• Title/Summary/Keyword: Replacement Costs

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Relationship between Hospital Case Mix and Costs and Incomes of Tehran Heart Center

  • Langroudi, Hamed Rahimpour;Kakhani, Mohammad Jamil;Hojabri, Roozbeh
    • Asian Journal of Business Environment
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    • v.7 no.3
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    • pp.17-22
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    • 2017
  • Purpose - Clarifying one of the biggest public Hospital Costs and incomes according to patients' case mix. It leads to prepare financial information about pubic medical tariffs and hospital operational costs. Research design, data, and methodology - This study calculates the costs both, with and without taking into account capital costs. This holds for comparison of hoteling based on case mix in all medical procedures. The checklists were reviewed and filled by reviewing accounting documents of the hospital, warehouse exclusion list, and daily books of laundry and CSR. Data was analyzed descriptively by using Excel. Results - In both cases, the hospital is losing in terms of hoteling. Because the buildings and equipment are new, this loss is not tangible. However, this will be revealed when costs of reconstruction and replacement of equipment. The loss rate per day of hospitalization was 569318 Rials for Coronary Care Unit (CCU), 528171 Rials for Post Intensive Care Unit (Post ICU), 474570 Rials for ICU, 233183 Rials for Post CCU and 204803 for Surgical ward. Conclusions - Income of hoteling was lower than its costs. ANOVA showed a strong relationship between case mix and hospital costs as well as case mix and its income. This suggests that optimal case mix can minimize the costs and maximize income.

A Study on Determining the Optimal Replacement Interval of the Rolling Stock Signal System Component based on the Field Data (필드데이터에 의한 철도차량 신호장치 구성품의 최적 교체주기 결정에 관한 연구)

  • Byoung Noh Park;Kyeong Hwa Kim;Jaehoon Kim
    • Journal of the Korean Society of Safety
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    • v.38 no.2
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    • pp.104-111
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    • 2023
  • Rolling stock maintenance, which focuses on preventive maintenance, is typically implemented considering the potential harm that may be inflicted to passengers in the event of failure. The cost of preventive maintenance throughout the life cycle of a rolling stock is 60%-75% of the initial purchase cost. Therefore, ensuring stability and reducing maintenance costs are essential in terms of economy. In particular, private railroad operators must reduce government support budget by effectively utilizing railroad resources and reducing maintenance costs. Accordingly, this study analyzes the reliability characteristics of components using field data. Moreover, it resolves the problem of determining an economical replacement interval considering the timing of scrapping railroad vehicles. The procedure for determining the optimal replacement interval involves five steps. According to the decision model, the optimal replacement interval for the onboard signal device components of the "A" line train is calculated using field data, such as failure data, preventive maintenance cost, and failure maintenance cost. The field data analysis indicates that the mileage meter is 9 years, which is less than the designed durability of 15 years. Furthermore, a life cycle in which the phase signal has few failures is found to be the same as the actual durability of 15 years.

Reliability-based Life Cycle Cost Analysis for Optimal Seismic Upgrading of Bridges

  • Alfredo H-S. Ang;Cho, Hyo-Nam;Lim, Jong-Kwon;An, Joong-San
    • Computational Structural Engineering : An International Journal
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    • v.1 no.1
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    • pp.59-69
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    • 2001
  • This study is intended to propose a systematic approach for reliability-based assessment of life cycle cost (LCC) effectiveness and economic efficiency for cost-effective seismic upgrading of existing bridges. The LCC function is expressed as the sum of the upgrading cost and all the discounted life cycle damage costs, which is formulated as a function of the Park-Ang damage index and structural damage probability. The damage costs are expressed in terms of direct damage costs such as repair/replacement costs, human losses and property damage costs, and indirect damage costs such as road user costs and indirect regional economic losses. For dealing with a variety of uncertainties associated with earthquake loads and capacities, a simulation-based reliability approach is used. The SMART-DRAIN-2DX, which is a modified version of the well-known DRAIN-2DX, is extended by incor-porating LCC analysis based on the LCC function developed in the study. Economic efficiencies for optimal seismic upgradings of the continuous PC segmental bridges are assessed using the proposed LCC functions and benefit-cost ratio.

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Mixed Replacement Designs for Life Testing with Interval Censoring

  • Tai Sup;kesar Singh
    • Communications for Statistical Applications and Methods
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    • v.6 no.2
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    • pp.443-456
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    • 1999
  • The estimation of mean lifetimes in presence of interval censoring with mixed replacement procedure are examined when the distribution s of lifetimes are exponential. it is assumed that due to physical restrictions and/or economic constraints the number of failures is investigated only at several inspection times during the lifetime test; thus there is interval censoring. Comparisons of mixed replacement designs are made with those with and without replacement The maximum likelihood estimator is found in an implicit form. The Cramer-Rao lower bound which is the asymptotic variance of the estimator is derived. The test conditions for minimizing the Cramer-Rao lower bound and minimizing the test costs within a desired width of the Cramer-Rao bound have been studied.

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A Spare Ordering Policy for Preventive Replacement with Repair (수리가능한 품목의 예방교체를 위한 주문정책)

  • Lim, Sung-Uk;Park, Young-Taek
    • Journal of Korean Society for Quality Management
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    • v.39 no.4
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    • pp.480-485
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    • 2011
  • This paper presents a spare ordering policy for preventive replacement with minimal repair. To analyze the ordering policy, the failure process is modeled by a non-homogeneous Poisson process. Introducing the ordering, repair, downtime, replacement costs and salvage value, we derive the expected cost effectiveness as a criterion of optimality when the lifetime and lead times for the regular and expedited orders are generally distributed random variables. It is shown that, under certain conditions, there exists a finite and unique optimum ordering time which maximizes the expected cost effectiveness. A numerical example is also included to explain the proposed model.

A Periodic Replacement Model with Random Repair Costs and Threshold Levels (확률적 수리비용과 임계수준을 고려한 주기적 교체 모형에 관한 연구)

  • Gang Yeong-Gil;Gang Seong-Jin
    • Journal of the military operations research society of Korea
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    • v.18 no.2
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    • pp.114-125
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    • 1992
  • A policy of periodic replacement with minimal repair at failure is considered for a complex system. Under such a policy the system is replaced at periodic times. iT(i=1,2, $\ldots$), while minimal repair is performed at any intervening system failures. The cost of the j-th minimal repair to the component which fails at age t is g(C(t). $c_j$ (t)), where C(t) is the age-dependent random part, $c_j$(t) is the deterministic part which depends on the age and the number of the minimal repair to the component, and g is a positive nondecreasing continuous function. The cost of replacement is expensive when the number of failures occurring in (0. T) is greater than a threshold level. The problem of determining the optimal replacement period, $T^{\ast}$, which minimizes the total expected cost per unit time over an infinite time horizon is considered. Various special cases are considered.

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Item Replacement Policy with Minimal Repair in Stepdown Warranty Model

  • Jae Joong, Kim;Won Joong, Kim
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.18 no.33
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    • pp.87-92
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    • 1995
  • This paper proposes age replacement policy in stepdown warranty policy. The replacement policy is considered in case of minimally repairable items. And renewal theory is used in analyzing warranty costs. The expected cost per unit time is presented in stepdown warranty policy, free replacement, prorata and hybrid policy. In this article it is assumed that item is replaced at the age of T but the any failure is minimally repaired before the age T. At this point the expected cost per unit time is shown in customer's view point. And numerical example is explored in weibull time-to-failure distribution.

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Analysis of Size and Economic Sensitivities according to Changes in Component Replacing Costs of Renewable Hybrid Generation System (신재생복합발전시스템의 각 구성품 교체비용변화에 따른 용량 및 경제성 민감도 분석)

  • Lim, Jong Hwan
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.39 no.1
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    • pp.71-78
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    • 2015
  • This paper presents a method for analyzing the size and economic sensitivity of a new renewable hybrid generation system according to changes in the component replacement costs based on HOMER (Hybrid Optimization Model for Electric Renewables). The design of a hybrid system can be optimized by reducing the size of a sensitive component based on sensitivity analysis using the change in cost of a component. Sensitivity analysis can also provide information on what combinations are necessary for the optimal hybrid system. As an example, sensitivity analysis was performed on the residential load provided by HOMER, and the effects of component replacement costs on the system size and cost were quantitatively analyzed.

Warranty Cost Models for a Product with a Two-Dimensional Warranty Policy (이차원 보증정책을 갖는 제품의 보증비용 모형)

  • ;D.N.P Murthy
    • Journal of Korean Society for Quality Management
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    • v.28 no.1
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    • pp.57-77
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    • 2000
  • A two-dimensional warranty policy, two types of warranty criteria, such as the age and mileage of an automobile, are employed simultaneously to determine the eligibility of a warranty claim. We deal with the analysis of a variety of combined two-dimensional free replacement warranty(FRW) and pro-rata replacement warranty(PRW). In this paper we also propose the analysis of policies with item failures modelled using the one-dimensional and two-dimensional approach, respectively. We obtain expressions for the expected warranty costs and illustrate through numerical examples.

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Life Cycle Cost Analysis Models for Bridge Structures using Artificial Intelligence Technologies (인공지능기술을 이용한 교량구조물의 생애주기비용분석 모델)

  • Ahn, Young-Ki;Im, Jung-Soon;Lee, Cheung-Bin
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.6 no.4
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    • pp.189-199
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    • 2002
  • This study is intended to propose a systematic procedure for the development of the conditional assessment based on the safety of structures and the cost effective performance criteria for designing and upgrading of bridge structures. As a result, a set of cost function models for a life cycle cost analysis of bridge structures is proposed and thus the expected total life cycle costs (ETLCC) including initial (design, testing and construction) costs and direct/indirect damage costs considering repair and replacement costs, human losses and property damage costs, road user costs, and indirect regional economic losses costs. Also, the optimum safety indices are presented based on the expected total cost minimization function using only three parameters of the failure cost to the initial cost (${\tau}$), the extent of increased initial cost by improvement of safety (${\nu}$) and the order of an initial cost function (n). Through the enough numerical invetigations, we can positively conclude that the proposed optimum design procedure for bridge structures based on the ETLCC will lead to more rational, economical and safer design.