There is widespread interest in the development of a measure of hospital output. This paper describes the problem of measuring the expected cost of the mix of inpatient cases treated in a hospital (hospital case-mix) and a general approach to its solution. The solution is based on a set of homogeneous groups of patients, defined by a patient classification system, and a set of estimated relativ...

Observational studies comparing groups or populations to evaluate services or interventions usually require case-mix adjustment to account for imbalances between the groups being compared. Simulation studies have, however, shown that case-mix adjustment can make any bias worse. One reason this can happen is if the risk factors used in the adjustment are related to the risk in different ways in ...

Lean Manufacturing concept is well described in the literature in the context of low-mix high-volume production. There are numerous case studies proving outstanding benefits of implementation Lean principles. Nowadays enterprises have to face the problem of high variety of products and dynamically changing demand. Lean tools and methods known from repetitive production do not always fit to high...

All voting protocols proposed so far, with the exception of a few, have the property that the privacy of the ballot is only computational. In this paper we outline a new and conceptually simple approach allowing us to construct a protocol in which the privacy of the ballot is unconditional. Our basic idea is to modify the protocol of Fujioka, Okamoto and Ohta[10], which uses blind signatures so...

product mix problem (pmp) is one of the most important and complicated problems in production systems. different approaches have been applied to solve this problem, among them, theory of constraints (toc) has been widely considered since 1990s. this paper develops a distinguished algorithm to solve product mix prob-lems that is efficient both in single and multi-bottleneck problems. at first, t...

The theory of constraints is an approach to production planning and control that emphasizes on the constraints to increase throughput by effectively managing constraint resources. One application in theory of constraints is product mix decision. Product mix influences the performance measures in multi-product manufacturing system. This paper presents an alternative approach by using of goal pro...

In recent years, great efforts have been made to reduce greenhouse gas emissions by vehicles. Petroleum products produces greenhouse gas emissions, therefore reducing the use of these products can make a major contribution to reducing pollution. The Fleet Size and Mix Vehicle Routing Problem is one of the most widely used routing branches. In this problem, there are vehicle with different capac...