scholarly journals Addressing Health Insurance Deductions through an Interventional Study: the Case of a Large Central Hospital

2016 ◽  
Vol 11 (2) ◽  
pp. 39-48
Author(s):  
Erfan Kharazmi ◽  
Asiyeh Salehi ◽  
Neda Hashemi ◽  
Shekufe Ghaderi ◽  
Nahid Hatam

Objective: A large proportion of hospitals’ private income is provided by insurance organisations. Hospitals in Iran face various problems in terms of insurance deductions from insurance organisations resulting from inefficient performance by both the hospitals and the insurers. These problems necessitate more specific cost control in this area. This research assesses the causes of insurance deductions by using the Failure Mode Effects Analysis (FMEA) technique, and addresses the issues resulting in deductions by providing some interventions through the Pareto technique. Design: The 10-step pattern of FMEA was implemented for assessing the main causes of insurance deduction in this study. Setting: Data was collected from deduced amounts by three main/largest contracting party insurance organisations (e.g. the Social Security Insurance Organisation, Medical Services Insurance Organisation and Armed Forces Medical Services Insurance Organisation of Namazi Hospital, a large healthcare provider in the South of Iran, in 2014. Findings: Sixty-five potential failure causes were identified, of which 26 were related to the anaesthesia unit, 23 were related to the surgery room unit and 16 were related to the hospitalisation unit. Deductions in the anaesthesia and hospitalisation units and the surgery room were reduced after intervention programs by 14.42%, 57.76%, and 51.52%, respectively. Conclusions: Using the FMEA technique in a large healthcare provider in Iran resulted in identifying the main causes of insurance deductions and provided intervention programs in order to increase the efficiency and productivity of healthcare services. Abbreviations: FMEA – Failure Mode Effects Analysis; RPN – Risk Priority Number.

2016 ◽  
Vol 5 (2) ◽  
pp. 151
Author(s):  
Benedictus Rahardjo ◽  
Bernard Jiang

This study attempts to apply Failure Mode Effects and Criticality Analysis (FMECA) to improve the safety of production system, especially on the production process of an oil company in Indonesia. Since food processing is a worldwide issue and the self management of a food company is more important than relying on government regulations, so the purpose of this study is to identify and analyze the criticality of potential failure mode on the production process, then take corrective actions to minimize the probability of making the same failure mode and re-analyze its criticality. This corrective actions are compared with the before improvement condition by testing the significance of the difference between before and after improvement using two sample t-test. Final result that had been measured is Criticality Priority Number (CPN), which refers to severity category and probability of making the same failure mode. Recommended actions that proposed on the part of FMECA give less CPN significantly compare with before improvement, with increment by 48.33% on coconut cooking oil case study.


Author(s):  
ABDELKADER BOUTI ◽  
DAOUD AIT KADI

The Failure Mode and Effects Analysis (FMEA) documents single failures of a system, by identifying the failure modes, and the causes and effects of each potential failure mode on system service and defining appropriate detection procedures and corrective actions. When extended by Criticality Analysis procedure (CA) for failure modes classification, it is known as Failure Mode Effects and Criticality Analysis (FMECA). The present paper presents a literature review of FME(C)A, covering the following aspects: description and review of the basic principles of FME(C)A, types, enhancement of the method, automation and available computer codes, combination with other techniques and specific applications. We conclude with a discussion of various issues raised as a result of the review.


Entropy ◽  
2019 ◽  
Vol 21 (12) ◽  
pp. 1230 ◽  
Author(s):  
Lixiang Wang ◽  
Wei Dai ◽  
Guixiu Luo ◽  
Yu Zhao

Failure Mode, Effects and Criticality Analysis (FMECA) is a method which involves quantitative failure analysis. It systematically examines potential failure modes in a system, as well as the components of the system, to determine the impact of a failure. In addition, it is one of the most powerful techniques used for risk assessment and maintenance management. However, various drawbacks are inherent to the classical FMECA method, especially in ranking failure modes. This paper proposes a novel approach that uses complex networks theory to support FMECA. Firstly, the failure modes and their causes and effects are defined as nodes, and according to the logical relationship between failure modes, and their causes and effects, a weighted graph is established. Secondly, we use complex network theory to analyze the weighted graph, and the entropy centrality approach is applied to identify influential nodes. Finally, a real-world case is presented to illustrate and verify the proposed method.


Author(s):  
Prince Sibarani ◽  
Tanika D. Sofianti ◽  
Aditya Tirta Pratama

Drum testing is equipment to test tire capability in the highway prototype in the tire company. Overall Equipment Effectiveness (OEE) is used to measure the productivity of the equipment. OEE has declined and has not achieved the target from Jun 2019 until June 2020. The objectives of this research are to determine the fixed parameter in the OEE calculation at the Drum Testing and to increase the OEE for achieving the company target. Process Failure Mode Effects Analysis (PFMEA) and Failure Mode Effects Analysis (FMEA) help to identify potential failure mode and its consequences, and formulate a solution to achieve the OEE target by improving the drum testing machine. Furthermore, an ideal target should be customized based on the manufacturing year and brand of the machine. This research showed PFMEA and FMEA successfully improve the OEE efficiency for five machines increases the average OEE from 53.6% to 67.2%.


JAMA ◽  
1965 ◽  
Vol 194 (3) ◽  
pp. 303-308

1993 ◽  
Author(s):  
Robert Borgovini ◽  
Stephen Pemberton ◽  
Michael Rossi

2020 ◽  
Vol 9 (3) ◽  
pp. 111-119
Author(s):  
Yu.Yu. IERUSALIMSKY ◽  
◽  
A.B. RUDAKOV ◽  

The article is devoted to the study of such an important aspect of the activities of the World Russian People's Council (until 1995 it was called the World Russian Council) in the 90-s of the 20-th century as a discussion of national security issues and nuclear disarmament. At that time, a number of political and public figures actively called for the nuclear disarmament of Russia. Founded in 1993, the World Russian Council called for the Russian Federation to maintain a reasonable balance between reducing the arms race and fighting for the resumption of detente in international relations, on the one hand, and maintaining a powerful nuclear component of the armed forces of the country, on the other. The resolutions of the World Russian Council and the World Russian People's Council on the problems of the new concepts formation of foreign policy and national security of Russia in the context of NATO's eastward movement are analyzed in the article. It also shows the relationship between the provisions of the WRNS on security and nuclear weapons issues with Chapter VIII of the «Fundamentals of the Social Concept of the Russian Orthodox Church».


2020 ◽  
pp. bjsports-2020-102771
Author(s):  
Margo Mountjoy ◽  
Jane Moran ◽  
Hosny Ahmed ◽  
Stephane Bermon ◽  
Xavier Bigard ◽  
...  

All sport events have inherent injury and illness risks for participants. Healthcare services for sport events should be planned and delivered to mitigate these risks which is the ethical responsibility of all sport event organisers. The objective of this paper was to develop consensus-driven guidelines describing the basic standards of services necessary to protect athlete health and safety during large sporting events. By using the Knowledge Translation Scheme Framework, a gap in International Federation healthcare programming for sport events was identified. Event healthcare content areas were determined through a narrative review of the scientific literature. Content experts were systematically identified. Following a literature search, an iterative consensus process was undertaken. The outcome document was written by the knowledge translation expert writing group, with the assistance of a focus group consisting of a cohort of International Federation Medical Chairpersons. Athletes were recruited to review and provide comment. The Healthcare Guidelines for International Federation Events document was developed including content-related to (i) pre-event planning (eg, sport medical risk assessment, public health requirements, environmental considerations), (ii) event safety (eg, venue medical services, emergency action plan, emergency transport, safety and security) and (iii) additional considerations (eg, event health research, spectator medical services). We developed a generic standardised template guide to facilitate the planning and delivery of medical services at international sport events. The organisers of medical services should adapt, evaluate and modify this guide to meet the sport-specific local context.


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