• Title/Summary/Keyword: Case Mix

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Relationship between Hospital Case Mix and Costs and Incomes of Tehran Heart Center

  • Langroudi, Hamed Rahimpour;Kakhani, Mohammad Jamil;Hojabri, Roozbeh
    • Asian Journal of Business Environment
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    • v.7 no.3
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    • pp.17-22
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    • 2017
  • Purpose - Clarifying one of the biggest public Hospital Costs and incomes according to patients' case mix. It leads to prepare financial information about pubic medical tariffs and hospital operational costs. Research design, data, and methodology - This study calculates the costs both, with and without taking into account capital costs. This holds for comparison of hoteling based on case mix in all medical procedures. The checklists were reviewed and filled by reviewing accounting documents of the hospital, warehouse exclusion list, and daily books of laundry and CSR. Data was analyzed descriptively by using Excel. Results - In both cases, the hospital is losing in terms of hoteling. Because the buildings and equipment are new, this loss is not tangible. However, this will be revealed when costs of reconstruction and replacement of equipment. The loss rate per day of hospitalization was 569318 Rials for Coronary Care Unit (CCU), 528171 Rials for Post Intensive Care Unit (Post ICU), 474570 Rials for ICU, 233183 Rials for Post CCU and 204803 for Surgical ward. Conclusions - Income of hoteling was lower than its costs. ANOVA showed a strong relationship between case mix and hospital costs as well as case mix and its income. This suggests that optimal case mix can minimize the costs and maximize income.

Optimal Mix Design Model of Recycled Aggregate Concrete for Artificial fishing Reefs (인공어초용 재생골재 콘크리트의 최적 배합설계 모델)

  • 홍종현;김문훈;우광성;고성현
    • Journal of Ocean Engineering and Technology
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    • v.18 no.1
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    • pp.53-62
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    • 2004
  • The Purpose of this study is to recycle the waste concrete, which is generated in huge quantities, from construction works. in order to achieve this goal, it is important to determine the compressive strength, workability, slump, and ultrasonic velocity of recycled aggregate concrete. Thus, several experiment parameters are considered, such as water-cement ratios, sand percentage, and fine aggregate composition ratios, in order to apply the recycled aggregate concrete to pre-cast artificial fishing reefs. From the results, it has been shown that the proper mix designs for reef concrete are W/C=45%, S/a=50%, SR50:SN50 in recycled sand and natural sand mix combination case, W/C=45%, S/a=50%, SC50:SN50 in crushed sand and natural sand mix combination case, W/C=45%, S/a=50%, SR50:SC50 in recycled sand and crushd sand mix combination case. Also, this study shows that the shape and surface roughness of fine aggregate particles have an effect on the strength, slump, ultrasonic velocity of tested concrete, and the compressive strength ratios of 7days' and 90days' curing ages of recycled aggregate concrete are about 70% and 110% of 28days' curing age.

A Study on the trend of Energy Mix and Air Environmental Impact Assessment (비전통가스 개발 확대에 따른 국내외 에너지믹스 동향 및 대기환경영향에 관한 연구)

  • Cho, Hanna;Joo, Hyun Soo;Park, Joo-Yang
    • Journal of Environmental Impact Assessment
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    • v.22 no.6
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    • pp.639-648
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    • 2013
  • Unconventional natural gas resources are now estimated to be as large as conventional resources. Unconventional natural gas has became an increasingly important source of energy in the world since the start of this century. The factors that drive natural gas demand and supply point more and more to a future in which natural gas plays greater role in the global energy mix. The expansion of using natural gas will be expected in Korea. This research aims to analyze environmental impacts of expansion of unconventional natural gas. This research was carried out for comparative analysis between global energy mix and Korea energy mix, and developed a case that reflect the changed energy mix due to the expansion of unconventional natural gas in Korea. Also this research evaluate the production of air pollutants and the cost of the damage in power generation sector. The results of this research can be summarized as that natural gas portion of future global energy mix (about 25%) is greater than Korea energy mix (about 12%). This research developed a case that replace 10% energy of power generation sector to natural gas in the 6th demand supply program, reflecting the changed energy mix due to the expansion of natural gas use. In that case, air pollutants would be reduced gradually through 2015 to 2027. In detail, carbon dioxide reduces 22 million tons and environmental damage cost reduces 4500 billion won by 2027.

Liquidity and Mechanical Properties of Concrete by Fluidity Retention Agent Mix Rate Change (유지제 혼입율 변화에 따른 콘크리트의 유동성 및 역학적 특성)

  • Park, Byung-Kwan;Choi, Sung-Yong;Pei, Chang-Chun;No, Dong-Hyun;Han, Min-Cheol;Han, Cheon-Goo
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2008.11a
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    • pp.89-92
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    • 2008
  • This research analyzed the basic characteristics of unhardened concrete and the compression strength characteristics of hardened concrete according to liquidity retention agent mix rate change to improve the liquidity fluidity retention performance of high performance concrete, and produced the following results. The moment fluidity retention agent is added according to fluidity retention agent mix rate change, which increased fluidity retention agent mix rate, slump flow decreased, and in the case of slump flow according to the progress time change by the fluidity retention agent mix rates, the more fluidity retention agent mix rate increased, the lower slump flow change rate became. The moment fluidity retention agent is added according to fluidity retention agent mix rate change, fluidity retention agent mix rate increased compared to non-mixture of fluidity retention agent, and the air amount by progress time change by the fluidity retention agent mix rates slightly increased, however target range is still met and unit volume mass is inversely proportional to air amount. Compression strength according to age progress by the fluidity retention agent mix rates was shown to increase slightly with increase in fluidity retention agent mix rate, and yet the difference was not significant.

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Impact of public releasing of hospitals' performance on acute myocardial infarction outcomes (병원의 급성심근경색증 진료 결과 공개의 효과)

  • Eun, Sang Jun;Kim, Yoon;Lee, Eun Jung;Jang, Won Mo
    • Quality Improvement in Health Care
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    • v.17 no.1
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    • pp.69-78
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    • 2011
  • Objectives : The purpose of this study was to determine whether the published AMI report card could reduce in-patient mortality, 7-day after discharge mortality, and length of stay (LOS). Methods : Interrupted time-series intervention analysis was used to evaluate the impact of the report card for AMI care quality in November 2005 in terms of risk-adjusted in-patient mortality, risk-adjusted 7-day after discharge mortality, and DRGs case-mix LOS using the claim data of Health Insurance Review and Assessment Service. Results : Public disclosure of AMI care quality decreased risk-adjusted in-patient mortality and DRGs case-mix LOS by 0.00050% per month and 0.042 days per month respectively, however there was no effect on risk-adjusted 7-day after discharge mortality. Patterns of effect of public disclosure on AMI outcomes were a fluctuating pattern on risk-adjusted mortalities and a pulse impact for 1 month on DRGs case-mix LOS. Conclusions : We found the public disclosure of AMI care quality had decreasing effects on risk-adjusted in-patient mortality and DRGs case-mix LOS, but the size of the effect was marginal.

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The Development of the Simplified Simulation Technique for the Best Generation Mix (최적전원차성을 위한 절감 시뮬레이션 방법의 개발)

  • 송길영;최재석
    • The Transactions of the Korean Institute of Electrical Engineers
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    • v.37 no.6
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    • pp.339-349
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    • 1988
  • The simplified simulation technique for the best generation mix is developed and the studied results are described. The best generation mix over study time from the economic point of view can be easily constructed by this technique. Generator maintenance, the operation of pumpgenerator and LNG thermal generator with limited energy are simulated variously, so a role of each generator is also easily evaluated. Through parametric analysis, useful planning guide points are obtained for the best generation mix transition, nuclear power plant construction cost, ruanium cost , oil cost, coal cost and midnight factor in the study case corresponding to real power system size model.

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Concrete mix design for service life of RC structures exposed to chloride attack

  • Kwon, Seung-Jun;Kim, Sang-Chel
    • Computers and Concrete
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    • v.10 no.6
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    • pp.587-607
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    • 2012
  • The purpose of this research is to propose a design technique of concrete mix proportions satisfying service life through genetic algorithm (GA) and neural network (NN). For this, thirty mix proportions and the related diffusion coefficients in high performance concrete are analyzed and fitness function for diffusion coefficient is obtained considering mix components like w/b (water to binder ratio), cement content, mineral admixture (slag, flay ash and silica fume) content, sand and coarse aggregate content. Through averaging the results of 10 times GA simulations, relative errors to the previous data decrease lower than 5.0% and the simulated mix proportions are verified with the experimental results. Assuming the durability design parameters, intended diffusion coefficient for intended service life is derived and mix proportions satisfying the service life are obtained. Among the mix proportions, the most optimized case which satisfies required concrete strength and the lowest cost is selected through GA algorithm. The proposed technique would be improved with the enhancement of comprehensive data set including wider the range of diffusion coefficients.

Correlation of Nutrient Intake, Obesity-related Anthropometrics, and Blood Lipid Status with Instant Coffee-mix Intakes in Gangneung and Samcheok Residents (강릉과 삼척지역 주민의 커피믹스 섭취 여부에 따른 영양섭취실태 및 비만관련 신체계측치, 혈중지질패턴과의 상호관련성)

  • Kim, Eun Kyung;Choe, Jeong Sook;Kim, Eun Kyung
    • Korean Journal of Community Nutrition
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    • v.18 no.2
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    • pp.134-141
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    • 2013
  • This study was conducted to investigate instant coffee-mix intakes and its relations with anthropometric measurements, nutrient intake, and blood lipid in Gangneung and Samcheok residents. Coffee-mix is a mixture of instant coffee, sugar and coffee-creamer. It is a standardized convenience food in Korea. Recently, Koreans appear to consume too much of instant coffee-mix. The respondents of this study were 218 Koreans (Gangneung region 133, Samcheok region 85). The average age was 56.0 years (male), 57.5 years (female). They were divided into 2 groups, the instant coffee-mix drinkers and the non-drinkers. The nutrient intake and anthropometric measurements and their relations with coffee-mix intakes were analyzed (nutrient intakes were calculated by converting per 1,000 kcal and adjusted by age, region). As for male, body fat was significantly higher in coffee-mix drinkers (18.1 kg, 25.0%) than in non-drinkers (17.1 kg, 23.8%). In the case of females, serum triglyceride was significantly higher in coffee-mix drinkers (109.1 mg/dL) than in nondrinkers (102.9 mg/dL). Coffee-mix intakes and coffee-mix's contributions to energy were higher for participants from Samcheok (21.2 g, 4.7%) than those from Gangneung (16.6 g, 3.4%). In addition, for Samcheok, coffee-mix's contribution to energy was significantly higher in male (5.6%) than in female (4.2%). Coffee-mix intakes and energy contribution of coffee-mix were not significantly correlated with anthropometric measurements. Only HDL-cholestrol showed significantly negative correlation with coffee-mix's contributions to energy. Based on the above results, we conclude that usual instant coffee-mix intake may increase intakes of sugar and fat and exert negative effects on serum lipids. Therefore, it is needed to control too much instant coffee-mix intake in the dietary management of rural residents.

A Study on the Attributes and Expression Characteristics of 'Mix & Match' in Interior Design (실내디자인에서 'Mix & Match'의 속성 및 표현특성에 관한 연구)

  • Cho, Sung-Heui;Choi, In-Young
    • Korean Institute of Interior Design Journal
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    • v.19 no.1
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    • pp.55-62
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    • 2010
  • This study examines attributes and expression characteristics of 'Mix & Match' which is one of the major current trends in interior designs. The concept and background of 'Mix & Match' was ascertained through research of previous documents and studies, and its attributes were explored. In order to examine the expression characteristics to see how they are expressed in actual interior designs, case analyses were carried out centering on the expression elements such as material, light & lighting, color, furniture and objects which were regarded as important in previous studies and related articles so far. The case analyses were carried out for works where the concept of 'Mix & Match' was prominent in designs produced in 2007 and 2008, chosen from the main reports of the representative interior design journals, 'Interiors' and 'INTERNI & Decor'. As a result, it has been found that 'Mix & Match' is not limited to one attribute but the temporal, spatial and genre attributes are present all at the same time, or various expression elements exist in one attribute. This is a distinct character commonly shown in most of the cases and each expression element is expressed in variety according to spatial concept, from a simple parallel to substitution, transfer and modification (simplification, transformation of the scale, rate modification etc.) Therefore, in creating the space for 'Mix & Match' or in interpretation of it, the understanding of these expression characteristics would make it possible for clearer and more various applications of design, and furthermore will be meaningful for supply and accumulation of reference in design communication.

The Influence of Inorganic Pigments on the Compressive Strength and Absorption of Cement Mortars (무기안료가 시멘트모르타르의 압축강도와 흡수율에 미치는 영향)

  • Shon, Hyuk;Lee, Jae-Yong;Go, Seong-Seok
    • Journal of the Korean Society of Safety
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    • v.19 no.2
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    • pp.104-111
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    • 2004
  • The aim of this study was to investigate the influence of inorganic pigments on the physical properties of cement mortar. For this purpose, the compressive strength and absorption test were carried out on cement mortar imxed with inorganic pigments by changing the proportion of cement mortar, water-cement ratio, and ratio of pigment. The result of this study can be summarized as follows: the compressive strength of colored mortar rapidely increased in red and yellow mortar, as the mix ratio of pigment increased. In case of green and black mortar, however, the compressive strength decresed as the mix ratio incresed. In case of red and yellow mortar, the absorption of colored mortar increased as the mixing ratio increased, if the mean particle diameter of the pigment is small. In case of green and black mortar, the absorption ratio decreased as the mix ratio increased. After investigating the overall physical properties of colored mortar, it was confirmed that the proper mix ratio of pigment securing the properties of colored mortar was below 6% of the weight of the cement to be used.