Risk-based coating maintenance: an integrated program

2011 ◽  
Vol 51 (2) ◽  
pp. 728
Author(s):  
Egil Lillerovde ◽  
Bill Sullivan ◽  
Arvind Chetty
Keyword(s):  
Fire Protection ◽  
Cost Savings ◽  
Cost Effective ◽  
Management Plan ◽  
Management Program ◽  
Design Stage ◽  
Process Conditions ◽  
Passive Fire Protection ◽  
Maintenance Plan

The integration of a cost-effective coating management plan into an asset integrity system is essential in ensuring asset longevity. The success of any corrosion management program relies on condition monitoring and quality auditing. Monitoring activities also contribute to maintenance plan feedback ensuring continuous improvement in corrosion management activities. It is recognised that there are many ways to organise and operate successful corrosion management programs, each of which is asset specific and depends on factors such as: Design. Stage in the life cycle. Process conditions. Operational history. AGR defines corrosion management as: “…the part of the overall management system that is concerned with the development, implementation, review and maintenance of the corrosion policy.” AGR corrosion management programs use a combination of risk-based Inspection technologies and traditional restorative maintenance activities. SOLVTM, a unique product from AGR Field Operations, is used for the management of fabric maintenance (surface coatings, insulation, passive fire protection, pipe and cable penetrations).Long-term plans: 5-year plans or longer based on client requirements. Prioritising areas and recommended maintenance intervals. Cost estimates and scope of work. Estimated condition development. Application: Treatment of component surfaces (coatings). Passive fire protection. Quality control. The benefits of the SOLVTM concept can be summarised as: Information regarding condition of maintenance objects. Preparation of fixed price maintenance plan and workpacks. Condition control through survey and audit. Cost control via quantified scope. Maintenance budget inputs for 5-year plan. Documented cost savings of 20–50 % have been realised where SOLVTM has been introduced and been used for long-term corrosion management.

scholarly journals Cost-Effectiveness of an Obesity Management Program for 6- to 15-Year-Old Children in Poland: Data from Over Three Thousand Participants

Obesity Facts ◽  
2020 ◽  
Vol 13 (5) ◽  
pp. 487-498
Author(s):  
Ewa Bandurska ◽  
Michał Brzeziński ◽  
Paulina Metelska ◽  
Marzena Zarzeczna-Baran
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Management Program ◽  
Obesity And Overweight ◽  
School Programs ◽  
Overweight Group ◽  
Research Findings ◽  
Public Health Challenge ◽  
The Cost

<b><i>Background:</i></b> Obesity and overweight, including childhood obesity and overweight, pose a public health challenge worldwide. According to the available research findings, long-term interventions focusing on dietary behavior, physical activity, and psychological support are the most effective in reducing obesity in children aged 6–18 years. There are limited studies showing the financial effectiveness of such interventions. <b><i>Objective:</i></b> The objective of the present study was to evaluate cost-effectiveness of the 6-10-14 for Health weight management program using pharmacoeconomic indicators, i.e., cost-effectiveness analysis using the incremental cost-effectiveness ratio. <b><i>Methods:</i></b> We used anthropometric data of 3,081 children included in a 1-year-long intervention with a full financial cost assessment. <b><i>Results:</i></b> The cost of removing a child from the overweight group (BMI &#x3e;85th percentile) was PLN 27,758 (EUR 6,463), and the cost of removing a child from the obese group (BMI &#x3e;95th percentile) was slightly lower, i.e., PLN 23,601 (EUR 5,495). Given the obesity-related medical costs calculated in the life-long perspective, these results can be considered encouraging. At the same time, when comparing the total costs per participant with the costs of other interventions, it can be noted that they are similar to the costs of school programs containing more than 1 type of intervention. <b><i>Conclusions:</i></b> The 6-10-14 for Health program can be considered cost-effective. As a result of committing financial resources in the approximate amount of EUR 1,790 per child, around half of the children participating in the program have improved their weight indicators.

P5237Continued financial benefits of LATIN telemedicine program from avoiding unnecessary transfer of patients

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
S Mehta ◽  
R Botelho ◽  
S Niklitschek ◽  
F Fernandez ◽  
J Cade ◽  
...  
Keyword(s):  
Cost Savings ◽  
Cost Effective ◽  
Population Based ◽  
Benefit Analysis ◽  
Financial Benefits ◽  
Indirect Care ◽  
Long Term Follow Up ◽  
Cost And Benefit Analysis

Abstract Background Latin America Telemedicine Infarct Network (LATIN) employed telemedicine to construct a population-based AMI program in Brazil, Colombia, Mexico, and Argentina. It increased access, accuracy and guidelines-based care and addressed fiscal issues. Previously, we demonstrated a cost and benefit analysis (CBA) of LATIN based upon avoiding unnecessary transfers and hospitalization. We have performed a scrupulous follow up of this initial observation with a long-term follow up from all expanded LATIN sites. Purpose To demonstrate that telemedicine avoids unnecessary transfer of patients. Methods 784,947 patients at LATIN spokes (small clinics in remote areas) were screened and CBA measured at hubs, spokes and telemedicine centers. Technology, transfer, inpatient, and procedure-related costs were included. A sensitivity analysis was performed for worst and best scenarios of costs, revenues, and savings. A comparison with Avera e-Emergency (Sioux Falls, SD) Telemedicine program, involving 85 rural hospitals in 7 states, is provided (13% transfer avoidance). Results Of 784,947 screened patients, 8,448 had STEMI (1.08%); 3,911 (46.3%) were urgently reperfused, 3,049 (78%) with PPCI. Time to Telemedicine Diagnosis was 3 min. With efficient triage, costs for non-AMI patients was controlled. LATIN expenses, including for IT and experts, were $272, and for transfer and indirect care, $1,068. Net savings/patient were $796. Savings, till date, range between $187.4 million and $62.4 million (Best scenario −30% transfer avoidance; Worse scenario −10% transfer avoidance). Conclusions Longitudinal analysis firms the trend of enormous cost savings with LATIN. Telemedicine avoids unnecessary transfers and hospitalization and it is a cost-effective strategy for population-based AMI programs.

A New Cost Effective Philosophy for Upgrading Passive Fire Protection

1998 ◽  
Author(s):  
Stig Aune ◽  
Ole Skotnes ◽  
Olav Rasmussen ◽  
Robert R. Schumacher
Keyword(s):  
Fire Protection ◽  
Cost Effective ◽  
Passive Fire Protection

Enhanced Pipeline Integrity at Lower Cost: A Pipeline Integrity Prioritization Model

2000 ◽  
Author(s):  
Ron S. Burdylo ◽  
Audrey L. L. Van Aelst
Keyword(s):  
Program Effectiveness ◽  
Lower Cost ◽  
Cost Effective ◽  
Management Program ◽  
Mitigation Strategy ◽  
Short Term ◽  
Integrity Management ◽  
Useful Life ◽  
Mitigation Techniques

Strategic, focussed application of pipeline integrity monitoring and mitigation techniques will significantly improve pipeline integrity program effectiveness while reducing overall maintenance costs. These achievements have been demonstrated through the development of Maintenance Prioritization Models (MPM) that pinpoint areas along the pipeline with the highest susceptibility to failure and identify the most cost effective mitigation strategy. A MPM identifies areas along the pipeline that exhibit a higher relative susceptibility to failure and consequence in the event of a pipeline rupture. Used as part of the owner’s pipeline integrity management program, it assists with optimization, planning and focusing of integrity related preventative maintenance activities. Areas that require short-term mitigation are identified and maintenance budgeting and planning can be prioritized while long-term planning needs are forecast. It enables integrity engineers to manage resources more efficiently by focusing on areas of highest need, thereby extending the useful life of the pipeline section that will, in turn, extend its revenue generation capabilities.

Yoga and Healthcare in the United Kingdom

2017 ◽  
Vol 27 (1) ◽  
pp. 121-126 ◽  
Author(s):  
Heather Mason ◽  
Nicole Schnackenberg ◽  
Robin Monro
Keyword(s):  
United Kingdom ◽  
Treatment Options ◽  
Cost Savings ◽  
Cost Effective ◽  
Long Term Conditions ◽  
Yoga Therapy ◽  
The Public ◽  
The United Kingdom ◽  
Regional Hospitals

Abstract The emergence of yoga therapy in the United Kingdom began about 45 years ago with the emergence of yoga therapy organizations that offered both treatment and training. The integration of yoga into the National Health Service (NHS) is gradually happening Because: (a) yoga research supports its efficacy as a cost-effective, preventive and complementary treatment for a host of non-communicable diseases; and (b) the escalating economic burden of long-term conditions is overwhelming the NHS. The NHS is actively developing ‘sustainability and transformation plans’ that include yoga. Chief among these is ‘social prescribing,’ which empowers patients with complex health needs through activities groups. These activities reduce sedentary habits and social isolation, while helping patients to be more self-reliant. The NHS has allocated £450 million in funding to implement a variety of programs for its own staff, in which staff yoga classes were expressly mentioned. The yoga community is mobilizing forces and applying for funding to pilot relevant NHS staff yoga courses that can support the service in achieving its vision. Research shows that integrating yoga therapy for the treatment of low back pain (LBP) into the NHS would result in significant cost savings as compared with usual care. The National Institute for Health and Care Excellence (NICE) Guidelines on LBP and sciatica include yoga as one of the recommended treatments for these conditions. Three groups of yoga teachers, using different yoga practices, have gained traction with the NHS for the application of yoga therapy to LBP. Many regional hospitals in England have yoga classes. The NHS Choices website, which conveys information to the public regarding treatment options, has a page dedicated to the health benefits of yoga. Several institutions offer comprehensive training programs in yoga therapy and yoga therapy is recognized as an official profession. The Yoga in Healthcare Alliance has been established to help integrate yoga therapy into the NHS. This consists of parliamentarians, leaders in the NHS, yoga researchers, health professionals, and representatives from leading yoga organizations.

Wastewater biosolids as an environmentally sustainable resource: Keys to success

2008 ◽  
Vol 3 (1) ◽  
Author(s):  
Ronald J. LeBlanc ◽  
Conrad J. Allain ◽  
Peter J. Laughton
Keyword(s):  
Wastewater Treatment ◽  
Cost Effective ◽  
Management Plan ◽  
Environmentally Sustainable ◽  
The Public ◽  
Global Issues ◽  
Big Picture ◽  
Key Issues ◽  
Meaningful Communication

The paper traces the success of a large Canadian wastewater utility that has dealt with the issue of biosolids management and recycling to the extent that it now has more demand for its biosolids than it produces. The Greater Moncton Sewerage Commission's (GMSC) problem is not one of disposing of biosolids, but one of determining which product and uses will be best for the environment as well as being most sustainable and cost effective in the long term. Wastewater treatment and the management of the sludge or biosolids produced are global issues, with growing challenges, that must address the concerns of all of the stakeholders, including the facility administrators and operators, regulators and elected officials, the scientific community, wastewater generators, taxpayers and the general public. The failure to take into consideration the concerns of all of the stakeholders including the lack of meaningful communication with the public has resulted in predictable but preventable problems, including the banning of scientifically acceptable biosolids recycling options in different countries. Consequently, a successful and viable wastewater treatment and biosolids recycling management plan requires a "big picture" view and a sustainable approach, which takes into consideration the concerns of all stakeholders. The paper will deal with key issues to the success of an environmentally sustainable biosolids management programme.

Fire resistance of passive fire protection coatings after long-term weathering

2010 ◽  
Vol 88 (1) ◽  
pp. 1-19 ◽  
Author(s):  
T.A. Roberts ◽  
L.C. Shirvill ◽  
K. Waterton ◽  
I. Buckland
Keyword(s):  
Fire Resistance ◽  
Fire Protection ◽  
Passive Fire Protection

Estimation of Passive Fire Protection Quantity – A Cost Effective Approach for Offshore Oil & Gas facilities

2016 ◽  
Author(s):  
Rawad Ghassan Al Ayass ◽  
Ajay Nandan Jha ◽  
Harendra Singh ◽  
Faris Ragheb Kamal ◽  
Oussama Takieddine
Keyword(s):  
Fire Protection ◽  
Cost Effective ◽  
Passive Fire Protection ◽  
Cost Effective Approach ◽  
Offshore Oil

Cost-utility of a disease management program for patients with asthma

2007 ◽  
Vol 23 (2) ◽  
pp. 184-191 ◽  
Author(s):  
Lotte Steuten ◽  
Stephen Palmer ◽  
Bert Vrijhoef ◽  
Frits van Merode ◽  
Cor Spreeuwenberg ◽  
...  
Keyword(s):  
Disease Management ◽  
Usual Care ◽  
Disease Management Program ◽  
Cost Effective ◽  
Quality Adjusted Life Year ◽  
Cost Utility ◽  
Management Program ◽  
Decision Analytic Model ◽  
Additional Qaly

Objectives:The long-term cost-utility of a disease management program (DMP) for adults with asthma was assessed compared to usual care.Methods:A DMP for patients with asthma has been developed and implemented in the region of Maastricht (The Netherlands). By integrating care, the program aims to continuously improve quality of care within existing budgets. A clinical trial was performed over a period of 15 months to collect data on costs and effects of the program and usual care. These data were used to inform a probabilistic decision-analytic model to estimate the 5-year impact of the program beyond follow-up. A societal perspective was adopted, with outcomes assessed in terms of costs per quality-adjusted life-year (QALY).Results:The DMP is associated with a gain in QALYs compared to usual care (2.7±.2 versus 3.4±.8), at lower costs (€3,302±314 versus €2,973±304), thus leading to dominance. The probability that disease management is the more cost-effective strategy is 76 percent at a societal willingness to pay (WTP) for an additional QALY of €0, reaching 95 percent probability at a WTP of €1,000 per additional QALY.Conclusions:Organizing health care according to the principles of disease management for adults with asthma has a high probability of being cost-effective and is associated with a gain in QALYs at lower costs.

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