The Work Group’s recommendations led to formation of the Commission on Health Care Facilities in the 21 Century, whose principal charge is to “right-size” the acute and long term care delivery systems. The Commission’s mandate is to shape a health care delivery system that meets community needs, rather than simply preserve existing institutions. The Commission also envisions new acute and long ...

Fuzzy logic can be used when knowledge is incomplete or when ambiguity of data exists. The purpose of this paper is to propose a proactive fuzzy setbased model for reacting to the risk inherent in investment activities relative to a complete view of portfolio management. Fuzzy rules are given where, depending on the antecedents, the portfolio size may be slightly or significantly decreased or i...

The business case for health-care quality improvement is presented. We contend that investment in process improvement is aligned with patients' interests, the organization's reputation, and the engagement of their workforce. Four groups benefit directly from quality improvement: patients, providers, insurers, and employers. There is ample opportunity, even in today's predominantly pay-for-volum...

Evaluating the investment that healthcare organisations make in quality improvement requires knowledge of impact at multiple levels, including patient care, workforce and other organisational resources. The degree to which these resources help organisations to survive and thrive in the challenging contexts in which healthcare is designed and delivered is unknown. Investigating this question fro...

Received: 9 November 2009 Revised: 17 February 2010 Accepted: 24 March 2010 Abstract The intensity of global competition and ever-increasing economic uncertainties has led organizations to search for more efficient and effective ways to improve organizational productivity by investing in knowledge management (KM) initiatives. In this research, we propose a framework to assess KM investment oppo...

Purpose – The high expenditures in information technology (IT) and the growing usage that penetrates the core of business have resulted in a need to effectively and efficiently evaluate strategic IT investments in organizations. The purpose of this paper is to propose a novel two-dimensional approach that determines the deferrable strategy with the most value by maximizing the real option value...