The Centers for Medicare and Medicaid are beginning to penalize hosp.docx

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The Centers for Medicare and Medicaid are beginning to penalize hospitals who have patients readmitted in a certain time period ( Readmission Reduction Program) . Your Supervisor has come to you as to a manager of Quality Improvement and asked you how your hospital can better understand your readmission rates. Write a descriptive analysis plan outline based on PDCA process description that can offer insight in the organization readmission rates matter. Another example (exploratory) is P.E.R.I.E. approach used in the Public Health industry.Think about the factors that are important for the Provider, the patient and the payor (Medicare in this case). Make sure to list the epidemiological measures used in the process and identify the stage of Total Quality Improvement process that is utilizing Epidemiological studies and surveillance directly. HINT: remember, it is an outline of a plan. .

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Remove or Replace: Header Is Not Doc Title Guiding Questions Quality Improvement Initiative Evaluation This document is designed to give you questions to consider and additional guidance to help you successfully complete the Quality Improvement Initiative Evaluation assessment. You may find it useful to use this document as a prewriting exercise, an outlining tool, or a final check to ensure you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission. Remember, you are analyzing a current QI initiative that is already in place. You are not creating a new QI initiative (Assessment 3). Analyze a current quality improvement initiative in a health care setting. · What prompted the implementation of the quality improvement initiative? · What problems were not addressed? · What problems arose from the initiative? Evaluate the success of a current quality initiative through recognized benchmarks and outcome measures. · What benchmarks or outcome measures were used to evaluate success? Consider requirements for national, state, or accreditation standards. · What was most successful? Incorporate interprofessional perspectives related to initiative functionality and outcomes. · How does the interprofessional team contribute to the success of the QI initiative? · What are the perspectives of interprofessional team members involved in the initiative? · Who did you talk to? From what other professions? How did their input impact your analysis? Recommend additional indicators and protocols to improve and expand outcomes of a current quality initiative. · What process or protocol changes would you recommend? · What added technologies would improve quality outcomes? · What outcome measures are missing, or could be added? Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. · Is your analysis logically structured? · Is your analysis 5–7 double-spaced pages (not including title page and reference list)? · Is your writing clear and free from errors? · Does your analysis include both a title page and reference list? · Did you use a minimum of four sources? Were they published within the last five years? · Are they cited in current APA format throughout the analysis? 1 image1.png 1 Quality Improvement Initiative Evaluation Student’s Name: Course Name: Course Number: Instructor’s Name: This study source was downloaded by 100000855641916 from CourseHero.com on 12-20-2022 05:43:38 GMT -06:00 https://www.coursehero.com/file/176043112/Revised-QIIE-1edited-2editeddocx/ https://www.coursehero.com/file/176043112/Revised-QIIE-1edited-2editeddocx/ 2 Introduction In healthcare settings, plans for process-specific quality improvement are frequently reactive and focused on act.

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IHP 604 Final Project Guidelines and Rubric Overview The final project for this course is the creation of a quality plan—also known as a performance improvement plan—for a healthcare organization. You may develop this plan for an acute-care facility, a same-day surgery facility, an ambulatory care organization, a clinic setting, a long-term care facility, or some other type of healthcare organization you may be familiar with given your own professional healthcare work experience. In addressing the critical elements for this assignment, all APA formatting and citation requirements apply. Further, as this is a scholarly initiative, you must use peer-reviewed or evidence-based sources for this assignment. Data may be derived from public healthcare databases, or you may use data from your own healthcare organization. The final product represents an authentic demonstration of competency because quality plans are used as tools by healthcare facilities to provide frameworks for collaboratively planned, systematic, and organization-wide approaches to improvement. These quality plans are always kept on-site, updated yearly, and reviewed by surveyors and accreditors. The project is divided into two milestone journals, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Four and Seven. In these journal assignments, you will reflect on the progress you have made on your project thus far and ask any clarifying questions that will assist you as you progress on your project. These assignments will also provide you with the opportunity to submit drafts of your project so that you can receive feedback on them from your instructor. In addition, there are several short papers that you will complete throughout the course which will help you to understand course concepts, as well as activities that will allow you to practice working with data. All of these concepts should be incorporated into the final project. The final product will be submitted in Module Nine. In this assignment, you will demonstrate your mastery of the following course outcomes:  Determine the impact of regulatory requirements and accreditation standards on quality planning for improving patient care  Assess information management systems and patient-care technologies for their ability to promote care coordination and improve patient safety  Recommend performance-improvement initiatives using quality program requirements and quality data metrics  Analyze healthcare reimbursement policies for the impact on patient safety and quality initiatives  Recommend leadership strategies that promote interdisciplinary collaborative care within healthcare organizations in the healthcare ecosystem Prompt Specifically, the following critical elements must be addressed: I. Purpose and Quality Statement: In this section, you will define patient safety and ...

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The way healthcare services are now planned, monitored and evaluated has considerably changed in the last decade. Many healthcare organizations have now moved from Activity-Based M&E(ie, what are we really doing?) to Performance-Based M&E which focuses on the overall results (ie what have we achieved?). Therefore the focus now is on the Results and consequences of actions and implementations, rather than on the inputs (treatment, time, human resources) provided. In Secondary Healthcare Management for instance, this is called Results-Based Management (RBM) and Performance-Based M&E play a vital role in Results-Based Management.

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Individual physician performance has a direct impact on a health system’s financial, patient safety, and care quality initiatives. It is also a key performance indicator, integral to helping hospitals deliver better care at lower costs. As the healthcare industry implements ICD-10 and continues the shift towards reimbursement tied to value, efficiency, and clinical quality of care, the need to enlist physicians to help drive clinical practice changes and improve documentation is urgent. Forward-thinking hospitals are looking for strategies and tools to help manage the change and to align physicians with organizational goals; they are finding that implementing a physician scorecard is a must.

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As we move into the future, the measurement of patient satisfaction is becoming less of a luxury and more of a necessity for medical groups and facilities. It is increasingly important that a patient-satisfaction program be done well, using sound protocol and methods. Survey findings can also be used for accreditation and marketing. In this era of increasing competition and high patient demand for health care excellence, medical groups and skilled nursing facilities cannot afford to forgo the insights they can derive from patient-satisfaction surveys.

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Unit outcomes addressed in this Assignment: Explain the need to measure consumer satisfaction Discuss the need to involve patients in the CQI process Outline the uses of risk-adjusted data Examine benchmarking and why it is important in CQI process State the professional and institutional responses for addressing quality issues in health care Course outcomes assessed/addressed in this Assignment: HA425-1: Explain the historical evolution of health care quality improvement programs. HA425-2: Demonstrate an understanding of operational management theory. HA425-3: Examine strategic and tactical planning issues relevant to marketing, opportunity assessment, and external environment analysis. HA425-4: Compare quality management techniques used to improvement operations such as Continuous Quality Improvement, Total Quality Management, and proactive quality improvement measures. HA425-5: Examine the critical role of quality improvement and quality assurance in community, state and national health care environments. Imagine yourself as just being appointed the Chief Patient Experience Officer of your hospital. You have been charged by the board and CEO of the hospital to create a new systems approach for the hospital that will meet the patient’s needs, priorities and expectations in a manner that exemplifies the values of respect, compassion, justice, and community pride. Your plan should include a method of determining who the customer is, what the customer wants, how the hospital will meet those needs and desires, how you will measure customer satisfaction, and the data capture modalities you will use, such as qualitative or quantitative methods to obtain the information. Also, how you will communicate the results of this new program to the world. Instructions Create a PowerPoint presentation at least 10 slides in length that discusses your planned proposal. Each process should be outlined in 2–4 slides. Include detailed speaker’s notes that describe your program, which should include your answers to the questions below. Be sure to include references and citations from at least five sources. Your PowerPoint presentation needs to be visually appealing, to catch your audience's attention, as your goal is to promote your program to the health care organization groups and people attending. Outline the current customer experience efforts and how these efforts could be improved with an organized effort. Explain how Affordable Care Act provides financial incentives in the form of performance-based bonuses or penalties based on the efficiency, effectiveness, and satisfaction with hospital services. Thoroughly analyze how your new systems approach for the hospital will satisfy all stakeholders and how we will improve results, measure success, and communicate the results to the world? Provide a step-by-step plan for implementation of your proposal. Describe how the new systems approach for the hospital will meet the patient’s needs, priorities and .

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Assessment 2 Quality Improvement Proposal Overview: Write a quality improvement proposal, 5–7 pages in length, that provides your recommendations for expanding a hospital's HIT to include quality metrics that will help the organization qualify as an accountable care organization. Health care has undergone a transformation since the release of the Institute of Medicine's 2000 report To Err Is Human: Building a Safer Health System. The report highlighted medical errors as a contributing factor leading to poor patient outcomes. The Institute of Medicine challenged organizations to implement evidence-based performance improvement strategies in order to improve patient quality and safety. Multiple governmental and regulatory agencies, such as the Centers for Medicare and Medicaid Services (CMS) and the Agency for Healthcare Quality and Research (AHRQ), vowed to strengthen and improve incentives for participation, safety, quality, and efficiency in accountable care organizations (ACOs). Health information technology (HIT) performs an essential role in improving health outcomes of individuals, the community, and populations. Health organizations, consumer advocacy groups, and regulatory committees have made a commitment to explore current and future opportunities that HIT offers to continue momentum to meet the Institute of Medicine's goal of improving safety and quality. Understanding HIT is important to improving individual, community, and population access to health care and health information. HIT enables quick and easy access to information for both patients and providers. Accessible information has been shown to improve the patient care experience and reduce redundancies, thereby reducing health care costs. This assessment provides an opportunity for you to make recommendations for expanding a hospital's HIT in ways that will help the hospital qualify as an ACO. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 2: Explain the relationship between care coordination and evidence-based data. Recommend ways to expand an organization's HIT to include quality metrics. Identify potential problems that can arise with data gathering systems and outputs. Competency 3: Use health information technology to guide care coordination and organizational practice. Describe the main focus of information gathering in health care and how it contributes to guiding the development of organizational practice. Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. Write clearly and concisely, using correct grammar and mechanics. Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. Reference .

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HS410 Unit 6: Quality Management - Discussion Discussion This is a graded Discussion . Please refer to the Discussion Board Grading Rubric in Course Home / Grading Rubrics. Respond to all of the following questions and be sure to respond to two of your other classmates’ postings: 1. What are the steps in the quality improvement model and how is benchmarking involved? 2. What are the stages in which data quality errors found in a health record most commonly occur? 3. What is the definition of risk management? 4. What are the parts of an effective risk management program? 5. What is utilization review and why is it important in healthcare? 6. What is the process of utilization review? Please paper should be 400-500 words and in an essay format, strictly on topic, original with real scholar references to support your answers. NO PHARGIARISM PLEASE! This is the Chapter reading for this assignment: Read Chapter 7 in Today’s Health Information Management . INTRODUCTION Quality health care “means doing the right thing at the right time, in the right way, for the right person, and getting the best possible results.”1 The term quality, by definition, can mean excellence, status, or grade; thus, it can be measured and quantified. The patient, and perhaps the patient's family, may interpret quality health care differently from the way that health care providers interpret it. Therefore, it is important to determine—if possible—what is “right” and what is “wrong” with regard to quality health care. The study and analysis of health care are important to maintain a level of quality that is satisfactory to all parties involved. As a result of the current focus on patient safety, and in an attempt to reduce deaths and complications, providing the best quality health care while maintaining cost controls has become a challenge to all involved. Current quality initiatives are multifaceted and include government-directed, private sectorsupported, and consumer-driven projects. This chapter explores the historical development of health care quality including a review of the important pioneers and the tools they developed. Their work has been studied, refined, and widely used in a variety of applications related to performance-improvement activities. Risk management is discussed, with emphasis on the importance of coordination with quality activities. The evolution of utilization management is also reviewed, with a focus on its relationship to quality management. In addition, this chapter explores current trends in data collection and storage, and their application to improvements in quality care and patient safety. Current events are identified that influence and provide direction to legislative support and funding. This chapter also provides multiple tips and tools for both personal and institutional use. DATA QUALITY Data quality refers to the high grade, superiority, or excellence of data. Data quality is intertwined with the concept of.

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Every hospital and health care system is significantly impacted by readmission policies mandated by new regulations. And every facility must implement strategies to reduce the number of costly and unnecessary readmissions. During this presentation you will discover how to decrease your readmission rates and take advantage of incentives, rather than suffer penalties that can significantly impact your bottom line.

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The case presented is a philosophy of practice, by Ulf Donner, leader of the Foundation Home at the psychiatric nursing home in Finland that for 15 years has based its practice on Eriksson’s caritative theory of caring. Even at an early stage in our serving in caring science, we caregivers recognized ourselves in the caring science theory, which stresses the healing force of love and compassion in the form of tending, playing, and learning in faith, hope, and charity. The caritative culture is made visible with the help of rituals, symbols, and traditions, for instance, with the stone that burns with the light of the Trinity and the daily common time for spiritual reflection. In every meeting with the suffering human being, the attributes of love and charity are striven for, and the day involves discussions of reconciliation, forgiveness, and how we as caregivers can tend by nourishing and cleansing on the level of becoming, being, and doing. In the struggle in love and compassion to reach a fellow human being who, because of suffering, has withdrawn from the communion to find common horizons, the sacrifice of the caregiver is constantly available. We work with people who often have the feeling that they do not deserve the love they encounter and who, in various ways, try to convince us caregivers of this. We experience patients’ disappointment in their destructive acts, and we constantly have to remember that it may be broken promises that produce such dynamics. Sometimes, it may be difficult to recognize that suffering expressed in this way in an abstract sense seeks an embrace that does not give way but is strong enough to give shelter to this suffering, in a way that makes a becoming movement possible. In recognizing what is bad and what is difficult, horizons in the field of force are expanded, and the possibility of bringing in a ray of light and hope is opened. As caregivers, we constantly ask ourselves whether the words, the language we use, bring promise, and how we can create linguistic footholds in the void by means of images and symbols. In our effort to nourish and cleanse, that which constitutes the basic movement of tending, we often recognize the importance of teaching the patient to be able to mourn disappointments and affirm the possibilities of forgiveness in the movement of reconciliation. We also try to bring about the open invitation to the suffering human being to join a communion with the help of myths, legends, and tales concerned with human questions about evil versus good and about eternity and infinity. Reading aloud with common reflective periods often provides us caregivers a possibility of getting closer to patients without getting too close, and opens the door for the suffering the patient bears. In the act of caring, we strive for openness with regard to the patient’s face and a confirmative attitude that responds to the appeal that we can recognize that the patient directs to us. When we as caregivers re.

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The Case of Will Smithers: To Exhume or not Exhume, that is the Question A surprising amount of information can be gleaned about an individual just from one’s tissues. In this case, you have been assigned to shadow histopathologist Dr. Jonas Riehm as he attempts to identify the cause of death of 42-year-old Will Smithers. Mr. Smithers’s body was discovered sitting in his car near an alley several miles from his home. There was no obvious cause of death, necessitating an autopsy to determine if the death was from natural causes or foul play. However, due to a clerical error, the decedent’s body was released and interred before a proper autopsy could be performed, and an official cause of death was not established. Fortunately, several tissue samples were taken before the interment and remain available for examination. Mr. Smithers’s family does not wish to have his body exhumed, so local law enforcement professionals have asked Dr. Riehm to examine the tissue samples in the hopes of determining his cause of death and whether or not an exhumation is needed. The following sections have been taken from the official report that Dr. Riehm sent to the local coroner’s office. You are to report to Dr. Riehm’s office with your anatomy and physiology textbook. He expects students to answer questions related to the work that he does in his histopathology laboratory. Dr. Riehm enjoys teaching, and has a collection of microscope slides that he uses to introduce students to the fascinating universe of histology. He starts with the following definition: histology is the study of the normal structure of tissues. Although Dr. Riehm is an expert in the study of the diseases and abnormalities of tissues, histopathology, he is a firm believer that you must be able to recognize normal tissue before you can understand diseased tissue. He has set up four microscope stations for students to get familiar with how the microscopes function and to view slides of normal tissues. Each station has a microscope with a slide of one of the four primary tissue types. (a) Define tissue and organ, and then describe how each fits into the levels of body organization. (b) Describe what you would expect to observe on the epithelial tissue slide. What are the general functions of this tissue? (c) Describe what you would expect to see on the connective tissue slide. What are the general functions of this tissue? (d) Describe what you would expect to see on the muscle tissue slide. What are the general functions of this tissue? (e) Describe what you would expect to observe on the nervous tissue slide. What are the general functions of this tissue? Satisfied that you are properly introduced to the concepts of normal tissue, Dr. Riehm begins to fill you in on the details of Mr. Smithers’s case, whose tissue samples have coincidentally arrived just in time for your shadowing visit. The first set of slides included an epithelium sample taken from Mr. Smithers’s forehead. The slide w.

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The Case of Sam Sam is a 62-year-old, widowed, African American male. He is unemployed, receives Social Security benefits, and lives on his own in an apartment. Sam has minimal peer relationships, choosing not to socialize with anyone except his daughter, with whom he is very close. Sam raised his daughter as a single father after his wife passed away. Melissa is 28 years old and works as an emergency medical technician (EMT). When Sam was 7 years old, he was placed in foster care and has had very limited contact with his extended family. Prior to September 11, 2001, Sam had a steady employment history in food services and retail. He had no psychiatric history before that time. Sam reported his religious background is Catholic, but he is not affiliated with a congregation or church. Sam became depressed and psychotic sometime after 9/11 and had to be taken to an emergency room. He was hospitalized at that time for several weeks. His mental status exam (MSE) and diagnostic interview showed no history of alcohol or substance abuse issues, and he had no criminal background or current legal issues. Sam was released to outpatient care but was deemed unable to return to work. At that time, he had a diagnosis of major depression with psychotic features; he also has a history of high blood pressure and migraines. After several additional multiple psychiatric hospitalizations, he was gradually stabilized. Sam has been seeing a psychiatrist once a month for over a decade for medication management and is currently prescribed Depakote®, Abilify, and Wellbutrin®. Sam has a positive history of medication and treatment compliance. He was treated by a social worker at an outpatient program for about 2 years after his hospitalizations for his psychosis and depression. He gradually stopped attending sessions with the social worker after his symptoms stabilized, and his termination from the outpatient program was deemed appropriate; he continued to see the psychiatrist monthly for medication management. After about 10 years of seeing only the psychiatrist, Sam scheduled a meeting with this social worker for increased feelings of depression. These feelings were brought on after his daughter moved out of the apartment they had shared for many years to live with her boyfriend. He reported difficulty adjusting to living alone and said he often feels lonely and anxious. He reported during sessions with his social worker that he speaks to his daughter frequently, and although she only lives 10 blocks away, he misses her terribly. Our sessions for the last 3 months have focused on his mixed feelings around his daughter’s new life with her boyfriend. He said he is happy that she is happy but misses her very much. I emphasized his strengths and helped him reframe his situation by focusing on the positive changes in her life as well as his own life. Our goals were to help him reduce his symptoms of anxiety and begin searching for new opportunities for socialization outsi.

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The case of OD in an NGO in India Nisha Nair Indian Institute of Management Indore, Indore, India, and Neharika Vohra Indian Institute of Management Ahmedabad, Ahmedabad, India Abstract Purpose – This paper aims to report an organizational development (OD) exercise carried out in a prominent non-governmental organization (NGO) that works in the area of rights and advocacy in India. Design/methodology/approach – The exercise was part of the first author’s graduate program, which required the application of behavioral science theory to a live organization under the supervision of her advisor, the second author. The organizational development exercise spread over four months, involved entering an organization, interacting with key participants and stakeholders of the organization both formally and informally, diagnosing issues facing the organization and a mirroring exercise with the management at the end of the intervention to provide feedback. Findings – Some of the issues and improvement areas that emerged through the exercise are discussed in the paper. It also offers reflections on some of the key lessons learnt during the process of intervention, with implications for OD in developmental organizations. Originality/value – The paper offers insights into OD interventions in the developmental sector, posing a different set of challenges than conventional organizations, and also because the organization itself was in a state of flux at the time of the intervention. Keywords Non-governmental organizations, Business development, Organizational effectiveness, Labour efficiency, Change management, India Paper type Case study Introduction Organization development (OD) work has largely been carried out in business or for profit organizations. Bargal and Schmid (1992) refer to the paucity of literature on consultation done in developmental organizations. OD in nonprofit organizations provides some unique challenges for the consultant that may not exist in business organizations (Ramos, 2007; Waysman and Savaya, 1997). Developmental organizations are thought to differ from for-profit organizations in a number of ways (Brown and Covey, 1987). Studies have shown that employees in developmental organizations seek greater autonomy and less organizational control in their work (Mirvis and Hackett, 1983). Since there is a need for flexibility and local discretion in the working of developmental organizations, they tend to be more informal and loosely organized than business organizations ( Joseph, 2000; Lewis, 2003). Another often cited concern is the existence of high role ambiguity and lack of clarity about roles and procedures in such organizations (Goldman and Kahnweiler, 2000; McDonald, 1999). In his study of organizational change in a human service organization, Ramos (2007) discusses the poor communication across the various units/programs of the nonprofit. Given that values and ideology play a central role in developmental organizations (B.

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The Case of “Hector” Case Study 1: Chronic Hepatitis (Cirrhosis of Liver) & Wernicke-Korsakoff Syndrome I. Case History Background Information Hector is a 44 year old, Hispanic male of low socioeconomic status. He lives on the southwest side of Chicago, Illinois in a neighborhood that is heavily populated with people of his ethnic background. Hector lives in a 3 bedroom home that he is currently renting. Family History/Current Relationships Hector was born in San Juan, Mexico and was raised in a two parent household, and has four siblings. Hector is the youngest of the four children. He comes from a Catholic background. Hector’s father worked as a carpenter, and his mother was a homemaker. Hector’s father was an alcoholic and was both physically and verbally abusive to the family. Hector lost his father at age 10 due to a physical altercation that took place at a local watering hole, which resulted in a fatal injury. His mother decided to relocate to the United States where she could receive the support of her family. At age 23, Hector met his current wife. Hector lives with his wife Consuela (age 40), and his 3 children Veronica (age 8), Mateo (age 6) and, Alejandro (age 2). Recently, his mother, and two cousins have moved into the home due to medical and financial reasons. Hector indicates that although times are hard, he is very committed to his family and grateful for their ongoing support. Support Systems Hector considers his family to be his primary support system. He indicates that they work very hard to be there for one another no matter what the situation. He indicates that he has a few friends but feel that they are not necessarily positive support systems, but can often times provide an outlet to stress. Education Hector has not graduated high school, but when time permits, he attends classes at a community agency who is assisting him with prep classes that will enable him to take the G.E.D. However, Hector admits that he is not able to consistently pursue obtaining his G.E.D because earning a living is his priority at this time. Employment Hector indicates that he is the primary provider in the home at this time. He indicates that they are able to receive some government assistance (Medicaid, food-stamps, WIC), but the income is supplemented, depending on his ability to obtain work. Hector currently works as a seasonal worker for a construction company. He reports that when he is actually called in to work, he can make decent money. However, there is question as to whether Hector receives his salary “under the table”. Hector does not have reliable transportation. Although he owns a mini-van, he reports that it is in constant need of repair. Hector chooses use public transportation and carpooling as a primary mode of transportation, because his license is suspended due to receiving his second DUI/DWI. II. Description of Presenting Problem Hector reports that he knows that he has an issue wi.

The Case of Hector”.docx

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The Case of Joe the Jerk 1 The Case of Joe the Jerk (or, the Very Capable Jerk) You have been asked to consult with a module manager in a public service center of the Social Security Administration. A module is a group of about forty workers who work together in processing claims for social security coverage (i.e., requests for the beginning of payments, or other services such as changes and information). A module has all the specialists needed to process a claim from beginning to end——claims authorizers, benefits authorizers, file clerks, and typists/word processors. Each module has a module manager (hereafter, MM) and two assistant module managers (AMMs) who lead and manage the team of workers in the module. The MM, Joan, has a serious concern about one of the AMMs, Joe. Joe is very intelligent, talented, and younger than most AMMs. As far as his knowledge of the work and technical details is concerned, he is extremely promising and has excellent prospects to move up to become MM and then move on up beyond that. Joe, however, is arrogant in his dealings with the workers in the module. He talks down to people and treats them curtly and rudely. He behaves as if he deserves more special treatment and attention than the module members because he is an AMM. On the other hand, Joe also takes some stands and actions that are not necessarily bad or unjustified. Some incidents: One of the file clerks arrives late fairly often. Joe has begun to confront her very aggressively, in front of the other members of the module, criticizing her for arriving late. He has initiated disciplinary action against her. Some other members of the module have pointed out to Joe and Joan that the file clerk is a young single mother with a lot of personal problems. Her brother was recently shot to death in a street fight, apparently drug related. Her child is sick a lot and she has problems getting good child care. Joe, however, insists on going forward with the disciplinary action, saying he cannot let a person arrive late regularly without being unfair to those who do arrive on time. Besides, he says, it is essentially illegal for him not to take action. Joan has to decide whether to intervene in the disciplinary action or let it go through. Joan is concerned about Joe’s effect on motivation and work satisfaction in the module. He speaks very condescendingly to module members who make mistakes, acting as if he is very superior to them and a lot smarter than they are——which is often true, in a sense. Joan was so concerned about growing tensions in the module that she arranged for a weekend retreat, where the group went through some team development exercises with a consultant. Throughout the retreat and the exercises, Joe had a virtual sneer on his face, and he made repeated sarcastic comments about the time the group was wasting on ―touchy-feely nonsense. The members of the module have group meetings to discuss problems and changes. Joe has gotten up and wal.

The Case of Joe the Jerk1The Case of Joe the Jerk (or,.docx

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The CASE Journal Stakeholders and corporate environmental decision making: The BP Whiting Refinery controversy Bryan T. Stinchfield Article information: To cite this document: Bryan T. Stinchfield , (2009),"Stakeholders and corporate environmental decision making: The BP Whiting Refinery controversy", The CASE Journal, Vol. 6 Iss 1 pp. 5 - 18 Permanent link to this document: http://dx.doi.org/10.1108/TCJ-06-2009-B002 Downloaded on: 09 October 2016, At: 06:55 (PT) References: this document contains references to 0 other documents. To copy this document: [email protected] The fulltext of this document has been downloaded 7 times since 2009* Users who downloaded this article also downloaded: (2004),"Global corporate governance: debates and challenges", Corporate Governance: The international journal of business in society, Vol. 4 Iss 2 pp. 5-17 http://dx.doi.org/10.1108/14720700410534930 (2000),"Leadership influence in a high power distance and collectivist culture", Leadership & Organization Development Journal, Vol. 21 Iss 8 pp. 414-426 http://dx.doi.org/10.1108/01437730010379258 Access to this document was granted through an Emerald subscription provided by emerald-srm:451335 [] For Authors If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.com Emerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services. Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. *Related content and download information correct at time of download. D ow nl oa de d by M on as h U ni ve rs it y A t 06 :5 5 09 O ct ob er 2 01 6 (P T ) http://dx.doi.org/10.1108/TCJ-06-2009-B002 Bryan T. Stinchfield Franklin & Marshall College_______________________________________ INTRODUCTION During the late summer of 2007, Bob Malone, British Petroleum (BP) America Chairman and President, was faced with one of the most important decisions of his career – to expand the Whiting Refinery in northwest Indiana on the banks of Lake Michigan, or to yield to pressure from the public and not expand operations. Regional and global consumer demand for gasoline was rising, which helped push prices toward record highs, and the refinery had an opportunity to expand capacity to help meet that demand. However, thousands of citizens, a host of environmental groups, and eve.

The CASE JournalStakeholders and corporate environmental dec.docx

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The Case of Emily P.Emily is a 62-year-old, single, heterosexual, African American female who seeks treatment for anxiety. She says she is very concerned since she recently has been pulling her hair out,and it has become noticeable on top of her head. She is taking to wearing hats,which she finds acceptable. She worries about many things, which is not new to her,and she finds that scrubbing her home clean is her best therapy to ease her anxiety.Emily reports that germs have been a regular concern of hers since adolescence, when she learned in health classes about the risks of serious diseases including sexual transmittable disease. Emily presented with meticulous grooming, although the knees of her pants were noted as worn. She has arthritis in herspine and knees and uses a walker to help her manage mobility safely. With her physical disabilities it is challenging sometimes to scrub clean the house daily. This worries her shouldshe get a visitor and the house is not in order as she would like it. She is no longer working,so the amount of time it takes her to scrub the house clean doesn’t delay her daily schedule as it used to.Emily receives Social Security income and is not employed. Although the Social Security is acceptable,her living expenses are always a concern to her. She lives alone in a subsidized apartment in the same building as her 72-year-old, unmarried sister,so rent should not increase. Emily and her sister shared an apartment for over 30 years, beginning when each of their marriages dissolved. Emily reported that when her sister began a romantic relationship 5 years ago, Emily began to feel very anxious and started to cry often. Emily moved into an apartment down the hall in the building and began to pull the hair from her head,hiding her hair loss by wearing wigs. This behavior occurred at different times and resulted in scabbing. Emily said she feels better after but does not always notice how much she is pulling. Her sister learned of Emily’s hair pulling after her wig slipped off one evening to reveal bald spots. She set up a schedule over the past few months with her sister to help stop the hair pulling. Sometimes it works and sometimes it doesnot. She is worried that she will be disappointing her sister by not sticking to the schedule to reduce her hair pulling. Her sister encouraged Emily to seek treatment rather than “hiding her ways.” Emily is reliant upon her sister for transportation and for a sense of social and emotional connection. Emily worries about bothering her sister due to her transportation needs,and she worriesthatwithouther sister she would be helpless. She knows she is edgy with her sister often and worries that might be from a lack of good sleep. She agreed to this session even though she is pessimistic about anything working. During our initial visit at our local mental health center, Emily shared that when she was 2 years old her mother died from tuberculosis, and the following year her father, an a.

The Case of Emily P.Emily is a 62-year-old, single, heterosexual.docx

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The Capital Budgeting Process Considering the 2014 article by Batra and Verma assigned in this unit, "An Empirical Insight Into Different Stages of Capital Budgeting," discuss the following: Describe the capital budgeting process. Explain how the capital budgeting process is used in organizations. Describe the types of projects that are subject to capital budgeting. Explain why the capital budgeting process is important for the allocation of resources. .

The Capital Budgeting ProcessConsidering the 2014 article by Bat.docx

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The C-130 is large and unmaneuverable compared to tactical jets. With a C-130 crew of 7-10 compared to the 1-2 of tactical jets, it would be risky to operate the C-130 exposed to enemy defenses. So although the C-130's readiness would be increased by keeping it airborne for earlier snatch of descending aviators, it wouldn't be wise to hold it airborne near enemy targets. It should be kept in 'safe areas' over Iran or maybe offshore until needed. But the pronged C-130 is a potential addition to other rescue forces such as helicopters, so the C-130 too is subject to the same kinds of time delays in communication to get it headed to the site of a potential downing. (And remember it has to get there before the surface is reached by the downed aviator.) How many people could each C-130 theoretically catch mid air? Is it one person rescued per plane? THE TIMING IS TIGHT, SO GETTING A SECOND DESCENDING AVIATOR WOULD BE VERY RARE EVEN IF TECHNICALLY FEASIBLE. How fast is the C-130 compared to other options like a search and rescue helicopter? MAX SPEED OF A C130 IS 368 MPH, BUT THAT'S GOING 'DOWNHILL. CRUISING SPEED IS UNDER 300 MPH. If a C-130 didn't reach it's window of time to grab a pilot midair, is it feasible for this type of plane to conduct the rescue on the ground? NOT VIA THE PRONG (WHICH IS INTENDED TO CATCH AN UNFURLED CHUTE). BUT THERE ARE TECHNIQUES SUCH AS FULTON SKYHOOK THAT MIGHT WORK (BUT ARE NOT PART OF YOUR PROBLEM). What elevation would the tactical aircraft pilots be flying at, and could they lose altitude after getting hit and while still assessing their situations? (Important for determining time constraints.) SMART WEAPONS PERMIT DELIVERY FROM 15,000 FEET OR ABOVE How would the C-130 locate a pilot upon arriving at the likely downing position? Visually? Some sort of beacon? /Presumably, sighting the pilot, adjusting to compensate for the pilot's descent, and making the grab would all take a good deal of time, especially if the C-130 comes under enemy fire and must conduct evasive maneuvers. VISUALLY/RADIO WITH PILOT IN CHUTE/PERHAPS GPS IT WOULD BE QUITE RISKY FOR THE PILOT DESCENDING OR AFTER REACHING THE SURFACE, BUT HE/SHE MIGHT USE FLARES TO MAKE SIGHTING BY RESCUE CREWS EASIER. YES, TIME IS OF THE ESSENCE You mentioned that C-130s are manned by 7-10 people. What is the typical size of a S&R helicopter crew, for comparison? 3-4 A C-130 would probably be an attractive target for Iran's capable air defense systems. How well is the aircraft able to deal with enemy fire? PROBLEMATIC Would it be escorted during S&R? LIKELY, BY JETS Would S&R helicopters be any less vulnerable (presumably not, as they would be descending to make pick-ups)?LESS VULNERABLE DUE SMALLER RADAR SIGNATURE AND DUE GREATER MANEUVERABILITY .

The C-130 is large and unmaneuverable compared to tactical jets. .docx

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the butterflys wayAlso by Edwidge DanticatBre.docx

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The California Legislature Differences from the U.S. Congress Equal Bicameral • Lower house is the Assembly • 80 members elected every 2 years • Each district has about 450,000 constituents (700,000 for the U.S. House of Representatives) • Upper house is the Senate • 40 members serve for 4 years • Half run each 2 years • Each district has about 900,000 constituent • Term limits • Legislators are limited to a total of 12 years in the legislature • May serve in one or both houses • Only about 1/3 of bills become laws Leadership • Speaker of the Assembly is much more powerful than the Speaker of the House: • Controls committee appointments • Present Speaker is John Perez (new Speaker will be Toni Atkins) • President Pro tem in the Senate not as powerful • Shares power with rules committee • Became more influential under old term limits rules because Senators could serve for 8 years (as opposed to the 6 for Assembly) Other features • Governor may use the line item veto for an appropriations bill • State legislature is less visible to voters than Congress (media rarely covers it) • State legislature is not involved in judicial appointments • No filibuster • Initiative process means that legislature doesn’t have a monopoly on legislation (for good or ill) • Seniority plays a much smaller role Problems • Term limits • Never develop sufficient expertise • Especially a problem for leadership • Less willing to compromise because they don’t have a long working relationship with other legislators • Cedes power to bureaucrats & lobbyists • Has contributed to a rise in minority representation • E.g., Latino legislators increased from 6% in 1990 to 23% today • Gridlock over taxation • 2/3 vote required for increasing taxes by state legislature (Prop. 13) • Staff slashed by 40% in 1990 (first term limits initiative) The bright side • Term limits have contributed to a rise in minority representation • E.g., Latino legislators increased from 6% in 1990 to 23% today • (see NCSL web site for more demographic information) • No filibuster • 2/3 requirement for passing state budget removed in 2010 • Districts now drawn by a citizen commission rather than by the legislature • Open primary encourages less extremism gcc Federalism gcc Confederal Government  States act together through a central government for limited purposes, but retain ultimate authority and can veto actions of the central government (53) gcc Confederal Government STATE GOVERNMENT STATE GOVERNMENT STATE GOVERNMENT CENTRAL GOVERNMENT gcc Unitary Government  The central government has ultimate authority and may create (and eliminate) state governments for its own purposes (53) gcc Unitary Government CENTRAL GOVERNMENT STATE GOVERNMENT STATE GOVERNMENT STATE GOVERNMENT STATE GOVERNMENT gcc Federal Government  Ultimate authority is divided between a central government an.

The California LegislatureDifferences from the U.S. Congress.docx

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The Canterbury Tales Prologue 1.) What are Chaucer’s views on the church, based on his descriptions of the clergymen (the Monk, the Friar, etc.)? Using at least two examples from the text, answer this question in no less than seven sentences. 2.) Choose one of the characters in the Prologue. Describe the character in your own words. Who are they? What do they believe? Why are they going on this pilgrimage? Make sure your answer is thorough and complete and at least seven sentences in length. .

The Canterbury Tales Prologue1.) What are Chaucer’s views on the c.docx

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The case file is up loaded ,An analysis of the evidence related to the victim of a crime may provide insight into why this particular individual was the victim of this particular crime. It may also ascertain any information that provides insight into victim selection (specifically chosen, victim of opportunity, etc.) and if the crime was less about the victim and more about circumstances. In this Open Forum Discussion, you continue your conversation about the course case, focusing on concepts related to the victim. What are your initial thoughts of the victim that impact your analysis of the offense? What other things would you like to know about the victim? As you reviewed the evidence concerning the victim, what other issues are surfacing/presenting? .

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THE CASE FOR MIXED REALITY TO IMPROVE PERFORMANCE Stuart W. Volkow Alex C. Howland, PhD The world of work is rapidly changing. Now, more than ever, the need for continuous workforce training is needed. While there are many benefits to social and experiential offerings of face-to-face training, distance learning is typically more practical in today’s society. Unfortunately, current distance-learning technologies lack the immersion necessary for learning 21st-century skills. Virtual reality and augmented reality (i.e., mixed realities) can be more effective for training and learning than traditional flat-screen media. THE FUTURE OF WORK AND THE OPPORTUNITY OF MIXED REALITIES TO IMPROVE PERFORMANCE Robots, automation, and artificial intelligence are rapidly changing the face of the American workforce. As more and more jobs are filled by machines, experts agree that the education marketplace will need to change to keep up with the growing and widespread need for worker retrain- ing (Pew Research Center Internet & Technology, 2017). While there are benefits to the social and experiential learning experiences that can be offered in a face-to-face setting, distance learning is often an affordable and flexible way to provide that training. Unfortunately, most eLearning and webinar platforms only offer participants a passive experience (e.g., watch- ing videos, listening to a lecture). With corporate education, including employee orientation, onboarding, and skill building, passive learning is the norm, consisting largely of sitting down and consuming pre-packaged content in bulk that’s presented formally by an educator (Hinchcliffe, 2017). Such offerings do not help develop the vital skills needed in today’s increasingly global and dis- tributed economy, such as teaming, communication, leadership, and cultural intelligence. They also do not immerse learners into the context of the learning and provide the ability for learners to practice in a safe environment. As a result, many learners develop feelings of isolation, dis- connectedness, and frustration, often associated with poor retention rates and low return on investment (Willging & Johnson, 2009). Mixed-reality technologies (i.e., virtual reality and augmented reality) provide solutions to these problems by allowing people to come together in an active simulated environment that allows them to see and interact with fellow participants and the simulated environment, regard- less of geographic location. Such technologies have the potential to dramatically transform education, training, and human performance. The aim of this article is to provide an overview of mixed realities (MR), to discuss theories associated with how the technologies can provide value for performance, and to provide specific examples of effective early-use cases. Introduction to Mixed Realities Well told, any story can be immersive. From spoken word to literature, film, and television, imagination work.

THE CASE FOR MIXED REALITY TO IMPROVEPERFORMANCEStuart W.docx

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The Career Development of Mexican American Adolescent Women: A Test of Social Cognitive Career Theory Lisa Y. Flores The Ohio State University Karen M. O’Brien University of Maryland, College Park This study tested R. W. Lent, S. D. Brown, and G. Hackett’s (1994) model of career choice with 364 Mexican American adolescent women. Path analyses were run to determine the influence of contextual and social cognitive variables on career aspiration, career choice prestige, and traditionality. Partial support for the model was evidenced as nontraditional career self-efficacy, parental support, barriers, acculturation, and feminist attitudes predicted career choice prestige. Acculturation, feminist attitudes, and nontraditional career self-efficacy predicted career choice traditionality. Feminist attitudes and parental support predicted career aspiration. The paths between nontraditional career interests and the 3 outcome variables were not supported. Finally, none of the background contextual variables in this study predicted nontraditional career self-efficacy. Implications of the results and suggestions for future research are discussed. Mexican American women constitute a significant portion of the American population (U.S. Bureau of the Census, 1996), are underrepresented at all levels of education (Carter & Wilson, 1993; Lango, 1995; McNeill et al., 2001; U.S. Bureau of the Census, 1991), and are overrepresented in low-paying occupations tradi- tionally occupied by women (Arbona, 1989; Arbona & Novy, 1991; Ortiz, 1995). Relatively little empirical research has been conducted to identify the variables that contribute to the educa- tional and occupational underachievement of Mexican American women. Indeed, researchers have noted that the career development of Hispanics has received only slight consideration in the counseling and vocational literature (Arbona, 1990; Fouad, 1995; Hoyt, 1989; McNeill et al., 2001), and they have questioned the generalizability of career development theories to Hispanics (Ar- bona, 1990, 1995; Fitzgerald & Betz, 1994; Hackett, Lent, & Greenhaus, 1991). The purpose of this study was to investigate the applicability of a current model of career choice to the experiences of Mexican American adolescent women and to extend the current model to incorporate variables that are hypothesized to be salient to this population. It is well documented that Hispanics are the least educated when compared with other major racial/ethnic groups in the United States and that, among Hispanics, Mexican Americans have the lowest high school and college completion rates (47% and 6.5%, respectively; U.S. Bureau of the Census, 1996). Mexican Ameri- can women are less likely to graduate from college than their male counterparts (Ortiz, 1995; Tinajero, Gonzalez, & Dick, 1991), and their representation in higher education decreases significantly at each successive level (Carter & Wilson, 1993). Moreover, those Mexican American women who pu.

The Career Development of Mexican American Adolescent Women.docx

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The budget process for Albany, GA is easy to get access to a simple search was able to get me a lot of information. My untrained eye is unsure how detailed it is, so it could be a lot of fluff. The budget process does seem to be coherent due to the different levels and approvals that the city manager has to go through. The citizens are involved through a public hearing this year was held on June 2nd for the FY 2021. From the search I did, I couldn’t find much commentary that showed that the community disagreed with the process. The process seems very open from the Albany city website. Albany commission leaders and the city manager are very vocal from the local news I see that they are held to task for many of their decisions. I’m not sure is it due to COVID19 but even I tune in the local Facebook open commission meetings now. The impression I get is that the city is more involved and cares more for showing to citizens that they are listening. The citizens from my view are pleased with that response and that difference from when I was in Valdosta I couldn’t even tell u who the major was. It's interesting as someone who has never thought to think how my city spends money to find a lot of resources breaking it down. Reference City of Albany. (n.d.). Retrieved September 11, 2020, from https://www.albanyga.gov/about-us/city-departments/finance-department/budget-document less 1 .

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The bully, the bystander and the victim.There are 3 parts of a b.docx

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In BC’s nearly-decade-old “new” curriculum, the curricular competencies describe the processes that students are expected to develop in areas of learning such as mathematics. They reflect the “Do” in the “Know-Do-Understand” model. Under the “Communicating” header falls the curricular competency “Explain and justify mathematical ideas and decisions.” Note that it contains two processes: “Explain mathematical ideas” and “Justify mathematical decisions.” I have broken it down into its separate parts in order to understand--or reveal--its meaning. The first part is commonplace in classrooms. By now, BC math teachers—and students—understand that “Explain mathematical ideas” means more than “Show your work.” Teachers consistently ask “What did you do?” and “How do you know?” This process is about retelling, not just of steps but of thinking. The second part happens less frequently. Think back to the last time that you observed a student make—a necessary precursor to justify—a mathematical decision. “Justify” is about defending. Like “explain,” it involves reasoning; unlike “explain,” it also involves opinion and debate. In order to reinterpret the curricular competency “Explain and justify mathematical ideas and decisions,” I will continue to take apart its constituent part “Justify mathematical decisions” and carefully examine the term “mathematical decisions.” What, exactly, is a “mathematical decision”? Below, I will categorize answers to this question. These categories, and the provided examples, may help to suggest new opportunities for students to justify.

Making and Justifying Mathematical Decisions.pdf

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The Centers for Medicare and Medicaid are beginning to penalize hosp.docx

1. The Centers for Medicare and Medicaid are beginning to penalize hospitals who have patients readmitted in a certain time period ( Readmission Reduction Program) . Your Supervisor has come to you as to a manager of Quality Improvement and asked you how your hospital can better understand your readmission rates. Write a descriptive analysis plan outline based on PDCA process description that can offer insight in the organization readmission rates matter. Another example (exploratory) is P.E.R.I.E. approach used in the Public Health industry.Think about the factors that are important for the Provider, the patient and the payor (Medicare in this case). Make sure to list the epidemiological measures used in the process and identify the stage of Total Quality Improvement process that is utilizing Epidemiological studies and surveillance directly. HINT: remember, it is an outline of a plan.

The Centers for Medicare and Medicaid are beginning to penalize hosp.docx

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