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Operations Research, Systems Engineering and Industrial Engineering Commons

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Wayne State University

Industrial Engineering

2014

Wayne State University Dissertations

Articles 1 - 4 of 4

Full-Text Articles in Operations Research, Systems Engineering and Industrial Engineering

Improving Emergency Department Patient Flow Through Near Real-Time Analytics, Shanshan Qiu Jan 2014

Improving Emergency Department Patient Flow Through Near Real-Time Analytics, Shanshan Qiu

Wayne State University Dissertations

ABSTRACT

IMPROVING EMERGENCY DEPARTMENT PATIENT FLOW THROUGH NEAR REAL-TIME ANALYTICS

This dissertation research investigates opportunities for developing effective decision support models that exploit near real-time (NRT) information to enhance the "operational intelligence" within hospital Emergency Departments (ED). Approaching from a systems engineering perspective, the study proposes a novel decision support framework for streamlining ED patient flow that employs machine learning, statistical and operations research methods to facilitate its operationalization.

ED crowding has become the subject of significant public and academic attention, and it is known to cause a number of adverse outcomes to the patients, ED staff as well as ...


Global E-Mentoring: Overcoming Virtual Distance For An Effective Mentoring Relationship, Nancy Philippart Jan 2014

Global E-Mentoring: Overcoming Virtual Distance For An Effective Mentoring Relationship, Nancy Philippart

Wayne State University Dissertations

Mentoring can enhance an employee's career development and advancement but traditional face-to-face mentoring has become less relevant because of globalization, increased employee mobility and technology-enabled work. A new mentoring model enabled by technology has emerged to meet the needs of today's complex, fast changing global workplace. Although e-mentoring has several advantages over traditional mentoring, the absence of regular face-to-face interactions requires different strategies to develop an effective mentoring relationship. Moreover, additional complexities arise when this virtual mentoring is global.

This research utilizes the construct of virtual distance, the "psychological separation" that has been found to impact performance outcomes ...


An Analytics Approach To Designing Patient Centered Medical Home, Saeede Ajorlou Jan 2014

An Analytics Approach To Designing Patient Centered Medical Home, Saeede Ajorlou

Wayne State University Dissertations

Recently the patient centered medical home (PCMH) model has become a popular team based approach focused on delivering more streamlined care to patients. In current practices of medical homes, a clinical based prediction frame is recommended because it can help match the portfolio capacity of PCMH teams with the actual load generated by a set of patients. Without such balances in clinical supply and demand, issues such as excessive under and over utilization of physicians, long waiting time for receiving the appropriate treatment, and non continuity of care will eliminate many advantages of the medical home strategy. In this research ...


An Analytics Approach To Reducing Hospital Readmission, Issac Shams Jan 2014

An Analytics Approach To Reducing Hospital Readmission, Issac Shams

Wayne State University Dissertations

One of the significant sources of waste in the Unites States health care systems is preventable hospital readmission. About 2.3 million Medicare fee-for-service beneficiaries are re-hospitalized within 30 days after discharge which incurs an annual cost of $17 billion. However, it is reported by the Medicare Payment Advisory Commission that about 75% of such readmissions can and should be avoided because they are the results of factors such as poor planning for follow up care transitions, inadequate communication of discharge instructions, and failure to reconcile and coordinate medications. Hence, reducing unnecessary rehospitalization through care transition and systems engineering principles ...