2,538 research outputs found

    Sustainable healthcare through professional collaboration across boundaries.

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    A semantically-enriched goal-oriented requirements engineering framework for systems of systems using the i* framework applied to cancer care

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    In recent years, monolithic systems are being composed into bigger systems as Systems of Systems (SoSs). This evolution of SoS raises several software engineering key challenges, such as the management of emerging inconsistent goals and requirements, which may occur among the various Constituent Systems (CSs) themselves, as well as between the entire SoS and the participating CSs. Another significant challenge is that Systems of Systems Engineering (SoSE) involves more stakeholders than traditional systems engineering, i.e. stakeholders at the SoS-level and the CS-level, where each CS has its own needs and objectives which establish a complex stakeholder environment. To respond to these challenges, this research is aimed at investigating the implications of applying a goal-oriented requirements engineering approach in identifying, modelling and managing emerging goals and their conflicts in SoS context. The key artefact of this research is the development of a Semantically-Enriched Goal-Oriented Requirements Engineering Framework for Systems of Systems using the i* framework, namely the OntoSoS.GORE framework.The OntoSoS.GORE is a three-layered framework designed, developed, demonstrated and then evaluated through following multiple iterations of the Design Science Research Methodology (DSRM) phases, to accomplish the following main objectives: (1) identifying and modelling the SoS global goals and the CSs local goals at different levels of an SoS using the i* framework, in which a new process to extract i* modelling elements from existing user documentation is proposed; (2) maintaining the consistency and integrity of SoS goals at multiple levels through developing a semantic Goals Referential Integrity (sGRI) model in SoS context which consists of an SoSGRI model and an ontology-based model; and (3) managing any conflicts that may occur amongst goals at both the SoS-level and the CS-level, by developing and applying a new goal conflict management approach in SoS context, which consists of two main processes: goal conflict detection and goal conflict resolution.The research framework has been instantiated and validated by applying a real Cancer Care case study at King Hussein Cancer Center (KHCC), Amman, Jordan. Results revealed the effectiveness of applying the framework compared to the current approach applied at KHCC, in terms of addressing higher consistency, completeness and correctness with regard to goal management and conflict management in SoS context. Moreover, the framework provides automation of the processes of following the satisfaction of goals and goals’ conflict management at multiple SoS levels, instead of the manual approach applied currently at KHCC. This automation is accomplished through developing a strategic goal-oriented management tool that is anticipated to be delivered and utilised at KHCC, as well as applying it to other SoS organisations as a proposed solution for goal and conflict management. Another contribution to the Cancer Care and SoS domains is developing a reference i* goal-oriented model for access to Cancer Care which provides a wider system engineering perspective and offers an accessible level of abstraction about Cancer Care goals and their dependencies for stakeholders and domain experts. The reference model provides standardisation of common generic concepts about the domain, in which other Cancer Care organisations can considerably reuse to facilitate the process of capturing and specifying goals and requirements for their practice and validating choices among alternative designs

    Operations Management

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    Global competition has caused fundamental changes in the competitive environment of the manufacturing and service industries. Firms should develop strategic objectives that, upon achievement, result in a competitive advantage in the market place. The forces of globalization on one hand and rapidly growing marketing opportunities overseas, especially in emerging economies on the other, have led to the expansion of operations on a global scale. The book aims to cover the main topics characterizing operations management including both strategic issues and practical applications. A global environmental business including both manufacturing and services is analyzed. The book contains original research and application chapters from different perspectives. It is enriched through the analyses of case studies

    Combining Process Guidance and Industrial Feedback for Successfully Deploying Big Data Projects

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    Companies are faced with the challenge of handling increasing amounts of digital data to run or improve their business. Although a large set of technical solutions are available to manage such Big Data, many companies lack the maturity to manage that kind of projects, which results in a high failure rate. This paper aims at providing better process guidance for a successful deployment of Big Data projects. Our approach is based on the combination of a set of methodological bricks documented in the literature from early data mining projects to nowadays. It is complemented by learned lessons from pilots conducted in different areas (IT, health, space, food industry) with a focus on two pilots giving a concrete vision of how to drive the implementation with emphasis on the identification of values, the definition of a relevant strategy, the use of an Agile follow-up and a progressive rise in maturity

    Successful implementation of discrete event simulation: the case of an Italian emergency department

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    This paper focuses on the study of a practical management problem faced by a healthcare {\it emergency department} (ED) located in the north of Italy. The objective of our study was to propose organisational changes in the selected ED, which admits approximately 7000 patients per month, aiming at improving key performance indicators related to patient satisfaction, such as the waiting time. Our study is based on a design thinking process that adopts a {\it discrete event simulation} (DES) model as the main tool for proposing changes. We used the DES model to propose and evaluate the impact of different improving scenarios. The model is based on historical data, on the observation of the current ED situation, and information obtained from the ED staff. The results obtained by the DES model have been compared with those related to the existing ED setting, and then validated by the ED managers. Based on the results we obtained, one of the tested scenarios was selected by the ED for implementation.Comment: 24 pages, 8 figures and 4 table

    Improving Service Delivery Through Provider Training: A Process Evaluation of the Veterans Affairs Palo Alto Health Care System “Commitment to SERVE” Workshop

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    As the customer-focused management strategies gradually advances into all of the VISNs [Veterans Integrated Service Networks], the Veterans Health Administration in Palo Alto, California implemented a customer service training program for employees to meet the diverse and complex needs of its customers. This research will analyze whether participants in this training, known as Commitment to SERVE, believe that it is achieving its goal. In other words, does the Veterans Affairs Palo Alto Health Care System (VAPAHCS) staff perceive the Commitment to SERVE workshop as a beneficial customer service training program

    DataCare: Big Data Analytics Solution for Intelligent Healthcare Management

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    This paper presents DataCare, a solution for intelligent healthcare management. This product is able not only to retrieve and aggregate data from different key performance indicators in healthcare centers, but also to estimate future values for these key performance indicators and, as a result, fire early alerts when undesirable values are about to occur or provide recommendations to improve the quality of service. DataCare’s core processes are built over a free and open-source cross-platform document-oriented database (MongoDB), and Apache Spark, an open-source cluster-computing framework. This architecture ensures high scalability capable of processing very high data volumes coming at fast speed from a large set of sources. This article describes the architecture designed for this project and the results obtained after conducting a pilot in a healthcare center. Useful conclusions have been drawn regarding how key performance indicators change based on different situations, and how they affect patients’ satisfaction
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