A Framework for Prioritizing Opportunities of Improvement in the Context of Business Excellence Model in Healthcare Organization

In today\u27s world, the healthcare sector is facing challenges to improve the efficiency and effectiveness of its operations. More and more improvement projects are being adopted to enhance healthcare services, making it more patient-centric, and enabling better cost control. Healthcare organizations strive to identify and carry out such improvement initiatives to sustain their businesses and gain competitive advantage. Seeking to reach a higher operational level of excellence, healthcare organizations utilize business excellence criteria to conduct assessment and identify organizational strengths and weaknesses. However, while such assessments routinely identify numerous areas for potential improvement, it is not feasible to conduct all improvement projects simultaneously due to limitations in time, capital, and personnel, as well as conflict with other organization\u27s projects or strategic objectives. An effective prioritization and selection approach is valuable in that it can assist the organization to optimize its available resources and outcomes. This study attempts to enable such an approach by developing a framework to prioritize improvement opportunities in healthcare in the context of the business excellence model through the integration of the Fuzzy Delphi Method and Fuzzy Interface System. To carry out the evaluation process, the framework consists of two phases. The first phase utilizes Fuzzy Delphi Method to identify the most significant factors that should be considered in healthcare for electing the improvement projects. The FDM is employed to handle the subjectivity of human assessment. The research identifies potential factors for evaluating projects, then utilizes FDM to capture expertise knowledge. The first round in FDM is intended to validate the identified list of factors from experts; which includes collecting additional factors from experts that the literature might have overlooked. When an acceptable level of consensus has been reached, a second round is conducted to obtain experts\u27 and other related stakeholders\u27 opinions on the appropriate weight of each factor\u27s importance. Finally, FDM analyses eliminate or retain the criteria to produce a final list of critical factors to select improvement projects. The second phase in the framework attempts to prioritize improvement initiatives using the Hierarchical Fuzzy Interface System. The Fuzzy Interface System combines the experts\u27 ratings for each improvement opportunity with respect to the factors deemed critical to compute the priority index. In the process of calculating the priority index, the framework allows the estimation of other intermediate indices including: social, financial impact, strategical, operational feasibility, and managerial indices. These indices bring an insight into the improvement opportunities with respect to each framework\u27s dimensions. The framework allows for a reduction of the bias in the assessment by developing a knowledge based on the perspectives of multiple experts

The sequence stratigraphy of the East China Sea continental margin (late Pleistocene to present)

The East China Sea continental margin is characterized by abundant sediment supply, high energy, and a unique shelf physiography - a fairly shallow shelf with a low gradient, extreme width, and deep shelf-slope break. Three sequences are chronologically constrained by core data in the shallow strata from the late Pleistocene to present. Regional seismic surveys, collected as part of a broader investigation, provide unique observations unavailable to previous studies. A revised stratigraphy is presented that provides an alternate stratigraphic framework and, in the process, clarifies existing ECS stratigraphic nomenclature. In these strata, the lowstand fluvial systems, prior to oxygen isotope stage 4 do not incise the East China Sea continental margin. Instead, they comprise laterally (>400 km) and vertically (>40 m) extensive sand sheets interpreted as low-energy and low-sinuosity fluvial braidplains dominated by bed load. It is suggested in this paper that the rare nature of lowstand unincised fluvial systems (LUFS) are related to the rare nature of the extreme depositional boundary conditions forming the LUFS on continental margins (i.e., low gradient, deep shelf-slope break, abundant sediment supply). Extensive (>100 km), unincised fluvial sheet sands resembling the LUFS from the ECS margin are preserved in foreland basins throughout the Phanerozoic. Because this stratal architecture is similar to the LUFS preserved on the ECS margin, it may have been created under similar depositional conditions. In order to better understand stratal sensitivity under these conditions, a three-dimensional, forward simulator (fuzzyPEACH) was developed. In this investigation, numerous scenarios of eustasy, tectonic subsidence, and sediment influx were simulated. The various rates and magnitudes of eustatic fluctuations may also be used as a proxy for the effect of margin physiography on stratal geometry, although fuzzyPEACH allows the geometry to be user defined. FuzzyPEACH simulations collectively uses only five FISs containing a total of 21 separate rules. These rules incorporate 15 variables and are defined by 47 fuzzy sets. Fuzzy logic was chosen for its ability to quantify subjectivity, by capturing the vagueness of linguistic terms, and assemble a robust fuzzy logic inference system, in relatively short order, that can describe complex, nonlinear relationships

Collected Papers (on various scientific topics), Volume XII

This twelfth volume of Collected Papers includes 86 papers comprising 976 pages on Neutrosophics Theory and Applications, published between 2013-2021 in the international journal and book series “Neutrosophic Sets and Systems” by the author alone or in collaboration with the following 112 co-authors (alphabetically ordered) from 21 countries: Abdel Nasser H. Zaied, Muhammad Akram, Bobin Albert, S. A. Alblowi, S. Anitha, Guennoun Asmae, Assia Bakali, Ayman M. Manie, Abdul Sami Awan, Azeddine Elhassouny, Erick González-Caballero, D. Dafik, Mithun Datta, Arindam Dey, Mamouni Dhar, Christopher Dyer, Nur Ain Ebas, Mohamed Eisa, Ahmed K. Essa, Faruk Karaaslan, João Alcione Sganderla Figueiredo, Jorge Fernando Goyes García, N. Ramila Gandhi, Sudipta Gayen, Gustavo Alvarez Gómez, Sharon Dinarza Álvarez Gómez, Haitham A. El-Ghareeb, Hamiden Abd El-Wahed Khalifa, Masooma Raza Hashmi, Ibrahim M. Hezam, German Acurio Hidalgo, Le Hoang Son, R. Jahir Hussain, S. Satham Hussain, Ali Hussein Mahmood Al-Obaidi, Hays Hatem Imran, Nabeela Ishfaq, Saeid Jafari, R. Jansi, V. Jeyanthi, M. Jeyaraman, Sripati Jha, Jun Ye, W.B. Vasantha Kandasamy, Abdullah Kargın, J. Kavikumar, Kawther Fawzi Hamza Alhasan, Huda E. Khalid, Neha Andalleb Khalid, Mohsin Khalid, Madad Khan, D. Koley, Valeri Kroumov, Manoranjan Kumar Singh, Pavan Kumar, Prem Kumar Singh, Ranjan Kumar, Malayalan Lathamaheswari, A.N. Mangayarkkarasi, Carlos Rosero Martínez, Marvelio Alfaro Matos, Mai Mohamed, Nivetha Martin, Mohamed Abdel-Basset, Mohamed Talea, K. Mohana, Muhammad Irfan Ahamad, Rana Muhammad Zulqarnain, Muhammad Riaz, Muhammad Saeed, Muhammad Saqlain, Muhammad Shabir, Muhammad Zeeshan, Anjan Mukherjee, Mumtaz Ali, Deivanayagampillai Nagarajan, Iqra Nawaz, Munazza Naz, Roan Thi Ngan, Necati Olgun, Rodolfo González Ortega, P. Pandiammal, I. Pradeepa, R. Princy, Marcos David Oviedo Rodríguez, Jesús Estupiñán Ricardo, A. Rohini, Sabu Sebastian, Abhijit Saha, Mehmet Șahin, Said Broumi, Saima Anis, A.A. Salama, Ganeshsree Selvachandran, Seyed Ahmad Edalatpanah, Sajana Shaik, Soufiane Idbrahim, S. Sowndrarajan, Mohamed Talea, Ruipu Tan, Chalapathi Tekuri, Selçuk Topal, S. P. Tiwari, Vakkas Uluçay, Maikel Leyva Vázquez, Chinnadurai Veerappan, M. Venkatachalam, Luige Vlădăreanu, Ştefan Vlăduţescu, Young Bae Jun, Wadei F. Al-Omeri, Xiao Long Xin.‬‬‬‬‬