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An Analytics Approach To Designing Patient Centered Medical Home, Saeede Ajorlou 2014 Wayne State University

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 2014 Wayne State University

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 has …


Improving Emergency Department Patient Flow Through Near Real-Time Analytics, Shanshan Qiu 2014 Wayne State University

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 …


Data Mining Based Hybridization Of Meta-Raps, Fatemah Al-Duoli, Ghaith Rabadi 2014 Old Dominion University

Data Mining Based Hybridization Of Meta-Raps, Fatemah Al-Duoli, Ghaith Rabadi

Engineering Management & Systems Engineering Faculty Publications

Though metaheuristics have been frequently employed to improve the performance of data mining algorithms, the opposite is not true. This paper discusses the process of employing a data mining algorithm to improve the performance of a metaheuristic algorithm. The targeted algorithms to be hybridized are the Meta-heuristic for Randomized Priority Search (Meta-RaPS) and an algorithm used to create an Inductive Decision Tree. This hybridization focuses on using a decision tree to perform on-line tuning of the parameters in Meta-RaPS. The process makes use of the information collected during the iterative construction and improvement phases Meta-RaPS performs. The data mining algorithm …


Systems Theory As The Foundation For Understanding Systems, Kevin MacG. Adams, Peggy T. Hester, Joseph M. Bradley, Thomas J. Meyers, Charles B. Keating 2014 Old Dominion University

Systems Theory As The Foundation For Understanding Systems, Kevin Macg. Adams, Peggy T. Hester, Joseph M. Bradley, Thomas J. Meyers, Charles B. Keating

Engineering Management & Systems Engineering Faculty Publications

As currently used, systems theory is lacking a universally agreed upon definition. The purpose of this paper is to offer a resolution by articulating a formal definition of systems theory. This definition is presented as a unified group of specific propositions which are brought together by way of an axiom set to form a system construct: systems theory. This construct affords systems practitioners and theoreticians with a prescriptive set of axioms by which a system must operate; conversely, any set of entities identified as a system may be characterized by this set of axioms. Given its multidisciplinary theoretical foundation and …


A Heuristic For The Analysis Of Truncated Standard Normal Distribution Assemblies, John Walter Ralls, Cesar Ariel Pinto, Shannon R. Bowling, Resit Unal, Charles B. Daniels, S. Long (Ed.), E.H. Ng (Ed.), C. Downing (Ed.) 2014 Old Dominion University

A Heuristic For The Analysis Of Truncated Standard Normal Distribution Assemblies, John Walter Ralls, Cesar Ariel Pinto, Shannon R. Bowling, Resit Unal, Charles B. Daniels, S. Long (Ed.), E.H. Ng (Ed.), C. Downing (Ed.)

Engineering Management & Systems Engineering Faculty Publications

The analysis of data sets and process conditions commonly assume the use of standard normal distributions and truncated standard normal distributions (TSND). The use of these distributions has application to various engineering disciplines along with numerous other industries (e.g., financial industries, medical fields, management, etc.). For engineering managers, the use of truncated standard normal distributions has particular relevance when evaluating process conditions commonly associated with assembly tolerances, manufacturing, and associated measures of quality. This article summarizes a heuristic approach for the analysis of assembly-level truncated standard normal distributions and associated research from a recent dissertation (Ralls, 2014). This article provides …


Model-Based Systems Engineering Approach To Distributed And Hybrid Simulation Systems, John Pastrana 2014 University of Central Florida

Model-Based Systems Engineering Approach To Distributed And Hybrid Simulation Systems, John Pastrana

Electronic Theses and Dissertations

INCOSE defines Model-Based Systems Engineering (MBSE) as "the formalized application of modeling to support system requirements, design, analysis, verification, and validation activities beginning in the conceptual design phase and continuing throughout development and later life cycle phases." One very important development is the utilization of MBSE to develop distributed and hybrid (discrete-continuous) simulation modeling systems. MBSE can help to describe the systems to be modeled and help make the right decisions and partitions to tame complexity. The ability to embrace conceptual modeling and interoperability techniques during systems specification and design presents a great advantage in distributed and hybrid simulation systems …


A Framework Of Critical Success Factors For Business Organizations That Lead To Performance Excellence Based On A Financial And Quality Systems Assessment., Melissa Francisco 2014 University of Central Florida

A Framework Of Critical Success Factors For Business Organizations That Lead To Performance Excellence Based On A Financial And Quality Systems Assessment., Melissa Francisco

Electronic Theses and Dissertations

One of the most important tasks that business leaders undertake in order to achieve a superior market position is strategic planning. Beyond this obligation, business owners desire to maximize profit and maintain steady growth. In order to do this, resources must be invested in the most efficient way possible in order to achieve performance excellence. Adjusting business operations quickly, however, especially in times of economic uncertainty, is extremely difficult. Business leaders therefore need insight into which elements of organizational improvement are most effective in order to strategically invest their resources to achieve superior performance in the most efficient way possible. …


Shop Scheduling In The Presence Of Batching, Sequence-Dependent Setups And Incompatible Job Families Minimizing Earliness And Tardiness Penalties, Patricia Buchanan 2014 University of Central Florida

Shop Scheduling In The Presence Of Batching, Sequence-Dependent Setups And Incompatible Job Families Minimizing Earliness And Tardiness Penalties, Patricia Buchanan

Electronic Theses and Dissertations

The motivation of this research investigation stems from a particular job shop production environment at a large international communications and information technology company in which electro-mechanical assemblies (EMAs) are produced. The production environment of the EMAs includes the continuous arrivals of the EMAs (generally called jobs), with distinct due dates, degrees of importance and routing sequences through the production workstations, to the job shop. Jobs are processed in batches at the workstations, and there are incompatible families of jobs, where jobs from different product families cannot be processed together in the same batch. In addition, there are sequence-dependent setups between …


Successful Organizational Change: Aligning Change Type With Methods, Serina Al-Haddad 2014 University of Central Florida

Successful Organizational Change: Aligning Change Type With Methods, Serina Al-Haddad

Electronic Theses and Dissertations

The motivation behind this research is the prevalence of challenges and ambiguity associated with successful organizational change and the numerous available approaches in dealing with these challenges and ambiguity. Many definitions and methods have been suggested to manage change; however, organizations still report a high failure rate of their change initiatives. These high failure rates highlight the continuing need for research and investigation, and imply a lack of a valid framework for managing successful organizational change. This dissertation critically reviews the concept of having one change approach as the “silver-bullet”. In pursuit of this goal, this research contributes a roadmap …


Inventory Management Problem For Cold Items With Environmental And Financial Considerations, Ali Hajiaghabozorgi 2014 University of Central Florida

Inventory Management Problem For Cold Items With Environmental And Financial Considerations, Ali Hajiaghabozorgi

Electronic Theses and Dissertations

The overarching theme of this dissertation is analytically analyzing the cold supply chain from a financial and environmental perspective. Specifically, we develop inventory policy models in the cold supply chain that consider holding and transportation unit capacities. The models provide insights for the decision maker on the tradeoff between setting order quantities based on the cost or the emission function. In Chapter 2, we review two major bodies of literature: 1) supply chain design, and 2) sustainability in supply chain design. We benefit from this literature review to map the current body of research on traditional supply chain for further …


A Framework For Assessing The Quality And Effectiveness Of A National Employment System: A Case Study Of Saudi Arabia, Hemaid Alsulami 2014 University of Central Florida

A Framework For Assessing The Quality And Effectiveness Of A National Employment System: A Case Study Of Saudi Arabia, Hemaid Alsulami

Electronic Theses and Dissertations

National employment systems have been established in several countries to tackle the unemployment dilemma between citizens while the labor market flooded by expatriates. Lack of performance measurement indices among these systems caused failure to provide jobs to citizens and caused a state of confusion and dissatisfaction among employing entities. In Saudi Arabia, unemployment rate has increased in the last few decades and have since become a very political issue for the Saudi government. Compared to other countries, the problem is different since many expatriates in Saudi Arabia are already employed in their markets while citizens are seeking jobs. In Saudi …


Interpolation-Based Super-Resolution Reconstruction: Effects Of Slice Thickness, Amir Pasha Mahmoudzadeh, Nasser H. Kashou 2014 Wright State University - Main Campus

Interpolation-Based Super-Resolution Reconstruction: Effects Of Slice Thickness, Amir Pasha Mahmoudzadeh, Nasser H. Kashou

Biomedical, Industrial & Human Factors Engineering Faculty Publications

Standard clinical magnetic resonance imaging (MRI) is acquired in two-dimensions where the in-plane resolution is higher than the slice select direction. These acquisitions include axial, coronal, and sagittal planes. To date, there have been few attempts to combine the information of these three orthogonal orientations. This paper aims to take advantage of the different in-plane resolution acquired from each plane orientation and combine them into one volume in order to attain a higher resolution image. This combination of MRI data will allow the detection of smaller areas that would otherwise be missed using only one slice orientation. A comparison of …


An Unsupervised Consensus Control Chart Pattern Recognition Framework, Siavash Haghtalab 2014 University of Central Florida

An Unsupervised Consensus Control Chart Pattern Recognition Framework, Siavash Haghtalab

Electronic Theses and Dissertations

Early identification and detection of abnormal time series patterns is vital for a number of manufacturing. Slide shifts and alterations of time series patterns might be indicative of some anomaly in the production process, such as machinery malfunction. Usually due to the continuous flow of data monitoring of manufacturing processes requires automated Control Chart Pattern Recognition(CCPR) algorithms. The majority of CCPR literature consists of supervised classification algorithms. Less studies consider unsupervised versions of the problem. Despite the profound advantage of unsupervised methodology for less manual data labeling their use is limited due to the fact that their performance is not …


การลดสิ่งแปลกปลอมในกระบวนการสร้างเส้นลายวงจรในโรงงานผลิตแผงวงจรไฟฟ้าชนิดอ่อน, ปิยะนันท์ สยนานนท์ 2014 คณะวิศวกรรมศาสตร์

การลดสิ่งแปลกปลอมในกระบวนการสร้างเส้นลายวงจรในโรงงานผลิตแผงวงจรไฟฟ้าชนิดอ่อน, ปิยะนันท์ สยนานนท์

Chulalongkorn University Theses and Dissertations (Chula ETD)

งานวิจัยนี้มีวัตถุประสงค์เพื่อลดปริมาณของเสียที่เกิดจากปัญหาสิ่งแปลกปลอมในกระบวนการสร้างเส้นลายวงจรในโรงงานผลิตแผงวงจรไฟฟ้าชนิดอ่อน โดยการประยุกต์ใช้แนวคิด ซิกซ์ ซิกมา งานวิจัยเริ่มจากการนิยามปัญหาสิ่งแปลกปลอมในกระบวนการสร้างเส้นลายวงจร การวัดเพื่อกำหนดสาเหตุของปัญหาได้เลือกปัจจัยนำเข้าหลักมาพิสูจน์ความมีนัยสำคัญ การวิเคราะห์สาเหตุของปัญหาโดยการประยุกต์ใช้การออกแบบการทดลองเชิงแฟคทอเรียลแบบ 2 ระดับ (2k Factorial Design) เพื่อศึกษาอิทธิพลของปัจจัยที่มีผลต่อการทำให้เกิดของเสีย โดยพบว่ามี 3 ปัจจัยหลักที่เกี่ยวข้องกับของเสียที่เกิดขึ้น คือ ความเข้มของแสง UV ในกระบวนการถ่ายเส้นลายวงจร ความเข้มข้นของสารละลายโซเดียมไฮดรอกไซด์ และอุณหภูมิของสารละลายโซเดียมไฮดรอกไซด์ในกระบวนการลอกลายเส้นลายวงจร ซึ่งเมื่อทําการทดลองเพื่อหาระดับปัจจัย สรุปได้ว่าระดับของปัจจัยที่เหมาะสมในการลดปัญหาสิ่งแปลกปลอม คือ ความเข้มของแสง UV 50 mJ/cm2 ในกระบวนการถ่ายเส้นลายวงจร อุณหภูมิของสารละลายโซเดียมไฮดรอกไซด์ 48°C และ ความเข้มข้นของสารละลายโซเดียมไฮดรอกไซด์ 3.5%wt ในกระบวนการลอกลายเส้นลายวงจร จากนั้นจึงกำหนดแผนการควบคุมตัวแปรต่างๆ โดยจัดทำเป็นมาตรฐานวิธีการปฏิบัติงาน ผลหลังการปรับปรุงพบว่าค่าเฉลี่ยของเสียลดลงจาก 0.27% เหลือเพียง 0.004% โดยการประเมินปริมาณการผลิตคาดว่ามูลค่าความสูญเสียจะลดลงได้ถึง 336,770 บาทต่อเดือน


Rheological Model Of Force Transmission Through The Helmet And Concussion Sensitivity, Isiah Kendall, Anthony Vicini, Tarun Goswami 2014 Wright State University - Main Campus

Rheological Model Of Force Transmission Through The Helmet And Concussion Sensitivity, Isiah Kendall, Anthony Vicini, Tarun Goswami

Biomedical, Industrial & Human Factors Engineering Faculty Publications

In contact sports, head-to-head collisions can lead to concussions, which pose serious health risks to players. This research aims to understand the force transfer from the helmet to the brain that causes concussions in collisions using a rheological model. Experimental data was gathered from players in the National Football League and testing of one type of helmet and padding. The rheological model was verified with published data and good correlation was achieved. Further sensitivity analysis of concussion risk was performed with respect to force, body weight, mass, and impact duration fit to normal and Weibull distributions using Monte Carlo simulations …


Positioning Automated Guided Vehicles In A General Guide-Path Layout, Abraham Mendoza, Jose A. Ventura 2014 Universidad Panamericana

Positioning Automated Guided Vehicles In A General Guide-Path Layout, Abraham Mendoza, Jose A. Ventura

13th IMHRC Proceedings (Cincinnati, Ohio. USA – 2014)

The locations of dwell points for idle vehicles in an automated guided vehicle (AGV) system determine the response times for pick-up requests and thus affect the performance of automated manufacturing systems. In this study, we address the problem of optimally locating dwell points for multiple AGVs in general guide-path layouts with the objective of minimizing the maximum response time in the system. We propose a mixed integer linear programming (MILP) formulation for the problem. We also develop a generic genetic algorithm (GA) to find near optimal solutions. The MILP model and GA procedure are illustrated using a two-dimensional grid layout …


Integrating Analysis Into A Warehouse Design Workflow, Leon McGinnis, Timothy Sprock 2014 The Georgia Institute of Technology School of Industrial & Systems Engineering

Integrating Analysis Into A Warehouse Design Workflow, Leon Mcginnis, Timothy Sprock

13th IMHRC Proceedings (Cincinnati, Ohio. USA – 2014)

Supply chain analyses, including those related to material handling systems, are typically purpose-built to answer specific questions and therefore have many different implementations depending on the question, the instance data, and the solver. The purpose-built nature of these models makes it difficult to integrate them into an iterative design workflow. Despite the myriad analysis implementations, the fundamental structure of these systems and their problem domain remains unchanged, suggesting that perhaps analyses could be automatically generated on demand, given an appropriate specification of the particular system to be analyzed. We apply model-based systems engineering (MBSE) methodologies to explore this possibility in …


Throughput Analysis Of S/R Shuttle Systems, Georg Kartnig, Jörg Oser 2014 University of Technology

Throughput Analysis Of S/R Shuttle Systems, Georg Kartnig, Jörg Oser

13th IMHRC Proceedings (Cincinnati, Ohio. USA – 2014)

Shuttle systems are used in high performance automated storage/retrieval unit load systems. Each storage level is serviced by one transfer car travelling in dual command operation. One buffer slot is located at both ends of each level. This decouples horizontal travel from vertical input/output moves, which in this case requires two independent vertical reciprocating lifts at each end of the aisle. Other systems work with only one lift used in lower throughput applications. The content of this paper is treated in the following sections starting with a problem definition and a literature survey. This is followed by a detailed functional …


Variation In Lifting Behavior During A Highly Repetitive Manual Material Task, Steven A. Lavender 2014 The Ohio State University

Variation In Lifting Behavior During A Highly Repetitive Manual Material Task, Steven A. Lavender

13th IMHRC Proceedings (Cincinnati, Ohio. USA – 2014)

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