Customer-oriented risk assessment in Network Utilities

For companies that distribute services such as telecommunications, water, energy, gas, etc., quality perceived by the customers has a strong impact on the fulfillment of financial goals, positively increasing the demand and negatively increasing the risk of customer churn (loss of customers). Failures by these companies may cause customer affection in a massive way, augmenting the intention to leave the company. Therefore, maintenance performance and specifically service reliability has a strong influence on financial goals. This paper proposes a methodology to evaluate the contribution of the maintenance department in economic terms, based on service unreliability by network failures. The developed methodology aims to provide an analysis of failures to facilitate decision making about maintenance (preventive/predictive and corrective) costs versus negative impacts in end-customer invoicing based on the probability of losing customers. Survival analysis of recurrent failures with the General Renewal Process distribution is used for this novel purpose with the intention to be applied as a standard procedure to calculate the expected maintenance financial impact, for a given period of time. Also, geographical areas of coverage are distinguished, enabling the comparison of different technical or management alternatives. Two case studies in a telecommunications services company are presented in order to illustrate the applicability of the methodology

Care Management of Patients With Complex Health Care Needs

Explores how patients' complexity of healthcare needs, vulnerability, and age affect the cost and quality of their health care. Examines the potential for care management to improve quality of care and reduce costs, elements of success, and challenges

Ready or Not? Protecting the Public's Health From Diseases, Disasters, and Bioterrorism, 2011

Highlights examples of preparedness programs and capacities at risk of federal budget cuts or elimination, examines state and local public health budget cuts, reviews ten years of progress and shortfalls, and outlines policy issues and recommendations

The Value of Information Technology-Enabled Diabetes Management

Reviews different technologies used in diabetes disease management, as well as the costs, benefits, and quality implications of technology-enabled diabetes management programs in the United States

Smart Grid Security: Threats, Challenges, and Solutions

The cyber-physical nature of the smart grid has rendered it vulnerable to a multitude of attacks that can occur at its communication, networking, and physical entry points. Such cyber-physical attacks can have detrimental effects on the operation of the grid as exemplified by the recent attack which caused a blackout of the Ukranian power grid. Thus, to properly secure the smart grid, it is of utmost importance to: a) understand its underlying vulnerabilities and associated threats, b) quantify their effects, and c) devise appropriate security solutions. In this paper, the key threats targeting the smart grid are first exposed while assessing their effects on the operation and stability of the grid. Then, the challenges involved in understanding these attacks and devising defense strategies against them are identified. Potential solution approaches that can help mitigate these threats are then discussed. Last, a number of mathematical tools that can help in analyzing and implementing security solutions are introduced. As such, this paper will provide the first comprehensive overview on smart grid security

Sustaining the Medical Home: How PROMETHEUS Payment Can Revitalize Primary Care

Argues for reforming the current fee-for-service payment system on the PROMETHEUS model of budgeting for a comprehensive episode of care for a condition. Analyzes the implications for a sustainable patient-centered medical home model of care delivery