Letteratura scientifica selezionata sul tema "Retirement Operations Center"

Although the expectation of monetary compensation has been associated with failures in lumbar discectomy, the issue has not been investigated in patients undergoing cervical disc surgery. The authors analyzed the relationship between economic forms of secondary gain and surgical outcome in a group of patients with a common pay scale, retirement plan, and disability program. All procedures were performed at the Portsmouth Naval Medical Center between 1993 and 1995; active-duty military servicepersons treated for cervical radiculopathy were prospectively included. Clinical, demographic, and financial factors were analyzed to determine which were predictive of outcome. Financial data were used to create a compensation incentive, which is proportional to the patient's rank, years of service, potential disability, retirement eligibility, and base pay and reflects the monetary incentive of disability. The results of cervical surgery were compared to a previously reported companion population of patients treated for lumbar disc disease. A good outcome was defined as a return to active duty, whereas a referral for disability was considered a poor surgical result. A 100% follow-up rate was obtained for 269 patients who underwent 307 cervical operations. Only 16% (43 of 269) of patients who underwent cervical operation received disability, whereas 24.7% (86 of 348) of patients who underwent lumbar discectomy obtained a poor result (p = 0.0082). Although economic forms of secondary gain were not associated with a poor outcome in cervical disease, both the rank (p = 0.002) and duration (p = 0.03) of an individual's military career were significant factors (p = 0.02). Of the medical variables tested, multilevel surgery (p = 0.03) and revision operations at the same level (p = 0.03) were associated with referral for medical discharge. Secondary gain in the form of economic compensation influences outcome in lumbar but not cervical disc surgery patients; the increased rate of disability referral in patients who underwent lumbar discectomy may reflect an expectation of economic compensation. Social factors that are independent of the anticipation of economic compensation seem to influence the outcome in cervical disc surgery patients.

For decades, public administrative scholars and historians have maintained that while Thomas Jefferson had an extraordinary substantive mind, he was not a formative figure within the intellectual, institutional, and constitutional development of public administration theory and practice. Thoroughly investigating Jefferson’s early political career does reveal that he was not interested in the daily operations of government, but as time progressed his lengthy career in public service began to transform his opinions on the relationship between good government and good administration and how sound administrative practice complemented many of the republican values espoused in The Federalist. Upon a careful examination of Jefferson’s retirement years, when he dedicated the remainder of his life to establishing the University of Virginia, the administrative genius of his mind takes center stage. In this role, Jefferson not only created Virginia’s first public institution for higher education but also dramatically reformed liberal arts curriculum standards for colleges and universities across the nation. Twenty-first century public administration scholars and practitioners should welcome this exceptional contribution to the intellectual history of American public administration with openness and with a renewed commitment to the institutional legitimacy of our field.

The objective of this research is to study the service needs and factors related to elderly members who use the services of the Bangkok Youth Center (Thai-Japan). The study used a questionnaire survey as a data collection tool for 200 samples. The statistics used in the data analysis were frequency, percentage, mean, and standard deviation, t-test (Independent Sample t-test, F-test (Independent Sample F-test)One-way ANOVA, and the Pearson’s correlation coefficient to test the relationship between variables. According to the study, the majority of the samples were men, between 60 – 65 years old, marital status, had a bachelor’s degree, owned business as a career before retirement, did not work after retirement and had a monthly income of 20,001-50,000 baht. The results of testing the demographic factors on service needs, by using t-test and F-test statistics, showed that the different of gender, age, status, career before retirement and career after retirement were not different, whereas educational and monthly income were. The result of testing the motivation factors on service needs, by using the Pearson’s correlation coefficient statistic, showed that both intrinsic motives and extrinsic motives were related in medium level in the same way. Therefore, the study’s results could be useful for involved organization for operation planning.

Retirement is the period of time when a person decides to leave the labour permanently. It is simply the end of employment, which denotes a period of significant change in every employee's life. Typically, these changes are upsetting and traumatic for the retiree. Taking care of a child is like tending to a garden's plants. Children need proper care and nurturing to develop into strong adults, just as plants need water, sunlight, and fertilizer to grow up healthily. The upbringing of the children is crucial to everyone's life. The operation of a high-quality day care center business, the varieties that are available, tips for choosing good ones, its traits, dangers, and difficulties, as well as its implications for retiree sustainability, are all examined in this study. The study came to the conclusion that daycare facilities offer working-class parents a solution to their dilemma by relieving their tension and exhaustion. Among other things, it was advised that the government support the provision of infrastructure for all daycare facilities, schools, and levels of education to ensure their efficient operation.

The following document, previously unpublished, was written in March 2010 by a recently retired ( June 2009) U.S. Army colonel with thirty years experience in the Middle East, including tours of duty and advisory roles (in both military/security and civilian domains) from North Africa to the Persian Gulf. The subject of the informal report is the author's first two trips as a "civilian" to Israel and the West Bank, where he had served two tours of duty, most recently as U.S. military attachéé in Tel Aviv during Israel's 2005 unilateral disengagement from Gaza and the formation of the U.S. Security Coordinator's (USSC) mission to reform Palestinian Authority (PA) security forces. Written as an internal document for military colleagues and government circles, the report has been circulating widely——as did the author's earlier briefings on travel or missions in Syria, Lebanon, Jordan, Egypt, and especially Iraq——among White House senior staff, the Joint Chiefs of Staff, the Defense Intelligence Agency, CENTCOM (U.S. Central Command), EUCOM (U.S. European Command), and the USSC team. The document's focus is the state of the "peace process" and the current situation in the West Bank, with particular attention to the PA security forces and the changes on the ground since the author's last tour there ended in mid-2007. But the real interest of the paper lies in the message directed at its intended audience of military and government policy officials——that is, its frank assessment of the deficiencies of the U.S. peace effort and the wider U.S. policy-making system in the Israel-Palestine arena, with particular emphasis on the disconnect between the situation on the ground and the process led by Washington. The critique has special resonance in light of the emerging new thinking in the administration fueled by the military high command's unhappiness (expressed by CENTCOM commander General David Petraeus and Joint Chiefs of Staff chairman Admiral Michael Mullen) with the State Department's handling of Middle East diplomacy, especially with regard to the Israeli-Palestinian conflict, on the grounds that diplomatic failures are having a negative impact on U.S. operations elsewhere in the region. For most JPS readers, the report has additional interest as an insider's view of the U.S. security presence in the Israel-Palestine arena. It also reflects a military approach that is often referenced but largely absent in public discourse and academic writings. The author, in addition to his tours of duty and peacekeeping missions in various Middle Eastern countries, has served as advisor to two U.S. special Middle East envoys, the U.S. negotiating team with Syria, General Petraeus, Lieutenant General Keith Dayton, Vice President Dick Cheney, and, more generally, to CENTCOM, the Department of Defense, and the Joint Chiefs of Staff, among others. In retirement, he has worked with CENTCOM as a key primary subject matter expert in the development of analyses and solutions for its area of responsibility, leads predeployment briefings for army units heading to Iraq, and travels frequently to Iraq and elsewhere in the region as an independent consultant. He is currently in Afghanistan with the CENTCOM commander's Afghanistan-Pakistan Center of Excellence. The report, made available to JPS, is being published with the author's permission.

Abstract Purpose Hospital emergency medication kits (HEMKs) are used to provide certain critical medications in emergent situations, despite many technological advancements for patient safety and medication distribution. We sought to evaluate HEMK usage and analyze associated costs to identify and recommend process improvements. Methods Mayo Clinic in Rochester, MN, is a large multisite academic medical center with 2 hospital campuses and many ambulatory clinics. All documentation of the approximately 250 HEMKs in circulation was analyzed from January to November 2017. The primary outcome was HEMK use. Secondary outcomes included individual medication usage and associated costs. These data were then used to recommend process improvements. Results Of 880 HEMKs evaluated, 675 (76.7%) were used, resulting in expiration 23.3% of the time. A total of 1,024 emergency medications were used, most commonly for hypoglycemia. Many of these medications are also available in automated dispensing machines for patient care use. Cost analysis revealed an average annual cost of nearly $200,000 associated with HEMKs. The results of our analysis indicated little added benefit of HEMKs in the setting of automated dispensing machine optimization. Steps for HEMK retirement are described. Conclusion HEMKs offered little added benefit considering technological advancements that have been made in patient safety and medication distribution since their inception. Retirement of HEMKs is anticipated to increase pharmacy operational efficiency by using automated dispensing machine technology and appropriate emergency response protocols to ensure optimal patient care.

Korea is rapidly entering a super-aged society, creating housing issues for the elderly. Determining the necessity to understand the continuing care retirement community (CCRC), a model that enables the realization of the value of “aging in place” (AIP), was the starting point of this study. This study aims to identify the types of facilities that most closely resemble the “Korean style of CCRC” and to analyze the factors affecting its operation because there is currently no complete CCRC type in Korea. The subjects of this study were 31 senior welfare housing and 3 paid elderly care facilities among the residential welfare facilities for the elderly registered with the Ministry of Health and Welfare as of 2020. The “Korean style of CCRC” was defined as facilities with four or more of the independent living, assisted living, nursing home, daycare center, and community center . Subsequently, logistic regression analysis was conducted. The results indicated that the probability of operating as a “Korean-style CCRC” increases when the following factors are greater: land area, total number of households, efficiency rate, number of community facilities, number of workers, and monthly living expenses. Meanwhile, the number of years elapsed and the move-in price per 3.3㎡ were analyzed to have no effect. This study is expected to identify the current status of residential welfare facilities for the elderly and suggest implications for potential consumers who wish to move into CCRCs in order to facilitate their facility selection.

The operating environment in the health care industry is turbulent—organizations are expected to adapt or die. This paper addresses the structure of a strategic planning process for long-term-care organizations. Nursing homes, assisted living (personal care) facilities, continuing care retirement communities, adult day services centers, hospice programs and home-and community-based agencies face both opportunities and threats. The authors recommend an eight-step process for strategy making: plan to plan; external analysis; internal analysis; vision; matching current and future strategies; strategy choice; action and linkage to operations and budget. A case example illustrates the concepts. Long-term-care leaders are encouraged to plan for their future or face a future planned by competitors and regulators.

In the context of carbon neutralization, the electric vehicle and energy storage market is growing rapidly. As a result, battery recycling is an important work with the consideration of the advent of battery retirement and resource constraints, environmental factors, resource regional constraints, and price factors. Based on the theoretical research of intelligent algorithm and mathematical models, an integer programming model of urban power battery reverse supply chain scheduling was established with the goal of the highest customer satisfaction and the least total cost of logistics and distribution, to study the influence of the resources and operation status of a built city recycling center and dismantling center on the power battery reverse supply chain. The model includes vehicle load, customer demand point satisfaction range, and service capacity constraints. This study collected regional image data, conducted image analysis, and further designed an improved Non-dominated Sorting Genetic Algorithm-II (NSGA-II) optimization algorithm suitable to solve the global optimization problem by introducing the improvement strategy of convergence rate, particle search, and the traditional elite individual retention. The results verified the practicability of the model, the global optimization ability of the algorithm to solve the problem, and the operation speed through comparing the results obtained from the basic algorithm. A reasonable comprehensive solution for the location and path optimization of the urban recycling center was also obtained. Multi-objective optimization was carried out in vehicle scheduling, facility construction, and customer satisfaction construction. The basic algorithm and integrated optimization software were compared. We found that the model and the scheme provided by the algorithm can significantly reduce the operation cost of the enterprise. This research provided new insights for enterprises to effectively utilize resources and optimize the reverse supply chain scheduling of an urban power battery.

Abstract The water supply must be safe and sustainable. This requires a regulatory compliance, selection of an optimal water treatment process, timely response to water quality incidents as well as maintaining internal skills and knowledge among utility personnel to keep appropriate operational standards in the long run. Water supply services in Japan face various challenges, including a shrinking revenue base due to a declining population as well as a mass retirement of the baby-boomer generation. The Japan Water Research Center conducted questionnaire surveys and based on our findings developed the ‘knowledge transfer support system for water treatment technology’ for utilities to maintain internal skills and knowledge in the face of shrinking labour forces in the water sector. The system consists of three components: the database on water treatment technology, learning program on water treatment technology, and the assessment tool for knowledge transfer on water treatment technology.

Thesis: Ph. D., Massachusetts Institute of Technology, Sloan School of Management, Operations Research Center, 2014.
Cataloged from PDF version of thesis.
Includes bibliographical references (pages )103-106.
This thesis presents new statistical techniques for designing future generation retirement and insurance solutions. It addresses two major challenges for retirement and insurance products: asset allocation and policyholder behavior. In the first part of the thesis, we focus on estimating the covariance matrix for multidimensional data, and it is used in the application of asset allocation. Classical sample mean and covariance estimates are very sensitive to outliers, and therefore their robust counterparts are considered to overcome the problem. We propose a new robust covariance estimator using the regular vine dependence structure and pairwise robust partial correlation estimators. The resulting robust covariance estimator delivers high performance for identifying outliers under the Barrow Wheel Benchmark for large high dimensional datasets. Finally, we demonstrate a financial application of active asset allocation using the proposed robust covariance estimator. In the second part of the thesis, we expand the regular vine robust estimation technique proposed in the first part, and provide a theory and algorithm for selecting the optimal vine structure. Only two special cases of the regular vine structure were discussed in the previous part, but there are many more different types of regular vines that are neither type. In many applications, restricting our selection to just those two special types is not appropriate, and therefore we propose a vine selection theory based on optimizing the entropy function, as well as an approximation heuristic using the maximum spanning tree to find an appropriate vine structure. Finally, we demonstrate the idea with two financial applications. In the third part of the thesis, we focus on the policyholder behavior modeling for insurance and retirement products. In particular, we choose the variable annuity product, which has many desirable features for retirement saving purposes, such as stock-linked growth potential and protection against losses in the investment. Policyholder behavior is one of the most important profit or loss factors for the variable annuity product, and insurance companies generally do not have sophisticated models at the current time. We discuss a few new approaches using modem statistical learning techniques to model policyholder withdrawal behavior, and the result is promising.
by Zhe Zhu.
Ph. D.

碩士
長榮大學
土地管理與開發學系碩士班
107
With changes in family structure, the problem of living and care for the elderly becomes more and more important. The data from 1998 to 2015 from R.O.C. National Statistics, the elder in a long-term care center and senior nursing institutions are increased year by year. Also, the data analysis from 2008 to 2012 from Ministry of the Interior shows that the proportion of people living in caring and nursing organization and long-term care center are increasing. In Taiwan, there are the most related studies about institutional management discussing the service content, review, evaluation, suggestion and privatization of caring and nursing organization. However, there are not all the discussions mention about the strategy and management. Thus, the research chooses Yu Zen Retirement Center. This study uses depth interview supplemented by related literature review to collect and organize interview as data sources. To find out the critical successful factors of the superior-rated caring and nursing organization. Based on research purpose and method, the results can be shown as follows: According to this study, the conclusions are drawn below: (1) Business philosophy. A clear objective to meet the needs of the elderly. (2) Team organization and manpower utilization. Including employee training, volunteer engagement, and mutual assistance. (3) Resource integration. Including the cooperation of industry and academia, local and government, and hospitals and Clinics. (4) Professional service. Including cooking, medical care, psychological development, and rehabilitation service. Keywords: Senior housing, Critical successful factors, Operating and management

This chapter opens by discussing Prideaux’s work as bishop of Worcester during the Civil War, 1642–6. It shows that he worked conscientiously to manage a see that was devastated by the military operations of the royal and parliamentary armies, striving to maintain effective diocesan administration and to support his parish clergy in difficult circumstances. When in 1646, at the war’s conclusion and with the abolition of episcopacy, he lost his bishopric, he went to live in retirement with one of his daughter and his son-in-law at Bredon in Worcestershire. His relations with his two daughters and their husbands, Henry Sutton and William Hodges, both Worcestershire parish clergy, were close and affectionate, but were set against a dark religious background of what Prideaux regarded as national apostasy. His final years also saw a renewed burst of intellectual activity, centred once again on Oxford, where Prideaux stayed for several periods in 1648–9. He published some notable works of theology, two pastoral guides for his daughters and his wife, and some undergraduate textbooks. The books which he is known to have read in the Bodleian Library suggest a new interest in early British history. His death in July 1650 was followed by a well-attended funeral and a funeral oration which summarised his illustrious achievements as seen by his many friends and admirers.