• Title/Summary/Keyword: Control decision making

Search Result 802, Processing Time 0.024 seconds

A Case Study on a Real-Time Enterprise to Improve Operational Efficiency of Medical Institutions - Centering on the Main Process of Seoul St. Mary's Hospital - (의료기관 운영 효율성 제고를 위한 실시간 기업(RTE) 사례 연구 - 서울성모병원 핵심 프로세스를 중심으로 -)

  • Park, Byeong-Tae;Lee, Dong-Hyeon
    • Korea Journal of Hospital Management
    • /
    • v.15 no.3
    • /
    • pp.143-169
    • /
    • 2010
  • This is a case study of Seoul St. Mary's Hospital applying a real-time enterprise (RTE) strategy to improve customer satisfaction and operational efficiency with the main process of medical institutions. The hospital is applying an RTE strategy to get real-time information on occurrences at each contact point of the main process of the medical institution from reservation to discharge through dashboard and to resolve issues through rapid decision-making. The RTE strategy of the hospital has some summaries: First, the hospital has linked a hospital management strategy to the RTE strategy to build a patient-centered treatment process. Second, the hospital has operated a control tower for change management and implementation monitoring in the process of implementing the RTE strategy. Third, the hospital has built systematic RTE-based environment as an application program in which the nU System is linked to Business Processor Renovation (BPR) promoted from 2006 on. Fourth, the hospital is applying a strategy to improve efficiency in operating the hospital by increasing customer satisfaction, removing inefficiency and variability, and managing medical resources efficiently through the RTE strategy. Fifth, it has established an information-sharing system through authority management for each user in terms of RTE information. Sixth, it has supplemented limitations of short-term information of the RTE strategy by linking the key performance index to the cost information system in order to improve performance of the RTE strategy. Seventh, it has improved customer satisfaction and achieved higher performance in improving operational efficiency, as compared with rival hospitals, through the RTE strategy.

  • PDF

Emerging and Established Global Life-Style Risk Factors for Cancer of the Upper Aero-Digestive Tract

  • Gupta, Bhawna;Johnson, Newell W.
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.15
    • /
    • pp.5983-5991
    • /
    • 2014
  • Introduction: Upper aero-digestive tract cancer is a multidimensional problem, international trends showing complex rises and falls in incidence and mortality across the globe, with variation across different cultural and socio-economic groups. This paper seeks some explanations and identifies some research and policy needs. Methodological Approach: The literature illustrates the multifactorial nature of carcinogenesis. At the cellular level, it is viewed as a multistep process involving multiple mutations and selection for cells with progressively increasing capacity for proliferation, survival, invasion, and metastasis. Established and emerging risk factors, in addition to changes in incidence and prevalence of cancers of the upper aero-digestive tract, were identified. Risk Factors: Exposure to tobacco and alcohol, as well as diets inadequate in fresh fruits and vegetables, remain the major risk factors, with persistent infection by particular so-called "high risk" genotypes of human papillomavirus increasingly recognised as also playing an important role in a subset of cases, particularly for the oropharynx. Chronic trauma to oral mucosa from poor restorations and prostheses, in addition to poor oral hygiene with a consequent heavy microbial load in the mouth, are also emerging as significant risk factors. Conclusions: Understanding and quantifying the impact of individual risk factors for these cancers is vital for health decision-making, planning and prevention. National policies and programmes should be designed and implemented to control exposure to environmental risks, by legislation if necessary, and to raise awareness so that people are provided with the information and support they need to adopt healthy lifestyles.

Gastric Cancer in Asian American Populations: a Neglected Health Disparity

  • Taylor, Victoria M.;Ko, Linda K.;Hwang, Joo Ha;Sin, Mo-Kyung;Inadomi, John M.
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.24
    • /
    • pp.10565-10571
    • /
    • 2015
  • Gastric cancer incidence rates vary dramatically by world region with East Asia having the highest rate. The Asian population of the United States (US) is growing rapidly and over 17 million Americans are of Asian descent. A majority of Chinese, Korean and Vietnamese Americans are immigrants. Americans of East and Southeast Asian descent experience marked gastric cancer disparities and the incidence rate among Korean men in the US is over five times higher than the incidence rate among non-Hispanic white men. Randomized controlled trials have provided evidence for the effectiveness of helicobacter pylori identification and eradication in preventing gastric cancer. Additionally, Japan and South Korea have both experienced improvements in gastric cancer mortality following the implementation of programs to detect early stage gastric cancers. There are currently no clear US guidelines regarding the primary and secondary prevention of gastric cancer in high-risk immigrant populations. However, it is likely that a proportion of US physicians are already recommending gastric cancer screening for Asian patients and some Asian immigrants to the US may be completing screening for gastric cancer in their native countries. Surveys of US primary care physicians and Asian American communities should be conducted to assess current provider practices and patient uptake with respect to gastric cancer prevention and control. In the absence of clinical guidelines, US health care providers who serve high-risk Asian groups could consider a shared decision-making approach to helicobacter pylori identification and eradication, as well as gastric endoscopy.

The Technique of GIS Application for Transportation Impact Assessment (교통영향평가를 위한 GIS의 적용기법)

  • Yang, In-Tae;Kim, Dong-Moon;Kim, Yeon-Jun
    • Journal of Korean Society for Geospatial Information Science
    • /
    • v.4 no.2 s.8
    • /
    • pp.91-98
    • /
    • 1996
  • Transportation impact assessment which can take precaution for the traffic problem to control a plan on to expand traffic facilities through these results analyzed with the business for making a big problem of traffic is a very important course on the traffic management system as well as the traffic plan and it is necessary to collect and to edit and to analyze a great deal of data fully in object zone. So it is worth while to treat the collected data on to computer. Therefore Geographic Information System will give a remarkable result to Traffic Influence Evaluation everywhere. GIS not only can join the graphic or attribute data correctly and fast, but can achieve it prominent function for intention decision means. Then total system for Landuse of surrounding district, development-plan state, traffic-facility state, traffic-development public plan state and traffic demand is animated on Traffic Influence Evolution.

  • PDF

The Effect of Payment Method of Community Medical Provider on Medical Care Use of Community Residents (지역사회 의료공급자의 지불보상체계상의 특징이 지역사회 주민의 의료이용에 미치는 영향: 미국사례분석)

  • Lim, Jae-Young
    • Health Policy and Management
    • /
    • v.15 no.2
    • /
    • pp.16-36
    • /
    • 2005
  • Due to the existence of asymmetry of information between doctor and patient, it has been believed that doctor might affect patient's decision making process of purchasing medical care. Based on this notion, doctor's reimbursement method has been suggested as an effective policy device of improving efficiency of patient's medical care use by way of its affecting doctor's practice pattern. By using the Community Tracking Study (CTS) household and physician data set, which includes not only various information on patient's medical care use, but doctor's practice arrangements and sources of practice revenue, this paper investigates the effect of community doctor's characteristics of reimbursement method on community patient's medical care use under the control of patient's socio-demographic characteristics and community doctor's practice type. In the process of estimating econometric model, the endogeneity problem of individual health insurance purchase was corrected by using 2818. And due to the existence of sample selection problem, Heckman's two-step estimation method was used for strengthen the robustness of estimation which was adversely affected by sample selection problem The empirical results show that as the average value of community doctor's portion of practice revenue determined by prospective method out of total revenue increases, the community patient's total out-of-pocket medical cost decreases. This results suggest, as doctor's practice revenues are mainly determined by prospective method, such as capitation, doctors would be more conscious about practice cost, which might affect doctor's practice pattern and by which his/her patient's use of medical care would decrease.

Usages of Mobile Views for Battery Efficiency of a Smart Phone (스마트폰 배터리 효율을 위한 모바일 뷰의 활용)

  • Ban, ChaeHoon;Kim, DongHyun
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.16 no.11
    • /
    • pp.2418-2423
    • /
    • 2012
  • A smart phone which is one of the new IT technologies can be viable on various enterprise applications since it provides easily information and services. Especially, a smart phone can request queries to a server which finds massive data for decision making and receive the results of the queries from the server. However, a smart phone has a drawback that its battery is consumed easily due to the 4G communication. In this paper, we propose mobile views in order to reduce the easy consumption of a battery on mobile client-server environment. The proposed mobile view scheme reduces the number of communication which is leading to power consumption using materialized views for processing queries. We also classify the methods to control the consistency of the mobile view as the sources of the view are changed and present the cost of each method based on the cost model of battery consumption.

Aggregate Resources Management and Transport Route Analysis Using GIS (골재자원의 관리 및 수송경로 분석을 위한 GIS 활용 연구)

  • 이윤종;이동영;신은선
    • The Journal of Engineering Geology
    • /
    • v.4 no.2
    • /
    • pp.169-186
    • /
    • 1994
  • A GIS technique was developed for aggregate resources management and transport route analysis. In the study, the management of aggregate resources deals with resources evaluation and control of aggregate supply. The computer system was specially designed for this analysis on the basis of relational database model, and it was named ARIS(Aggregate Resources Information System). A Vector database for this study area of Chungcheong - Do was established for analysis of ARIS. In network analysis, there are many essential elements such as road name, speed limit and width, turns and stops etc. Impedance was also measured for the resistance against transportation of aggregate resources. Actually, the impedances are attributes of arcs, turns and stops. Finally, the feasibility of ARIS was tested to use as a decision making tool of aggregate resources management.

  • PDF

Development of Performance Prediction Method for Bridge and Tunnel Management Decision-making (교량 및 터널 시설물의 유지관리 의사결정을 위한 성능 예측 방법 개발)

  • Lee, Dong-Hyun;Kim, Ji-Won;Jun, Tae-Hyun;Jeong, Won-Seok;Park, Ki-Tae
    • Journal of the Korea institute for structural maintenance and inspection
    • /
    • v.20 no.1
    • /
    • pp.33-40
    • /
    • 2016
  • In this study, using the Cost Prediction Model and Performance Prediction Model have developed a way to estimate future management costs and performance for bridge and tunnel by Network Level. Studies to date have primarily focused on the single facility, it is difficult to apply to the analysis of the Network Level. This study, items used as an index of 'Special Act for the Safety Control of Public Structures' was added to Usability and Functionality to Status. Action period and annual budget for each facility can be estimated through the Basic and Advanced analysis. In addition, we verified the technical feasibility through case analysis.

The Effects of Simulation-based Hands-on Training on Nursing Students' Nunchi, Problem-Solving Ability, and Resilience (시뮬레이션 기반 실습 교육이 간호대학생의 눈치, 문제해결 능력, 회복 탄력성에 미치는 효과)

  • Shin, Seung-Ho;Lee, Jeong-Won;Kim, Chang-Tae;Shin, So-Hong;Song, Mi-Sook
    • The Journal of the Convergence on Culture Technology
    • /
    • v.6 no.2
    • /
    • pp.397-407
    • /
    • 2020
  • This study was conducted to investigate the effects that simulation-based hands-on training, the core competence of nursing students, have on the students' nunchi problem solving ability, and resilience. The results showed that taking notice, a subordinate variable of nunchi significantly increased and problem-solving ability and its subordinate variables, problem recognition, information gathering, analytical skill, diffuse thinking, decision making, planning, execution and risk taking, evaluation, and feedback significantly increased. Also, resilience and its subordinate variables, control, positivity, and social skills significantly increased. Since these results imply that simulation-based hands-on training can strengthen the core competencies of nursing students, a foundation should be provided for the development of on-site hands-on training modules.

A Study on the Parallel Escape Maze through Cooperative Activities of Humanoid Robots (인간형 로봇들의 협력 작업을 통한 미로 동시 탈출에 관한 연구)

  • Jun, Bong-Gi
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.18 no.6
    • /
    • pp.1441-1446
    • /
    • 2014
  • For the escape from a maze, the cooperative method by robot swarm was proposed in this paper. The robots can freely move by collecting essential data and making a decision in the use of sensors; however, a central control system is required to organize all robots for the escape from the maze. The robots explore new mazes and then send the information to the system for analyzing and mapping the escaping route. Three issues were considered as follows for the effective escape by multiple robots from the mazes in this paper. In the first, the mazes began to divide and secondly, dead-ends should be blocked. Finally, after the first arrivals at the destination, a shortcut should be provided for rapid escaping from the maze. The parallel-escape algorithms were applied to the different size of mazes, so that robot swarm can effectively get away the mazes.