scholarly journals Prediction Methods for Routine Maintenance Costs of a Reinforced Concrete Beam Bridge Based on Panel Data

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Xiaoli Shi ◽  
Bingbing Zhao ◽  
Yuling Yao ◽  
Feng Wang

In order to make informed decisions on routine maintenance of bridges of expressways, the hierarchical regression analysis method was used to quantify factors influencing routine maintenance cost. Two calculation models for routine maintenance cost based on linear regression and time-series analysis were proposed. The results indicate that the logarithm of the historical routine maintenance cost is the dependent variable and the bridge age is the independent variable. The linear regression analysis was used to obtain a cost prediction model for routine maintenance of a beam bridge, which was combined with the quantity and price, and verified by a physical engineering example. In order to cope with the cost changes and future demands brought about by the emergence of new maintenance technologies, the time-series analysis method was used to obtain a model to predict the engineering quantities for the routine maintenance of a bridge based on standardized minor repair engineering quantities. Taking into account the actual cost of the minor repair project as well as the time-series analysis’ sample size demands, the annual engineering quantity was randomly decomposed into four quarterly data quantities, and the time-series analysis result was verified by physical engineering. These results can improve the calculation accuracy of the routine maintenance costs of reinforced concrete beam bridges. Furthermore, it can have a certain application value for improving the cost measurement module of bridge maintenance management systems.

2019 ◽  
Vol 28 (6) ◽  
pp. 449-458 ◽  
Author(s):  
Steven C Chatfield ◽  
Frank M Volpicelli ◽  
Nicole M Adler ◽  
Kunhee Lucy Kim ◽  
Simon A Jones ◽  
...  

BackgroundReducing costs while increasing or maintaining quality is crucial to delivering high value care.ObjectiveTo assess the impact of a hospital value-based management programme on cost and quality.DesignTime series analysis of non-psychiatric, non-rehabilitation, non-newborn patients discharged between 1 September 2011 and 31 December 2017 from a US urban, academic medical centre.InterventionNYU Langone Health instituted an institution-wide programme in April 2014 to increase value of healthcare, defined as health outcomes achieved per dollar spent. Key features included joint clinical and operational leadership; granular and transparent cost accounting; dedicated project support staff; information technology support; and a departmental shared savings programme.MeasurementsChange in variable direct costs; secondary outcomes included changes in length of stay, readmission and in-hospital mortality.ResultsThe programme chartered 74 projects targeting opportunities in supply chain management (eg, surgical trays), operational efficiency (eg, discharge optimisation), care of outlier patients (eg, those at end of life) and resource utilisation (eg, blood management). The study cohort included 160 434 hospitalisations. Adjusted variable costs decreased 7.7% over the study period. Admissions with medical diagnosis related groups (DRG) declined an average 0.20% per month relative to baseline. Admissions with surgical DRGs had an early increase in costs of 2.7% followed by 0.37% decrease in costs per month. Mean expense per hospitalisation improved from 13% above median for teaching hospitals to 2% above median. Length of stay decreased by 0.25% per month relative to prior trends (95% CI −0.34 to 0.17): approximately half a day by the end of the study period. There were no significant changes in 30-day same-hospital readmission or in-hospital mortality. Estimated institutional savings after intervention costs were approximately $53.9 million.LimitationsObservational analysis.ConclusionA systematic programme to increase healthcare value by lowering the cost of care without compromising quality is achievable and sustainable over several years.


Author(s):  
ARMANDO CIANCIO

A financial time series analysis method based on the theory of wavelets is proposed. It is based on the transformation of data of the series in the corresponding wavelet coefficients and in the analysis of the latter, which represent the local characteristics of the series better. In particular, an algorithm for short term previsions is defined.


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