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1 – 8 of 8Kunal N. Patel, Andrew C. Rucks and Eric W. Ford
Since Jan. 1, 2019, the Centers for Medicare and Medicaid Services' (CMS) rule requiring hospitals publish their “standard charges” (also called “charge description masters” or…
Abstract
Since Jan. 1, 2019, the Centers for Medicare and Medicaid Services' (CMS) rule requiring hospitals publish their “standard charges” (also called “charge description masters” or “chargemasters”) in a public, machine-readable format has been in effect. The research at hand assesses hospital compliance with the federal regulation. In addition, a sentiment analysis of the chargemaster webpages compared to hospital homepages is performed to assess the consumer friendliness of the content in terms of language usage. A stratified sample of 212 hospitals was used to conduct observations. Strata were based on patient satisfaction scores drawn from the Hospital Consumer Assessment of health care Providers and Systems survey, and controls for hospital bed size and geographic US census region were utilized from the American Hospital Association Annual Survey. Descriptive statistics are presented, and chi-square testing is used to test for statistically significant differences. Key results are presented for compliance and sentiment. Most hospitals' websites are not presenting chargemaster data in a way that is readily collectable or comparable to other facilities. In addition, the tone of language used on chargemaster transparency webpages is generally more negative than that of hospitals' homepages. In particular, the messaging on transparency pages routinely suggests consumers to not use the data for decision-making purposes.
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SOMEONE with a nice sense of alliteration has coined the phrase ‘People, Performance and Profitability’ to describe the content of a one‐day conference which the IWSP will hold at…
Abstract
SOMEONE with a nice sense of alliteration has coined the phrase ‘People, Performance and Profitability’ to describe the content of a one‐day conference which the IWSP will hold at the London Hilton on November 29th, to be opened by the Institute's President, the Duke of Edinburgh. That title is comprehensive enough to embrace the major preoccupations of Britain today.
Vivek Soni, Surya Prakash Singh and Devinder Kumar Banwet
The purpose of this paper is to determine priority order of Indian energy sector projects on investments and strategic dimension angles. Grey System Theory (GST) and COmplex…
Abstract
Purpose
The purpose of this paper is to determine priority order of Indian energy sector projects on investments and strategic dimension angles. Grey System Theory (GST) and COmplex PRroportional ASsessment (COPRAS-G) method, a flexible multi-criteria decision-making (MCDM) analyses, is used for this purpose to prioritize Indian energy sector projects, namely, coal, gas, hydro, solar and nuclear.
Design/methodology/approach
The GST-based MCDM approach of COPRAS is used. Five projects of energy sector are compared based on various grey criteria. These criteria were selected on the perspectives of life-cycle costing and management-thinking approach for prioritizing these projects. The GST-based COPRAS-G is described, and results are discussed to draw a strategic road map for measuring the sustainability in the energy sector.
Findings
On applying COPRAS-G on five energy projects, solar projects get high-priority order, and realistic scenario of results shows that renewable energy projects are preferred over the conventional projects such as coal and gas.
Research limitations/implications
Here, COPRAS-G method is used as MCDM techniques. However, few other MCDM techniques such as fuzzy Preference Ranking Organization METHod for Enrichment Evolution, elimination and choice expressing reality and efficiency analysis technique with output satisficing can be also explored to outrank various Indian energy sector projects.
Practical implications
Indian energy sector involves high degree of complexity, and, therefore, it needs more flexibility to overcome the present barriers of effective decision-making. Grey decision theory-based method like COPRAS-G is able to address energy security dimensions on different scenario of energy supply, i.e. pessimistic, optimistic and realistic, precisely.
Social implications
The results can provide guidance to the government or public sector regarding various possible investment options for energy supply and can help in drawing a rough trajectory of strategy toward energy security of the country.
Originality/value
This paper can supplement and act as the support for decision-making in conflicting situations specifically to have outlook of the sub-sector project on different flexible scenarios. Moreover, such work can synergize conflicting ideas of decision makers and various stakeholders of the Indian energy sector.
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The frequent occurrence of hazards, especially on junior staff in developing countries, is a major setback on project delivery. This is because the safety of the construction…
Abstract
Purpose
The frequent occurrence of hazards, especially on junior staff in developing countries, is a major setback on project delivery. This is because the safety of the construction workers' environment influences their performance. Although a range of literature has addressed safety measures on construction sites, how far is their compliance with personal protective equipment (PPE) on junior staff is yet to receive in-depth studies in Nigeria. Therefore, this study investigated the level of Nigerian construction companies' compliance and proffered possible solutions that intend to improve the implementation of PPE on junior staff.
Design/methodology/approach
The data were collected via observation and face-to-face interviews among the selected companies' staff in Lagos and Abuja. The interview is to determine their perceptions regarding compliance with PPE on construction sites.
Findings
Findings show that compliance with PPE on junior staff, especially the indigenous construction companies, is poor. This is because monitoring and enforcement are lax by government regulatory agencies. Also, findings show that many international construction companies ensure that junior workers obey site safety measures those mitigate the chance of hazard occurrence during construction as a policy.
Research limitations/implications
This paper data collection is limited to Abuja and Lagos, and a phenomenology type of qualitative research was employed, but this does not weaken the robustness. Future research is needed to consider adopting a mixed-methods approach.
Practical implications
As part of this paper's implications, findings recommended that the construction company's safety regulations and policies should be robust and enriched to mitigate site-related hazards via a framework or mechanism, but the government agencies/ministries need to give the enabling direction, strict monitoring and enforcement of PPE on junior staff. This paper intends to stir up the appropriate government authorities for possibly passing the Labour, Safety, Health and Welfare Bill 2012 (updated in 2016) Act into law.
Originality/value
This study demonstrates that the government agencies concern with approval and enforcement of construction site safety needs to reawaken to their responsibilities because of the lax implementation in many sites, especially in indigenous construction sites.
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The purpose of this paper is to evaluate electronic health record (EHR) initiatives at the national/external level. Governments are investing large amounts of money in national…
Abstract
Purpose
The purpose of this paper is to evaluate electronic health record (EHR) initiatives at the national/external level. Governments are investing large amounts of money in national EHR systems. These systems are socially and politically complex and a variety of stakeholders (e.g. at the individual, organisational or national level) have an interest in evaluating such systems from technical, economic or patient outcome perspectives. In cognisance of academic research in the area, this paper presents an approach which uses the perspective of one particular type of professional critic, the media, to identify issues and evaluate their impact at a national level.
Design/methodology/approach
The work is conducted using an established evaluation framework and formal content analysis of selected relevant articles from the quality press of three selected countries.
Findings
Different issues take prominence in centralised vs decentralised EHR approaches. In countries with a decentralised approach issues of standards and interoperability take the fore. Where there is a more centralised approach the media focus is more on project management, budgetary and financial aspects. In all coverage political and economic aspects are emphasised over technical or patient outcome issues.
Originality/value
The paper represents the application of the content‐context‐process framework. It contributes to the information systems evaluation literature at the national/external level.
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Xin Jin, Geoffrey Shen, Lizi Luo and Xin Zhou
Modular integrated construction (MiC) is an innovative and effective manufacturing-based method of construction that has become the mainstream development direction of projects in…
Abstract
Purpose
Modular integrated construction (MiC) is an innovative and effective manufacturing-based method of construction that has become the mainstream development direction of projects in Hong Kong (HK). However, large-scale promotion of MiC practice still needs efforts. A pressing concern is that the impact of relevant policies on stakeholders during project implementation is rarely explored in depth. Therefore, to fill the research gap, this study aims to investigate the influence of policies on stakeholders to drive the successful implementation of MiC in HK.
Design/methodology/approach
This study uses a strategy of multiple methods. First, a comprehensively literature review and survey were adopted to identify critical policies and stakeholders. Second, semi-structured interviews with 28 experts were conducted to quantify their relationships. Third, three policy–stakeholder networks at initiation, planning and design and construction stages were established using social network analysis.
Findings
Environmental protection policy, COVID-19 pandemic policy and environmental protection policy and quality acceptance standard for project completion are found to be the most important policies of the three stages, respectively. The HK government and developers are highlighted as prominent stakeholders influencing policy implementation at all three stages. The dynamics of the influence stakeholders receive from critical policies at different stages of MiC are discussed. Valuable recommendations are accordingly proposed to enhance the successful implementation of MiC projects from the perspective of various stakeholders.
Originality/value
This study contributes to the body of knowledge by considering the mediating influence of stakeholders during policy implementation in the MiC uptake, and is valuable in helping policymakers to deeply understand the influence of policies to further forward successful MiC implementation and practicality in HK.
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