The COVID-19 pandemic has had a significant impact on hospitals and healthcare systems around the world. The cost of business disruption combined with lingering COVID-19 costs has placed many public hospitals on a course to insolvency. To quickly return to financial stability, hospitals should implement efficiency measure. An average technical efficiency (ATE) model made up of data envelopment analysis (DEA) and stochastic frontier analysis (SFA) for assessing efficiency in public hospitals during and after the COVID-19 pandemic is offered. The DEA method is a non-parametric method that requires no information other than the input and output quantities. SFA is a parametric method that considers stochastic noise in data and allows statistical testing of hypotheses about production structure and degree of inefficiency. The rationale for using these two competing approaches is to balance each method’s strengths, weaknesses and introduce a novel integrated approach. To show the applicability and efficacy of the proposed hybrid VRS-CRS-SFA (VCS) model, a case study is presented.
In this paper, we present an integrated multi-objective framework of a single machine for a single cutting tool problem. Our maintenance policy is based on performing minimal repairs in case of a minor failure and Preventive Maintenance (PM) to avoid a major failure that results in the replacement of the tool. This framework allows simultaneous optimization of the two conflicting time and cost objectives. A redundant system is proposed as a part of the model to assist the production line under a major failure. In addition, the tool’s preventive maintenance time is synchronized with the completion of the machine tool’s work cycle to reduce the machine’s set-up time. The model was optimized using a customized Non-dominated Sorting Genetic Algorithm (NSGA-II). An experimental study based on real-market data was conducted and the results were compared with the ones obtained from classical methods.
In this paper, a modified model of Nondominated Sorting Genetic Algorithm 2 (NSGA-II), which is one of the Multiobjective Evolutionary Algorithms, is proposed. This algorithm is a new model designed to make a trade-off between minimizing the cost of preventive maintenance (PM) and minimizing the time taken to perform this maintenance for a series-parallel system. In this model, the limitations of labor and equipment of the maintenance team and the effects of maintenance issues on manufacturing problems are also considered. In the mathematical model, finding the appropriate objective functions for the maintenance scheduling problem requires all maintenance costs and failure rates to be integrated. Additionally, the effects of production interruption during preventive maintenance are added to objective functions. Furthermore, to make a better performance compared with a regular NSGA-II algorithm, we proposed a modified algorithm with a repository to keep more unacceptable solutions. These solutions can be modified and changed with the proposed mutation algorithm to acceptable solutions. In this algorithm, modified operators, such as simulated binary crossover and polynomial mutation, will improve the algorithm to generate convergence and uniformly distributed solutions with more diverse solutions. Finally, by comparing the experimental solutions with the solutions of two Strength Pareto Evolutionary Algorithm 2 (SPEA2) and regular NSGA-II, MNSGA-II generates more efficient and uniform solutions than the other two algorithms.
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