Using leadership criteria to measure and reward performance

Physicians speak of performance and outcomes. They speak of customers and patients. While many leaders nod their heads, shake hands in agreement, and establish liaisons, agreements are implemented without an appropriate understanding of how to recognize and measure leadership performance. How are physicians and other management team members measured? Are you measuring the right things? Physician executives should be measured for simplicity, for streamlining, for standardization, and for knowing the right processes. That's productivity. They should be measured for taking risks, for being creative, and for exploring and initiating new ways to use existing resources. That's entrepreneurship. And they should be measured for kindness, for empathy, for building trust, for sharing with colleagues, and for working together. That's teamwork.     

Shared planning: a new foundation for quality criteria.

The Chinese word for crisis has two characters. One for danger and one for opportunity. A crisis is a time for awakening to new perspectives and for asking different questions. The widely touted "liability crisis" in the health care field provides just such a time for new approaches. Perhaps there is a way to establish market mechanisms for decision making that gives expression to the desires and values of consumers while respecting the abilities and preferences of physicians. Quality might then be the result of natural selection or, more accurately, of market demand. Such a system would acknowledge that quality in medicine is not for defining. It's for having. Quality should be obtained in bargaining for services, not in mandates of professional regulation.     

Mehr als nur Überleben — Anerkennung und Selbstbehauptung

More than survive — acknoledgement and self-assertiveness. Coaching for feministic researchers The need for coaching for feminist women academics arises from the unfavourable conditions of their employment at Universities. This relates, in particular, to the conditions which are important for professional ?power“ such as the need for acknowledgement and the opportunity for assertiveness. Group coaching for women, in this case, serves to strengthen women’s belief in themselves which then becomes a resource and a basis for self-assertiveness. Solidarity and a long-term career perspective are indispensable.     

Machine-component group formation in group technology

A new Rank Order Cluster Algorithm is discussed which provides a simple, effective and efficient analytical technique for the formation of machine-component groupings. The method is specifically developed for computer application although it is possible for it to be used for manual computation, if required, particularly for smaller problems.     

Quality Provision with Heterogeneous Consumer Reservation Utilities

This study examines a firm's quality and price decisions when consumers differ not only in their willingness‐to‐pay for quality but also in their reservation utility for the basic product. We find that while the firm offers lower‐quality products when consumers' valuations for quality deteriorate, the optimal quality may increase with a negative shift in consumers' reservation utilities. We also investigate the optimal price and quality of the products within a vertically differentiated product line when the number of products is exogenously given. The existing literature shows that when consumers differ only in their willingness‐to‐pay for quality, the firm sets the efficient quality for consumers with the highest valuation for quality, whereas the concern for cannibalization pushes down the quality of inferior products. We find that when consumers are heterogeneous in both their reservation utility and valuation for quality, the concern for cannibalization may distort the quality upwards, even for consumers with the highest willingness‐to‐pay for quality. In addition, a low‐quality product may enjoy a higher profit margin than a high‐quality product within the product line.     

Modeling Values for Anti-Terrorism Analysis

Decisions are made to achieve objectives. A qualitative list of the objectives for a decision is the foundation for a value model that unambiguously represents objectives in a quantitative manner. The objectives guide thinking and the value model provides a basis for analyzing alternatives to best meet the desired objectives. This article illustrates the usefulness of clearly identifying objectives and developing value models to support anti-terrorism analysis. It outlines procedures to develop value models for the Department of Homeland Security and for terrorist organizations. The later is useful to both design anti-terrorism alternatives and suggest possible terrorist priorities and actions. An example that develops a terrorist value model for the theft and misuse of plutonium is presented. Several uses of value models for anti-terrorist activities are discussed and suggestions for developing such value models are outlined.     

Change of Thought: Findings on Planning for Shrinkage from a Regional Design Competition

Shrinkage or ‘no growth’ is expected to condition the long-term perspective of many Western cities and regions. Planning for shrinkage differs substantively from planning for growth and therefore calls for a change of thought in spatial planning. In our paper, we analyse how planning professionals responded to a ‘planning for shrinkage’ challenge in a regional design competition. We found that they fully adapted to the shrinking perspective, took a strategic approach, and promoted a leading role for local inhabitants. Collaboration with local inhabitants and entrepreneurs, creating new alliances, and timing emerge as key themes for planning professionals in planning for shrinkage.     

Historical Relationship Between Performance Assessment for Radioactive Waste Disposal and Other Types of Risk Assessment

This article describes the evolution of the process for assessing the hazards of a geologic disposal system for radioactive waste and, similarly, nuclear power reactors, and the relationship of this process with other assessments of risk, particularly assessments of hazards from manufactured carcinogenic chemicals during use and disposal. This perspective reviews the common history of scientific concepts for risk assessment developed until the 1950s. Computational tools and techniques developed in the late 1950s and early 1960s to analyze the reliability of nuclear weapon delivery systems were adopted in the early 1970s for probabilistic risk assessment of nuclear power reactors, a technology for which behavior was unknown. In turn, these analyses became an important foundation for performance assessment of nuclear waste disposal in the late 1970s. The evaluation of risk to human health and the environment from chemical hazards is built on methods for assessing the dose response of radionuclides in the 1950s. Despite a shared background, however, societal events, often in the form of legislation, have affected the development path for risk assessment for human health, producing dissimilarities between these risk assessments and those for nuclear facilities. An important difference is the regulator's interest in accounting for uncertainty.     

Ethics in Confucian and Christian management behavior: Taiwan and the United States contrasted

The ethical foundations for management behavior are examined for the people in Taiwan and from those within the United States. The influences for ethical actions can be traced to Confucian teachings and Christian doctrines. The authors present the philosophical differences between humanism for Chinese people and spiritualism for Christian people in the United States. Comparisons are made on how these principles affect the management behavior within organizations.     

Time Out for Childcare: Signalling and Earnings Rebound Effects for Men and Women

ABSTRACT: The wage cost of time out of the labor force for childcare is important in order to understand the functioning of labor markets and for public policy. This paper reviews the literature and identifies several limitations. Using employment records of a large Swedish company over the period 1983-88, we demonstrate an alternative approach for estimating earnings effects and find a year out costs 1.7 percent of earnings for a woman and 5.2 percent for a man. This large effect for men raises questions of signalling costs. For both men and women, earnings‘'rebound'’for time out in the more distant past.     

A complexity dichotomy and a new boundary class for the dominating set problem

We study the computational complexity of the dominating set problem for hereditary graph classes, i.e., classes of simple unlabeled graphs closed under deletion of vertices. Every hereditary class can be defined by a set of its forbidden induced subgraphs. There are numerous open cases for the complexity of the problem even for hereditary classes with small forbidden structures. We completely determine the complexity of the problem for classes defined by forbidding a five-vertex path and any set of fragments with at most five vertices. Additionally, we also prove polynomial-time solvability of the problem for some two classes of a similar type. The notion of a boundary class is a helpful tool for analyzing the computational complexity of graph problems in the family of hereditary classes. Three boundary classes were known for the dominating set problem prior to this paper. We present a new boundary class for it.     

Individual Heterogeneity and Average Welfare

Individual heterogeneity is an important source of variation in demand. Allowing for general heterogeneity is needed for correct welfare comparisons. We consider general heterogeneous demand where preferences and linear budget sets are statistically independent. Only the marginal distribution of demand for each price and income is identified from cross‐section data where only one price and income is observed for each individual. Thus, objects that depend on varying price and/or income for an individual are not generally identified, including average exact consumer surplus. We use bounds on income effects to derive relatively simple bounds on the average surplus, including for discrete/continuous choice. We also sketch an approach to bounding surplus that does not use income effect bounds. We apply the results to gasoline demand. We find tight bounds for average surplus in this application, but wider bounds for average deadweight loss.     

Are Adult Patients More Tolerant of Treatment Risks Than Parents of Juvenile Patients?

Understanding patient-specific differences in risk tolerance for new treatments that offer improved efficacy can assist in making difficult regulatory and clinical decisions for new treatments that offer both the potential for greater effectiveness in relieving disease symptoms, but also risks of disabling or fatal side effects. The aim of this study is to elicit benefit-risk trade-off preferences for hypothetical treatments with varying efficacy and risk levels using a stated-choice (SC) survey. We derive estimates of "maximum acceptable risk" (MAR) that can help decisionmakers identify welfare-enhancing alternatives. In the case of children, parent caregivers are responsible for treatment decisions and their risk tolerance may be quite different than adult patients' own tolerance for treatment-related risks. We estimated and compared the willingness of Crohn's disease (CD) patients and parents of juvenile CD patients to accept serious adverse event (SAE) risks in exchange for symptom relief. The analyzed data were from 345 patients over the age of 18 and 150 parents of children under the age of 18. The estimation results provide strong evidence that adult patients and parents of juvenile patients are willing to accept tradeoffs between treatment efficacy and risks of SAEs. Parents of juvenile CD patients are about as risk tolerant for their children as adult CD patients are for themselves for improved treatment efficacy. SC surveys provide a systematic method for eliciting preferences for benefit-risk tradeoffs. Understanding patients' own risk perceptions and their willingness to accept risks in return for treatment benefits can help inform risk management decision making.     

Delivering instruction and training to the US and the non-US audiences: an interview with Dr. Hardy MacKenzie

The interview was conducted to identify best practices and methods of delivering training programmes for the US and the non-US audiences. Topics for discussion involved understanding the importance of preparing instructional content, identifying approaches and techniques for capturing and sustaining the attention of participants. The interview was conducted by the first author and concluded with Dr. MacKenzie providing suggestions for trainers who design and deliver training for the US and the non-US audiences. These recommendations are important for domestic and global HRD practitioners as they offer best practices in terms of the cultural adjustments trainers, facilitators, and instructional designers must adopt for enhancing individual learning and enhancing training effectiveness.     

Planning and health care—The approach in a reorganized NHS

From April 1974, National Health Service authorities have been merged to provide integrated and comprehensive services. The reorganization policies place considerable emphasis on the need for management and planning but planning for health services is not well developed. Ambiguous operational objectives and obscured criteria for effectiveness are not the most promising basis for planning. Nevertheless, a commendable beginning is to be made on planning comprehensively through a systematic annual review of Government health service policies and planning and programming procedures for health authorities. The outlines of the system are described and the prospects for success and further development are considered.     

A New Two‐Bin Policy for Inventory Systems with Differentiated Demand Classes

We consider an inventory system under continuous review with two demand classes that are different in terms of service level required (or penalty cost incurred for backordering of demand). Prior literature has proposed the critical level rationing (CLR) policy under which the demand from the lower priority class is backordered once inventory falls below the critical level. While this reduces the penalty cost for the higher demand class, the fill rate achieved for the lower priority demand class gets compromised. In this study, we propose a new class of two‐bin (2B) policy for the problem. The proposed 2B policy assigns separate bins of inventory for the two demand classes. The demand for each class is fulfilled from its assigned bin. However, when the bin intended for the higher demand class is empty, the demand from the higher class can still be fulfilled with the inventory from the other bin. The advantage of the 2B policy is that better fill rates are achieved, especially for the lower demand class. Computational results show that the proposed policy is able to provide a much higher service level for the lower priority class demand without increasing the total cost too much and without affecting the service level for the higher priority class. When a service level constrained optimization problem is considered, the 2B policy dominates the CLR policy when the service level difference for the two classes is not too high or the service levels required for both the classes are relatively lower.     

Estimated Risk of Occupational Fatalities Associated with Hazardous Waste Site Remediation

This study presents a method to assess short term traumatic fatality risks for workers involved in hazardous waste site remediation to provide a quantitative, rather than qualitative, basis for evaluating occupational exposures in remediation feasibility studies. Occupational employment and fatality data for the years 1979–1981 and 1983 were compiled from Bureau of Labor Statistics data for 11 states. These data were analyzed for 17 occupations associated with three common remediation alternatives: excavation and landfill, capping, and capping plus slurry wall. The two occupations with the highest death rates, truck driver and laborer, contributed most to total exposure hours in each alternative. Weighted average death rates were produced for each alternative and multiplied by respective total person-years of exposure. The resultant expected number of fatalities was converted, using the Poisson distribution, to the risk of experiencing at least one fatality, as follows: 0.149 for excavation and landfill, 0.012 for capping, and 0.014 for capping plus slurry wall. These risks were discussed in light of the need to obtain more reliable and comprehensive data than are currently available on the occupational safety and health risks associated with hazardous waste site remediation and the need for a more scientific, quantitative approach to remediation decisions involving risks to workers.     

Linking long-term capacity management for manufacturing and service operations

For firms that combine manufacturing and service operations in one system, the task of managing capacity is not straightforward. New goods and services may not have the same set of competitive priorities, and the models and concepts available in the literature for service operations differ from those for manufacturing operations. We address this problem and review the concepts and models for capacity management in the long term in both streams of literature, i.e. manufacturing and services, to develop a unified framework for manufacturing and service operations. The framework creates transparency between new goods manufacturing and service operations, since the same long-term capacity management structure is used for both product types, as well as between capacity strategy and planning strategy, since new goods and services are treated simultaneously. In the framework, the concepts of chase and level strategies are redefined for service operations to allow for integration with manufacturing operations. A case study demonstrates the usefulness of the integrated approach for long-term capacity management.     

Relative Potency of Chemical Carcinogens in Rodents

Extensive carcinogenesis data compiled by Gold et al. for 770 compounds tested in 2944 chronic bioassays in animals provided an opportunity to compare cancer rates across animal species for a wide variety of compounds administered by various routes of exposure. The comparisons in this paper are restricted to the most frequently tested species: rats, mice, and hamsters. When sufficient experimental data exist, Gold et al. provide estimates of the TD50 (the chronic dose rate expressed in mg/kg body weight/day which halves the actuarially adjusted percentage of tumor-free animals at the end of a standard lifetime experiment). Since the current practice generally is to base risk assessments upon the data set producing the highest cancer risk, the ratio of the minimum TD50's provides a measure of the relative potency between two species for each compound administered to animals by the same route. The geometric means of the ratios of minimum TD50's for rats:mice are 1/2.2 and 1/1.3 for diet and gavage, respectively. A mean ratio for rats: mice of 1/1.48 is obtained for compounds administered in the diet when the tumor site is the liver for both species. In general the minimum TD50 is lowest for the rat and highest for the hamster. Although limited data are available for inhalation studies, this route of administration resulted in the poorest agreement between rats and mice. In general, comparisons of minimum TD50's across the three rodent species are generally within a factor of 100 for a wide variety of compounds.     

Who Reaps the Benefits,Who Bears the Risks? Comparative Optimism,Comparative Utility,and Regulatory Preferences for Mobile Phone Technology

Although the issue of risk target (e.g., self, others, children) is widely acknowledged in risk perception research, its importance appears underappreciated. To date, most research has been satisfied with demonstrating comparative optimism, i.e., lower perceived risk for the self than others, and exploring its moderators, such as perceived controllability and personal exposure. Much less research has investigated how the issue of target may affect benefit perceptions or key outcomes such as stated preferences for hazard regulation. The current research investigated these issues using data from a public survey of attitudes toward mobile phone technology (N= 1,320). First, results demonstrated comparative optimism for this hazard, and also found moderating effects of both controllability and personal exposure. Second, there was evidence of comparative utility, i.e., users believed that the benefits from mobile phone technology are greater for the self than others. Third, and most important for policy, preferences for handset regulation were best predicted by perceptions of the risks to others but perceived benefits for the self. Results suggest a closer awareness of target can improve prediction of stated preferences for hazard regulation and that it would be profitable for future research to pay more attention to the issue of target for both risk and benefit perceptions.