value drivers
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2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Sebastian Vermeersch ◽  
Rémy P. Demeester ◽  
Nathalie Ausselet ◽  
Steven Callens ◽  
Paul De Munter ◽  
...  

Abstract Background HIV patients face considerable acute and chronic healthcare needs and battling the HIV epidemic remains of the utmost importance. By focusing on health outcomes in relation to the cost of care, value-based healthcare (VBHC) proposes a strategy to optimize quality of care and cost-efficiency. Its implementation may provide an answer to the increasing pressure to optimize spending in healthcare while improving patient outcomes. This paper describes a pragmatic value-based healthcare framework for HIV care. Methods A value-based HIV healthcare framework was developed during a series of roundtable discussions bringing together 16 clinical stakeholder representatives from the Belgian HIV reference centers and 2 VBHC specialists. Each round of discussions was focused on a central question translating a concept or idea to the next level of practical implementation: 1) how can VBHC principles be translated into value-based HIV care drivers; 2) how can these value-based HIV care divers be translated into value-based care objectives and activities; and 3) how can value-based HIV care objectives and activities be translated into value-based care indicators. Value drivers were linked to concrete objectives and activities using a logical framework approach. Finally, specific, measurable, and acceptable structure, process and outcomes indicators were defined to complement the framework. Results Our framework identifies 4 core value areas where HIV care would benefit most from improvements: Prevention, improvement of the cascade of care, providing patient-centered HIV care and sustaining a state-of-the-art HIV disease management context. These 4 core value areas were translated into 12 actionable core value objectives. For each objective, example activities were proposed. Indicators are suggested for each level of the framework (outcome indicators for value areas and objectives, process indicators for suggested activities). Conclusions This framework approach outlines how to define a patient- and public health centered value-based HIV care paradigm. It proposes how to translate core value drivers to practical objectives and activities and suggests defining indicators that can be used to track and improve the framework’s implementation in practice.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Marcelo Cajias ◽  
Anett Wins

PurposeThe paper shows with two concrete examples about how algorithms are used in active real estate management. The paper also highlights that the discussion about the adoption of new technologies is crucial for market players.Design/methodology/approach The authors review the current status quo about new technologies in real estate and provide two examples of how algorithms can be used to understand locations and the value drivers of rents.FindingsLocation, location, location is nowadays data, data, data coupled with the knowledge of how to create life out of data. Algorithm can help to understand the value drivers of rents and can also help to evaluate the attractiveness of a location.Practical implicationsReal estate management will adapt to new technologies fast. This change has the potential to disrupt exiting strategies due to the increase in efficiency, insights, transparency and location knowledge. Investment managers walking this talk will definitely benefit in future.Originality/valueThe paper makes usage of the latest machine learning technologies applied to real estate investment cases. This is a unique opportunity on bringing light on the discussion about transparency in real estate.


2021 ◽  
Vol 14 (1) ◽  
pp. 76
Author(s):  
Blair Kuys ◽  
Christoph Koch ◽  
Gianni Renda

Industrial design is intrinsically linked to manufacturing; however, what is required of industrial design to adapt to new changes brought on by Industry 4.0 in manufacturing is unknown. Current literature gives little insight into how industrial designers need to evolve to the current developments in manufacturing to remain value drivers in an Industry 4.0 paradigm. There is minimal research describing the link between industrial design, Industry 4.0 and the effect this will have on sustainability. We conducted an extensive survey of 190 respondents from 53 countries to establish the present state of industrial design practice globally and to better understand the priority sustainability is given by practicing industrial designers. Qualitative data showed a desire for improved sustainable processes; however, quantitative data contradicted this, showing “sustainability” as one of the lowest ranked areas of importance in design practice for industrial designers. While sustainability—especially in manufacturing—demands more prominent change as industrial design adapts to an Industry 4.0 manufacturing paradigm, it seems that junior industrial designers do not currently see this as a priority.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
He Huang ◽  
Ailun Liang ◽  
Shiqi Fang ◽  
Jiexuan Chen ◽  
Wenbiao Li ◽  
...  

With the development of urban-rural integration in China, the functional value of homestead bases has evolved from a single residential security value to a multiple composite values, and the property income of homestead bases has gradually become the value driver of transfer and the intrinsic demand of farm households. This paper takes Baitafan of Jinzhai County, Chongqing City, and Xiaofang Yu Village of Ji County as examples for in-depth discussion, and finds that the dominant value drivers of home base transfer mainly include three kinds: capitalization income, commercialization income, and non-farm employment income. The study concludes that it is important to give full play to the resource endowment effect and identify the dominant value of home base transfer according to local conditions to promote the standardized home base transfer and implement the rural revitalization strategy.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Apeesada Sompolgrunk ◽  
Saeed Banihashemi ◽  
Saeed Reza Mohandes

Purpose The purpose of this study is to identify and analyse the key measurable returning factors, value drivers and strategic benefits associated with building information modelling (BIM) return on investment (ROI). The findings of this study provide researchers and practitioners with up-to-date information in formulating appropriate strategies to quantify the monetary value of BIM. The suggested research agenda provided would also advance what is presently a limited body of knowledge relating to the evaluation of BIM ROI. Design/methodology/approach To fill the identified gap, this study develops a comprehensive systematic review of mainstream studies on factors affecting BIM ROI published from 2000 to 2020. A total of 23 academic records from different sources such as journals, conference proceedings, dissertation and PhD theses were identified and thoroughly reviewed. Findings The reported BIM ROI ranged greatly from −83.3% to 39,900%. A total of 5 returning factors, namely, schedule reduction and compliance, productivity improvement, request for information reduction, rework reduction and change orders reduction were identified as the most commonly reported factors that influence BIM ROI. Four quantification techniques including general assumptions-based theoretical model, perceived BIM ROI based on survey, factors affecting BIM ROI with no reported ROI and quantified BIM ROI based on a case study were observed and pointed out in the review, together with their limitations. Finally, three major gaps were raised as the lack of consideration on the likelihood of BIM assisting in a construction project, intangible returning factors influencing BIM-based projects and industry standards in benchmarking BIM ROI. Practical implications The outcomes of this study would assist practitioners by providing the current evaluation techniques that address the limitations with BIM investment and present issues relating to the economic evaluation of BIM in the construction industry. It is also expected that presenting a deeper and wider perspective of the research work performed until now will direct a more focussed approach on productivity improvement efforts in the construction industry. Originality/value This study identifies and analyses the key measurable returning factors, value drivers and strategic benefits associated with BIM ROI on an industry scale rather than a particular organisation or a project scale.


2021 ◽  
Author(s):  
Thymen Houwen ◽  
Miel A. P. Vugts ◽  
Koen W.W. Lansink ◽  
Hilco P. Theeuwes ◽  
Nicky Neequaye ◽  
...  

BACKGROUND Trauma care faces challenges to innovate their services, such as with mHealth applications, to improve quality of care and patients experience of health. For developing and preparing the future implementation of such innovations, systematic needs inquiries and collaborations with professional and patient end-users are highly recommended. OBJECTIVE To develop a trauma-mHealth application for patient information and support in accordance with the CeHRes roadmap, and describe (1) experiences of (unmet) information and support needs of injured trauma patients; (2) barriers and facilitators for trauma care professionals for the provision of information and support; (3) drivers of value of a mhealth application in trauma patients and trauma care professionals. METHODS Formative evaluations were conducted using mixed methods. Ten semi structured interviews with trauma patients and a focus group with trauma care professionals were conducted for contextual inquiry and value specification. User requirements and value drivers were applied in prototyping. Furthermore, a complementary quantitative discrete-choice experiment (DCE) was conducted with 109 Dutch trauma surgeons to triangulate the results on value specification. In the DCE, preferences were stated over hypothetical mHealth products with various ‘attributes’. The panel data from the DCE were analyzed with conditional and mixed logit models. RESULTS In the interviews patients disclosed a need for more psychosocial support and easy access to more extensive information on their injury, its consequences and future prospects. Health care professionals designated workload as a crucial issue; a digital solution should not cost additional time. The DCE showed that access to patient application data through Electronic Medical Record integration or a web-viewer was considered most important in a mhealth solution by surgeons, followed by the inclusion of periodic self-measurements, local adjustment of patient information, local hospital identification, complication detection, and personalization of rehabilitation through artificial intelligence (all p-values <.05). CONCLUSIONS In the context of trauma care, end-users have a broad range of requirements for a mHealth solution to also address psychosocial functioning, dependable information and possibly a prediction on how a patients ‘recovery trajectory is evolving. A structured development approach provided insights into value drivers, and facilitated mHealth prototype enhancement. Nonetheless, iterative development has to continue to proceed from simple and readily implementable mHealth solutions to ones that end-users appreciate. Hereto, this study can inspire the care community.


2021 ◽  
Author(s):  
Raja Azizah Raja Yeop ◽  
Sian Chin Tan ◽  
Ariff Irfan Zainai

Abstract This paper is to demonstrate the significance of structured planning, holistic assessment and synergies, as key value drivers in enabling and shaping decommissioning alternatives leading to sustainable decommissioning and circular economy. PETRONAS as the regulator of Malaysia's Upstream activities manage decommissioning obligations through Production Sharing Contracts, internal guidelines and other relevant procedures and standards. The Decommissioning Options Assessment (DOA) is the process used to land on the most feasible option. Throughout PETRONAS’ 18-year decommissioning journey thus far, decommissioning projects were successfully executed using various alternatives. The valuable learnings gained are applied to further strengthen our decommissioning processes in regulating, enabling and shaping future executions at the lowest cost with safety of life and protection of the environment as our utmost priority. Upon a decision to proceed with decommissioning, a gated technical review process is used as the governing process to ensure safety, protection to the environment and cost efficiency. It is during this gated technical review that DOA is conducted. The output from the DOA is deliberated within the ambit of five (5) key criteria, i.e. Health, Safety & Security, Environment, Society, Technical & Operational, and Economy. Upon completion of execution, lessons learnt coupled with findings from post-decommissioning surveys are analyzed and applied to future projects. Synergies and collaborations are key drivers in shaping sustainable and replicable alternative decommissioning solutions. PETRONAS continuously pursues strategic collaborations with all stakeholders, including but not limited to, government ministries/agencies, academia, and industry players to tap into global decommissioning solutions, scientific researches, technologies, and best practices. This key lever will be discussed in the paper. From actual experiences, supported by studies, it is evident that decommissioning alternatives, including Rigs-to-Reef, add value in terms of marine habitat protection, biodiversity enhancement, fish aggregation, etc. It has also contributed positively to the livelihoods and well-being of society. Re-using platforms for new field development maximizes value by extending the platform's useful life. In addition, PETRONAS also advocates the ‘design for decommissioning’ mindset during a field's development phase in achieving a robust life cycle cost. PETRONAS further believes the values gained from these decommissioning alternatives will contribute to the decommissioning ecosystem in Malaysia. Moving forward, PETRONAS aspires to elevate the sustainable decommissioning model with the mindset that, ‘no single piece of an abandoned structure goes to waste’. There is a need to mature studies, collaborations and supply chain readiness in realizing more options on the 3Rs (Reduce, Re-use and Recycle).


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