Therefore, simple
periodicity features have been calculated in order to support prediction performance of the
neural network approach. For the daily periodicity, a feature daytime (1 – morning,
2- noon, and 3-evening) has been introduced. For the weekly periodicity, a feature
weekday symbolizing the seven weekdays has been added. And last, a feature
season (1 – winter, 2 – spring, 3- summer, and 4 – autumn) is used for the yearly
periodicity.</p>
        <p>For training an evaluation, the data has been randomly split into a training dataset
(70% of the records) and a test dataset (30% of records). Furthermore, the input data
has been scaled using the StandardScaler provided by scikit-learn.</p>
        <p>The MLPRegressor class has been used as the model for the neural network. In the
network, there is one hidden layer, which consists of 600 nodes, and the learning rate
is adaptive. That means that the learning rate is constant as long as training loss keeps
decreasing. The adam solver is an adaptive learning rate optimization algorithm that
has been designed specifically for training deep neural networks. Different
configurations, e.g., with more hidden layers and a different number of neurons, but no
significant change in the prediction performance (see Section 4.3) has been noticed.
4.3</p>
      </sec>
      <sec id="sec-4-3">
        <title>Evaluation</title>
        <p>The Mean Absolute Error (MAE) has been chosen for evaluation purposes. This
helps to assess practical implications of the observed error by comparing it to the
average duration of a certain task type. For the overall dataset, the neural network showed
a MEA of 49.6 minutes, the task type-based prediction a MAE of 33.9 minutes and the
prediction based on the average duration per task type, employee, and client a MAE of
21.7 minutes. Taking these values, the neural network is clearly outperformed by the
average based prediction. The best result is realized when considering the specifics of
involved actors in the average. However, as can be seen in Figure 2 and Figure 3, there
is an imbalance in the occurrence of certain task types in the data and there are
differences in the average duration of appointments per task type. Thus, prediction might be
better for highly represented task types, and MEA should be seen in relation to the
average duration of the specific task type. Table 2 and Figure 4 show the results.</p>
        <p>It can be clearly seen that the average specific to employee, client, and task type (red
bars) outperforms the other predictors for every task type. Even for the highly
represented task types Phone Call, Counselling, General Activity, and Professional
Exchange the neural network shows poor performance. For Phone Call the MAE is even
bigger than the average duration. On the other hand, the best performing predictor
shows, for example, an average error of roughly 6 minutes for Phone Calls that have an
average duration of 26 to 27 minutes. However, it can also be seen that the performance
varies depending on the task type.
Overall, the neural network did not perform well on the dataset. A reason may be the
high influence of the actors on the duration of the appointments. This high influence
can be seen comparing the outcome of task type average predictor and the predictor
that also considers the actors when calculating the average. Overall, the
underperforming predictors underfit. Furthermore, the average duration of appointments per
employee, client, and task type seems to be a good predictor depending on the task type.
5</p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>Conclusion and Outlook</title>
      <p>This study presents a first view on the topic of duration prediction for appointments.
Some first assumptions can be made based on the findings. However, a validation using
different data sources and a large dataset should be done in the future.</p>
      <p>Time in terms of time of the day or day of the week does not seem to have a big
influence on the duration of appointments in the domain. The good performance of the
predictor based on the average duration per task type, employee, and client indicates a
large personal influence on the appointment duration. Furthermore, this predictor could
provide a simple implementation that fits practical requirements, at least for some task
types. A validation is planned for the future.</p>
      <p>The neural network approach clearly underperforms. Reasons may lie in the large
influence of the involved actors. This results in categorical variables as inputs for the
neural net that have a high number of possible values (ids of employees and clients). A
point for future investigations is the big MAE that has been shown by the neural
network for phone calls although there was a lot of training data available in comparison
to other task types. It would be interesting to learn about the reasons.</p>
      <p>The best performing average based predictor runs into problems for new
combinations of employees, clients, and task types because there is no past data available that
can be used for prediction. One scenario would be a new employee at the service
provider. However, in this case, duration prediction might be very important, assuming a
lack of experience for new employees. In the case of a new client, there is a lack of
experience with the client. A straightforward solution would be the task type-specific
average, but this comes with a significantly higher error for some task types (see Figure
4). Further approaches are the clustering of actors according to their characteristics,
which may be done manually or automated data-driven or the inclusion of more
complex context variables. Here the problems of weighting these factors and non-linear
correlations pop up. This demands for a more complex prediction model. A neural
network that combines these additional variables and the averages as inputs could be a
solution. First tests with the current dataset showed a similar performance of neural
network and the average based predictor.</p>
      <p>
        Subsuming this discussion, additional data seems to be required in order to improve
the prediction capabilities. First, with regard to the considered variables, this could be
the status of the long-term personal services process, as suggested in [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ], the number
of participants in an appointment, or the personal characteristics of the actors. Second,
with regard to the amount of data and generalizability, this could be a long-term data
collection and a collection of data in different companies that is already underway.
At last, the assumption that appointments don’t influence each other imposes a
limitation that might reduce the potential of practical utility. Such problems might be revealed
by a deeper analysis of the input data and its quality.
      </p>
    </sec>
    <sec id="sec-6">
      <title>Acknowledgment</title>
      <p>We thank the GeBEG Rostock GmbH for providing the anonymized dataset and for
giving an insight into the company’s work.</p>
    </sec>
  </body>
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