Nursing case management: affecting quality and cost

North Mississippi Health Services' nursing case management program has been deemed a success by all parties involved, especially the patients. High-risk patients with specific chronic health problems receive an enhanced level of care and experience significant reductions in cost, length of stay, and repeat hospitalizations. Quality of life for many of these patients is also improved. These outcomes are made possible by assigning a registered nurse to case manage or coordinate care for these patients.     

护理管理在小儿康复病房中的作用分析

目的:探讨护理管理在小儿康复病房中的作用并进行分析。方法:调查我院2010年3月起开展系统护理管理以来160例小儿康复患者的满意程度。结果:通过对系统管理的实施,发现在这160例患者当中,不曾出现一例纠纷问题,同时在患者出院后,病患家属的满意程度也达到93.75%,满意人数达150例。结论:系统护理的实施具备很大的优势,同时还让护理病房得到了全面的、系统的,以及详细的管理方法,从而将护理人员的工作热情和护理技术提高了上去,降低风险几率。     

反向抵押贷款风险研究

反向抵押贷款作为一种金融产品,其核心问题是风险管理,但目前国内对于反向抵押款风险的研究仅仅停留在简单对国外文献的翻译上,并未结合中国实际进行具体分析.结合中国具体实际对反向抵押贷款中的三级风险作了详细分析,并对反向抵押贷款中的风险防范提了几点建议.     

Predicting and explaining absenteeism risk in hospital patients before and during COVID-19

In order to address one of the most challenging problems in hospital management – patients’ absenteeism without prior notice – this study analyses the risk factors associated with this event. To this end, through real data from a hospital located in the North of Portugal, a prediction model previously validated in the literature is used to infer absenteeism risk factors, and an explainable model is proposed, based on a modified CART algorithm. The latter intends to generate a human-interpretable explanation for patient absenteeism, and its implementation is described in detail. Furthermore, given the significant impact, the COVID-19 pandemic had on hospital management, a comparison between patients’ profiles upon absenteeism before and during the COVID-19 pandemic situation is performed. Results obtained differ between hospital specialities and time periods meaning that patient profiles on absenteeism change during pandemic periods and within specialities.     

A Spatial Analysis of Mental Healthcare in Texas

This paper discusses competing-destinations formulation of the gravity model for the flows of patients from their residential areas to health supplier regions. This approach explicitly acknowledges the interdependence of the patient between a set of alternative health supplier regions. This competing-destinations-based approach may be implemented as a probabilistic demand function or conditional logit model, with a Poisson outcome. A Texas-based case study of residential areas and State Mental Hospitals (SMHs) is presented. The results of the estimation do not lend support to the presence of scale effects in SMHs due to the size of population. This result, combined with the negative effect of average length of stay and with the positive effect of the provision of forensic services on patient flows, highlights the problem of caseload growth in SMHs.     

卷烟品牌风险管理研究

实施风险管理是国内卷烟品牌做大做强的保障。本研究给出了卷烟品牌风险管理的模式和方法,包括卷烟品牌的风险识别、评价和对策,同时以苏烟为例进行了实证分析。     

Case management: quality care today

The literature demonstrates that the concept of case management offers quality, patient-centered care. Case management promotes the wise utilization of resources and has economic advantages. The benefits of case management are widespread. Everyone concerned with patient care is affected positively, including the patient, family, caregivers, and the facility itself. The benefits far outweigh the potential problems outlined in the literature, and these problems can be eliminated with proper education. The movement toward the use of case management makes good business sense. It will continue.     

基于作业成本法在电信企业应用研究

我国电信业重组让电信业市场竞争更激烈,促使电信企业强化成本核算和成本管理,而作业成本法则是一种适应当前形势发展要求的成本核算与管理方法。文章对作业成本法在电信企业中的应用进行研究,同时提出其在电信企业应用体系的基本模型。     

Firm‐Driven Management of Longevity Risk: Analysis of Lump‐Sum Forward Payments in Japanese Nursing Homes

This study analyzes a unique economic circumstance of longevity risk management in the Japanese private nursing home market. This circumstance takes the form of a lump‐sum forward payment of lifetime rent by residents, which leaves most longevity risk to be covered by homes. To analyze this circumstance, I construct a structural econometric model of industrial organization for this market. For the underlying structure of longevity risk, I assume that both individual consumers and nursing homes utilize the subjective evaluation. My empirical analysis detects excess payments that can be compensated for only by an unrealistically long stay in nursing homes. This finding implies the existence of the exaggerated evaluation of longevity by economic agents. Thus, appropriate government intervention to help hedge longevity risk might improve social welfare.     

普外科护理管理中风险管理的应用体会

目的:探讨风险管理在普外科临床护理管理中的应用。方法:通过对日常护理工作中可能存在的风险进行评估,制定常见风险的应急处理程序,对其工作制度进行完善,改进工作流程,提高护士对风险意识的强化培训,加强护理风险监控等措施。结果:实施风险管理后,提高了护士的护理风险意识,使患者满意度明显高于实施管理前。结论:护理管理中应用风险管理后,有效的提高了护理人员对普外科工作中的危险因素的预见性和干预性,提高了患者对护理工作的满意度,显著降低了护理纠纷的发生。     

一种基于遗传算法的企业信用风险分析方法

运用企业信用风险评价理论,在分析企业信用评价与历史财务指标之间关系的基础上,从理论和实证两个方面,提出了企业信用风险分析和预测的指标体系,并据此构建了一种基于遗传算法的企业信用风险分析和预测模型。研究表明,该方法有效、可行,有助于企业信用风险的预警管理,提高信用管理水平。     

Managing risks in organizational purchasing through adaptation of buying centre structure and the buying process

Although risk issues have extensively been explored, studies on risk perceptions and risk management from a buying centre perspective are surprisingly few. In this qualitative study, purchase-related risk management by adapting buying centre structures and buying processes was examined through semi-structured interviews among 15 business organizations. The findings suggest that although organizations perceive risks in highly similar ways, notable industry-specific differences exist in how risks are tolerated and managed. In the case of heightened perceived risk, high-tech companies were found to rely more on informality and decentralization of decision-making in risk management, whereas more traditional manufacturing organizations managed risks by increasing centralization and formality.     

Risk-based classification of supplier relationships

The management and exploitation of external resources has increased and become a new source of business success. This has given rise to various new risks and therefore increased the need for collaborative risk management and learning. The objective of this paper is to explore the differences in risk management and learning across supplier relationships classified through network risks. The paper provides a theoretical review of supplier relationships and risk management, as well as a survey-based empirical study conducted in one case company's supply network. A set of network risks and risk-management measures is developed by means of factor analysis, and a supplier classification by means of cluster analysis. According to the results, the exploitation of collaborative risk management and learning is highest among the most strategic supplier relationships. A classification typology based on suppliers’ opinions helps both parties in the relationship and enables the efficient exploitation of mutual risk management with collaborative learning as one of its keystones.     

基于改进SCOR的外向型企业供应链风险评价及应用

为了更系统地对外向型企业供应链风险进行识别,改进供应链运作参考模型,将模型目的由优化供应链流程以提高供应链绩效转变为识别供应链流程运作中潜在的风险因素。在改进模型的基础上,构建外向型企业供应链风险评价指标体系,采用信息熵确定权重的物元可拓分析法评价已识别风险的等级情况,并以案例的形式展开具体讨论。结果显示:案例企业的整体供应链风险是处于中等风险,在22种风险因素中有6种属于较高风险等级。针对评价结果,提出做好前期调研工作、强化对风险源的监控管理、完善交易契约的内容设计以及构建供应链突发风险应急管理机制等措施建议。     

Integration and Task Allocation: Evidence from Patient Care

Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower‐cost organizations by discharging patients earlier (and in poorer health) and increasing post‐hospitalization service intensity. Although integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings.     

风险管理在胸外科围术期护理中的效果观察

目的:探讨风险管理在胸外科围术期护理中的效果。方法:选取胸外科手术患者100例作为研究对象,分为两组。对照组不采取风险管理;观察组采取风险管理,分析护理风险因素及提出相应的风险防范措施。结果:与风险管理前相比较,经过风险管理后,围术期,患者的并发症发生率、输液反应及患者对护理工作的满意度均优于风险管理前,存在显著性差异,有统计学意义(P<0.05)。     

审计风险及其管理探析

随着注册会计师法律诉讼案件的增多,注册会计师的风险意识也在逐渐增加,越来越需要研究审计风险。从审计风险的定义入手,指出审计风险最终应是给注册会计师带来损失的可能性,揭示了审计风险形成的三方面原因,并提出了审计风险管理三环节以及具体的内容和措施。     

Patterns of labor-management cooperation

This article analyzes six long-term labor-management cooperative relationships, based on lengthy field research, extensive, in-depth interviews with key labor and management officials, and the author's review and evaluation of labor agreements and other documents related to the individual relationships. Key internal and/or external events that helped energize the cooperative relationships are examined and important principles found to be necessary to maintain the relationships are identified and illustrated. Based on this research, conclusions are presented that suggest patterns that practitioners might implement to develop a more mutually beneficial and productive relationship.     

论ERP环境下的内部控SUSU度建设

内控体系是现代企业管理中一种先进的管理模式。ERP在系统运行过程中存在的风险带来内控体系一系列的影响和挑战，文章针对这一情况提出了ERP环境下搞好企业内控工作采取的应对措施。     

基于集对分析的项目风险排序方法

风险排序是项目风险管理的重要环节。在综述已有方法的基础上，提出一种基于集对分析的风险排序方法，计算了各种风险的联系度，建立两步循环算法，对项目风险按大小进行排序。最后，用一个实例说明了本方法的实用性。