'Sense and respond' and 'autonomic' logistics: a review of US and UK developments

Until recently, platform-based, logistics applications required data to be physically downloaded and transferred between systems so that analysis could estimate the status of key components. In both the Sense and Respond Logistics (S&RL) and Autonomic Logistics (AL) systems, prognostics have been added to monitoring functions, effectively extending the reach of Combat Service Support (CSS). The scope the supply chain has also been expanded with the potential inclusion of some classes of supply within the AL approach. The real time and predictive aspects are relatively new logistics developments facilitated by the real-time communication of data while platforms are in operation. While the (Australian) Military Integrated Logistics Information System (MILIS) proposes to extend the reach of supply chain information to sub-unit level, it falls short of crossing the gap to link Health and Usage Monitoring System (HUMS), platform-based, data into the logistics continuum to provide end-to-end visibility, a foxhole-to-factory-to-foxhole perspective, of the supply chain. This paper will review developments in recent military applications of Autonomic Logistics and Sense & Respond Logistics in the United States Defense Forces and the military in the UK while also considering a selection of Australian Defence Force programs. It will state the case for application of Autonomic Logistics and Sense & Respond Logistics to the ASLAV and Bushmaster platforms, in a similar fashion to those employed in the US and the UK, as a source of accurate and up-to-date CSS information for the various levels of command

Taxonomic classification of planning decisions in health care: a review of the state of the art in OR/MS

We provide a structured overview of the typical decisions to be made in resource capacity planning and control in health care, and a review of relevant OR/MS articles for each planning decision. The contribution of this paper is twofold. First, to position the planning decisions, a taxonomy is presented. This taxonomy provides health care managers and OR/MS researchers with a method to identify, break down and classify planning and control decisions. Second, following the taxonomy, for six health care services, we provide an exhaustive specification of planning and control decisions in resource capacity planning and control. For each planning and control decision, we structurally review the key OR/MS articles and the OR/MS methods and techniques that are applied in the literature to support decision making

Operating room planning and scheduling: A literature review.

This paper provides a review of recent research on operating room planning and scheduling. We evaluate the literature on multiple fields that are related to either the problem setting (e.g. performance measures or patient classes) or the technical features (e.g. solution technique or uncertainty incorporation). Since papers are pooled and evaluated in various ways, a diversified and detailed overview is obtained that facilitates the identification of manuscripts related to the reader's specific interests. Throughout the literature review, we summarize the significant trends in research on operating room planning and scheduling and we identify areas that need to be addressed in the future.Health care; Operating room; Scheduling; Planning; Literature review;

Economic evaluation of the proposed surgical scheme at Auburn Hospital: Final report, CHERE Project Report No 19

Background Public hospitals have experienced budget constraints but as demand for admissions has been growing at the same time, occupancy levels have been increasing. As emergency and urgent admissions are given priority, the effect has been not just longer waiting times and larger waiting lists for non-urgent admissions, but also frequent cancellations of elective surgery, thus adding to patients? waiting time. Consequently, there have been a number of attempts to reduce elective surgical waiting lists. The Auburn Elective Surgical Program (AESP) was a pilot program funded by the NSW Health Department, to improve elective surgery for patients in Western Sydney Area Health Service (WSAHS). The program commenced 19th July 2001 and ended 15th November 2001. Initially, the program targeted three specific surgical procedures, laparoscopic cholecystectomy, hernia repair, and haemorrhoidectomy, and was expanded to include thyroidectomy, ligation and stripping of varicose veins and endoscopy. The program sought to improve the effectiveness and efficiency of administrative and clinical aspects of elective surgery by: > Using spare operating theatre capacity at Auburn Hospital; > the use of a new booking and waiting list system, managed by a nurse co-ordinator, which offered suitable patients a definite date for surgery; > increasing surgical sessions by paying participating surgeons on a fee for service basis; > however, surgery could be performed by a surgeon other than their treating surgeon; > re-structuring elective surgical sessions to eliminate meal breaks; > planning post discharge care so that surgery could be performed on a day only basis. The Centre for Health Economics Research and Evaluation (CHERE) was commissioned to undertake an independent evaluation of the AESP. This study has examined the throughput, health outcomes, costs and patient satisfaction. Throughput data on the program were defined as time spent on the waiting list, number of failures to attend planned surgery, average length of stay, and number of surgical interventions. Health consequences were defined as complications, unplanned readmissions to hospital, wound infection after surgery, mortality, percentage of same day admissions and conversion rate to open cholecystectomy. Costs were estimated from a health service perspective. Patient acceptability was assessed by the proportion of eligible patients having their surgery under the AESP, and patient satisfaction by questionnaire.Economic evaluation, waiting times, hospitals

Virtual reality in theatre education and design practice - new developments and applications

The global use of Information and Communication Technologies (ICTs) has already established new approaches to theatre education and research, shifting traditional methods of knowledge delivery towards a more visually enhanced experience, which is especially important for teaching scenography. In this paper, I examine the role of multimedia within the field of theatre studies, with particular focus on the theory and practice of theatre design and education. I discuss various IT applications that have transformed the way we experience, learn and co-create our cultural heritage. I explore a suite of rapidly developing communication and computer-visualization techniques that enable reciprocal exchange between students, theatre performances and artefacts. Eventually, I analyse novel technology-mediated teaching techniques that attempt to provide a new media platform for visually enhanced information transfer. My findings indicate that the recent developments in the personalization of knowledge delivery, and also in student-centred study and e-learning, necessitate the transformation of the learners from passive consumers of digital products to active and creative participants in the learning experience

Visual communication in urban planning and urban design

This report documents the current status of visual communication in urban design and planning. Visual communication is examined through discussion of standalone and network media, specifically concentrating on visualisation on the World Wide Web(WWW).Firstly, we examine the use of Solid and Geometric Modelling for visualising urban planning and urban design. This report documents and compares examples of the use of Virtual Reality Modelling Language (VRML) and proprietary WWW based Virtual Reality modelling software. Examples include the modelling of Bath and Glasgow using both VRML 1.0 and 2.0. A review is carried out on the use of Virtual Worldsand their role in visualising urban form within multi-user environments. The use of Virtual Worlds is developed into a case study of the possibilities and limitations of Virtual Internet Design Arenas (ViDAs), an initiative undertaken at the Centre for Advanced Spatial Analysis, University College London. The use of Virtual Worlds and their development towards ViDAs is seen as one of the most important developments in visual communication for urban planning and urban design since the development plan.Secondly, photorealistic media in the process of communicating plans is examined.The process of creating photorealistic media is documented, examples of the Virtual Streetscape and Wired Whitehall Virtual Urban Interface System are provided. The conclusion is drawn that although the use of photo-realistic media on the WWW provides a way to visually communicate planning information, its use is limited. The merging of photorealistic media and solid geometric modelling is reviewed in the creation of Augmented Reality. Augmented Reality is seen to provide an important step forward in the ability to quickly and easily visualise urban planning and urban design information.Thirdly, the role of visual communication of planning data through GIS is examined interms of desktop, three dimensional and Internet based GIS systems. The evolution to Internet GIS is seen as a critical component in the development of virtual cities which will allow urban planners and urban designers to visualise and model the complexity of the built environment in networked virtual reality.Finally a viewpoint is put forward of the Virtual City, linking Internet GIS with photorealistic multi-user Virtual Worlds. At present there are constraints on how far virtual cities can be developed, but a view is provided on how these networked virtual worlds are developing to aid visual communication in urban planning and urban design

A software toolkit for web-based virtual environments based on a shared database

We propose a software toolkit for developing complex web-based user interfaces, incorporating such things as multi-user facilities, virtual environments (VEs), and interface agents. The toolkit is based on a novel software architecture that combines ideas from multi-agent platforms and user interface (UI) architectures. It provides a distributed shared database with publish-subscribe facilities. This enables UI components to observe the state and activities of any other components in the system easily. The system runs in a web-based environment. The toolkit is comprised of several programming and other specification languages, providing a complete suite of systems design languages. We illustrate the toolkit by means of a couple of examples

Estimating capacity and resource allocation in healthcare settings using business process modelling and simulation

Healthcare involves complex decision making from planning to resource management. Resources in hospitals are usually allocated by experienced managers,however, due to an inherent process complexity, decisions are surrounded by uncertainties, variabilities, and constraints. Information Systems must be robust enough to provide support to stakeholders, capable of controlling and support work flows. The present work explores the required synergy when combining business processes with discrete event simulation. The objective is to estimate performance indices and address capacity management of a surgical center as a case study.Postprin