A survey of health care models that encompass multiple departments

In this survey we review quantitative health care models to illustrate the extent to which they encompass multiple hospital departments. The paper provides general overviews of the relationships that exists between major hospital departments and describes how these relationships are accounted for by researchers. We find the atomistic view of hospitals often taken by researchers is partially due to the ambiguity of patient care trajectories. To this end clinical pathways literature is reviewed to illustrate its potential for clarifying patient flows and for providing a holistic hospital perspective

Robot Autonomy for Surgery

Autonomous surgery involves having surgical tasks performed by a robot operating under its own will, with partial or no human involvement. There are several important advantages of automation in surgery, which include increasing precision of care due to sub-millimeter robot control, real-time utilization of biosignals for interventional care, improvements to surgical efficiency and execution, and computer-aided guidance under various medical imaging and sensing modalities. While these methods may displace some tasks of surgical teams and individual surgeons, they also present new capabilities in interventions that are too difficult or go beyond the skills of a human. In this chapter, we provide an overview of robot autonomy in commercial use and in research, and present some of the challenges faced in developing autonomous surgical robots

Portraying managerial dynamic capabilities : a case study in the fast-moving consumer goods industry

This paper presents a case study describing the managerial dynamic capabilities of a firm in the highly competitive fast-moving consumer goods industry and their effects in the performance of the firm and the industry. Managerial dynamic capabilities are processes of managerial decision-making, extending throughout the firm, to determine which particular resources managers identify as strategically important and how they build them. The case study, which was developed with a management team during a period of one year, involved a detailed analysis of the resources perceived strategically relevant and the operating policies aimed at maintaining an adequate balance of the set of key resources. In other words, this paper describes what Winter (2003) defines as 'how we earn our living now' or 'zero-level' capabilities

Library purchasing consortia in the UK: activity, benefits and good practice.

Following a brief introduction in Section 1, Section 2 sets out the operational context of library purchasing consortia. A range of key factors have shaped recent developments in the four LIS sectors under consideration (FE, HE, health and public libraries); some have exerted a common influence over all (e.g. information technology, European Commission purchasing directives, new central government, decline in bookfunds); some are sector-specific (e.g. purchasing arrangements, regional administrative frameworks, collaborative partnerships). The structure and markets of the book and periodical publishing industry in the UK are reviewed, with attention paid to historical as well as more recent practice that has had an impact on library supply. Although each component of the LIS purchasing consortia jigsaw displays individual characteristics that have evolved as a response to its own environment, the thread that links them together is constant change. Section 3 presents the results of a survey of identified library purchasing consortia in the four library sectors. It treats common themes of relevance to all consortia arising from information gathered by seminar input, questionnaire and interview. These include models of consortium operation, membership and governance, ‘typical’ composition of consortia in each sector, and links to analogous practice in other library sectors. Common features of the tendering and contract management process are elicited and attention paid to any contribution of procurement professionals. Finally, levels of consortium expenditure and cost savings are estimated from the published statistical record, which readily demonstrate in financial terms the efficiency of the consortial purchase model for all types of library in the United Kingdom. Section 4 presents the results of a survey of suppliers to libraries in the United Kingdom of books and periodicals, the two sectors most commonly represented in current contracts of library purchasing consortia. It sets out in some detail the operating context governing the highly segmented activities of library booksellers, as well as that pertaining to periodicals suppliers (also known as subscription agents). Detailed responses to questions on the effects of library purchasing consortia on suppliers of both materials have been gathered by questionnaire survey and selected follow-up interviews. Results are presented and analysed according to supply sector with attention given to the tendering process, current contracts under way, cross-sectoral clientele, and advantages and inhibitors of consortia supply. Further responses are reported on issues of how consortia have affected suppliers’ volume of trade, operating margins and market stability as perceived in their own business, the library supply sector and the publishing industry. Finally, overall conclusions are drawn and projections made as to future implications for both types of library suppliers. Section 5 synthesises findings, details enabling and inhibiting factors for consortia formation and models of best practice amongst consortia. The scope for cross-sectoral collaboration is discussed and found to be limited at present. Pointers are given for future activity

Managing the trade-off implications of global supply

The cost versus response trade-off is a growing logistics issue due to many markets being increasingly characterized by demand uncertainty and shorter product life cycles. This is exacerbated further with supply increasingly moving to low cost global sources. However, the poor response implications of global supply are often not addressed or even acknowledged when undertaking such decisions. Consequently, various practical approaches to minimising, postponing or otherwise managing the impact of the demand uncertainty are often only adopted retrospectively. Even though such generic solutions are documented through case examples we lack effective tools and concepts to support the proactive identification and resolution of such trade-offs. This paper reports on case-based theory building research, involving three cases from the UK and USA used in developing a conceptual model with associated tools, in support of such a process

Recognizing Risk in Human Capital Investments: A Real Options Approach to Strategic Human Resource Management

An issue that has not yet been explored in the field of strategic human resource management (SHRM) is that of managing the ‘risks’ involved in human capital management of the firm. We address this issue using the real option theory framework. We argue that certain HR practices manage risk and generate opportunities for the firm by creating \u27options\u27 for its human capital management. These HR options help ensure stability of returns from human capital and thus sustain competitive advantage. Different types of HR options and the role of certain HR practices in creation of these options are discussed

Estimating the Indirect Gaming Contribution of Bingo Rooms

Using data from two repeater market hotel casinos, the relationship between bingo and slot business volumes is explored. Contrary to conjecture supplied by industry executives, the results fail to demonstrate a statistically significant relationship between daily bingo headcount and coin-in. This result was found in three different analyses, including one· attempt to estimate the impact of bingo headcount on low-denomination coin-in. This study advances the literature by challenging the assumption that bingo rooms produce substantial indirect slot profits. Given the minimal direct contribution to property cash flows, if any, the results suggest that bingo rooms are not always the highest and best use of valuable casino floor space

Implementation of virtual manufacturing by a technology licensing company

NoThe paper considers the implementation of a virtual manufacturing system as an alternative to outward technology licensing in a high technology industrial sector. Brief theoretical definition and description of the two strategy options is provided to give background and context. This is followed by empirical material from a longitudinal case study of a company that has developed a virtual manufacturing system in addition to its pre-existing outward technology licensing business stream. A summary account of the company history and development is followed by description of the virtual manufacturing proposal. Analysis of this identified a number of competencies that would be required in order to succeed. The final part of the paper describes the company's response to this analysis and discusses early implementation of the virtual system. It is shown that implementation of the proposal has represented a positive response to the business challenges facing the company

Universal behaviour of a wave chaos based electromagnetic reverberation chamber

In this article, we present a numerical investigation of three-dimensional electromagnetic Sinai-like cavities. We computed around 600 eigenmodes for two different geometries: a parallelepipedic cavity with one half- sphere on one wall and a parallelepipedic cavity with one half-sphere and two spherical caps on three adjacent walls. We show that the statistical requirements of a well operating reverberation chamber are better satisfied in the more complex geometry without a mechanical mode-stirrer/tuner. This is to the fact that our proposed cavities exhibit spatial and spectral statistical behaviours very close to those predicted by random matrix theory. More specifically, we show that in the range of frequency corresponding to the first few hundred modes, the suppression of non-generic modes (regarding their spatial statistics) can be achieved by reducing drastically the amount of parallel walls. Finally, we compare the influence of losses on the statistical complex response of the field inside a parallelepipedic and a chaotic cavity. We demonstrate that, in a chaotic cavity without any stirring process, the low frequency limit of a well operating reverberation chamber can be significantly reduced under the usual values obtained in mode-stirred reverberation chambers