Medical readiness: evaluating the robustness of medical clinic staffing solutions

2016 ◽  
Vol 14 (4) ◽  
pp. 407-419
Author(s):  
Michael Q Corpuz ◽  
Christina F Rusnock ◽  
Vhance V Valencia ◽  
Kyle Oyama
Keyword(s):  
Negative Impact ◽  
Cost Benefit Analysis ◽  
Relative Effectiveness ◽  
Discrete Event ◽  
Cost Savings ◽  
Cost Benefit ◽  
Wait Time ◽  
Cost Effective ◽  
Wait Times ◽  
Staffing Mix

Medical readiness requires Department of Defense medical clinics to be robust to changes in patient demand. Minor fluctuations in patient demand occur on a regular basis, but major increases can also occur. Major demand increases can result from a number of occurrences, including mass military deployments, medical incidents, outbreaks, and overflow from Veterans’ Affairs clinics. This research evaluates a system of clinics at Wright-Patterson Air Force Base in order to determine its ability to handle a 200% surge in patient demand. In addition, this study evaluates the relative effectiveness of six different staffing mix options to minimize patient wait times, also under the surge demand conditions. This evaluation is conducted using discrete-event simulation to estimate patient wait times and includes a sensitivity analysis of the increased patient demand, as well as a cost–benefit analysis to determine the most cost-effective alternative scenario. The study finds that adjustments to staffing mix enable cost savings while meeting current demands. In addition, the study finds that adjusting the staffing mix will not have a negative impact on patient wait time in the surge conditions, relative to the current staffing mix.

scholarly journals Cost–effectiveness and cost-benefit analysis of oliceridine in the treatment of acute pain

2021 ◽  
Author(s):  
Kit N Simpson ◽  
Michael J Fossler ◽  
Linda Wase ◽  
Mark A Demitrack
Keyword(s):  
Cost Benefit Analysis ◽  
Cost Savings ◽  
Cost Benefit ◽  
Cost Effective ◽  
Adverse Outcomes ◽  
Protein Signaling ◽  
Opioid Receptor Agonist ◽  
Cost Effective Alternative ◽  
Μ Opioid Receptor ◽  
The Cost

Aim: Oliceridine, a new class of μ-opioid receptor agonist, is selective for G-protein signaling (analgesia) with limited recruitment of β-arrestin (associated with adverse outcomes) and may provide a cost-effective alternative versus conventional opioid morphine for postoperative pain. Patients & methods: Using a decision tree with a 24-h time horizon, we calculated costs for medication and management of three most common adverse events (AEs; oxygen saturation <90%, vomiting and somnolence) following postoperative oliceridine or morphine use. Results: Using oliceridine, the cost for managing AEs was US$528,424 versus $852,429 for morphine, with a net cost savings of $324,005. Conclusion: Oliceridine has a favorable overall impact on the total cost of postoperative care compared with the use of the conventional opioid morphine.

scholarly journals Counting the Costs of Acquisitions: Using Cost-Benefit Analysis in a Seminary and University Library

2009 ◽  
Vol 2 (2) ◽  
pp. 24-35 ◽  
Author(s):  
Verena Getahun ◽  
William A. Keillor
Keyword(s):  
Cost Benefit Analysis ◽  
Cost Savings ◽  
Cost Benefit ◽  
Cost Effective ◽  
Benefit Analysis ◽  
Time Costs ◽  
University Library

This essay considers how cost-benefit analysis may be used in a small to mid-sized library to identify cost-savings in the acquisitions of monographs. The essay highlights parallel studies conducted at Luther Seminary Library and Bethel University Library which compared prices, discounts, and time costs across a range of vendor types to identify whether searching for the best price per item is cost-effective, and how much this strategy could save yearly in acquisitions. Both libraries found that substantial potential savings were identified through this study.

scholarly journals Optimizing UAS Mission Training Needs Through Tradespace Analysis

2017 ◽  
Vol 5 (2) ◽  
pp. 102-108
Author(s):  
Matthew Bearden ◽  
Aidan Scribbick ◽  
Kristen West ◽  
Scott Zapcic ◽  
Jasmine Motupalli
Keyword(s):  
Cost Benefit Analysis ◽  
Discrete Event ◽  
Cost Savings ◽  
Cost Benefit ◽  
Unmanned Aircraft ◽  
Resource Optimization ◽  
Fiscal Year ◽  
Full Time ◽  
Operational Environment ◽  
Project Management Office

The Gray Eagle unmanned aircraft systems (UAS) training program requires the reallocation of multiple fully operational UAS from the operational environment to facilitate training. The UAS Project Management Office (PM UAS) is concerned that this practice lacks efficiency. This study sought to: (1) conduct a comprehensive analysis for resource optimization with respect to achieving essential training tasks across multiple UAS, (2) conduct comprehensive cost-benefit analysis to assess the value of allocating a full-time and Gray Eagle platforms to accomplish training versus part-task trainers, and (3) define and quantify measures of performance and effectiveness. To achieve these objectives, this study implemented a tradespace analysis methodology to produce a discrete-event simulation model and a resource optimization tool. The impacts of this project will result in substantial cost savings per fiscal year, allow the client to forecast the resource needs of the organization effectively, and allow for the proper allocation of these resources.

scholarly journals Costs and Benefits of Bicycling Investments in Portland, Oregon

2011 ◽  
Vol 8 (s1) ◽  
pp. S49-S58 ◽  
Author(s):  
Thomas Gotschi
Keyword(s):  
Health Care ◽  
Health Care Cost ◽  
Cost Benefit Analysis ◽  
Cost Savings ◽  
Cost Benefit ◽  
Cost Effective ◽  
Demand Model ◽  
Traffic Demand ◽  
Fuel Savings ◽  
Statistical Lives

Background:Promoting bicycling has great potential to increase overall physical activity; however, significant uncertainty exists with regard to the amount and effectiveness of investment needed for infrastructure. The objective of this study is to assess how costs of Portland’s past and planned investments in bicycling relate to health and other benefits.Methods:Costs of investment plans are compared with 2 types of monetized health benefits, health care cost savings and value of statistical life savings. Levels of bicycling are estimated using past trends, future mode share goals, and a traffic demand model.Results:By 2040, investments in the range of $138 to $605 million will result in health care cost savings of $388 to $594 million, fuel savings of $143 to $218 million, and savings in value of statistical lives of $7 to $12 billion. The benefit-cost ratios for health care and fuel savings are between 3.8 and 1.2 to 1, and an order of magnitude larger when value of statistical lives is used.Conclusions:This first of its kind cost-benefit analysis of investments in bicycling in a US city shows that such efforts are cost-effective, even when only a limited selection of benefits is considered.

Cost-effective upgrading of the Arnsberg WWTP by post denitrification with a moving bed system

2000 ◽  
Vol 41 (9) ◽  
pp. 123-130
Author(s):  
N. Jardin ◽  
L. Rath ◽  
A. Sabin ◽  
F. Schmitt ◽  
D. Thöle ◽  
...  
Keyword(s):  
Carbon Source ◽  
Biological Process ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Cost Effective ◽  
Benefit Analysis ◽  
Moving Bed ◽  
Trickling Filters ◽  
Sludge Hydrolysis ◽  
Effective Integration

On the basis of a cost-benefit analysis it was decided to expand the Arnsberg WWTP by a multistage biological process which allows for cost-effective integration of the existing facilities. Carbon removal will then be accomplished in a high-loaded activated sludge stage for which the existing primary clarifier is to be reconstructed. The existing trickling filters will be used for nitrification during a midterm period and will be replaced later on either by a moving bed system or by new trickling filters. Line 3 of the existing secondary clarifiers will be reconstructed and used for post denitrification in a moving bed system. The carbon needed for denitrification will be provided by means of sludge hydrolysis and the use of an external carbon source.

The Illusion of Costs without Benefits

2020 ◽  
pp. 107-118
Author(s):  
Michael A. Livermore ◽  
Richard L. Revesz
Keyword(s):  
Public Health ◽  
Cost Benefit Analysis ◽  
Cost Savings ◽  
Cost Benefit ◽  
Social Benefits ◽  
Executive Order ◽  
Benefit Analysis ◽  
Compliance Costs ◽  
The Core ◽  
Trump Administration

The core of the Trump administration’s regulatory agenda is to focus on the costs of regulations while ignoring, trivializing, and mischaracterizing their benefits. The administration has made significant regulatory efforts to delay or repeal important initiatives of the Obama administration designed to protect public health and the environment. In some of these proceedings, the Trump administration has altogether ignored the benefits of the rules it seeks to eliminate or suspend, instead focusing solely on cost savings to regulated industry. For example, Trump’s Executive Order 13,771 directs agencies to control costs and eliminate two regulations for every new one. This one-sided approach makes a mockery of cost-benefit analysis. Saving regulatory costs is attractive only if the benefits forgone as a result of these savings are lower than those costs. A rule that reduces compliance costs by giving up an even larger set of social benefits is hardly an attractive proposition.

Cost benefit analysis of measures to reduce industrial effluent discharges

2010 ◽  
Vol 62 (7) ◽  
pp. 1623-1628
Author(s):  
Åsa Sivard ◽  
Tomas Ericsson ◽  
Nippe Hylander ◽  
Magnus Karlsson ◽  
Mikael Malmaeus
Keyword(s):  
Organic Material ◽  
Cost Benefit Analysis ◽  
Industrial Effluent ◽  
Oxygen Demand ◽  
Cost Benefit ◽  
Cost Effective ◽  
Paper Mill ◽  
Pulp And Paper Mill ◽  
Cost Efficient ◽  
The Cost

In an environmentally harmonized society the most cost effective measures to reduce the total effluent discharges should be taken into account. Generalised discharge values are presented for organic material and nutrients in this paper. Depending on conditions in the receiving water any of these parameters can be the determining factor for the eutrophication and oxygen demand. These parameters can be generalized into equivalent loads of TOC, nitrogen or phosphorus by recalculation according to the Redfield ratio. The cost for reduction of organic material and nutrients from a pulp and paper mill is calculated as a cost per unit pollutant (cost equivalent). This cost equivalent is compared with alternative costs, expressed in the same way, for reduction of organic material and nutrients in adjacent industries, municipal treatment plants, impact from transportation, farming, air deposits etc. In order to find where the most cost efficient measures for the society should be taken the cost equivalent for the mill is compared with the alternative measures and their equivalent costs.

Field Evaluation and Cost Effectiveness of Crack Sealing in Flexible and Composite Pavements

2018 ◽  
Vol 2672 (12) ◽  
pp. 51-61 ◽  
Author(s):  
Momen Mousa ◽  
Mostafa A. Elseifi ◽  
Mohammad Bashar ◽  
Zhongjie Zhang ◽  
Kevin Gaspard
Keyword(s):  
Cost Effectiveness ◽  
Cost Benefit Analysis ◽  
Field Performance ◽  
Cost Benefit ◽  
Cost Effective ◽  
Field Evaluation ◽  
Asphalt Emulsion ◽  
Transverse Cracks ◽  
Crack Sealing ◽  
Composite Pavements

One of the most common methods used to treat longitudinal and transverse cracks is crack sealing (CS), which is categorized as a preventive maintenance method. Field performance and cost-effectiveness of this treatment widely vary depending on pavement conditions and installation of the material. The objective of this study was to evaluate the field performance and cost-effectiveness of CS in flexible and composite pavements in hot and wet climates such as Louisiana, and to develop a model that would quantify the expected benefits of CS given project conditions. To achieve this objective, 28 control sections that were crack-sealed between 2003 and 2010 were monitored for at least four years. These sections included flexible and composite pavements, sealed and unsealed segments, and varying traffic levels. The performance of these sections was evaluated for the random cracking index (RCI) and roughness index (RI). Based on the results of this analysis, it was concluded that CS only has a significant impact on random cracking. When compared with untreated segments, CS extended pavement service life (PSL) by two years. When compared with the original pavement, CS extended PSL by 5.6 and 3.2 years for flexible and composite pavements, respectively, if applied at the correct time. The cost-benefit analysis indicated that CS is cost-effective whether asphalt emulsion or rubberized asphalt sealant is used. A non-linear regression model was developed to predict the extension in PSL because of CS without the need for performance data based on the average daily traffic (ADT), pavement type, and prior pavement conditions.

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