EVALUASI SISTEM MANAJEMEN PADA PELAKSANAAN PROYEK PEMBANGUNAN SARANAN DAN PRASARANA TEMPAT PELELANGAN IKAN (TPI) DI TUBAN JAWA TIMUR

Pada penelitian ini, evaluasi sistem manajemen pada proyek yang diteliti terdiri dari evaluasi kinerja biaya, evaluasi kinerja jadwal dan evaluasi penerapan mutu pada pelaksanaan proyek. Evaluasi kinerja biaya dan jadwal proyek menggunakan metode konsep nilai hasil (earned value) dan evaluasi penerapan mutu pada pelaksanaan proyek berdasarkan penilaian fisik konstruksi terhadap spesifikasi teknis yang dipersyaratkan. Penggunaan metode nilai hasil untuk mengetahui kinerja biaya dan jadwal proyek dilakukan dengan analisa variabel-variabel BCWS (Budgeted Cost for Work Schedule), ACWP (Actual Cost for Work Performed) dan BCWP (Budgeted Cost for Work Performed), kemudian digambarkan pada kurva S dengan tampilan informasi sumbu X menunjukkan durasi proyek dan sumbu Y menyatakan biaya proyek. Kurva S sangat bermanfaat untuk dipakai karena dapat dengan jelas menunjukkan kemajuan proyek dalam bentuk yang mudah dipahami, apakah terjadi pembengkakan atau penghematan anggaran proyek dan apakah terjadi kelambatan atau percepatan dalam jadwal proyek. Berdasarkan evaluasi kinerja biaya proyek, dapat diketahui terjadi pembengkakan biaya aktual proyek terhadap anggaran sebesar Rp. 12.070.959 atau pemborosan biaya sebesar 2.5% dari total anggaran biaya proyek. Kondisi terjadinya pemborosan anggaran dinamakan cost overrun, hal ini mengindikasikan bahwa pengendalain biaya dalam pelaksanaan proyek yang diteliti masih belum optimal. Berdasarkan atas evaluasi kinerja jadwal proyek, dapat diketahui ada beberapa minggu yang mengalami keterlambatan dan adapula beberapa minggu yang mengalami percepatan. Namun begitu pada masa mendekati batas akhir jadwal proyek, pelaksanaan proyek dapat dicapai tepat jadwal sesuai dengan yang direncanakan. Kondisi tercapainya jadwal pelaksanaan proyek sesuai dengan jadwal yang direncanakan (tepat jadwal) disebut on schedule, hal ini mengindikasikan bahwa dalam pelaksanaan jadwal proyek yang diteliti dapat dikendalikan secara optimal dan tepat sasaran. Adapun untuk evaluasi penerapan mutu, didapatkan bahwa berdasarkan atas penilain fisik konstruksi terhadap spesifikasi teknis yang dipersyaratkan memenuhi persyaratan mutu (persyaratan mutu terpenuhi). Kata kunci: kinerja, nilai hasil, pemborosan, tepat jadwal dan spesifikasi.

Comparative Analysis of Actual Cost and INA CBG Rate in Diabetic Gangrene Inpatients

Background: Diabetic gangrene is a complication of diabetes mellitus that imposes a substantial financial burden on patients and their families as well as the health care system. Objective: To determine the total cost of disease, and the difference between real cost and INA CBG rate for diabetic gangrene inpatients from January - December 2017 at Universitas Airlangga Hospital, Surabaya Methods: The study was conducted retrospectively by using a total sampling method. The perspective used was the hospital perspective. This study's direct medical costs were laboratory, drug and consumable medical device costs, medical equipment rental, radiology examination, red cross, oxygen, service, and room costs. Data analysis was performed using an independent samples t-test. Results: The results showed that 148 patients met the inclusion criteria. The total real cost of diabetic gangrene inpatients at Universitas Airlangga Hospital in 2017 was IDR 1,339,949,381, and the total INA CBG rate for inpatients with diabetic gangrene was IDR 1,365,047,500. The difference was (p = 0.000) between real cost and INA CBG rate. Conclusion: There is a difference between the actual cost and the INA CBG rate for diabetic gangrene inpatients.

FSBU 5/2019 «Spares»: Shaping to Information on Expenses on Production of the Product, Work, Services

Th e article analyzes the composition of costs, which in accordance with FSBU 5/2019 «Inventories» are included and not included in the actual cost of products (works, services), disclosed the rules for their refl ection in accounting.

The comparison of the actual cost to case-mix of type 2 diabetes mellitus inpatient in Pandan Arang Boyolali hospital

Aim: The objective of this study was to determine the conformity of diabetes mellitus (DM) actual cost with the rate of Indonesia Case-Based Groups (INA-CBGs) among Universal Health Coverage (Jaminan Kesehatan Nasional - JKN) and non-JKN patients diagnosed with DM. Methods: This retrospective cross-sectional study was observational and analytic. It recruited DM inpatients with or without JKN. The data were analysed to identify the total actual cost of DM management among inpatients. Results: The results showed that the average cost for treating inpatient with diabetes mellitus at classes 1, 2, and 3 was IDR 2,677,003±906,406, IDR 2,881,023±851,483, and IDR 2,323,768±802,828, respectively. A positive difference of 378,509,126 was found between the actual cost and the INA-CBGs rate in 101 patients. There was a discrepancy between the real cost and the INA-CBGs rate for all treatment classes and the treatment levels. Factors influencing the real cost of treatment for DM were the length of stay and the severity level.

Analysis of Overweight Truck Permit Policy in New Jersey

The roadway infrastructure constantly deteriorates because of environmental conditions, but other factors such as exposure to heavy trucks exacerbates the rate of deterioration. Therefore, decision-makers are constantly searching for ways to optimize allocation of the limited funds for repair, maintenance, and rehabilitation of New Jersey’s infrastructure. New Jersey legislation requires operators of overweight (OW) trucks to obtain a permit to use the infrastructure. The New Jersey Department of Transportation (NJDOT) issues a variety of permits based on the types of goods carried. These permits allow OW trucks to use the infrastructure either for a single trip or for multiple trips. Therefore, one major concern is whether the permit revenue of the agency can recoup the actual cost of damage to the infrastructure caused by these OW trucks. This study investigates whether NJDOT’s current permit fee program can collect enough revenue to meet the actual cost of damage to the infrastructure caused by these heavy-weight permit trucks. The infrastructure damage is estimated by using pavement and bridge deterioration models and New Jersey permit data from 2013 to 2018 containing vehicle configuration and vehicle route. The analysis indicates that although the cost of infrastructure damage can be recovered for certain permit types, there is room for improvement in the permit program. Moreover, based on permit rules in other states, the overall rank of the New Jersey permit program is evaluated and possible revisions are recommended for future permit policies.

Vegetable Price Prediction using ARIMA

Agriculture is the major occupation of India. The farmers who are the backbone of the country are suffering in utter poverty. This is because they are unaware of the facts that happen in the market. Thereby, they sell their crops at a price much lower than the actual cost. Analyzing data over a time period regularly will lead to various insights and conclusions. These insights can pave way to understand the prices better. Hence, this system suggests ARIMA approach to develop a forecast model and predict, by considering the seasonality in prices over a period of time.

Cost-efficiency assessments of marine monitoring methods lack rigor—a systematic mapping of literature and an end-user view on optimal cost-efficiency analysis

Global deterioration of marine ecosystems, together with increasing pressure to use them, has created a demand for new, more efficient and cost-efficient monitoring tools that enable assessing changes in the status of marine ecosystems. However, demonstrating the cost-efficiency of a monitoring method is not straightforward as there are no generally applicable guidelines. Our study provides a systematic literature mapping of methods and criteria that have been proposed or used since the year 2000 to evaluate the cost-efficiency of marine monitoring methods. We aimed to investigate these methods but discovered that examples of actual cost-efficiency assessments in literature were rare, contradicting the prevalent use of the term “cost-efficiency.” We identified five different ways to compare the cost-efficiency of a marine monitoring method: (1) the cost–benefit ratio, (2) comparative studies based on an experiment, (3) comparative studies based on a literature review, (4) comparisons with other methods based on literature, and (5) subjective comparisons with other methods based on experience or intuition. Because of the observed high frequency of insufficient cost–benefit assessments, we strongly advise that more attention is paid to the coverage of both cost and efficiency parameters when evaluating the actual cost-efficiency of novel methods. Our results emphasize the need to improve the reliability and comparability of cost-efficiency assessments. We provide guidelines for future initiatives to develop a cost-efficiency assessment framework and suggestions for more unified cost-efficiency criteria.

Impact of machine learning-directed on-treatment evaluations on cost of acute care visits: Economic analysis of SHIELD-RT.

1509 Background: SHIELD-RT was a randomized controlled quality improvement study (NCT03775265) that implemented electronic health record-based machine learning (ML) to direct supplemental visits for high risk (HR) patients undergoing radiotherapy (RT). Acute care visits (ER visits or hospitalizations) were reduced from 22% to 12%. We evaluated the costs associated with acute visits in this study. Methods: Patients who initiated RT between 1/7/19 and 6/30/19 at a single institution were evaluated by a ML algorithm to identify HR courses (>10% risk of acute visit during RT). HR patients were randomized to standard weekly (S) or intervention of twice weekly (TW) evaluation during RT. Cost data associated with acute visits were obtained and compared between patients who underwent S or TW evaluations. Missing cost data were imputed using disease related groups (DRGs). Mean costs (standard deviation) were compared between arms with non-parametric Wilcoxon Rank Sum tests. Results: 311 HR courses were identified and randomized to either S (n=157) or TW (n=154) evaluations during RT. 85 patients (S: 51; TW: 34) had 121 distinct acute care visits (S: 74; TW: 47). Patients in the TW evaluation arm had fewer hospitalizations (29 vs 41) and ER visits (18 vs 33) than those in the S arm. There were fewer acute visits per patient in the TW arm (0.34) compared to S arm (0.49). Actual cost data was available for 102 visits at our institution, and imputed for 19 outside hospital visits. Mean cost associated with acute visits was lower in the TW arm ($1939, SD $5912) compared with the S arm ($4002, SD $11568; p=0.03). Differences in mean cost between arms are presented in the table. Conclusions: ML-directed evaluations for HR patients undergoing RT resulted in decreased costs of ER visits and hospitalizations. Costs were decreased across revenue centers, with the largest difference related to inpatient room costs. Future analyses will incorporate intervention costs, which are currently bundled with RT reimbursement.[Table: see text]

Outsourcing of Human Resources: The Case of Small- and Medium-Sized Enterprises

The outsourcing of human resources has increased in recent years. As in other fields of management research, limited knowledge is available on outsourcing in small- and medium-sized enterprises (SMEs). The aim of this paper is to present a study on the outsourcing of human resources in Icelandic service SMEs in the period 2009–2018. Surveys were used to gather information on outsourcing, with the participation of 802 firms. The results show that three out of four firms have outsourced some activities, while only 21% have formulated a formal strategy for outsourcing. The main motives for outsourcing are accessing expertise and simplifying operations. Cost reduction comes in third place. SMEs tend to outsource human resources on a very limited scale, while 50% of firms outsource information technology and 39% outsource security services. Larger firms outsource human resources on a larger scale than smaller firms. Managers in companies that outsource human resources are more satisfied with many aspects of outsourcing compared to those managers who do not outsource those resources. Firms that outsource human resources also realise more actual cost reduction. Outsourcing in SMEs has little impact on employment, as 3% of firms lay off staff and 6% transfer staff to vendors. Larger firms and firms that outsource human resources are more likely to change their staff’s employment status after outsourcing.