The Integration of Systems Dynamics and Balanced Scorecards in Strategic Healthcare Policy Simulation Analysis

2010 ◽  
Vol 2 (2) ◽  
pp. 10-34 ◽  
Author(s):  
Mahendran Maliapen ◽  
Alan Gillies
Keyword(s):  
Balanced Scorecard ◽  
Performance Metrics ◽  
Simulation Analysis ◽  
Clinical Performance ◽  
Simulation Models ◽  
Hospital Performance ◽  
Complex Model ◽  
Policy Experimentation ◽  
Balanced Scorecards ◽  
The Impact

This paper uses simulation modelling techniques and presents summarized model outputs using the balanced scorecard approach. The simulation models have been formulated with the use of empirical health, clinical and financial data extracted from clinical data warehouses of a healthcare group. By emphasising the impact of strategic financial and clinical performance measures on healthcare institutions, it is argued that hospitals, in particular, need to re-focus cost-cutting efforts in areas that do not impact clinicians, patient satisfaction or quality of care. The authors have added a real time component to business activity monitoring with the executive dashboards shown as graphs in this paper. This study demonstrates that it is possible to understand health policy interactions and improve hospital performance metrics through evaluation using balanced scorecards and normalized output data. Evidence from this research shows that the hospital executives involved were enthusiastic about the visual interactive interface that provides the transparency needed to isolate policy experimentation from complex model structures that map strategic behaviour.

The Integration of Systems Dynamics and Balanced Scorecards in Strategic Healthcare Policy Simulation Analysis

2011 ◽  
pp. 508-531
Author(s):  
Mahendran Maliapen ◽  
Alan Gillies
Keyword(s):  
Balanced Scorecard ◽  
Performance Metrics ◽  
Simulation Analysis ◽  
Clinical Performance ◽  
Hospital Performance ◽  
Complex Model ◽  
The Balanced Scorecard ◽  
Policy Experimentation ◽  
Balanced Scorecards ◽  
Improve Hospital

This paper uses simulation modelling techniques and presents summarized model outputs using the balanced scorecard approach. The simulation models have been formulated with the use of empirical health, clinical and financial data extracted from clinical data warehouses of a healthcare group. By emphasising the impact of strategic financial and clinical performance measures on healthcare institutions, it is argued that hospitals, in particular, need to re-focus cost-cutting efforts in areas that do not impact clinicians, patient satisfaction or quality of care. The authors have added a real time component to business activity monitoring with the executive dashboards shown as graphs in this paper. This study demonstrates that it is possible to understand health policy interactions and improve hospital performance metrics through evaluation using balanced scorecards and normalized output data. Evidence from this research shows that the hospital executives involved were enthusiastic about the visual interactive interface that provides the transparency needed to isolate policy experimentation from complex model structures that map strategic behaviour.

scholarly journals On the Performance of the Current MANET Routing Protocols for VoIP, HTTP, and FTP Applications

2014 ◽  
Vol 2014 ◽  
pp. 1-16 ◽  
Author(s):  
Waheb A. Jabbar ◽  
Mahamod Ismail ◽  
Rosdiadee Nordin
Keyword(s):  
Routing Protocols ◽  
Performance Metrics ◽  
Smart Cities ◽  
Network Connectivity ◽  
Simulation Models ◽  
Smart Devices ◽  
Mobile Environment ◽  
Multihop Wireless ◽  
Manet Routing ◽  
The Impact

The recent advances of ensemble mobile environment of smart devices with embedded sensors have enabled the MANET to play a key role in the smart cities as well as WSN and WMN. However, these smart devices are still limited in terms of energy, processor, and memory. Moreover, the efficient routing for reliable network connectivity at anytime, anywhere, and about everything is still a challenge in multihop wireless networks. This paper evaluates the QoS and energy efficiency of three active routing protocols: (i) OLSRv2, a successor to OLSR, (ii) DYMO, a successor to both DSR and AODV, and (iii) MP-OLSR multipath extension to OLSRv2. In contrast to the related previous works which focused only on CBR traffic without considering the influence of specific traffic types on the performance of routing protocols, this work focused on this area from a different perspective. It evaluates the performance of three internet-based traffic types that can be used in the smart city applications: VoIP, HTTP, and FTP using different simulation models. The impact of the network density, load traffic, and nodes mobility on the considered protocols was evaluated by considering particular performance metrics for each traffic application. Based on the results, the study concludes by presenting useful recommendations for future work.

Handling and Primary Ride Comfort Development in Early Design Stage by Means of 1D Modeling Approach and Multi Attribute Optimization Process

2011 ◽  
Author(s):  
Stefano Alneri ◽  
Paolo di Carlo ◽  
Alessandro Toso ◽  
Stijn Donders
Keyword(s):  
Performance Metrics ◽  
Ride Comfort ◽  
Experimental Tests ◽  
Complex Model ◽  
Design Stage ◽  
Time Saving ◽  
Vehicle Performance ◽  
Early Design Stage ◽  
Automotive Market ◽  
The Impact

Today the automotive market is ever more competitive and vehicles must satisfy the requirements of the customers in all respects: handling, comfort, acoustics, fuel economy, etc. Therefore OEMs have to launch innovative products in a short development timeline: the time to market (TTM) of new vehicles has continually decreased and nowadays the developing process of a new car is completed in less years than in the past. This scenario emphasizes the role of CAE in the vehicle design engineering design and the necessity of exploiting its potentialities, in order to shorten the TTM and to reduce the impact of experimental tests on it. In this context a step-by-step approach with multi-physics 1D environment such as LMS Imagine. Lab AMESim is proposed in order to monitor vehicle performances in all the design stages, thanks to the employment of models with increasing complexity. In addition the ultimate step can be employed for performing a multi attribute optimization on vehicle performance metrics in order to find the best attributes balancing and to pass the preliminary recommendations to the design with a considerable time-saving respect to 3D MBS models. This paper briefly describes the process for building 1D models with LMS Imagine.Lab AMESim and moreover it shows the definition of a multi attribute optimization algorithm in terms of handling performances with the most complex model.

Analyzing the Impact of Governance of Enterprise IT on Hospital Performance

2017 ◽  
Vol 12 (3) ◽  
pp. 1-20 ◽  
Author(s):  
Ali Otarkhani ◽  
Sajad Shokouhyar ◽  
Sajad Salehi Pour
Keyword(s):  
Balanced Scorecard ◽  
Positive Impact ◽  
It Governance ◽  
Health Information Systems ◽  
Hospital Performance ◽  
Technology Governance ◽  
Information Technology Governance ◽  
It Managers ◽  
The Impact ◽  
The Relationship

A gap exists in the extant literature on linking information technology governance vis-à-vis hospital performance. Specifically, this work offers insights to fill this gap by adopting the COBIT 5 framework and ISO 38500 standards in examining the relationship between IT governance principles and balanced scorecard (BSC) dimensions of hospital performance. The proposed study investigated the influence of IT governance on Tehran's hospitals' performance. Data were gathered and analyzed from fifty-three (53) questionnaires administered to Health Information Systems (HIS) professionals and IT managers. Results showed that all IT governance dimensions have a positive correlation with hospital performance and IT governance has a significant positive impact on Tehran's hospitals' performance.

scholarly journals Experimental and Simulation Analysis for the Impact of a Two-Link Chain with Granular Matter

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Eliza A. Banu ◽  
Dan B. Marghitu
Keyword(s):  
Initial Velocity ◽  
Simulation Analysis ◽  
Granular Matter ◽  
Stopping Time ◽  
Kinematic Chain ◽  
Simulation Models ◽  
Resistance Force ◽  
Linear Superposition ◽  
End Point ◽  
The Impact

The resistance force of the granular matter is modeled as a linear superposition of a static (quadratic depth-dependent) resistance force and a dynamic (quadratic velocity-dependent) frictional force. The impact is defined from the moment the end point of the system comes in contact with the granular matter surface until the vertical linear velocity of the end point is zero. The variables of interest are the final depth at the end of the penetration phase and the stopping time. The results for a two-link kinematic chain with two points of contact were compared to the results obtained by applying the resistance force formulation developed to corresponding CAD simulation models. The results revealed that the final displacement increases with initial velocity, while the stopping time decreases. The sensitivity to the initial velocity was studied and an improvement to the resistance force formulated as a result. A series of expressions are proposed for the resistance force coefficients.

scholarly journals Developing a Sustainable Performance Measurement Framework for the Hospitality Industry: An Empirical Study with Implications for the COVID-19 Pandemic

2020 ◽  
Author(s):  
Tahniyath Fatima ◽  
Saïd Elbanna
Keyword(s):  
Performance Management ◽  
Balanced Scorecard ◽  
Hospitality Industry ◽  
Performance Metrics ◽  
Health And Safety ◽  
Well Being ◽  
Tourism Industry ◽  
Measurement Framework ◽  
Sustainability Balanced Scorecard ◽  
The Impact

Performance management research in the hospitality industry remains stagnant despite prevalence of multi-dimensional performance metrics. This study, thus, contributes to the hospitality industry and sustainability literature through developing a semi-hierarchical sustainability balanced scorecard scale considering the COVID-19 impact on the hospitality industry. As the Indian travel and tourism industry ranks in the bottom 20%-40% on health and hygiene and environment sustainability, this research study’s setting, India, holds particular importance. Upon analyzing 200 questionnaires and five in-depth interviews from 4- and 5- star hotels in India through three-stage multi-method design of scale development, we proposed a scale of 21 indicators factored into six perspectives. A post hoc analysis added a new health and safety perspective to consider the impact of COVID-19 pandemic on the hospitality industry and its endeavor to explore a road to recovery by stressing employee and tourist health and well-being. Implications from the study findings are also discussed

scholarly journals Simulasi Perubahan Energi Per Bit Dan Derau Terhadap Jumlah Kanal Dan Cakupan WCDMA

2010 ◽  
Vol 2 (2) ◽  
pp. 47
Author(s):  
Alfin Hikmaturokhman ◽  
Hesti Susilawati ◽  
Tantiningrum Niken
Keyword(s):  
No Value ◽  
Simulation Analysis ◽  
Signal To Noise Ratio ◽  
Mobile Station ◽  
Simulation Models ◽  
Signal Strength ◽  
Bit Rate ◽  
Digital Communication System ◽  
Low Sensitivity ◽  
The Impact

Eb/No parameter is the measure of signal to noise ratio for a digital communication system, it is measured at the input to the receiver and is used as the basic measure of how strong the signal is, or in other words Eb/No indicates the fluctuation of received signal strength in the receiver. Eb/No is affected by several factors, such as speed of mobile station, propagation environment and bit rate. The variations of Eb/No value will affect to the number of offered channel and coverage in WCDMA. The impact of the variation of Eb/No value could be recognized in the result of the calculations. The purpose of this research is to build simulation models by using Delphi to view and analyze the influence of Eb/No of total channels and WCDMA coverage. The results from simulation analysis showed that the larger of Eb/No and bit rate used, the number of channels on offer will be smaller and the value of BS is low sensitivity, which means loads of traffic will also offer little that would cause the quality to be better systems and transmit power MS becomes more lower in order to maintain the value of Eb/No to avoid the drop call.  

Computer simulation study about the dependence of amorphous silicon photonic waveguides efficiency on the material quality

2020 ◽  
Vol 90 (3) ◽  
pp. 30502
Author(s):  
Alessandro Fantoni ◽  
João Costa ◽  
Paulo Lourenço ◽  
Manuela Vieira
Keyword(s):  
Amorphous Silicon ◽  
High Throughput Screening ◽  
Simulation Analysis ◽  
Low Cost ◽  
Deposition Process ◽  
Large Area ◽  
Sidewall Roughness ◽  
Sensing Applications ◽  
Fabrication Defects ◽  
The Impact

Amorphous silicon PECVD photonic integrated devices are promising candidates for low cost sensing applications. This manuscript reports a simulation analysis about the impact on the overall efficiency caused by the lithography imperfections in the deposition process. The tolerance to the fabrication defects of a photonic sensor based on surface plasmonic resonance is analysed. The simulations are performed with FDTD and BPM algorithms. The device is a plasmonic interferometer composed by an a-Si:H waveguide covered by a thin gold layer. The sensing analysis is performed by equally splitting the input light into two arms, allowing the sensor to be calibrated by its reference arm. Two different 1 × 2 power splitter configurations are presented: a directional coupler and a multimode interference splitter. The waveguide sidewall roughness is considered as the major negative effect caused by deposition imperfections. The simulation results show that plasmonic effects can be excited in the interferometric waveguide structure, allowing a sensing device with enough sensitivity to support the functioning of a bio sensor for high throughput screening. In addition, the good tolerance to the waveguide wall roughness, points out the PECVD deposition technique as reliable method for the overall sensor system to be produced in a low-cost system. The large area deposition of photonics structures, allowed by the PECVD method, can be explored to design a multiplexed system for analysis of multiple biomarkers to further increase the tolerance to fabrication defects.

Balanced Scorecard in the strategic planning of a construction company

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Roberth Frias ◽  
Maria Medina
Keyword(s):  
Strategic Planning ◽  
Strategic Management ◽  
Balanced Scorecard ◽  
Organization Theory ◽  
Management Control ◽  
Management Tool ◽  
The Balanced Scorecard ◽  
Construction Company ◽  
Construction Companies ◽  
The Impact

This research focused on the strategic management tool Balanced Scorecard and strategic planning, as a guide to guide the management of companies, allowing communication and the functionality of the strategy using KPIs that allow to identify, maintain control and increase efficiency and the achievement of optimal results. For the deductive hypothetical analysis, the specific factors that affect business management performance were grouped into two variables: Balanced Scorecard and Strategic Planning. The objective of the work was to demonstrate the impact of the Balanced Scorecard in the strategic planning of a construction company. In order to support the research, the following theories were approached: the Financial Theory, the Economic Theory of the Company, the Transaction Costs, the Network Theory, the Organization Theory, the Dependence on Resources, the Strategic Management Theory and the Business Diagnosis Theory. The result obtained confirms the hypothesis that there is a significant incidence of the Balanced Scorecard in the strategic planning of construction companies. In conclusion, the construction company has obtained significant improvements in the results in each of the indicators evaluated with the implementation of the Balanced Scorecard, demonstrating improvements in their management results, affirming that there is better performance and management control allowing them to achieve the organizational objectives set.

scholarly journals Micro-mechanical investigation of railway ballast behavior under cyclic loading in a box test using DEM: effects of elastic layers and ballast types

2019 ◽  
Vol 21 (4) ◽  
Author(s):  
Nishant Kumar ◽  
Bettina Suhr ◽  
Stefan Marschnig ◽  
Peter Dietmaier ◽  
Christof Marte ◽  
...  
Keyword(s):  
Cyclic Loading ◽  
Early Stage ◽  
Damage Model ◽  
Simulation Models ◽  
Railway Track ◽  
Maintenance Cost ◽  
Particle Movement ◽  
Railway Ballast ◽  
Elastic Layers ◽  
The Impact

Abstract Ballasted tracks are the commonly used railway track systems with constant demands for reducing maintenance cost and improved performance. Elastic layers are increasingly used for improving ballasted tracks. In order to better understand the effects of elastic layers, physical understanding at the ballast particle level is crucial. Here, discrete element method (DEM) is used to investigate the effects of elastic layers – under sleeper pad ($$\text {USP}$$USP) at the sleeper/ballast interface and under ballast mat ($$\text {UBM}$$UBM) at the ballast/bottom interface – on micro-mechanical behavior of railway ballast. In the DEM model, the Conical Damage Model (CDM) is used for contact modelling. This model was calibrated in Suhr et al. (Granul Matter 20(4):70, 2018) for the simulation of two different types of ballast. The CDM model accounts for particle edge breakage, which is an important phenomenon especially at the early stage of a tamping cycle, and thus essential, when investigating the impact of elastic layers in the ballast bed. DEM results confirm that during cyclic loading, $$\text {USP}$$USP reduces the edge breakage at the sleeper/ballast interface. On the other hand, $$\text {UBM}$$UBM shows higher particle movement throughout the ballast bed. Both the edge breakage and particle movement in the ballast bed are found to influence the sleeper settlement. Micro-mechanical investigations show that the force chain in deeper regions of the ballast bed is less affected by $$\text {USP}$$USP for the two types of ballast. Conversely, dense lateral forces near to the box bottom were seen with $$\text {UBM}$$UBM. The findings are in good (qualitative) agreement with the experimental observations. Thus, DEM simulations can aid to better understand the micro-macro phenomena for railway ballast. This can help to improve the track components and track design based on simulation models taking into account the physical behavior of ballast. Graphical Abstract

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