Modernizing a Preventive Maintenance Strategy for Facility and Infrastructure Maintenance

Preventive maintenance (PM) is defined as regularly scheduled maintenance actions based on average failure rates. A properly implemented PM strategy can provide many benefits to an organization in terms of extending equipment life, optimizing resource expenditures, and balancing work schedules. Periodic evaluation of a PM strategy can help identify ways to improve efficiencies and maximize effectiveness. This research effort was accomplished by performing a case study of the United States Air Force’s infrastructure and facility PM program known as the Recurring Work Program (RWP). The methodology consisted of two phases. The first phase, intended to develop an understanding of the gap between the current program and what it needs to become, consisted of two segments: data collection and a strengths, weaknesses, opportunities, and threats (SWOT) analysis. Data was collected during 25 interviews with a wide variety of Air Force members highly experienced with the RWP. Using the interview data, the SWOT analysis compared the state of the current program to relevant maintenance management theory and best practices from industry; this analysis resulted in the identification of one strength, six weaknesses, eight opportunities, and seven threats to the RWP. The second phase of the methodology consisted of developing a model to bridge the gap between the current RWP and what it needs to become. It resulted in eight Focus Areas (FAs) that were based on the findings from the SWOT analysis; each FA represents a unique theme of practical recommendations for improving the program. As a result of this research, maintenance managers have a practical tool to help evaluate and modernize their facilities and infrastructure PM strategy. Additionally, the Air Force has a model for modernizing its RWP

The Global Employer: The Employment Law Reform Issue

[Excerpt] In this issue of The Global Employer Employment Law Reform issue, we explore recent reforms and their likely impact on employers in 10 jurisdictions, and also provide a roundup of trends and hot topics in other regions

The Global Employer Magazine: 2015 Review and 2016 Preview

2015 was another busy year in terms of legal changes and developments around the world. In this 2015 Review and 2016 Preview edition of the Global Employer Magazine we summarize some of these important changes. In the 2015 Review of developments and trends tables below we have set out some of the main developments that took place in 2015 and provided recommended actions or tips on how employers should operate in light of these developments in 2016. For some countries, instead of covering developments, we have referred to trends that we saw in 2015 and again, set out some actions to help employers deal with these trends in the relevant country in 2016. In the 2016 Preview of important forthcoming changes tables, we preview pending legislation and case developments for which employers should stay tuned . Please note that, as there were so many developments, we haven\u27t been able to cover them all. Instead, we have chosen some of the most important or interesting developments. Where possible, we have also added a general impact rating to help show the significance of some of the developments, with 5 being a very significant or important development. Of course, the significance and importance of the development is subject to each employer\u27s circumstances. In addition, some of the entries don\u27t have a rating due to the fact that they include only general commentary on developments, trends or potential political changes. The information below is provided by region in the following order: Asia Pacific, Europe Middle East & Africa, Latin America and North America

The Global Employer: 2015 Review and 2016 Preview

2015 was another busy year in terms of legal changes and developments around the world. In this 2015 Review and 2016 Preview edition of the Global Employer Magazine we summarize some of these important changes. In the 2015 Review of developments and trends tables below we have set out some of the main developments that took place in 2015 and provided recommended actions or tips on how employers should operate in light of these developments in 2016. For some countries, instead of covering developments, we have referred to trends that we saw in 2015 and again, set out some actions to help employers deal with these trends in the relevant country in 2016. In the 2016 Preview of important forthcoming changes tables, we preview pending legislation and case developments for which employers should stay tuned . Please note that, as there were so many developments, we haven\u27t been able to cover them all. Instead, we have chosen some of the most important or interesting developments. Where possible, we have also added a general impact rating to help show the significance of some of the developments, with 5 being a very significant or important development. Of course, the significance and importance of the development is subject to each employer\u27s circumstances. In addition, some of the entries don\u27t have a rating due to the fact that they include only general commentary on developments, trends or potential political changes. The information below is provided by region in the following order: Asia Pacific, Europe Middle East & Africa, Latin America and North America

Business-driven IT Management

Business-driven IT management (BDIM) aims at ensuring successful alignment of business and IT through thorough understanding of the impact of IT on business results, and vice versa. In this dissertation, we review the state of the art of BDIM research and we position our intended contribution within the BDIM research space along the dimensions of decision support (as opposed of automation) and its application to IT service management processes. Within these research dimensions, we advance the state of the art by 1) contributing a decision theoretical framework for BDIM and 2) presenting two novel BDIM solutions in the IT service management space. First we present a simpler BDIM solution for prioritizing incidents, which can be used as a template for creating BDIM solutions in other IT service management processes. Then, we present a more comprehensive solution for optimizing the business-related performance of an IT support organization in dealing with incidents. Our decision theoretical framework and models for BDIM bring the concepts of business impact and risk to the fore, and are able to cope with both monetizable and intangible aspects of business impact. We start from a constructive and quantitative re-definition of some terms that are widely used in IT service management but for which was never given a rigorous decision: business impact, cost, benefit, risk and urgency. On top of that, we build a coherent methodology for linking IT-level metrics with business level metrics and make progress toward solving the business-IT alignment problem. Our methodology uses a constructive and quantitative definition of alignment with business objectives, taken as the likelihood – to the best of one’s knowledge – that such objectives will be met. That is used as the basis for building an engine for business impact calculation that is in fact an alignment computation engine. We show a sample BDIM solution for incident prioritization that is built using the decision theoretical framework, the methodology and the tools developed. We show how the sample BDIM solution could be used as a blueprint to build BDIM solutions for decision support in other IT service management processes, such as change management for example. However, the full power of BDIM can be best understood by studying the second fully fledged BDIM application that we present in this thesis. While incident management is used as a scenario for this second application as well, the main contribution that it brings about is really to provide a solution for business-driven organizational redesign to optimize the performance of an IT support organization. The solution is quite rich, and features components that orchestrate together advanced techniques in visualization, simulation, data mining and operations research. We show that the techniques we use - in particular the simulation of an IT organization enacting the incident management process – bring considerable benefits both when the performance is measured in terms of traditional IT metrics (mean time to resolution of incidents), and even more so when business impact metrics are brought into the picture, thereby providing a justification for investing time and effort in creating BDIM solutions. In terms of impact, the work presented in this thesis produced about twenty conference and journal publications, and resulted so far in three patent applications. Moreover this work has greatly influenced the design and implementation of Business Impact Optimization module of HP DecisionCenter™: a leading commercial software product for IT optimization, whose core has been re-designed to work as described here

Conceptual Design and Analysis of Service Oriented Architecture (SOA) for Command and Control of Space Assets

The mission-unique model that has dominated the DoD satellite Command and Control community is costly and inefficient. It requires repeatedly “reinventing” established common C2 components for each program, unnecessarily inflating budgets and delivery schedules. The effective utilization of standards is scarce, and proprietary, non-open solutions are commonplace. IT professionals have trumpeted Service Oriented Architectures (SOAs) as the solution to large enterprise situations where multiple, functionally redundant but non-compatible information systems create large recurring development, test, maintenance, and tech refresh costs. This thesis describes the current state of Service Oriented Architectures as related to satellite operations and presents a functional analysis used to classify a set of generic C2 services. By assessing the candidate services’ suitability through a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, several C2 functionalities are shown to be more ready than others to be presented as services in the short term. Lastly, key enablers are identified, pinpointing the necessary steps for a full and complete transition from the paradigm of costly mission-unique implementations to the common, interoperable, and reusable space C2 SOA called for by DoD senior leaders

Managerial Intervention Strategies to Reduce Patient No-Show Rates

High patient no-show rates increase health care costs, decrease healthcare access, and reduce the clinical efficiency and productivity of health care facilities. The purpose of this exploratory qualitative single case study was to explore and analyze the managerial intervention strategies healthcare administrators use to reduce patient no-show rates. The targeted research population was active American College of Healthcare Executives (ACHE), Hawaii-Pacific Chapter healthcare administrative members with operational and supervisory experience addressing administrative patient no-show interventions. The conceptual framework was the theory of planned behavior. Semistructured interviews were conducted with 4 healthcare administrators, and appointment cancellation policy documents were reviewed. Interpretations of the data were subjected to member checking to ensure the trustworthiness of the findings. Based on the methodological triangulation of the data collected, 5 common themes emerged after the data analysis: reform appointment cancellation policies, use text message appointment reminders, improve patient accessibility, fill patient no-show slots immediately, and create organizational and administrative efficiencies. Sharing the findings of this study may help healthcare administrators to improve patient health care accessibility, organizational performance and the social well-being of their communities

A Process Modelling Framework Based on Point Interval Temporal Logic with an Application to Modelling Patient Flows

This thesis considers an application of a temporal theory to describe and model the patient journey in the hospital accident and emergency (A&E) department. The aim is to introduce a generic but dynamic method applied to any setting, including healthcare. Constructing a consistent process model can be instrumental in streamlining healthcare issues. Current process modelling techniques used in healthcare such as flowcharts, unified modelling language activity diagram (UML AD), and business process modelling notation (BPMN) are intuitive and imprecise. They cannot fully capture the complexities of the types of activities and the full extent of temporal constraints to an extent where one could reason about the flows. Formal approaches such as Petri have also been reviewed to investigate their applicability to the healthcare domain to model processes. Additionally, to schedule patient flows, current modelling standards do not offer any formal mechanism, so healthcare relies on critical path method (CPM) and program evaluation review technique (PERT), that also have limitations, i.e. finish-start barrier. It is imperative to specify the temporal constraints between the start and/or end of a process, e.g., the beginning of a process A precedes the start (or end) of a process B. However, these approaches failed to provide us with a mechanism for handling these temporal situations. If provided, a formal representation can assist in effective knowledge representation and quality enhancement concerning a process. Also, it would help in uncovering complexities of a system and assist in modelling it in a consistent way which is not possible with the existing modelling techniques. The above issues are addressed in this thesis by proposing a framework that would provide a knowledge base to model patient flows for accurate representation based on point interval temporal logic (PITL) that treats point and interval as primitives. These objects would constitute the knowledge base for the formal description of a system. With the aid of the inference mechanism of the temporal theory presented here, exhaustive temporal constraints derived from the proposed axiomatic system’ components serves as a knowledge base. The proposed methodological framework would adopt a model-theoretic approach in which a theory is developed and considered as a model while the corresponding instance is considered as its application. Using this approach would assist in identifying core components of the system and their precise operation representing a real-life domain deemed suitable to the process modelling issues specified in this thesis. Thus, I have evaluated the modelling standards for their most-used terminologies and constructs to identify their key components. It will also assist in the generalisation of the critical terms (of process modelling standards) based on their ontology. A set of generalised terms proposed would serve as an enumeration of the theory and subsume the core modelling elements of the process modelling standards. The catalogue presents a knowledge base for the business and healthcare domains, and its components are formally defined (semantics). Furthermore, a resolution theorem-proof is used to show the structural features of the theory (model) to establish it is sound and complete. After establishing that the theory is sound and complete, the next step is to provide the instantiation of the theory. This is achieved by mapping the core components of the theory to their corresponding instances. Additionally, a formal graphical tool termed as point graph (PG) is used to visualise the cases of the proposed axiomatic system. PG facilitates in modelling, and scheduling patient flows and enables analysing existing models for possible inaccuracies and inconsistencies supported by a reasoning mechanism based on PITL. Following that, a transformation is developed to map the core modelling components of the standards into the extended PG (PG*) based on the semantics presented by the axiomatic system. A real-life case (from the King’s College hospital accident and emergency (A&E) department’s trauma patient pathway) is considered to validate the framework. It is divided into three patient flows to depict the journey of a patient with significant trauma, arriving at A&E, undergoing a procedure and subsequently discharged. Their staff relied upon the UML-AD and BPMN to model the patient flows. An evaluation of their representation is presented to show the shortfalls of the modelling standards to model patient flows. The last step is to model these patient flows using the developed approach, which is supported by enhanced reasoning and scheduling