scholarly journals Decision Making Surrounding IT Outsourcing within Ontario Hospitals

2021 ◽  
Author(s):  
Kyle Stewart
Keyword(s):  
Decision Model ◽  
Critical Role ◽  
It Outsourcing ◽  
Decision Factors ◽  
Knowledge Based ◽  
It Systems ◽  
Starting Point ◽  
Hospital Executives ◽  
Outsourcing Decision ◽  
Canadian Healthcare

With the increases to healthcare expenditures and with technology playing a more critical role in hospitals, IT outsourcing has become an important topic for hospital executives. There has been a lack of research in Canadian healthcare on IT outsourcing within hospitals. This research explores the several factors associated with hospital CIOs and Managers in outsourcing their IT systems. Additionally, this research looks to identify the benefits, risks and alternatives to IT outsourcing within Canada, specifically within the province of Ontario. While transaction, agency and knowledge-based theories are discussed, they are not tested. They provide more of a guide and confirmation of these decision factors. Hospital CIOs and Managers were interviewed and recorded to determine the decision factors. Lacity et al (2010) IT Outsourcing decision model was used as a starting point for the decision factors and a Canadian model was developed from an adaption of Lacity et al work. This research provides a starting point for IT outsourcing research within the Ontario hospital sector.

scholarly journals Decision Making Surrounding IT Outsourcing within Ontario Hospitals

2021 ◽  
Author(s):  
Kyle Stewart
Keyword(s):  
Decision Model ◽  
Critical Role ◽  
It Outsourcing ◽  
Decision Factors ◽  
Knowledge Based ◽  
It Systems ◽  
Starting Point ◽  
Hospital Executives ◽  
Outsourcing Decision ◽  
Canadian Healthcare

With the increases to healthcare expenditures and with technology playing a more critical role in hospitals, IT outsourcing has become an important topic for hospital executives. There has been a lack of research in Canadian healthcare on IT outsourcing within hospitals. This research explores the several factors associated with hospital CIOs and Managers in outsourcing their IT systems. Additionally, this research looks to identify the benefits, risks and alternatives to IT outsourcing within Canada, specifically within the province of Ontario. While transaction, agency and knowledge-based theories are discussed, they are not tested. They provide more of a guide and confirmation of these decision factors. Hospital CIOs and Managers were interviewed and recorded to determine the decision factors. Lacity et al (2010) IT Outsourcing decision model was used as a starting point for the decision factors and a Canadian model was developed from an adaption of Lacity et al work. This research provides a starting point for IT outsourcing research within the Ontario hospital sector.

scholarly journals Isolated domains of recombinant human apo-metallothionein 1A are folded at neutral pH: a denaturant and heat-induced unfolding study using ESI-MS

2018 ◽  
Vol 38 (4) ◽  
Author(s):  
Gordon W. Irvine ◽  
Natalie Korkola ◽  
Martin J. Stillman
Keyword(s):  
Critical Role ◽  
Cysteine Residues ◽  
Small Molecular Weight ◽  
Esi Ms ◽  
Neutral Ph ◽  
Induced Folding ◽  
Starting Point ◽  
High Metal ◽  
High Concentrations ◽  
Product Species

Metallothioneins (MTs) are characterized by their high metal loading capacity, small molecular weight, and abundant cysteine residues. It has long been thought that metal-free, or apo-MT peptides were unstructured and only adopted as a distinct conformation upon forming the metal clusters, described as metal-induced folding. More recent studies have suggested that the presence of a globular, yet loosely defined structure actually exists that can be disrupted or unfolded. Residue modification and ion-mobility ESI (IM-ESI)-MS have been used to examine this unusual unfolding process. The structure of apo-MT plays a critical role as the starting point in the flexible metalation pathways that can accommodate numerous soft metals. ESI-MS measurements of the product species formed following the cysteine alkylation of the isolated domain fragments of recombinant human apo-MT 1A with n-ethylmaleimide (NEM) were used in the present study to monitor the denaturant- and heat-induced unfolding at physiological pH. The results indicate that these apo-MT fragments adopt distinct structures at neutral pH that react co-operatively with NEM when folded and non-cooperatively when heated or exposed to high concentrations of the denaturant guanidinium chloride (GdmCl). From these studies, we can conclude that at neutral pH, the domain fragments are folded into globular structures where some of the free cysteine residues are buried within the core and are stabilized by hydrogen bonds. Metalation therefore, must take place from the folded conformation.

scholarly journals Some Inequalities for LR-$$\left({h}_{1}, {h}_{2}\right)$$-Convex Interval-Valued Functions by Means of Pseudo Order Relation

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Muhammad Bilal Khan ◽  
Muhammad Aslam Noor ◽  
Khalida Inayat Noor ◽  
Kottakkaran Sooppy Nisar ◽  
Khadiga Ahmed Ismail ◽  
...  
Keyword(s):  
Applied Mathematics ◽  
Critical Role ◽  
Order Relation ◽  
Strong Relationship ◽  
New Class ◽  
Starting Point ◽  
Interval Valued Function ◽  
Fejér Inequality ◽  
Definition Of ◽  
Interval Valued

AbstractIn both theoretical and applied mathematics fields, integral inequalities play a critical role. Due to the behavior of the definition of convexity, both concepts convexity and integral inequality depend on each other. Therefore, the relationship between convexity and symmetry is strong. Whichever one we work on, we introduced the new class of generalized convex function is known as LR-$$\left({h}_{1}, {h}_{2}\right)$$ h 1 , h 2 -convex interval-valued function (LR-$$\left({h}_{1}, {h}_{2}\right)$$ h 1 , h 2 -IVF) by means of pseudo order relation. Then, we established its strong relationship between Hermite–Hadamard inequality (HH-inequality)) and their variant forms. Besides, we derive the Hermite–Hadamard–Fejér inequality (HH–Fejér inequality)) for LR-$$\left({h}_{1}, {h}_{2}\right)$$ h 1 , h 2 -convex interval-valued functions. Several exceptional cases are also obtained which can be viewed as its applications of this new concept of convexity. Useful examples are given that verify the validity of the theory established in this research. This paper’s concepts and techniques may be the starting point for further research in this field.

scholarly journals A Concept for Club Information Systems (CIS) - An Example for Applied Sports Informatics

2020 ◽  
Vol 19 (1) ◽  
pp. 102-122
Author(s):  
Thomas Blobel ◽  
Martin Lames
Keyword(s):  
Information Systems ◽  
Business Intelligence ◽  
Best Practice ◽  
Interdisciplinary Approach ◽  
General Concept ◽  
Sports Clubs ◽  
Sports Science ◽  
It Systems ◽  
Starting Point ◽  
Practice Models

AbstractIn professional sports clubs, the growing number of individual IT-systems increases the need for central information systems. Various solutions from different suppliers lead to a fragmented situation in sports. Therefore, a standardized and independent general concept for a club information systems (CIS) is necessary. Due to the different areas involved, an interdisciplinary approach is required, which can be provided by sports informatics. The purpose of this paper is the development of a general and sports informatics driven concept for a CIS, using methods and models of existing areas, especially business intelligence (BI). Software engineering provides general methods and models. Business intelligence addresses similar problems in industry. Therefore, existing best practice models are examined and adapted for sport. From sports science, especially training systems and information systems in sports are considered. Practical relevance is illustrated by an example of Liverpool FC. Based on these areas, the requirements for a CIS are derived, and an architectural concept with its different components is designed and explained. To better understand the practical challenges, a participatory observation was conducted during years of working in sports clubs. This paper provides a new sports informatics approach to the general design and architecture of a CIS using best practice models from BI. It illustrates the complexity of this interdisciplinary topic and the relevance of a sports informatics approach. This paper is meant as a conceptional starting point and shows the need for further work in this field.

SUSTAINABLE DESIGN IN PROJECT DELIVERY: A DISCUSSION ON CURRENT AND FUTURE TRENDS

2016 ◽  
Vol 11 (2) ◽  
pp. 39-56 ◽  
Author(s):  
Karno Widjaja
Keyword(s):  
Construction Projects ◽  
Sustainable Design ◽  
Current System ◽  
Critical Role ◽  
Project Delivery ◽  
Starting Point ◽  
New Construction ◽  
Communication And Coordination ◽  
The Individual ◽  
Sustainability Principles

INTRODUCTION Sustainability principles have become an integral part of the design and construction process for many new construction projects. The selection of the project delivery method (PDM) is extremely important in the effective execution of the project, and plays a critical role in establishing communication and coordination between the key entities: owner, architect, and contractor. The goal of this paper is to hopefully serve as a starting point for further discussion to improve on the AEC industry's current integration of sustainability principles in PDMs. The first step consists of an assessment of current project delivery systems from a sustainable design perspective. This is followed by a determination of the current limitations, and examination of the various disruptions in the industry. Various literature sources are analyzed to form a framework to discuss improvements and optimization strategies beyond the current system. Thereafter, proposed solutions are introduced at both stakeholders, as well as PDM scales. In this paper, the focus for the conducted analysis and proposed methodologies is predicated on new construction projects instead of retrofits due to the resources available. However, the principles can similarly be applied to retrofit scenarios as well, depending on the specific requirements of the individual project at play.

A Grey-DEMATEL approach for implicating e-waste management practice

2018 ◽  
Vol 8 (1) ◽  
pp. 84-99 ◽  
Author(s):  
Atul Kumar Sahu ◽  
Harendra Kumar Narang ◽  
Mridul Singh Rajput
Keyword(s):  
Mobile Phones ◽  
Decision Model ◽  
Management Practice ◽  
Working Environment ◽  
Waste Generation ◽  
Content Type ◽  
Case Research ◽  
Knowledge Based ◽  
The Government ◽  
Smart Mobile

Purpose The use of smart electronic gadgets is proportionately increased during last decades as these gadgets are crafting coziness and relief to the society by making their work easier, effective, etc. These gadgets are the need of today’s working environment for effective planning and work execution. Today, people pertaining to almost every corner of the world are addicted to smart mobile phones, and nowadays, these mobile handsets have become very essential and it is not possible to survive without using them. On the other hand, these smart mobile handsets become inefficient and obsolete over time due to which there is a need to replace the old phones by the new ones, thus creating e-waste. The purpose of this paper is to recognize the significant enablers which are responsible for replacing the existing working mobile phones with the new ones by the end consumers. Design/methodology/approach The Grey-DEMATEL (Decision-Making Trial and Evaluation Laboratory) approach is proposed by the authors to compute the decision results. The present work is supported by the structural modeling equations for supporting sustainability throughout and recognizes the most significant enablers responsible for creating e-waste by replacing the working mobile phones with the new ones. Findings The implication for reducing e-waste using a qualitative approach is presented by easy computation steps for collaborating green issues in the present work. The authors explained numerous enablers, which are responsible for handsets replacement by the consumers. The work can aid the companies as well as the government legislations to identify the significant enablers, drivers, factors, attributes, etc., in moving toward green environmental issue; the generation of e-waste by the obsolete existing working handsets due to non-identification of deficient enablers can be insignificant to the society. Research limitations/implications The implication of developed Grey-DEMATEL techniques is presented by its integration with the application field of e-waste generation by mobile handsets. The authors attempt to devise a conceptual framework linked with knowledge-based theory. The work is illustrated by the case research to understand its applicability and validity in the present scenario. Originality/value The authors attempt to propose a decision model, which will aid in identifying the most significant factorial condition responsible for replacing the existing mobile phones with the new ones by the end consumers. The proposed appraisement module can be used as an investigative tool to build and fabricate a planned environmental progress map for overall business considering environmental domain by the companies.

IMPLEMENTING FRAILTY MEASURES IN THE CANADIAN HEALTHCARE SYSTEM

2018 ◽  
pp. 1-9
Author(s):  
D.B. Rolfson ◽  
G.A. Heckman ◽  
S.M. Bagshaw ◽  
D. Robertson ◽  
J.P. Hirdes
Keyword(s):  
Case Finding ◽  
Care Providers ◽  
Front Line ◽  
Data Standards ◽  
Deficit Accumulation ◽  
Term Care ◽  
Data Repositories ◽  
Care Experience ◽  
Starting Point ◽  
Canadian Healthcare

Canadian healthcare is changing to include individuals living with frailty, but frailty must be better operationalized and better framed by sound data standards and policy. Frailty results from deficit accumulation in multiple body systems, with exaggerated vulnerability to external stressors. A growing consensus on defining frailty sets the stage for consensus on operationalization and widespread implementation in care settings. Frailty measurement is not yet integrated into daily clinical practice in Canada. Here, we will present how this integration might occur. We hope to demonstrate that implementation must appeal to inter-professional practice needs in different settings or circumstances. In some settings, methods for frailty case finding are expected to evolve as deemed to be most appropriate to the front-line users. In this “hands-off” approach, care providers, supported by emerging knowledge translation on frailty operationalization, would be informed by their setting and local practices to establish patterns of ad hoc case finding and component definition of frailty. This more nimble case finding strategy would be opportunistic, and would appeal to expert clinicians and self-directed teams who emphasize an individualized health care experience for their patients. In other settings, we can shape frailty case finding by building care algorithms around existing standardized practices and data repositories, leading to a systematic application of frailty measures and a more coordinated process of component definition and care protocols. Here, recommended instruments and data standards must be endorsed by health networks locally, provincially and nationally. The interRAI suite of assessment instruments has pan-Canadian standards in place and its pervasiveness makes it the most obvious starting point, especially in home care and long-term care. We anticipate the evolution of an integrated model informed by stakeholders and settings, where policy makers focus on system supports for frailty case finding, while front-line clinicians use case finding strategies to pinpoint and act on key frailty components.

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