Framework for Aggregating Highway Asset Performance Measures

2012 ◽  
Vol 2271 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Mohammadsaied Dehghanisanij ◽  
Gerardo W. Flintsch ◽  
Jack Verhoeven
Keyword(s):  
Performance Assessment ◽  
Performance Measures ◽  
Health Indicators ◽  
Assessment Method ◽  
Sustainable Transportation ◽  
Transportation Infrastructure ◽  
Highway Infrastructure ◽  
Infrastructure Performance ◽  
Health Rating ◽  
The Impact

Transportation infrastructure engineers and managers have realized the importance of appropriate performance assessment and its impact on overall infrastructure performance and condition. The need for robust, comprehensive, and informative performance measures requires further research and study. Recently, the Center for Sustainable Transportation Infrastructure at the Transportation Institute of the Virginia Polytechnic Institute and State University proposed a flexible framework to aggregate condition measures for different highway infrastructure assets and to translate the measures into corridor health indicators. Health indicators for one asset are aggregated into an associated asset health rating, and all asset health ratings are combined into a corridor health rating. This paper modifies this framework to develop a robust performance assessment method that can be used to determine the impact of investment decisions on various dimensions of performance at the corridor level. Instead of aggregating health indicators of an asset into one asset health rating, the method proposes aggregating similar health indicators of different assets into the associated corridor health indicators to develop corridor performance measures. The application of the methodology on a segment of Interstate 81 suggests that the modified approach enables consistent monitoring of different health indicators at the corridor level. The corridor indicators are homogeneous (combined from similar health indicators of different assets). The practicality of the approach is illustrated through its application in a resource allocation example. The results show that decision makers can use the framework as a guideline to allocate resources across different highway assets.

scholarly journals Clinical reasoning performance assessment: using situated cognition theory as a conceptual framework

Diagnosis ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. 241-249 ◽  
Author(s):  
Joseph Rencic ◽  
Lambert W.T. Schuwirth ◽  
Larry D. Gruppen ◽  
Steven J. Durning
Keyword(s):  
Performance Assessment ◽  
Clinical Reasoning ◽  
Contextual Factors ◽  
Situated Cognition ◽  
Assessment Method ◽  
Complex Interactions ◽  
Valid Assessment ◽  
Linear Statistical Models ◽  
The Impact ◽  
And Task

AbstractDeveloping valid assessment approaches to clinical reasoning performance has been challenging. Situated cognition theory posits that cognition (e.g. clinical reasoning) emerges from interactions between the clinician and situational (contextual) factors and recognizes an opportunity to gain deeper insights into clinical reasoning performance and its assessment through the study of these interactions. The authors apply situated cognition theory to develop a conceptual model to better understand the assessment of clinical reasoning. The model highlights how the interactions between six contextual factors, including assessee, patient, rater, and environment, assessment method, and task, can impact the outcomes of clinical reasoning performance assessment. Exploring the impact of these interactions can provide insights into the nature of clinical reasoning and its assessment. Three significant implications of this model are: (1) credible clinical reasoning performance assessment requires broad sampling of learners by expert raters in diverse workplace-based contexts; (2) contextual factors should be more explicitly defined and explored; and (3) non-linear statistical models are at times necessary to reveal the complex interactions that can impact clinical reasoning performance assessment.

scholarly journals Public reporting of performance measures in long-term care in Canada: does it make a difference?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Poldrugovac ◽  
J E Amuah ◽  
H Wei-Randall ◽  
P Sidhom ◽  
K Morris ◽  
...  
Keyword(s):  
Performance Measures ◽  
Performance Indicators ◽  
Long Term Care ◽  
Public Reporting ◽  
Policy Implications ◽  
Term Care ◽  
Factors Affecting ◽  
Care Facilities ◽  
The Impact

Abstract Background Evidence of the impact of public reporting of healthcare performance on quality improvement is not yet sufficient to draw conclusions with certainty, despite the important policy implications. This study explored the impact of implementing public reporting of performance indicators of long-term care facilities in Canada. The objective was to analyse whether improvements can be observed in performance measures after publication. Methods We considered 16 performance indicators in long-term care in Canada, 8 of which are publicly reported at a facility level, while the other 8 are privately reported. We analysed data from the Continuing Care Reporting System managed by the Canadian Institute for Health Information and based on information collection with RAI-MDS 2.0 © between the fiscal years 2011 and 2018. A multilevel model was developed to analyse time trends, before and after publication, which started in 2015. The analysis was also stratified by key sample characteristics, such as the facilities' jurisdiction, size, urban or rural location and performance prior to publication. Results Data from 1087 long-term care facilities were included. Among the 8 publicly reported indicators, the trend in the period after publication did not change significantly in 5 cases, improved in 2 cases and worsened in 1 case. Among the 8 privately reported indicators, no change was observed in 7, and worsening in 1 indicator. The stratification of the data suggests that for those indicators that were already improving prior to public reporting, there was either no change in trend or there was a decrease in the rate of improvement after publication. For those indicators that showed a worsening trend prior to public reporting, the contrary was observed. Conclusions Our findings suggest public reporting of performance data can support change. The trends of performance indicators prior to publication appear to have an impact on whether further change will occur after publication. Key messages Public reporting is likely one of the factors affecting change in performance in long-term care facilities. Public reporting of performance measures in long-term care facilities may support improvements in particular in cases where improvement was not observed before publication.

scholarly journals Efficiency Improvement of Miniaturized Heat Exchangers

Fluids ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Iris Gerken ◽  
Thomas Wetzel ◽  
Jürgen J. Brandner
Keyword(s):  
Heat Transfer ◽  
Heat Transfer Enhancement ◽  
Heat Exchangers ◽  
Assessment Method ◽  
Flow Path ◽  
Transfer Enhancement ◽  
Pressure Losses ◽  
Pin Fin ◽  
Additional Pressure ◽  
The Impact

Micro heat exchangers have been revealed to be efficient devices for improved heat transfer due to short heat transfer distances and increased surface-to-volume ratios. Further augmentation of the heat transfer behaviour within microstructured devices can be achieved with heat transfer enhancement techniques, and more precisely for this study, with passive enhancement techniques. Pin fin geometries influence the flow path and, therefore, were chosen as the option for further improvement of the heat transfer performance. The augmentation of heat transfer with micro heat exchangers was performed with the consideration of an improved heat transfer behaviour, and with additional pressure losses due to the change of flow path (pin fin geometries). To capture the impact of the heat transfer, as well as the impact of additional pressure losses, an assessment method should be considered. The overall exergy loss method can be applied to micro heat exchangers, and serves as a simple assessment for characterization. Experimental investigations with micro heat exchanger structures were performed to evaluate the assessment method and its importance. The heat transfer enhancement was experimentally investigated with microstructured pin fin geometries to understand the impact on pressure loss behaviour with air.

Defining Preterm Birth and Stillbirth in the Western Pacific: A Systematic Review

2021 ◽  
pp. 101053952110260
Author(s):  
Mairead Connolly ◽  
Laura Phung ◽  
Elise Farrington ◽  
Michelle J. L. Scoullar ◽  
Alyce N. Wilson ◽  
...  
Keyword(s):  
Preterm Birth ◽  
National Level ◽  
Health Indicators ◽  
Western Pacific ◽  
World Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
Definition Of ◽  
Health Organization ◽  
The Impact

Preterm birth and stillbirth are important global perinatal health indicators. Definitions of these indicators can differ between countries, affecting comparability of preterm birth and stillbirth rates across countries. This study aimed to document national-level adherence to World Health Organization (WHO) definitions of preterm birth and stillbirth in the WHO Western Pacific region. A systematic search of government health websites and 4 electronic databases was conducted. Any official report or published study describing the national definition of preterm birth or stillbirth published between 2000 and 2020 was eligible for inclusion. A total of 58 data sources from 21 countries were identified. There was considerable variation in how preterm birth and stillbirth was defined across the region. The most frequently used lower gestational age threshold for viability of preterm birth was 28 weeks gestation (range 20-28 weeks), and stillbirth was most frequently classified from 20 weeks gestation (range 12-28 weeks). High-income countries more frequently used earlier gestational ages for preterm birth and stillbirth compared with low- to middle-income countries. The findings highlight the importance of clear, standardized, internationally comparable definitions for perinatal indicators. Further research is needed to determine the impact on regional preterm birth and stillbirth rates.

scholarly journals SEM-PLS Approach to Green Building

Encyclopedia ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 472-481
Author(s):  
Nasim Aghili ◽  
Mehdi Amirkhani
Keyword(s):  
Structural Equation ◽  
Green Building ◽  
Well Being ◽  
The United States ◽  
Assessment Method ◽  
Assessment System ◽  
Renewable Materials ◽  
Sustainable Building ◽  
Building Operation ◽  
The Impact

Green buildings refer to buildings that decrease adverse environmental effects and maintain natural resources. They can diminish energy consumption, greenhouse gas emissions, the usage of non-renewable materials, water consumption, and waste generation while improving occupants’ health and well-being. As such, several rating tools and benchmarks have been developed worldwide to assess green building performance (GBP), including the Building Research Establishment Environmental Assessment Method (BREEAM) in the United Kingdom, German Sustainable Building Council (DGNB), Leadership in Energy and Environmental Design (LEED) in the United States and Canada, Comprehensive Assessment System for Built Environment Efficiency (CASBEE) in Japan, Green Star in Australia, Green Mark in Singapore, and Green Building Index in Malaysia. Energy management (EM) during building operation could also improve GBP. One of the best approaches to evaluating the impact of EM on GBP is by using structural equation modelling (SEM). SEM is a commanding statistical method to model testing. One of the most used SEM variance-based approaches is partial least squares (PLS), which can be implemented in the SmartPLS application. PLS-SEM uses path coefficients to determine the strength and significance of the hypothesised relationships between the latent constructs.

scholarly journals A Conceptual Framework Integrating “Building Back Better” and Post-Earthquake Needs for Recovery and Reconstruction

2021 ◽  
Vol 13 (10) ◽  
pp. 5608
Author(s):  
Manjiang Shi ◽  
Qi Cao ◽  
Baisong Ran ◽  
Lanyan Wei
Keyword(s):  
Disaster Recovery ◽  
Social Process ◽  
Principal Component ◽  
Assessment Method ◽  
International Consensus ◽  
Long Term Stability ◽  
The People ◽  
Policy Guidance ◽  
The Impact ◽  
Post Disaster

Global disasters due to earthquakes have become more frequent and intense. Consequently, post-disaster recovery and reconstruction has become the new normal in the social process. Through post-disaster reconstruction, risks can be effectively reduced, resilience can be improved, and long-term stability can be achieved. However, there is a gap between the impact of post-earthquake reconstruction and the needs of the people in the disaster area. Based on the international consensus of “building back better” (BBB) and a post-disaster needs assessment method, this paper proposes a new (N-BBB) conceptual model to empirically analyze recovery after the Changning Ms 6.0 earthquake in Sichuan Province, China. The reliability of the model was verified through factor analysis. The main observations were as follows. People’s needs focus on short-term life and production recovery during post-earthquake recovery and reconstruction. Because of disparities in families, occupations, and communities, differences are observed in the reconstruction time sequence and communities. Through principal component analysis, we found that the N-BBB model constructed in this study could provide strong policy guidance in post-disaster recovery and reconstruction after the Changning Ms 6.0 earthquake, effectively coordinate the “top-down” and “bottom-up” models, and meet the diversified needs of such recovery and reconstruction.

Epidemiological surveillance and performance assessment: the two roles of health indicators during the COVID-19 pandemic

2021 ◽  
Vol 17 (2) ◽  
pp. 186-203
Author(s):  
Nathan Genicot
Keyword(s):  
Public Health ◽  
Performance Assessment ◽  
Health Indicators ◽  
Health Policies ◽  
Epidemiological Surveillance ◽  
Public Health Policies ◽  
History Of ◽  
And Performance ◽  
The One ◽  
Massive Development

AbstractThe COVID-19 pandemic has given rise to the massive development and use of health indicators. Drawing on the history of international public health and of the management of infectious disease, this paper attempts to show that the normative power acquired by metrics during the pandemic can be understood in light of two rationales: epidemiological surveillance and performance assessment. On the one hand, indicators are established to evaluate and rank countries’ responses to the outbreak; on the other, the evolution of indicators has a direct influence on the content of public health policies. Although quantitative data are an absolute necessity for coping with such disasters, it is critical to bear in mind the inherent partiality and precarity of the information provided by health indicators. Given the growing importance of normative quantitative devices during the pandemic, and assuming that their influence is unlikely to decrease in the future, they call for close scrutiny.

scholarly journals Childlessness, Individual Socioeconomic Resources, and Health: Exploring Variation in 20 Countries

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 515-516
Author(s):  
Nekehia Quashie ◽  
Christine Mair ◽  
Radoslaw Antczak ◽  
Bruno Arpino
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Health Indicators ◽  
Data Repository ◽  
Middle Income ◽  
Individual Level ◽  
Socioeconomic Resources ◽  
Middle Income Countries ◽  
Using Data ◽  
The Impact

Abstract Childless older adults may be at risk for poorer health cross-nationally, yet most studies on this topic analyze only a small number of countries and only 1 or 2 health outcomes. To our knowledge, two papers exist that explore associations between childlessness and multiple indicators of health using data from a large number of regionally diverse countries (e.g., 20 countries from North America, Asia, and Europe), but neither study includes an examination of socioeconomic resources. The level of health risk faced by childless older adults is likely to be distinctly shaped by older adults’ socioeconomic resources (e.g., education, income, wealth). Associations between childlessness, socioeconomic resources, and health may also differ by country context. Using harmonized, cross-national data for adults aged 50 and older across 20 high- and middle-income countries (United States (HRS), European Union (SHARE), Mexico (MHAS), and China (CHARLS) from the Gateway to Global Aging data repository), we explore if and how individual-level socioeconomic resources (income, education, wealth) moderate associations between childlessness and five health indicators (self-rated health, ADL limitations, IADL limitations, chronic conditions, and depression). Results suggest that associations between childlessness and health outcomes vary by individual socioeconomic resources in some country contexts, but not in others. We discuss these findings in light of the impact of individual-level socioeconomic resources on older adults’ support options and health outcomes cross-nationally.

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