Most algorithms for solving vehicle routing problems use the criterion of minimizing total travel time in forming their routes. As illustrated in the paper, even in the case of a homogeneous fleet, solutions using other criteria may be preferred to the solution generated by minimizing total travel time. This situation becomes more pronounced when considering a vehicle routing problem where the ...

Documentation of the care delivered to hospitalized patients is a ubiquitous and important aspect of medical care. The majority of references to documentation and coding are based on the Centers for Medicare and Medicaid Services (CMS) Medicare Severity Diagnosis Related Group (MS-DRG) inpatient prospective payment system (IPPS). We educated the members of a clinical care team in a single depar...

Case-mix classification and payment systems help assure that persons with similar needs receive similar amounts of care resources, which is a major equity concern for consumers, providers, and programs. Although health service programs for adults regularly use case-mix payment systems, programs providing health services to children and youth rarely use such models. This research utilized Medica...

The language MIX consists of all strings over the three-letter alphabet {a, b, c} that contain an equal number of occurrences of each letter. We prove Joshi’s (1985) conjecture that MIX is not a tree-adjoining language.