Quality Management in Polish Biobanking Network—Current Status Before the Implementation of Unified and Harmonized Integrated Quality Management System

In 2017, Polish Biobanking Network was established in Poland, within BBMRI.pl project titled “Organization of Polish Biobanking Network within the Biobanking and Biomolecular Resources Research Infrastructure BBMRI-ERIC” as a strategic scientific infrastructure concept. One of the key elements of the project was the verification of the current status of QMS in the Polish biobanking institutions and the implementation of common solutions. The main goal was to indicate the current QMS level and determine the starting points for QMS development for each biobank of the Polish Biobanking Network (PBN). Within 3 years, 35 audit visits were performed. The current status and the level of QMS implementation in each biobank were assessed. Five hundred and seventy recommendations were prepared. The data was analyzed using Fischer Exact test to determine whether or not a significant association was observed. Three areas of analysis were covered: (1) BBMRI.pl status, (2) QMS implementation level and (3) private/public party, respectively. The results were discussed within 15 areas. Concluding remarks showed that some differences were observed in the case of subgroups analysis. There is convergence in QMS within the biobanks where Tissue Banks are located. Moreover, some discrepancies between the QMS implementation level in BBMRI.pl Consortium biobanks and PBN biobanks are observed. Nevertheless, the consortium members are obliged to prepare other biobanks willing to enter the PBN as Members/Observers or which already are in the PBN, so that they can meet the requirements of the quality management system that will enable efficient management of biobanking processes in these units. That is why some actions within BBMRI.pl projects are organized to help the whole biobanking community in Poland implement the harmonized solution.

A system dynamic model for assessing the level of BIM implementation in construction phase: a China case study

PurposeBuilding information modeling (BIM) is recognized as one of the technologies to upgrade the informatization level of the architecture engineering and construction (AEC) industry. However, the level of BIM implementation in the construction phase lags behind other phases of the project. Assessing the level of BIM implementation in the construction phase from a system dynamics (SD) perspective can comprehensively understand the interrelationship of factors in the BIM implementation system, thereby developing effective strategies to enhance BIM implementation during the construction phase. This study aims to develop a model to investigate the level of BIM implementation in the construction phase.Design/methodology/approachAn SD model which covered technical subsystem, organizational subsystem, economic subsystem and environmental subsystem was developed based on questionnaire survey data and literature review. Data from China were used for model validation and simulation.FindingsThe simulation results highlight that, in China, from 2021 to 2035, the ratio of BIM implementation in the construction phase will rise from 48.8% to 83.8%, BIM model quality will be improved from 27.6% to 77.2%. The values for variables “BIM platform”, “organizational structure of BIM” and “workflow of BIM” at 2035 will reach 65.6%, 72.9% and 72.8%, respectively. And the total benefits will reach 336.5 billion yuan in 2035. Furthermore, the findings reveal five factors to effectively promote the level of BIM implementation in the construction phase, including: policy support, number of BIM standards, owners demand for BIM, investment in BIM and strategic support for BIM.Originality/valueThis study provides beneficial insights to effectively enhance the implementation level of BIM in the construction phase. Meanwhile, the model developed in this study can be used to dynamically and quantitatively assess the changes in the level of BIM implementation caused by a measure.

IMPLEMENTATION OF PUBLIC PARTICIPATION IN THE MAKING OF REGIONAL REGULATIONS IN NORTH KOLAKA REGENCY ACCORDING TO ACT OF THE REPUBLIC OF INDONESIA NO. 12/2011 CONCERNING THE MAKING OF LEGISLATION

The making of legislation has recently become a subject of discussion among communities, such as the very low level of community participation, arbitrary actions in the making of laws and regulations, the establishment of legislation that seems to be a rushed law product, the Covid-19 pandemic that restrict people to have a gathering to capture the community aspirations, and the establishment of all forms of regulations under the act that may affect people’s mobility in social life.The present study aims to find out the roots of problem concerning the extent of public participation in the making of regional regulations in North Kolaka Regency, Kendari, Indonesia. Therefore, it is expected that the legislation will be issued in accordance with the will of community and the Act of the Republic of Indonesia No. 12/2011 concerning the Making of Legislation, as amended by the Act of the Republic of Indonesia No. 15/2011 concerning Amendments to the Act of the Republic of Indonesia No. 12/2011 concerning the Making of Legislation.The author employed the combination of normative legal research and empirical legal research as the type of this study. The results indicated that the regional regulations that have been ratified will not be well applicable and effective at the implementation level, since they are not in accordance with the instructions for the making of regional regulations as regulated in the legislation. The presence of regional regulations that do not accommodate all the public interests as well as the low level of public participation will then create a new problem among community. For this reason, more comprehensive public involvement is needed, whether in the form of public sharing, FGD (Focus Group Discussion), or the help of experts in Bapemperda and Regional Government who specifically handle the issue on the making of regional regulations. Keywords: Participation, Public, Regional Regulations

145. Comparing Antibiotic Use Across Inpatient Facilities with Different Antibiotic Stewardship Typologies using Machine Learning and Joint Modeling Approach

Background Hospital antibiotic stewardship programs (ASP) aim to promote the appropriate use of antimicrobials (including antibiotics) and play a critical role in controlling antibiotic costs and antibiotic-resistant bacterial infection risk, and improving patient outcomes. However, unlike other health care quality improvement intervention programs, the ASP implementation strategies vary among healthcare facilities, and little is known about whether different types of ASP implementation will lead to the shifting of antibiotic drug use from one class to another. Methods We proposed an analytical framework using unsupervised machine learning and joint model approach to 1) develop a typology of ASP strategies in facilities from the Veterans Health Administration, America’s largest integrated health care system; and 2) simultaneously evaluate the impacts of different ASP types on the annual antibiotic use rates across multiple drug classes. The unsupervised machine learning method was used to leverage the structural components in the surveys conducted by the Veteran Affair (VA) Healthcare Analysis and Information group and the Consolidated Framework for Implementation Research experts from Boston University, and reveal the underlying ASP patterns in the VA facilities in 2016. Results We identified 4 groups in the VA facilities in terms of enthusiasm and implementation level of antibiotic control in our ASP typology. We found the facilities with high implementation level and high enthusiasm in ASP and those with high implementation level but low enthusiasm had statistically significant 30% (p-value=0.002) and 22% (p-value=0.031) lower antibiotic use rates in broad-spectrum agents used for community infections, respectively than those with low implementation level and low enthusiasm. However, the facilities with high implementation and high enthusiasm also marginally increased antibiotic use rates in beta-lactam antibiotics (p-value=0.096). Conclusion The developed analytical framework in the study provided an approach to the granular assessment of the impact of the healthcare intervention programs and might be informative for future health service policy development. Disclosures Matthew B. Goetz, MD, Nothing to disclose

UN SDGs Implementation Level in the Urban Sector in Korea: Focusing on a Framework Application Based on Relative Efficiency Theory

The purpose of this study was to evaluate the implementation level of urban Sustainable Development Goals (SDGs) in the Republic of Korea and to measure the extent of internal and external impacts on the implementation level. An evaluation framework was established based on relative efficiency theory, and the implementation level of urban SDGs at the local government unit in the Republic of Korea was examined by performing an analysis of each stage. First, in reference to the 2018 cross-section, the implementation level of target 11.2 (public transportation) was assessed as excellent across the country, compared with the implementation level of targets 11.5 (disaster safety), 11.6 (environment), and 11.7 (public space), which were assessed as needing improvement. Second, the factors positively impacting the implementation level of target 11.2 were urban population, GRDP, financial independence, urbanization area, and bus-only lanes, whereas the factors positively impacting the implementation level of target 11.5 were population density and GRDP. The positive factors influencing the implementation level of target 11.6 (air quality sector) were found to be GRDP, financial independence, administrative area, and renewable energy generation, whereas the effective factors of the implementation level of target 11.6 (waste management sector) were analyzed as GRDP, financial independence, and the population density of households in the waste management area. The positive factors influencing the implementation level of target 11.7 were GRDP, financial independence, administrative area, and green area.

Investigating Implementation Level of Phase-Based Strategies in Transportation Infrastructure Projects

This research performed a phase-based study of effective project management tasks and strategies of transportation infrastructure projects and examined phase-based outsourcing activities. The research team conducted a comprehensive literature review to discover phase-based project management strategies, tasks, and activities that could be adopted by State Transportation Agencies (STAs) or outsourced, then designed a survey, which they distributed to the STAs nationally through an online platform. The results of the 96 obtained survey responses were analyzed, and the results demonstrated that project management strategies of team qualifications and environmental planning are adopted by the STAs a high percentage of time. The outcomes of this study will help decision-makers and project managers assess the effects of adopting effective strategies as well as outsourcing activities in transportation infrastructure projects on delivering projects on time, within budget, and with desired level of quality.

Research on Construction and Implementation of Kindergarten Vitality Curriculum

The research is based on the construction concept of “teaching with life, teaching for life” and was designed from “clearing curriculum goals” and “constructing curriculum content”. Also, it focuses on improving the implementation level of teachers’ courses in the theme review, enhancing the children’s vitality in project forwarding, and promoting children’s viability at play, which realized the practical vitality enhancement of children. As a result, children will be fond of learning, knowing how to play, becoming more self-independent, and more active participating. The teachers’ professional development has been highlighted, which manifested in the transformation of teaching curriculum perspective and the achievement; the initial scale of curriculum construction preliminary expressed the environment and system of life education.

BIMp-Chart—A Global Decision Support System for Measuring BIM Implementation Level in Construction Organizations

Building Information Modeling (BIM) is recognized as one of the most significant technological breakthroughs in the Architecture, Engineering, and Construction (AEC) industry. The pace of implementation of BIM in AEC has increased during the past decade with an enhanced focus on sustainable construction. However, BIM implementation lags its potential because of several factors such as readiness issues, lack of previous experience in BIM, and lack of market demand for BIM. To evaluate and solve these issues, understanding the current BIM implementation in construction organizations is required. Motivated by this need, the main objective of this study is to propose a tool for the measurement of BIM implementation levels within an organization. Various sets of indexes are developed based on their pertinent Critical Success Factors (CSFs). A detailed literature review followed by a questionnaire survey involving 99 respondents is conducted, and results are analyzed to formulate a BIMp-Chart to calculate and visualize the BIM implementation level of an organization. Subsequently, the applicability of the BIMp-Chart is assessed by comparing and analyzing datasets of four organizations from different regions, including Qatar, Portugal, and Egypt, and a multinational organization to develop a global measurement tool. Through measuring and comparing BIM implementation levels, the BIMp-Chart can help the practitioners identify the implementation areas in an organization for proper BIM implementation. This study helps understand the fundamental elements of BIM implementation and provides a decision support system for construction organizations to devise proper strategies for the effectual management of the BIM implementation process.

Research on Hengqin Model of Ecological Protection and Enterprise Compliance Development in Tobacco Control Cities

Objectives: Analyze the situation of tobacco control in Chinese cities and the development of Hengqin enterprises and the implementation of national tobacco control policies, to provide the theoretical reference for tobacco control, ecological protection and enterprise compliance development in Hengqin city. Methods: Make statistics on the tobacco control policies and the effects of Chinese cities, and analyze the behavioral role of enterprises in the ecological construction of tobacco control cities. Results: Although most cities support indoor smoking prohibition in various public places, the awareness rate of smoking prohibition regulations in public places is low. Relevant departments need to take more targeted publicity and education measures to increase the awareness rate and implementation effect of tobacco control policies and regulations, which is not only conducive to the ecological environment protection of tobacco control cities, but also conducive to the compliance development of enterprises. Conclusion: It is necessary that the healthy development of ecological protection in Chinese cities be combined with tobacco control policies, laws and regulations; Enterprises shall play an important guiding role, with the full participation of stakeholders at the planning level, to optimize the design of tobacco control policies; The implementation level shall strengthen the protection of minors and play the role of various policy tools.