The design of performance monitoring systems in healthcare organizations : a stakeholder perspective

in European Journal of Public Health (n.d.)

Monitoring the hospital’s performance is evolving over time in search of more efficiency by integrating additional levels of care, reducing costs and keeping stuff up-to-date. To fulfill these three ... [more ▼]

Monitoring the hospital’s performance is evolving over time in search of more efficiency by integrating additional levels of care, reducing costs and keeping stuff up-to-date. To fulfill these three potentially divergent aspects and to monitor performance, healthcare administrators are using dissimilar management control tools. To explain why, we suggest to go beyond traditional contingent factors to assess the role of the different stakeholders (governments, patients, authorities, personnel and administrators) that are at the heart of any healthcare organization. So, the main interest of our empirical study is to appraise how healthcare managers can foster strategic “alignment” in chaotic environments. To investigate this subject, we rely first on seminal studies to appraise the role of the main healthcare players and their influence on some organizational attributes (essentially size, lifecycle, structure, climate and technology in use). We then consider the managerial awareness and the perception of a suitable management control system (MCS) to promote a strategy-focused organization. Our methodology is based on a qualitative approach of twenty-two case studies, lead in two heterogeneous environments (Belgium and Lebanon). This method allows to illustrate, for each healthcare player, its positioning within the healthcare systems. Thus, we define how its role, its perception and its responsiveness manipulate the organization’s internal climate and shape the design of the performance monitoring systems. Our findings are expected to add knowledge on the reasons of the choice of adequate management systems, within three different healthcare organizational structures: university, general/university and general hospitals. [less ▲]

Design of Photoreactive Orthosteric GABAA Ligands Potentially Useful for Studying Localization and Function of GABAA Receptors

Poster (2011, May 08)

Design of polymers by cobalt-mediated radical polymerization and coupling reaction

Conference (2010, July 19)

Design of reversibly disulfide core cross-linked polymer micelles

Poster (2011, November 21)

Over the last decade, polymer micelles attracted an increasing interest in drug pharmaceutical research because they could be used as efficient drug delivery systems. Micelles of amphiphilic block ... [more ▼]

Over the last decade, polymer micelles attracted an increasing interest in drug pharmaceutical research because they could be used as efficient drug delivery systems. Micelles of amphiphilic block copolymers are supramolecular core-shell type assemblies of tens of nanometers in diameter. An accumulation of polymer nanocarriers to solid tumours is possible due to the EPR effect. Even if micelles get a high stability in aqueous media, the dissociation of micelles is not always preserved when they are injected in the blood compartment. This work aims at reporting on the design of reversibly cross-linked micelles based on PEO-b-PCL copolymers by introducing disulfide bridges in the micelle core to provide higher stability. Different kinds of macromolecular architectures are employed to study their impact on the micelles and their biological behavior. These new functional copolymers were all successfully micellized, reversibly cross-linked and are stealthy, which show the efficiency of the developed cross-linking process and offer a set of nanocarriers to be tested further, as shown on the first biological tests. [less ▲]

Design of River Navigation weirs and Flood Protection Barriers

in 78th ICOLD Annual Meeting - Hanoi 2010 (2010, May 23)

The aim of the WG (Working Group) was to conduct a comprehensive review (state-of-the-art) of the modern technologies, design tools and recent research used to design and build structures controlling ... [more ▼]

The aim of the WG (Working Group) was to conduct a comprehensive review (state-of-the-art) of the modern technologies, design tools and recent research used to design and build structures controlling water level and flow in rivers, waterways and ports (for navigation & flood protection). The WG considered regulatory structures such as: - Gates controlling water level and flow in rivers (even non navigable) and waterways (lifting gate, tilting gate, radial gate, sector, etc.; designed in one piece or with an upper flap). These are referred to as WEIRS. - Gates controlling water level and flow in estuaries with regards to high tides and storms (lifting gate, articulated, tilting, rolling, floating, sliding, etc.). These structures are referred to as BARRIERS. [less ▲]

Design of smart SPM probes by electrografting

Conference (2007, May 11)

Design of stealth nanoparticles for drug delivery based on new amphiphilic copolymers

Conference (2006, May 18)

Design of steel connections according ENV 1993-1

in Proceedings of the IABSE Congress on Structural Engineering in Consideration of Economy, Environment, Energy, Workshop on Structural Connections and Assembly Techniques (1996)

Design of Steel Structures subjected to Fire. Background and Design Guide to Eurocode 3.

Book published by Les Éditions de l'Université de Liège (2005)

The information that is necessary to perform the fire design of a structure made of a particular material, say a steel structure, is: a) The bases of design, stated in EN 1990. b) The mechanical actions ... [more ▼]

The information that is necessary to perform the fire design of a structure made of a particular material, say a steel structure, is: a) The bases of design, stated in EN 1990. b) The mechanical actions, i.e. the forces, acting on the structure in the fire situation. Some information is found in EN 1991-1-2, but explicit reference is also made to EN 1991-1-1 that is therefore also necessary. c) The thermal actions, i.e. the fire and the heat flux induced in the elements by the fire. The information is in EN 1991-1-2. d) The rules for determining the temperatures in the structure during the course of the fire. They are given in the fire part of the relevant material eurocode, e.g. EN 1993-1-2 for a steel structure. e) The rules for determining the structural stability. They are given in the fire part of the relevant material Eurocode, e.g. EN 1993-1-2 for a steel structure, but reference is often made to the cold part of the same material Eurocode, EN 1993-1-1 for a steel structure. This layout is valid in general but some exceptions do exist: the structural stability of timber elements, for example, does not necessarily require the determination of the temperatures in the element and step d) may be omitted; the same holds if the fire resistance is determined from tabulated data, for concrete elements for example. The rest of this book is organised according to this layout, see Fig. 1-2: Chapter 2 deals with bases of design and mechanical loads. Chapter 3 deals with thermal attack from the fire. Chapter 4 deals with thermal analysis by simple calculation model. Chapter 5 deals with mechanical analysis by simple calculation model. Chapter 6 deals with the design of joints. Chapter 7 deals with thermal and mechanical analysis by the advanced calculation model. Chapter 8 gives four design examples showing how a complete and sometimes complex structure can be designed using the concept of element or substructure analysis. [less ▲]

Design of Steel Structures subjected to Fire. Background and Design Guide to Eurocode 3. 2nd édition

Book published by Les édtions de l'Université de Liège (2006)

The information that is necessary to perform the fire design of a structure made of a particular material, say a steel structure, is: a) The bases of design, stated in EN 1990. b) The mechanical actions ... [more ▼]

The information that is necessary to perform the fire design of a structure made of a particular material, say a steel structure, is: a) The bases of design, stated in EN 1990. b) The mechanical actions, i.e. the forces, acting on the structure in the fire situation. Some information is found in EN 1991-1-2, but explicit reference is also made to EN 1991-1-1 that is therefore also necessary. c) The thermal actions, i.e. the fire and the heat flux induced in the elements by the fire. The information is in EN 1991-1-2. d) The rules for determining the temperatures in the structure during the course of the fire. They are given in the fire part of the relevant material eurocode, e.g. EN 1993-1-2 for a steel structure. e) The rules for determining the structural stability. They are given in the fire part of the relevant material Eurocode, e.g. EN 1993-1-2 for a steel structure, but reference is often made to the cold part of the same material Eurocode, EN 1993-1-1 for a steel structure. This layout is valid in general but some exceptions do exist: the structural stability of timber elements, for example, does not necessarily require the determination of the temperatures in the element and step d) may be omitted; the same holds if the fire resistance is determined from tabulated data, for concrete elements for example. The rest of this book is organised according to this layout, see Fig. 1-2: Chapter 2 deals with bases of design and mechanical loads. Chapter 3 deals with thermal attack from the fire. Chapter 4 deals with thermal analysis by simple calculation model. Chapter 5 deals with mechanical analysis by simple calculation model. Chapter 6 deals with the design of joints. Chapter 7 deals with thermal and mechanical analysis by the advanced calculation model. Chapter 8 gives four design examples showing how a complete and sometimes complex structure can be designed using the concept of element or substructure analysis. [less ▲]