scholarly journals Organizational diagnostics: a systematic approach to identifying technology and workflow issues in clinical settings

JAMIA Open ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 269-280
Author(s):  
Kim M Unertl ◽  
Laurie Lovett Novak ◽  
Courtney Van Houten ◽  
JoAnn Brooks ◽  
Andrew O Smith ◽  
...  
Keyword(s):  
Process Improvement ◽  
Large Scale ◽  
Environmental Changes ◽  
Technology Policy ◽  
New Technology ◽  
Care Center ◽  
Complex Structure ◽  
Clinical Work ◽  
Healthcare Organizations ◽  
Diagnostic Strategies

Abstract Objectives Healthcare organizations need to rapidly adapt to new technology, policy changes, evolving payment strategies, and other environmental changes. We report on the development and application of a structured methodology to support technology and process improvement in healthcare organizations, Systematic Iterative Organizational Diagnostics (SIOD). SIOD was designed to evaluate clinical work practices, diagnose technology and workflow issues, and recommend potential solutions. Materials and Methods SIOD consists of five stages: (1) Background Scan, (2) Engagement Building, (3) Data Acquisition, (4) Data Analysis, and (5) Reporting and Debriefing. Our team applied the SIOD approach in two ambulatory clinics and an integrated ambulatory care center and used SIOD components during an evaluation of a large-scale health information technology transition. Results During the initial SIOD application in two ambulatory clinics, five major analysis themes were identified, grounded in the data: putting patients first, reducing the chaos, matching space to function, technology making work harder, and staffing is more than numbers. Additional themes were identified based on SIOD application to a multidisciplinary clinical center. The team also developed contextually grounded recommendations to address issues identified through applying SIOD. Discussion The SIOD methodology fills a problem identification gap in existing process improvement systems through an emphasis on issue discovery, holistic clinic functionality, and inclusion of diverse perspectives. SIOD can diagnose issues where approaches as Lean, Six Sigma, and other organizational interventions can be applied. Conclusion The complex structure of work and technology in healthcare requires specialized diagnostic strategies to identify and resolve issues, and SIOD fills this need.

Applications of blockchain in healthcare (Preprint)

2020 ◽  
Author(s):  
Pranav C
Keyword(s):  
Decision Making ◽  
Large Scale ◽  
Review Paper ◽  
New Technology ◽  
Personal Identification ◽  
Healthcare Industry ◽  
Healthcare Organizations ◽  
Paper Briefly ◽  
Blockchain Technology ◽  
Audit Trails

UNSTRUCTURED The word blockchain elicits thoughts of cryptocurrency much of the time, which does disservice to this disruptive new technology. Agreed, bitcoin launched in 2011 was the first large scale implementation of blockchain technology. Also, Bitcoin’s success has triggered the establishment of nearly 1000 new cryptocurrencies. This again lead to the delusion that the only application of blockchain technology is for the creation of cryptocurrency. However, the blockchain technology is capable of a lot more than just cryptocurrency creation and may support such things as transactions that require personal identification, peer review, elections and other types of democratic decision-making and audit trails. Blockchain exists with real world implementations beyond cryptocurrencies and these solutions deliver powerful benefits to healthcare organizations, bankers, retailers and consumers among others. One of the areas where blockchain technology can be used effectively is healthcare industry. Proper application of this technology in healthcare will not only save billions of money but also will contribute to the growth in research. This review paper briefly defines blockchain and deals in detail the applications of blockchain in various areas particularly in healthcare industry.

APPLICATIONS OF BLOCKCHAIN IN HEALTHCARE

2020 ◽  
Author(s):  
Pranav C
Keyword(s):  
Decision Making ◽  
Large Scale ◽  
Review Paper ◽  
New Technology ◽  
Personal Identification ◽  
Healthcare Industry ◽  
Healthcare Organizations ◽  
Paper Briefly ◽  
Blockchain Technology ◽  
Audit Trails

Abstract: The word blockchain elicits thoughts of cryptocurrency much of the time, which does disservice to this disruptive new technology. Agreed, bitcoin launched in 2011 was the first large scale implementation of blockchain technology. Also, Bitcoin’s success has triggered the establishment of nearly 1000 new cryptocurrencies. This again lead to the delusion that the only application of blockchain technology is for the creation of cryptocurrency. However, the blockchain technology is capable of a lot more than just cryptocurrency creation and may support such things as transactions that require personal identification, peer review, elections and other types of democratic decision-making and audit trails. Blockchain exists with real world implementations beyond cryptocurrencies and these solutions deliver powerful benefits to healthcare organizations, bankers, retailers and consumers among others. One of the areas where blockchain technology can be used effectively is healthcare industry. Proper application of this technology in healthcare will not only save billions of money but also will contribute to the growth in research. This review paper briefly defines blockchain and deals in detail the applications of blockchain in various areas particularly in healthcare industry.

scholarly journals PROPOSED STRATEGIES FOR PT INDO AIRCRAFT MAINTENANCE RELATED TO ENVIRONMENTAL CHANGES DUE TO THE PANDEMIC

2021 ◽  
Vol 3 (7) ◽  
pp. 135-152
Author(s):  
Alfia Kumala Nur Azizah ◽  
Alibasjah Inggriantara
Keyword(s):  
Product Development ◽  
Business Strategy ◽  
Large Scale ◽  
Environmental Changes ◽  
New Technology ◽  
Structured Interview ◽  
Aircraft Maintenance ◽  
Market Penetration ◽  
Strategy Formulation ◽  
The Right

Indo Aircraft Maintenance (IAM) is a company in Indonesia occupied in Maintenance, Repair, and Overhaul (MRO) which has the majority of the market share in the domestic area. Previously, in March 2020 large-scale social restrictions (LSSR) has been implemented globally that limits activities affecting the number of airline passengers. In order to recover, a formulation of a new business strategy is required. This research uses a qualitative method by doing a semi-structured interview with the Senior Manager of the Strategy Management division. The Author conducts an environmental analysis with Porter’s 5 forces, PESTEL, and VRIO tools, while the strategy formulation was carried out using IFE, EFE, and Internal-External Matrix. The analysis represents, the company is suitable to carry out hold and maintain strategy where market penetration and product development are the alternative strategies. Market penetration is the right choice to create optimum results. The whole business-unit should not only focus on aircraft maintenance but another market segment also. Product development is not the main option that needs to be prioritized since it requires new technology capabilities to a tapped new customer.

New technology for large scale electromagnetic levitation melting of metals

2015 ◽  
Vol 51 (1) ◽  
pp. 121-132 ◽  
Author(s):  
S. Spitans ◽  
E. Baake ◽  
B. Nacke ◽  
A. Jakovičs
Keyword(s):  
Large Scale ◽  
New Technology ◽  
Electromagnetic Levitation ◽  
Levitation Melting ◽  
Electromagnetic Levitation Melting

The Effect of the Familiarity of a Survey Sender on Response Outcomes in a Large-Scale Survey of Emergency Medical Services Agencies

2021 ◽  
Vol 44 (3) ◽  
pp. 260-267
Author(s):  
Morgan M. Millar ◽  
Hilary A. Hewes ◽  
Andrea L. Genovesi ◽  
Michael Ely ◽  
Braden Green ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Large Scale ◽  
Nationwide Survey ◽  
Survey Response ◽  
Medical Services ◽  
Healthcare Organizations ◽  
Emergency Medical ◽  
Established Relationship ◽  
To Receive

Survey response is higher when the request comes from a familiar entity compared to an unknown sender. Little is known about how sender influences response to surveys of organizations. We assessed whether familiarity of the sender influences response outcomes in a survey of emergency medical services agencies. Emergency medical services agencies in one U.S. state were randomly assigned to receive survey emails from either a familiar or unfamiliar sender. Both deployment approaches were subsequently used nationwide, with each state selecting one of the two contact methods. Experimental results showed that requests from the familiar sender achieved higher survey response (54.3%) compared to requests from the unfamiliar sender (36.9%; OR: 2.03; 95% CI: 1.23, 3.33). Similar results were observed in the subsequent nationwide survey; in states where the familiar sender deployed the survey, 62.0% of agencies responded, compared to 51.0% when the survey was sent by the unfamiliar sender (OR: 1.57; 95% CI: 1.47, 1.67). The response difference resulted in nearly 60 additional hours of staff time needed to perform telephone follow-up to nonrespondents. When surveying healthcare organizations, surveyors should recognize that it is more challenging to obtain responses without a pre-established relationship with the organizations.

scholarly journals Future Power Train Solutions for Long-Haul Trucks

2021 ◽  
Vol 13 (4) ◽  
pp. 2225
Author(s):  
Ralf Peters ◽  
Janos Lucian Breuer ◽  
Maximilian Decker ◽  
Thomas Grube ◽  
Martin Robinius ◽  
...  
Keyword(s):  
Fuel Cells ◽  
Co2 Emissions ◽  
Value Chain ◽  
Large Scale ◽  
New Technology ◽  
Co2 Reduction ◽  
Road Transport ◽  
Transport Sector ◽  
Long Distance ◽  
Production Of Hydrogen

Achieving the CO2 reduction targets for 2050 requires extensive measures being undertaken in all sectors. In contrast to energy generation, the transport sector has not yet been able to achieve a substantive reduction in CO2 emissions. Measures for the ever more pressing reduction in CO2 emissions from transportation include the increased use of electric vehicles powered by batteries or fuel cells. The use of fuel cells requires the production of hydrogen and the establishment of a corresponding hydrogen production system and associated infrastructure. Synthetic fuels made using carbon dioxide and sustainably-produced hydrogen can be used in the existing infrastructure and will reach the extant vehicle fleet in the medium term. All three options require a major expansion of the generation capacities for renewable electricity. Moreover, various options for road freight transport with light duty vehicles (LDVs) and heavy duty vehicles (HDVs) are analyzed and compared. In addition to efficiency throughout the entire value chain, well-to-wheel efficiency and also other aspects play an important role in this comparison. These include: (a) the possibility of large-scale energy storage in the sense of so-called ‘sector coupling’, which is offered only by hydrogen and synthetic energy sources; (b) the use of the existing fueling station infrastructure and the applicability of the new technology on the existing fleet; (c) fulfilling the power and range requirements of the long-distance road transport.

scholarly journals Impact of the municipal merger on watershed management: a study of Lake Kasumigaura, Japan

2021 ◽  
Author(s):  
Takeshi Mizunoya ◽  
Noriko Nozaki ◽  
Rajeev Kumar Singh
Keyword(s):  
Watershed Management ◽  
Large Scale ◽  
Environmental Changes ◽  
Water Environment ◽  
Reduction Rate ◽  
Oxygen Demand ◽  
Policy Implications ◽  
Pollution Reduction ◽  
Lake Kasumigaura ◽  
The Impact

AbstractIn the early 2000s, Japan instituted the Great Heisei Consolidation, a national strategy to promote large-scale municipal mergers. This study analyzes the impact that this strategy could have on watershed management. We select the Lake Kasumigaura Basin, the second largest lake in Japan, for the case study and construct a dynamic expanded input–output model to simulate the ecological system around the Lake, the socio-environmental changes over the period, and their mutual dependency for the period 2012–2020. In the model, we regulate and control the following water pollutants: total nitrogen, total phosphorus, and chemical oxygen demand. The results show that a trade-off between economic activity and the environment can be avoided within a specific range of pollution reduction, given that the prefectural government implements optimal water environment policies, assuming that other factors constraining economic growth exist. Additionally, municipal mergers are found to significantly reduce the budget required to improve the water environment, but merger budget efficiency varies nonlinearly with the reduction rate. Furthermore, despite the increase in financial efficiency from the merger, the efficiency of installing domestic wastewater treatment systems decreases drastically beyond a certain pollution reduction level and eventually reaches a limit. Further reductions require direct regulatory instruments in addition to economic policies, along with limiting the output of each industry. Most studies on municipal mergers apply a political, administrative, or financial perspective; few evaluate the quantitative impact of municipal mergers on the environment and environmental policy implications. This study addresses these gaps.

Health monitoring sensor placement optimization based on initial sensor layout using improved partheno-genetic algorithm

2020 ◽  
pp. 136943322094719
Author(s):  
Xianrong Qin ◽  
Pengming Zhan ◽  
Chuanqiang Yu ◽  
Qing Zhang ◽  
Yuantao Sun
Keyword(s):  
Genetic Algorithm ◽  
Health Monitoring ◽  
Large Scale ◽  
Complex Structure ◽  
Sensor Placement ◽  
Placement Problem ◽  
Optimal Sensor Placement ◽  
Placement Optimization ◽  
Sensor Placement Optimization ◽  
Sensor Locations

Optimal sensor placement is an important component of a reliability structural health monitoring system for a large-scale complex structure. However, the current research mainly focuses on optimizing sensor placement problem for structures without any initial sensor layout. In some cases, the experienced engineers will first determine the key position of whole structure must place sensors, that is, initial sensor layout. Moreover, current genetic algorithm or partheno-genetic algorithm will change the position of the initial sensor locations in the iterative process, so it is unadaptable for optimal sensor placement problem based on initial sensor layout. In this article, an optimal sensor placement method based on initial sensor layout using improved partheno-genetic algorithm is proposed. First, some improved genetic operations of partheno-genetic algorithm for sensor placement optimization with initial sensor layout are presented, such as segmented swap, reverse and insert operator to avoid the change of initial sensor locations. Then, the objective function for optimal sensor placement problem is presented based on modal assurance criterion, modal energy criterion, and sensor placement cost. At last, the effectiveness and reliability of the proposed method are validated by a numerical example of a quayside container crane. Furthermore, the sensor placement result with the proposed method is better than that with effective independence method without initial sensor layout and the traditional partheno-genetic algorithm.

Modeling and Implementation of Inter-Campuses Equipment Optimized Management Based on WebGIS

2013 ◽  
Vol 680 ◽  
pp. 534-539
Author(s):  
Wei Feng Ma
Keyword(s):  
Information Management ◽  
Spatial Data ◽  
Large Scale ◽  
New Technology ◽  
Rapid Expansion ◽  
Mathematics Model ◽  
Data Mapping ◽  
Geographically Dispersed ◽  
New Research ◽  
Research Challenge

With the rapid expansion of the campus scale and the increasing of the geographically dispersed campus, how to adopt new theory, new method and new technology to realize the equipment optimized assignment and the information management is a new research challenge. It is the key to safeguard the national fund to use reasonably, and to speed up the development of education healthily. Through analyzing the domestic and foreign related research works, the paper proposed that it can take use of the spatial data expression and analysis with Geographic Information System (GIS) to realize the large-scale and inter-campuses equipment optimized assignment and information management. It discussed the mathematics model and the system architecture. Moreover, the paper described the key implementation technology in great detail such as spatial data mapping with MapInfo professional 9 and the development of WebGIS functions with MapXtreme. The results show that the solution is feasible and effective.

Electric Toothbrushes–For Whom are They Designed?

2002 ◽  
Vol 16 (1) ◽  
pp. 6-8 ◽  
Author(s):  
Sebastian Ciancio
Keyword(s):  
Clinical Studies ◽  
Large Scale ◽  
Economic Status ◽  
New Technology ◽  
Ease Of Use ◽  
Special Populations ◽  
Gingival Health

Powered toothbrushes were first introduced on a large scale in the early 1960s. However, because of a clear lack of superiority compared with manual brushes, and problems with mechanical breakdowns, their sales decreased significantly. However, recommendation for their use continued in special populations with dexterity and cognition problems. The 1990s ushered in an era of new technology, and studies began to suggest superiority of some powered brushes, particularly those using oscillating-rotating or counter-rotational actions. Some studies have shown interproximal cleansing abilities superior to those of manual brushes and yielding results similar to those achieved with the use of a manual brush and floss. Both controlled and open-labeled studies have suggested that electric brushes improve gingival health with patients who routinely used manual brushes prior to using these new powered brushes, and safety has been clearly established. In recommending powered toothbrushes, practitioners should familiarize themselves with the products available, with the clinical studies supporting their benefits compared with manual brushes, their safety and ease of use, and the patient's economic status.

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