Locating emergency service facilities is an interesting problem. Planners do not know definitely, where emergencies will take place and, consequently, struggle to find a location that proficiently ensures the risk of poor service to any specific emergency is minimized. This paper is concerned with the formulation and the solution of a probabilistic model for determining the optimal location of emergency medical services (EMS) that supports servicing patients from different demand points in its area, as well as transportation costs, capacities of service stations, outsourcing costs and probabilities. In this regard, we propose a mixed integer non-linear programming (MINLP) model and solve the represented model by means both exact and Meta heuristic solution approaches. Then we will assess the performnace of our Meta-heuristic algorithm in contrast with the outputs from the exact solution approach.
Over the last 100 years, quality of life and human continued existence have improved in most of the mechanized world because of progresses in human health. We have promoted from reduced exposure to disease, and developed treatments that reduce the consequences of exposed disease. Nevertheless, individuals continue to suffer because they do not have access to appropriate healthcare, or since healthcare is provided in a way that is bewildering or inefficient. Consequently, there exists a large gap between the science and the practice of healthcare.
This study is dedicated to enlightening healthcare through reducing the delays experienced by patients. One aspect of this objective is to help improving the flow of patients with the purpose of reduce experiencing unnecessary waits as they flow through a healthcare system. Another aspect is...
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Buchbinder, S.B., Shanks. N. (2007). Introduction to healthcare management. Sudbury, Mass: Jones and Bartlett Publishers Inc.
Because of the lack of organization with the health care providers in Canada, the wait times are too long and can cause serious complications to any condition the patient went in for in the first place. This situation of how the health care system can resolve wait times was brought to the government but they continue to ignore the proposals brought to them. It is possible to resolve the problems of wait times without extreme change and expenses in the health care system. The solution is to be found in the reorganization of the health care providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this paper intends to explore is extensive and prolonged waiting times for patients accessing health care, patients who need urgent treatment and the vulnerability of elderly patients and children. With an in-depth critique of the barriers to health care and shortcomings of emergency rooms, strategies will be provided to enhance a health care system that makes it more accessible and efficient.
Homogeneity of products is depicted as goods and services that are same or comparable in nature. Since goods are homogenous, firms feel committed to vie for any relative point of interest that they can increase over their opposition. The more homogeneous the product in any industry the further we would expect to see competition (Spar and Yoffie 155). Another factor is transaction costs, the more difficult and time consuming a relocation will be the less likely it will occur. The stickiness is the resistance of a cost to change, in spite of changes in the more extensive economy recommendation of an alternate cost is ideal. Generally, it implies that the costs charged for specific goods and service are hesitant to change despite changes in input cost or demand patterns. Since, most firms cannot switch plant locations freely as most, it will bring around considerable expenses from moves crosswise over fringes. The higher these expenses, the stickier investments will prove to be and stickier investments will evidently decrease the momentum for the race to the bottom. These factors contribute greatly to differences in industry structure and incentives. In addition, there also exist invisible costs such as hiring and training new employees, building contracts etc. Prerequisites must be met, for example,
An emergency operations plan for the community in which we live is a document of great importance to each of us whether we know it or not. This paper examines the emergency action plan for Knoxville, Tennessee. In the course of the examination, it will compare and analyze the plan for Knoxville with the standards set forth in the textbook for this course along with other recognized sources in the field of emergency management.
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Buchbinder, S.B., & Shanks, N. H. (2007). Introduction to Health Care Management. Sudbury, MA. Jones & Bartlett Publishers. Performance Improvement in Health Care. 5, 81-135.
Another benefit is provided by the company is emergency ride home programs. Emergency ride home (ERH) programs provide commuters who regularly carpool, vanpool, bike, walk, or transit to work with a reliable ride home when unexpected emergency arises. ERH programs are designed to rescue commuters who are worried about how they will get home in the event of an emergency. ERH programs may be established by individual employers. Usually the employer will pay for a taxi or rental car home in the case that an employee who is carpool passenger has to leave in the middle of the day or the carpool driver is for some reason unavailable. ERH tends to be a low-cost way to encourage carpool use, especially if a company only fills in coverage for areas
7. Spaeder, Karen (2004) "How to Find the Best Location: A guide to scouting out a
Darby Company is also considering supplying a number of customers directly. From the San Bernardino plant, they would ship direct Los Angeles and San Diego, and from the El Paso plant they would supply direct to San Antonio (exact costs in Appendix 2.2C). In order to determine what will be the most cost effective way to distribution the meters, I will use network mapping and linear programming to minimize costs.
... revealed that longer waiting times has negatively impacted the lives of not only patients, but also healthcare providers . Some QI strategies implemented such as simulation tools, fast -track and reorganization of the ED by several hospitals has shown some improvement in workflow thus decreasing overcrowding and the length of time spent in the ED. As healthcare leaders, the focus should reside on ongoing advocacy for new policies or guidelines to resolve the waiting time issues and addressing limitations of previous interventions. Addressing the ED issues, Leaders should abide by the IOM report considering overcrowding as a mostly external or a system-wide issue. Implementing preventive measures described earlier will help not only to decrease WT in the ED, but also to avoid future incidents similar to the one recently experienced in St Barnabas Hospital.
...inding the suited vehicle which is the closest to the emergency. The vehicle number will be logged and informed of the emergency. Along with the patient information and incident to expect sent to the vehicle, the GPS will provide directions from the current location to the patient and quickest path back to the hospital. The GPS will give the hospital personnel an idea of how long it will take the vehicle to get to the hospital and have equipment, room, and personnel ready to help the patient. By taking the quickest path, along with medical personnel being ready for receiving the patient, could mean the difference of life and death depending on the incident.
The following flowchart shows the data relation and algotithm for estimate the position of user. The first step for GPS positioning is using the position of satellite and pseudorange from GPS receiver data to estimate the position of user. The simulation results for GPS satellite position are shown in T...
Kuma. (February 7th, 2009). Choosing a Location for a Network Operations Center (NOC). Retrieved on March 10, 2011 from http://www.thekumachan.com/?m=200902&paged=2
Stavros P. K, Markos H. Tsogas & Charles B, (2011) "Positioning strategies in business markets", Emerald 15, (2000)
Commonly throughout most countries of the world, citizens of the society at large establish the system for Emergency Medical Services. In the case that the public is not willing or capable of summoning such a service, the country often finds other emergency services, businesses, or the government and authorities who act to employ a system. In other parts of the world, the emergency medical service additionally takes on the role of transporting patients from one medical facility to an alternative one. This occurs with some frequency because once a patient is analyzed and provided care at the immediate hospital; it may be more appropriate for a variety of reasons the patient needs to move to another facility. As one can see, the relat...