scholarly journals E-Consults: an effective way to decrease clinic wait times in Rheumatology

2020 ◽  
Author(s):  
Veena Patel ◽  
Diana Stewart ◽  
Molly Horstman
Keyword(s):  
Rheumatic Disease ◽  
Resource Utilization ◽  
Control Chart ◽  
Antinuclear Antibody ◽  
Temporal Association ◽  
Wait Times ◽  
Imaging Studies ◽  
Statistical Process ◽  
Monthly Average ◽  
Positive Antinuclear Antibody

Abstract Background: To evaluate the effect of E-consults on wait times and resource utilization for positive antinuclear antibody (ANA) referrals in outpatient rheumatology.Methods: We conducted a pre-post study of E-consult implementation for positive ANA referrals. We retrospectively reviewed “positive ANA” referrals from 1/2015-3/2017. A statistical process control chart was created to display monthly average wait times for in-person clinic visits and to identify special cause variation. Final Diagnoses, wait times and resource utilization were recorded and compared between E-consults and in-person referrals.Results: There were 139 referrals for positive ANA with 126 occurring after E-consult implementation in August 2015. Forty-four percent (55/126) of referrals were E-consults; 76% were resolved after initial electronic rheumatology recommendation. A control chart demonstrated special cause variation in the form of a shift from June 2016 – January 2017, suggesting a temporal association between decreased wait times and the implementation of E-consults. Eleven patients were diagnosed with ANA-associated rheumatic disease; the majority of patients (73%, 86/139) did not have a rheumatologic diagnosis. Overall E-consults utilized more labs than in-person visits, but this was not statistically significant. In-person visits utilized more imaging studies, which was statistically significant. Conclusion: E-consults are an effective way to address positive ANA consults without significant resource utilization and were temporally associated with decreased wait times for in-person visits.

scholarly journals E-Consults: an effective way to decrease clinic wait times in Rheumatology

2020 ◽  
Author(s):  
Veena Patel ◽  
Diana Stewart ◽  
Molly Horstman
Keyword(s):  
Rheumatic Disease ◽  
Resource Utilization ◽  
Control Chart ◽  
Antinuclear Antibody ◽  
Temporal Association ◽  
Wait Times ◽  
Imaging Studies ◽  
Statistical Process ◽  
Monthly Average ◽  
Positive Antinuclear Antibody

Abstract Background To evaluate the effect of E-consults on wait times and resource utilization for positive antinuclear antibody (ANA) referrals in outpatient rheumatology.Methods We conducted a pre-post study of E-consult implementation for positive ANA referrals. We retrospectively reviewed “positive ANA” referrals from 1/2015-3/2017. A statistical process control chart was created to display monthly average wait times for in-person clinic visits and to identify special cause variation. Final Diagnoses, wait times and resource utilization were recorded and compared between E-consults and in-person referrals.Results There were 139 referrals for positive ANA with 126 occurring after E-consult implementation in August 2015. Forty-four percent (55/126) of referrals were E-consults; 76% were resolved after initial electronic rheumatology recommendation. A control chart demonstrated special cause variation in the form of a shift from June 2016 – January 2017, suggesting a temporal association between decreased wait times and the implementation of E-consults. Eleven patients were diagnosed with ANA-associated rheumatic disease; the majority of patients (73%, 86/139) did not have a rheumatologic diagnosis. Overall E-consults utilized more labs than in-person visits, but this was not statistically significant. In-person visit utilized more imaging studies, which was statistically significant.Conclusion E-consults are an effective way to address positive ANA consults without significant resource utilization and were temporally associated with decreased wait times for in-person visits.

scholarly journals E-Consults: an effective way to decrease clinic wait times in Rheumatology

2020 ◽  
Author(s):  
Veena Patel ◽  
Diana Stewart ◽  
Molly Horstman
Keyword(s):  
Rheumatic Disease ◽  
Resource Utilization ◽  
Control Chart ◽  
Antinuclear Antibody ◽  
Temporal Association ◽  
Wait Times ◽  
Imaging Studies ◽  
Statistical Process ◽  
Monthly Average ◽  
Positive Antinuclear Antibody

Abstract Background: To evaluate the effect of E-consults on wait times and resource utilization for positive antinuclear antibody (ANA) referrals in outpatient rheumatology.Methods: We conducted a pre-post study of E-consult implementation for positive ANA referrals. We retrospectively reviewed “positive ANA” referrals from 1/2015-3/2017. A statistical process control chart was created to display monthly average wait times for in-person clinic visits and to identify special cause variation. Final Diagnoses, wait times and resource utilization were recorded and compared between E-consults and in-person referrals.Results: There were 139 referrals for positive ANA with 126 occurring after E-consult implementation in August 2015. Forty-four percent (55/126) of referrals were E-consults; 76% did not have an in-person visit after initial electronic rheumatology recommendation. A control chart demonstrated special cause variation in the form of a shift from June 2016 – January 2017, suggesting a temporal association between decreased wait times and the implementation of E-consults. Eleven patients were diagnosed with ANA-associated rheumatic disease; the majority of patients (73%, 86/139) did not have a rheumatologic diagnosis. Overall E-consults utilized more labs than in-person visits, but this was not statistically significant. In-person visits utilized more imaging studies, which was statistically significant. Conclusion: E-consults are an effective way to address positive ANA consults without significant increase in resource utilization and were temporally associated with decreased wait times for in-person visits.

scholarly journals E-consults: an effective way to decrease clinic wait times in rheumatology

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Veena Patel ◽  
Diana Stewart ◽  
Molly J. Horstman
Keyword(s):  
Rheumatic Disease ◽  
Resource Utilization ◽  
Control Chart ◽  
Antinuclear Antibody ◽  
Temporal Association ◽  
Wait Times ◽  
Imaging Studies ◽  
Statistical Process ◽  
Monthly Average ◽  
Positive Antinuclear Antibody

Abstract Background To evaluate the effect of E-consults on wait times and resource utilization for positive antinuclear antibody (ANA) referrals in outpatient rheumatology. Methods We conducted a pre-post study of E-consult implementation for positive ANA referrals. We retrospectively reviewed “positive ANA” referrals from 1/2015–3/2017. A statistical process control chart was created to display monthly average wait times for in-person clinic visits and to identify special cause variation. Final diagnoses, wait times and resource utilization were recorded and compared between E-consults and in-person referrals. Results There were 139 referrals for positive ANA with 126 occurring after E-consult implementation in August 2015. Forty-four percent (55/126) of referrals were E-consults; 76% did not have an in-person visit after initial electronic rheumatology recommendation. A control chart demonstrated special cause variation in the form of a shift from June 2016 – January 2017, suggesting a temporal association between decreased wait times and the implementation of E-consults. Eleven patients were diagnosed with ANA-associated rheumatic disease; the majority of patients (73%, 86/139) did not have a rheumatologic diagnosis. Overall E-consults utilized more labs than in-person visits, but this was not statistically significant. In-person visits utilized more imaging studies, which was statistically significant. Conclusion E-consults are an effective way to address positive ANA consults without significant increase in resource utilization and were temporally associated with decreased wait times for in-person visits.

scholarly journals Water Particles Monitoring in the Atacama Desert: SPC Approach Based on Proportional Data

Axioms ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 154
Author(s):  
Anderson Fonseca ◽  
Paulo Henrique Ferreira ◽  
Diego Carvalho do Nascimento ◽  
Rosemeire Fiaccone ◽  
Christopher Ulloa-Correa ◽  
...  
Keyword(s):  
Control Chart ◽  
Average Run Length ◽  
Atacama Desert ◽  
Real Data ◽  
Interval Data ◽  
Total Quality ◽  
Statistical Process ◽  
Monte Carlo Simulation Study ◽  
Run Length ◽  
Study Results

Statistical monitoring tools are well established in the literature, creating organizational cultures such as Six Sigma or Total Quality Management. Nevertheless, most of this literature is based on the normality assumption, e.g., based on the law of large numbers, and brings limitations towards truncated processes as open questions in this field. This work was motivated by the register of elements related to the water particles monitoring (relative humidity), an important source of moisture for the Copiapó watershed, and the Atacama region of Chile (the Atacama Desert), and presenting high asymmetry for rates and proportions data. This paper proposes a new control chart for interval data about rates and proportions (symbolic interval data) when they are not results of a Bernoulli process. The unit-Lindley distribution has many interesting properties, such as having only one parameter, from which we develop the unit-Lindley chart for both classical and symbolic data. The performance of the proposed control chart is analyzed using the average run length (ARL), median run length (MRL), and standard deviation of the run length (SDRL) metrics calculated through an extensive Monte Carlo simulation study. Results from the real data applications reveal the tool’s potential to be adopted to estimate the control limits in a Statistical Process Control (SPC) framework.

scholarly journals Oversizing Thread Diagnosis in Tapping Operation

Metals ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 537
Author(s):  
Alain Gil Del Val ◽  
Fernando Veiga ◽  
Mariluz Penalva ◽  
Miguel Arizmendi
Keyword(s):  
Control Chart ◽  
Manufacturing Systems ◽  
Spindle Motor ◽  
Multivariate Statistical ◽  
Statistical Process ◽  
Knowing That ◽  
On Line ◽  
High Level ◽  
Screw Threads ◽  
Multivariate Control

Automotive, railway and aerospace sectors require a high level of quality on the thread profiles in their manufacturing systems knowing that the tapping process is a complex manufacturing process and the last operation in a manufacturing cell. Therefore, a multivariate statistical process control chart, for each tap, is presented based on the principal components of the torque signal directly measured from spindle motor drive to diagnosis the thread profile quality. This on-line multivariate control chart has implemented an alarm to avoid defected screw threads (oversized). Therefore, it could work automatically without any operator intervention assessing the thread quality and the safety is guaranteed during the tapping process.

SURVEILLANCE OF DIABETES PREVALENCE RATE THROUGH THE DEVELOPMENT OF A MARKOV-BASED CONTROL CHART

2012 ◽  
Vol 12 (04) ◽  
pp. 1250083
Author(s):  
PERSHANG DOKOUHAKI ◽  
RASSOUL NOOROSSANA
Keyword(s):  
Control Chart ◽  
Control Charts ◽  
High Performance ◽  
Discrete Data ◽  
Correlated Data ◽  
Statistical Process ◽  
Control Charting ◽  
Attribute Quality ◽  
Related Process

In the field of statistical process control (SPC), usually two issues are addressed; the variables and the attribute quality characteristics control charting. Focusing on discrete data generated from a process to be monitored, attributes control charts would be useful. The discrete data could be classified into two categories; the independent and auto-correlated data. Regarding the independence in the sequence of discrete data, the typical Shewhart-based control charts, such as p-chart and np-chart would be effective enough to monitor the related process. But considering auto-correlation in the sequence of the data, such control charts would not workanymore. In this paper, considering the auto-correlated sequence of X1, X2,…, Xt,… as the sequence of zeros or ones, we have developed a control chart based on a two-state Markov model. This control chart is compared with the previously developed charts in terms of the average number of observations (ANOS) measure. In addition, a case study related to the diabetic people is investigated to demonstrate the applicability and high performance of the developed chart.

A Conceptual Methodology for Recognition of Constrained Control Chart Patterns

2013 ◽  
Vol 845 ◽  
pp. 696-700
Author(s):  
Razieh Haghighati ◽  
Adnan Hassan
Keyword(s):  
Pattern Recognition ◽  
Statistical Process Control ◽  
Control Chart ◽  
Control Charts ◽  
Fault Tolerant ◽  
Constrained Control ◽  
Statistical Process ◽  
Control Chart Patterns ◽  
Control Chart Pattern ◽  
Chart Patterns

Traditional statistical process control (SPC) charting techniques were developed to monitor process status and helping identify assignable causes. Unnatural patterns in the process are recognized by means of control chart pattern recognition (CCPR) techniques. There are a broad set of studies in CCPR domain, however, given the growing doubts concerning the performance of control charts in presence of constrained data, this area has been overlooked in the literature. This paper, reports a preliminary work to develop a scheme for fault tolerant CCPR that is capable of (i) detecting of constrained data that is sampled in a misaligned uneven fashion and/or be partly lost or unavailable and (ii) accommodating the system in order to improve the reliability of recognition.

Effectiveness Indices for Statistical Process Control Chart Performance

2019 ◽  
Vol 27 (1) ◽  
pp. 221-226
Author(s):  
Siyuan F. Yang ◽  
Wei-Ting K. Chien
Keyword(s):  
Process Control ◽  
Statistical Process Control ◽  
Control Chart ◽  
Statistical Process

Improving Phase I Monitoring of Dirichlet Regression Profiles

2018 ◽  
Vol 25 (06) ◽  
pp. 1850030 ◽  
Author(s):  
Hourieh Foroutan ◽  
Amirhossein Amiri ◽  
Reza Kamranrad
Keyword(s):  
Phase I ◽  
Control Chart ◽  
Control Charts ◽  
Compositional Data ◽  
Ratio Test ◽  
Statistical Process ◽  
Explanatory Variables ◽  
Monitoring Procedure ◽  
Multivariate Control

In most statistical process control (SPC) applications, quality of a process or product is monitored by univariate or multivariate control charts. However, sometimes a functional relationship between a response variable and one or more explanatory variables is established and monitored over time. This relationship is called “profile” in SPC literature. In this paper, we specifically consider processes with compositional data responses, including multivariate positive observations summing to one. The relationship between compositional data responses and explanatory variables is modeled by a Dirichlet regression profile. We develop a monitoring procedure based on likelihood ratio test (lrt) for Phase I monitoring of Dirichlet regression profiles. Then, we compare the performance of the proposed method with the best method in the literature in terms of probability of signal. The results of simulation studies show that the proposed control chart has better performance in Phase I monitoring than the competing control chart. Moreover, the proposed method is able to estimate the real time of a change as well. The performance of this feature is also investigated through simulation runs which show the satisfactory performance. Finally, the application of the proposed method is illustrated based on a real case in comparison with the existing method.

scholarly journals Monitoring of mechanical sugarcane harvesting through control charts

2015 ◽  
Vol 35 (6) ◽  
pp. 1079-1092 ◽  
Author(s):  
Murilo A. Voltarelli ◽  
Rouverson P. da Silva ◽  
Cristiano Zerbato ◽  
Carla S. S. Paixão ◽  
Tiago de O. Tavares
Keyword(s):  
Process Control ◽  
Statistical Process Control ◽  
Control Chart ◽  
Control Charts ◽  
Moving Average ◽  
Grinding Wheel ◽  
Individual Values ◽  
Statistical Process ◽  
Minas Gerais State ◽  
Weighted Moving Average

ABSTRACT Statistical process control in mechanized farming is a new way to assess operation quality. In this sense, we aimed to compare three statistical process control tools applied to losses in sugarcane mechanical harvesting to determine the best control chart template for this quality indicator. Losses were daily monitored in farms located within Triângulo Mineiro region, in Minas Gerais state, Brazil. They were carried over a period of 70 days in the 2014 harvest. At the end of the evaluation period, 194 samples were collected in total for each type of loss. The control charts used were individual values chart, moving average and exponentially weighted moving average. The quality indicators assessed during sugarcane harvest were the following loss types: full grinding wheel, stumps, fixed piece, whole cane, chips, loose piece and total losses. The control chart of individual values is the best option for monitoring losses in sugarcane mechanical harvesting, as it is of easier result interpretation, in comparison to the others.

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