Integrated System Health Management

ISHM is an innovative combination of technologies and methods that offers solutions to the reliability problems caused by increased complexities in design, manufacture, use conditions, and maintenance. Its key strength is in the successful integration of reliability (quantitative estimation of successful operation or failure), "diagnosibility" (ability to determine the fault source), and maintainability (how to maintain the performance of a system in operation). It draws on engineering issues such as advanced sensor monitoring, redundancy management, probabilistic reliability theory, artificial intelligence for diagnostics and prognostics, and formal validation methods, but also "quasi-technical" techniques and disciplines such as quality assurance, systems architecture and engineering, knowledge capture, information fusion, testability and maintainability, and human factors. This groundbreaking book defines and explains this new discipline, providing frameworks and methodologies for implementation and further research. Each chapter includes experiments, numerical examples, simulations and case studies. It is the ideal guide to this crucial topic for professionals or researchers in aerospace systems, systems engineering, production engineering, and reliability engineering. Solves prognostic information selection and decision-level information fusion issues Presents integrated evaluation methodologies for complex aerospace system health conditions and software system reliability assessment Proposes a framework to perform fault diagnostics with a distributed intelligent agent system and a data mining approach for multistate systems Explains prognostic methods that combine both the qualitative system running state prognostics and the quantitative remaining useful life prediction

Managing Integrated Healthcare Systems: A Guide for Health Executives provides those managers engaged in and studying healthcare the understanding and the knowledge required to succeed in this dynamic industry.

Condition modelling and control is a technique used to enable decision-making in manufacturing processes of interest to researchers and practising engineering. Condition Monitoring and Control for Intelligent Manufacturing will be bought by researchers and graduate students in manufacturing and control and engineering, as well as practising engineers in industries such as automotive and packaging manufacturing.

Maximizing reader insights into a new movement toward leadership approaches that are collaborated and shared, and which views Occupational Safety and Health (OSH) and performance excellence within the wider examination of leadership relationships and practices, this book argues that these relationships and processes are so central to the establishment of OSH functioning that studying them warrants a broad, cross-disciplinary, multiple method analysis. Exploring the complexity of leadership by the impact that contexts (e.g., national and organizational culture) may have on leaders, this book discusses the related literature, then moves forward to show how a more comprehensive practical approach to Occupational Safety and Health and performance excellence can function on levels pertaining to events, individuals, groups, and organizations. This book proposes that greater clarity in understanding leadership in Occupational Safety and Health and performance excellence can be developed from addressing two fundamental issues. Firstly, how do subunit inputs and processes combine to produce unit-level outcomes and how does leadership affect this process? Secondly, how do the leaders influence the way that individual-level inputs are combined to produce organizational outputs. In these issues, the alternative methodologies that allow precise measurement of organizational outputs in OSH and performance excellence are reviewed. To help readers navigate through the best practices, each chapter contains Question Guidelines, Exercises and Case studies which illustrate the concepts discussed and which serves to highlight the key evidence demonstrating that collaborative leadership can positively affect individual, group, and organizational level outcomes, including organizational OSH and performance excellence.

This book introduces service planners and managers to successful strategies to design, implement and manage care integration programmes. It details the various components of change in individual chapters, which are illustrated with practical examples from actual care implementation projects.

A sound basis to guide the community in the conception and implementation of ISHM (Integrated System Health Management) capability in operational systems was provided. The concept of "ISHM Model of a System" and a related architecture defined as a unique Data, Information, and Knowledge (DIaK) architecture were described. The ISHM architecture is independent of the typical system architecture, which is based on grouping physical elements that are assembled to make up a subsystem, and subsystems combine to form systems, etc. It was emphasized that ISHM capability needs to be implemented first at a low functional capability level (FCL), or limited ability to detect anomalies, diagnose, determine consequences, etc. As algorithms and tools to augment or improve the FCL are identified, they should be incorporated into the system. This means that the architecture, DIaK management, and software, must be modular and standards-based, in order to enable systematic augmentation of FCL (no ad-hoc modifications). A set of technologies (and tools) needed to implement ISHM were described. One essential tool is a software environment to create the ISHM Model. The software environment encapsulates DIaK, and an infrastructure to focus DIaK on determining health (detect anomalies, determine causes, determine effects, and provide integrated awareness of the system to the operator). The environment includes gateways to communicate in accordance to standards, specially the IEEE 1451.1 Standard for Smart Sensors and Actuators.

This handbook gives profound insight into the main ideas and concepts of integrated care. It offers a managed care perspective with a focus on patient orientation, efficiency, and quality by applying widely recognized management approaches to the field of health care. The handbook also provides international best practices and shows how integrated care does work throughout various health systems. The delivery of health and social care is characterised by fragmentation and complexity in most health systems throughout the world. Therefore, much of the recent international discussion in the field of health policy and health management has focused on the topic of integrated care. “Integrated” acknowledges the complexity of patients ́ needs and aims to meet it by taking into account both health and social care aspects. Changing and improving processes in a coordinated way is at the heart of this approach.

This book has been a long time in the making. The computerization activi ties described in these pages began in 1977 at the Department of Veterans Affairs (VA), but we devoted most of our focus and efforts to building and then implementing the extensive hospital information system known as the Decentralized Hospital Computer System (DHCP) throughout VA. Deliv ering the product has been our primary goal. We spent relatively little time documenting or describing our experiences or lessons learned. Except for some presentations at national meetings and a relatively few publications, almost none of which were in the standard trade journals read by Chief Information Officers (CIOs) and equivalent top managers in the private and nonprofit sectors, VA's accomplishments remained a well-kept secret. In 1988, Helly Orthner encouraged VA staff to consider writing a book, but the press of day-to-day activities always seemed to take precedence, and the book languished on the back burner.

A novel Integrated System Health Management (ISHM) module is being developed which supports the development of intelligent sensors as part of an integrated systems approach, i.e. one treats the sensor as a complete system with its own sensing hardware (the traditional sensor), A/D converters, processing and storage capabilities, software drivers, self-assessment algorithms, communication protocols and evolutionary methodologies that allow it to get better with time. As a part of a project being undertaken at NASA's Stennis Space Center (SSC), an integrated framework is being developed for the intelligent monitoring of smart elements. These smart elements can be sensors, actuators or other devices. The immediate application is the monitoring of the rocket test stands at SSC, but the technology should be generally applicable to the ISHM vision. This thesis work outlines the progress made in the development of intelligent sensors by describing the work done to date on the Physical Intelligent Sensors (PIS). In this thesis work a traditional temperature sensor is converted into a Smart Networked Temperature Sensor (SNTS) for monitoring the temperature of the liquid oxygen tank on the SSC rocket test stand. (Abstract shortened by UMI.)

Healthcare Technology Management Systems provides a model for implementing an effective healthcare technology management (HTM) system in hospitals and healthcare provider settings, as well as promoting a new analysis of hospital organization for decision-making regarding technology. Despite healthcare complexity and challenges, current models of management and organization of technology in hospitals still has evolved over those established 40-50 years ago, according to totally different circumstances and technologies available now. The current health context based on new technologies demands working with an updated model of management and organization, which requires a re-engineering perspective to achieve appropriate levels of clinical effectiveness, efficiency, safety and quality. Healthcare Technology Management Systems presents best practices for implementing procedures for effective technology management focused on human resources, as well as aspects related to liability, and the appropriate procedures for implementation. Presents a new model for hospital organization for Clinical Engineers and administrators to implement Healthcare Technology Management (HTM) Understand how to implement Healthcare Technology Management (HTM) and Health Technology Assessment (HTA) within all types of organizations, including Human Resource impact, Technology Policy and Regulations, Health Technology Planning (HTP) and Acquisition, as well as Asset and Risk Management Transfer of knowledge from applied research in CE, HTM, HTP and HTA, from award-winning authors who are active in international health organizations such as the World Health Organization (WHO), Pan American Health Organization (PAHO), American College of Clinical Engineering (ACCE) and International Federation for Medical and Biological Engineering (IFMBE)