The Learning Factory is a new practice‐based curriculum and physical facilities for product realization. Its goal is to provide an improved educational experience that emphasizes the interdependency of manufacturing and design in a business environment. The Learning Factory is the product of the Manufacturing Engineering Education Partnership (MEEP). This partnership is a unique collaboration of three major universities with strong engineering programs (Penn State, University of Puerto Rico‐Mayaguez, University of Washington), a premier high‐technology government laboratory (Sandia National Laboratories), over 100 corporate partners covering a wide spectrum of U.S. Industries, and the federal government that provided funding for this project through the ARPA Technology Reinvestment Program. As a result of this initiative, over 14,000 square feet of Learning Factory facilities have been built or renovated across the partner schools. In the first two years of operation, the Learning Factories have served over 2600 students. Four new courses, and a revamped senior projects course which integrate manufacturing, design and business concerns and make use of these facilities have been instituted. These courses are an integral part of a new curriculum option in Product Realization. The courses were developed by a unique team approach and their materials are available electronically over the World Wide Web. Industry partners provide real‐world problems and are the customers for students in our senior capstone design courses. As of December 1996, over 200 interdisciplinary projects have been completed across the three schools. These projects involve teams of students from Industrial, Mechanical, Electrical, Chemical Engineering and Business. Forty‐three faculty members, across five time zones, are engaged in this effort.
With risk defined as the possibility of deviation in the results from the expected goals, business process reengineering (BPR) initiatives clearly involve risk taking. However, due to the high expected returns of such efforts, the acceptable risk levels of BPR will tend to be greater than those of less ambitious projects. This research reports the development of a tool to quantitatively estimate the potential risk level of a BPR effort before an organization commits its resources to that effort. The underlying research employed a survey of BPR-experienced organizations to collect assessment information in order to build a BPR risk estimation model. The developed tool uses triangular fuzzy numbers to approximate the degree of success/failure of proposed BPR initiatives. The tool can be applied by any organization contemplating BPR, thus giving such organizations a heretofore unavailable estimate of the risk level of proposed BPR efforts. Validation was performed based upon an 18-month BPR project conducted at the Missouri Lottery.
Evidence indicates that the largest volume of hospital readmissions occurs among patients with preexisting chronic conditions. Identifying these patients can improve the way hospital care is delivered and prioritize the allocation of interventions. In this retrospective study, we identify factors associated with readmission within 30 days based on claims and administrative data of nine hospitals from 2005 to 2012. We present a data inclusion and exclusion criteria to identify potentially preventable readmissions. Multivariate logistic regression models and a Cox proportional hazards extension are used to estimate the readmission risk for 4 chronic conditions (congestive heart failure [CHF], chronic obstructive pulmonary disease [COPD], acute myocardial infarction, and type 2 diabetes) and pneumonia, known to be related to high readmission rates. Accumulated number of admissions and discharge disposition were identified to be significant factors across most disease groups. Larger odds of readmission were associated with higher severity index for CHF and COPD patients. Different chronic conditions are associated with different patient and case severity factors, suggesting that further studies in readmission should consider studying conditions separately.
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