The Effects Of Air Pollution On Human Health And Quality...

The Effects Of Air Pollution On Human Health And Quality...
Air is the ocean we breathe. Air supplies us with oxygen which is essential for our bodies to live. It
is the most essential element for all living organisms and yet, most humans play a big role on
polluting this essential resource and this means air pollution occurs. According to the Geoplanet.org,
air pollution is the addition of harmful substances to the atmosphere resulting in damage to the
environment, human health and quality of life. When the air contains gases, dust, fumes or odour in
harmful amounts, this could be harmful to health or comfort of humans and animals or which could
cause damage to plants and materials. The substances that cause air pollution are called as
pollutants. Pollutants can be classified into two classes which are primary air pollutants and
secondary air pollutants. The six common air pollutants are sulphur dioxide, carbon monoxide,
nitrogen oxide, lead and particulates. Air pollution happens due to many causes that come from
many sources and of course, they will give bad impacts to all living things and environment.
First and foremost, vehicles can cause air pollution. By the fumes and exhaust coming from the tail
pipe that run on gasoline or diesel, they can aggravate the environment. Until a few years ago, lead
was added to most gasolines to
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Pharmaceutical Validation Tool For Quality Management
Pharmaceutical Validation tool for Quality Management
Abstract
Pharmaceutical validations is part of CGMP regulations by which one can build quality attributes of
pharmaceutical specification, i.e. safety, efficacy, purity, in pharmaceutical products. It assures that
the process follow for the manufacturing of pharmaceutical products is well controlled and
monitored at its critical parameters for consistently producing the quality products.
The present review describes the importance of validation in pharmaceutical industry, its
requirement for approval of new drug application by the various regulatory agencies. Furthermore it
highlights the current guidance on process validation by USFDA, EMA.
Key Words: Validation, Quality assurance, critical parameters, NDA, USFDA, EMA, Validation
Guidelines
Contents
Introduction 2
History of Pharmaceutical validation 2
Approaches to Process Validation 4
Stages of process validation according to life cycle approach 4
Stage I: Process Design 4
Stage II: Process Qualification 4
Stage III: Continued Process Verification 5
Features of USFDA Process validation guidance 2011 5
Conclusion 6
References 6
Introduction
Quality is concept applicable at everywhere from business to have successful life. Everyone wants
to buy the quality products and want to live the quality life as per the standards determined by them
for it. As concern with pharmaceutical industries, they are built for to bring the quality in health of
human and animal beings.

W. Edward Deming And His Effects On The Total Quality...
W. Edward Deming and
His Effects on the Total Quality Movement
Nicholas LoConte
Johnson & Wales University
Abstract
This paper explores a variety of published articles regarding the effects that W. Edward Deming had
on Japan during the total quality movement. The articles vary in terms of what aspects they focus on
from his beginnings in Japan, all the way to the establishment of The Deming Prize. Articles such as
William Edwards Deming, by Greisler, D. S., focus on Deming's life as a whole whereas others such
as Guidance for Deming Prize and Deming's Fourteen Points focus on more specific aspects of
Deming's achievements. This paper focuses on a variety of articles highlighting varying aspects of
Deming's history and ... Show more content on Helpwriting.net ...
Edwards Deming., n.d.). In 1948, he returned to Japan to conduct studies on the occupation forces.
During Deming's trips to Japan he began to develop an admiration of the Japanese people. At the
time Japan had some of the lowest quality industrial goods in the world. While in Japan, Deming
convinced one of the founding members of the Union of Japanese Scientists and Engineers (JUSE),
of the potential of statistical methods in the rebuilding of Japanese industry (W. Edwards Deming.,
n.d.). In turn, Deming was invited to teach courses in statistical methods to Japanese industry
members. Deming arrived in Japan to teach again in June 1950 and he returned five times to act as a
teacher and consultant to the Japanese (W. Edwards Deming., n.d.). It seems strange that Deming
went to Japan to help manufacturers rather than helping the United States, where he was from. A
reason for this occurrence is that the Japanese were hungry for innovative ideas. Deming was able to
successfully influence a group of managers who had risen to the top in Japanese business after the
war (W. Edwards Deming., n.d.). They wanted help to correct serious and persistent quality
problems that they had been having for years (W. Edwards Deming., n.d.). Japan wanted to improve
and stop being known globally for having low quality industrial goods. In the United States at this
point in

Five Operational Objectives Of Dabbawalas
Table of Contents
Question 1: Five operational objectives 3
Question 2: Service offer such an amazing dependability 5
Question 3: Main threats to the services of Dabbawallas 6
References 7
Question 1: Five operational objectives
Organizational performance is highly depending upon certain objectives. Likewise, for every
organization, it has its operational management objectives that are made to measure the performance
of the organization. However, organizations usually need to control their operational expenses and if
there is any fluctuation taken place, it impacts negatively on the organizational performance.
Additionally, the operational performance is depending upon five different objectives that are:
Quality: For organizations like Dabbawalas, their ... Show more content on Helpwriting.net ...
These are providing remarkable services in Mumbai. The employees do their work and supply
dubbas to their loyal customers at any cost. However, the weather is good or harsh; the suppliers do
supply their services in a timely manner. These workforces are not paid extra for working hard but
they believe in trust and loyalty that they give to their customers and get back. They deliver
products towards their local areas as per their time was given and customers also pick these dabbas
by themselves. Whenever these dabbas are delivered, they are on time. However, the Dabbawalas
focusing towards locales so the chance of error also decreased. They believe in teamwork and
human integrity. As their operational phase involve three layers of management where the workflow
is carefully focused. However, the company does not have any kind of documentation system. Their
operations are just done practically and their services are given based on their commitment.
Additionally, these dabbas are low is a cost which attracts customers as the most. They are getting
the best quality of dabbas in reasonable prices which gain their concentration in a maximum

The Human Quality Of Obedience
The use of deception in research has been an ongoing controversial debate in the study of
Psychology. The method looks to extract and analyze data with the help of human
subjects/participants; however, the subject is given false information about the task or objective that
the study wishes to discover. Although the word deception may sound malicious and immoral, the
purpose of a deceptive method when conducting researches attempts to make significant
contributions to the scientific field being studied. One of the articles that will be discussed in this
paper is an experiment that was conducted by a man named Stanley Milgram in 1963 that studied
the human quality of obedience and its ability to become destructive. The other article that this
paper also looks at is a research that determines the psychological impacts of deception in a
psychological research. The latter further looks upon ethical components that is associated with the
research. With deceptive research still capable of creating risks, is it time to allow researchers to
utilize Milgram's research method in order to further increase our understanding of obedience? This
paper looks to prove that the use of deception in research studies should be utilised, since the results
of the experiment can be extremely useful. Even though risks may rise from the experiment, they
can be greatly alleviated. As it was mentioned before, the first article that this paper looks into is an
experiment conducted by Stanley Milgram.

The Effects Of Air Quality Regulations On Human Health
Introduction
Dust storms in Arizona are a dramatic example of how changes in land use, combined with
climatological factors, can have a negative influence on human health. For decades, the state has
experienced dust storms that have led to serious traffic accidents on Arizona's highways (Brazel and
Hsu 1981). The dust storm related accidents represented a disproportionate amount of fatalities
(Hyers and Marcus 1981). However, dust can have negative effects on human health in a less
dramatic fashion. Small particles (≤ 10 micrometers) can lodge inside human lungs and cause
respiratory problems and heart attacks. The particles can also alter environmental properties such as
the nutrient concentration in water bodies and soils (U.S. ... Show more content on Helpwriting.net
...
2014). Dietz et al. (2003) presented a framework that identified the principles and requirements of
adaptive governance. Adaptive governance requires information, conflict resolution, rule
compliance, infrastructure, and adaptation and change. Those requirements are met by a governance
arrangements that follow a set of principles that are based on Ostrom's (1990) design principles:
"devise rule that are congruent with ecological conditions, clearly define boundaries of resources
and user groups, devise accountability mechanisms for monitoring, apply graduated sanctions for
violations, establish/use low–cost mechanisms for conflict resolution, involve interested parties in
informed discussion of rules, allocate authority to allow for adaptive governance at multiple levels,
and employ mixtures of institutional types" (Dietz et al. 2003).
Although the number of articles about adaptive governance has increased significantly over the past
decade (Chaffin et al. 2014), the literature on adaptive governance related to air quality appears
sparse. Tucker (2012) identifies the revision of air quality standards based on new information as an
example of adaptive governance principles. Most of the

Human Resource Management: Quality of Employees
In organization, the quality of employee in work is a priority. The organization, particular division
of human resource (HR) should to encourage the competency of employee. There are three
important elements that need concern to the competency of employee such as knowledge, skill and
ability (KSA). Therefore, the organization must provide quality training programs and appropriate
for employees. There are several meaning definition of training, which is by Flippo, "Training is the
act of increasing the knowledge and skills of an employee for doing a particular job". Therefore,
training transfer is very important to employee improve their competence or performance and also
very important to organization to improve high quality productivity. According to Goldstein (1986,
p. 837), training is defined as "the systematic acquisition of skills, rules, concepts, or attitudes that
result in improved performance". While, according Hornsby and Williams (1990) and Tobias
(1991), training can defined organization rely on training to enhance the productivity and
performance of their employees. There are six process of training which are assess needs for
training, ensure readiness for training, plan training program, implement training program, evaluate
results of training and feedback (refer to figure 1 in appendix 1). The first step in building a training
course is identifying the needs of target participants. There is a variety of method for conducting a
needs assessment. Program based

How Marketing Is The Procedure Of Affecting Deliberate...
Task 1
Define marketing
Advertising is the procedure of affecting deliberate trade exchange in which one gathering can be
imagined as a client of other advertiser. The showcasing includes correspondence and obliges
instrument or framework to complete the trading of advertiser 's item for something of quality.
Define 4 p's of marketing
Product
Price
Place
Promotions
For every company these fours are very important. Product is like what product company selling
they should give the proper information about their product so everyone know about what actually
you have.
Price means what price methods are the company use like is they targeting middle class peoples or
rich peoples or different ages people
Place means where your customers exist ,the company should find the way to get the customers like
foreign countries targeting the overseas students
Promotions means to aware customers about the product by advertising on radio, TV and on social
media like Facebook, twitter
Diagram
Marketing research
Task 1.1
It intends to comprehend profundity of 4 p 's .In statistical surveying
questionaries',surveys,interviews,case study are occurred. For each association statistical surveying
is obligatory in light of the fact that it gives a reasonable picture to the association about their great
in the business sector and additionally the contender 's which can govern the business sector soon.
a) Customer feedback can be taken by surveys, feedback formonline, emails surveys like ask

The Quality Norms Of Human Rights
Created Our generation work places comprise of in excess of 200 devoted staff, managing all parts
of pieces of clothing creation, from sourcing of yarn to overall delivery. With a staff of in excess of
150 specialists and 100 machines, there own testing area placed in Dhaka has the capacity deliver
600 pieces a day. We have a devoted examining chief and straightforward experts and example
division to keep up the quality norms of the advancements of every customer. Research &
Improvement There Examination & Advancement office concentrates on offering their customers
the most recent methods and completions. Shipping Padma is generally experienced is taking care
of all sort of Ocean/AIR shipment in all modes like Dandy/CIF/FCA or DDU. In view of client
prerequisites the shipments are taken care of. Secrecy Each created gathering, for any of our
customers, is completely elite and secret, and also data traded between both desing and
improvement division. Business Morals Each request for any of our customers is created in
processing plants where human rights are regarded. We take after a genuine responsibility to watch
world enactment supporting laborers human rights and reasonable employment conditions. Select
Item Class What sort of articles of clothing you are going to make? On the off chance that you want
to make sews piece of clothing (Shirts, Polo ), you would not attempt to make woven items (Shirts,
Trousers) in the meantime. Again in woven and

Case Study : Wielding Shop Floor
Introduction:
As discussed in my shop part–1 about the challenge we wish to explore at HonorSteel is Bottleneck
at wielding shop floor. We would like to give a brief background about the process flow before
wielding operation to have a clear picture of what's going on here. In figure 1 (attached at the end) it
explains about the process flow at HonorSteel before the changes applied. All the operations have to
go through Wielding process because of which bottleneck has occurred at this location. The
challenge has emerged since wielding shop floor is unavoidable operation in manufacturing of PEB
that is Pre–Engineered Building. Also solving this bottleneck means increase in productivity which
has direct impact on return on investment. ... Show more content on Helpwriting.net ...
E–kanban systems has be integrated into enterprise resource planning (ERP) systems, enabling real–
time demand signaling across the supply chain and improved visibility. Data pulled from e–kanban
systems can be used to optimize inventory levels by better tracking supplier lead and replenishment
times. Figure 2 shows the information flow in E–Kanban
The six guidelines followed at HonorSteel for effective E–Kanban system are
Customer (downstream) processes withdraw items in the precise amounts specified by the E–
Kanban.
Supplier (upstream) produces items in the precise amounts and sequences specified by the E–
Kanban
No items are made or moved without a E–Kanban.
A E–Kanban should accompany each item, every time.
Defects and incorrect amounts are never sent to the next downstream process.
The number of E–Kanbans is reduced carefully to lower inventories and to reveal problems.
Outline of Changed Key Processes:
After implementation of E–Kanban, the process flow became more stable. Shown in figure 3
(attached at the end).Some of the changes on the process are
Separated Hot rolled product and Cold rolled product
The processed Hot/Cold rolled doesn't have to wait for pressing and Beam saw operation
The main bottleneck region was wielding and we have installed an additional wielding unit to avoid
bottleneck
Then we have the Spray painting and Air blower to cool the painting
After that we have Quality check (QC) and Labeling.

Essay about Frankenstein and Bladerunner
'It's not so much about survival but more about the quality of life'
To what extent can this statement be applied to the two texts you have studied this year?
Survival is the continuing to live or exist, especially in difficult conditions, whereas
The quality of life is the fulfillment and personal satisfaction a person has with one's life. Percy
Shelley's novel 'Frankenstein' (1818) and Ridley Scotts film 'Blade Runner' (1982) both demonstrate
a struggle for quality of life within their texts. The texts show that it is not so much about a being's
survival, but about their undeniable want for quality in their life. We can see this issue expressed
through the ideas of compassion and humanity, autonomy and freedom, along with the basic ...
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It is questioning humanity on how a creation can absorb emotions. How can a mere creation display
such compassion? This is outlining the monster is no longer concerned with simply surviving, but
more concerned with experiencing and understanding every aspect and quality of life.
We are also shown the idea of humanity and compassion in the film 'Blade Runner'. The replicants
are only seen as objects. This is shown through the repetition of the reference to replicants as 'it'. It
shows the lack of compassion and humanity and to have quality of life you need a certain degree of
this. Blade Runner also illustrates that it may not be the replicants fault for their need to survive but
lacking of the quality of life. The film noir expresses the films artificial and 'depressing' world with
dehumanized buildings and dark eerie environments. This makes you ask is this world forgetting
about humanity? Their quest for survival is only one step into gaining quality of life as the world
they live in now does not contain all elements needed to acquire this.
'Frankenstein' expresses a clear idea of freedom and autonomy. Shelley portrays the monster as
lonely and only wanting to fit in. With the use of characterization we can see the monster feels
locked out from the world; his emotions explain to us his feeling of being trapped. This shows no
freedom for the monster. With no freedom he forgets about the need to survive, and focuses solely
on gaining

Human Services Essay
Aetna inc services is a gathering of an assorted wellbeing related offices that give medicinal services
to the general public. It is committed in making the life of the general public better by creating more
advantageous situations. This is an unmistakable sign that Standard human services center to make
the best for society. Flag human services is one of the real medicinal services gathers that emphasis
on giving medical advantage and scope administrations to the general public. This is the biggest
single medicinal services administration supplier in US that endeavors to create and give quality
administrations to all countries. This exposition examines the association availability in tending to
human services needs of the general population in the following decade and their key arrangements
in the issues of the system development, asset administration, medical caretaker staffing, and quiet
fulfillment.
Network growth
As expense for–volume offers approach to charge for–worth, doctor 's facilities and social insurance
frameworks are finding that their time–tried blocks and–mortar development methodologies will no
more serve their long haul objectives. Today 's quality driven clinical and plans of action require a
movement in center – from experience based solution to populace wellbeing administration.
Systems to advance development – fundamental for quality based achievement – will depend on
patient maintenance and new instruments for picking up piece of the pie.
In

Implementing A New Communication Record For Tracking...
Assessment of Problem: Clearly describe the problem in your work unit and your plan to solve the
problem.
The problem within the work unit is that we tend to be complacent and sees things as they are and
not as they could be. The Agency's mission is "To responsibly provide access to quality health
coverage for vulnerable Mississippians." In order to accurately carry out this mission, the Office of
Appeals needs to aggressively keep up with advances in technology (i.e. computer application and
software), and eagerly embrace new found ways of ensuring that our clients receive information and
assistance as quick and efficiently as possible. My plan to solve this problem is to create, and then
recommend implementing a new communication record for tracking beneficiaries and clients
request for a state eligibility hearing. Each record will be assigned an appeal number that would
allow us to track the case from receipt through resolution.
To date, the Office of Appeals is utilizing an Excel spreadsheet to record and track incoming
requests (See Attachment I). The spreadsheet displays data in text and numbers, which allows
sorting and calculations. The problem with the spreadsheet is it does not effectively provide
electronic tracking of incoming eligibility appeal requests from the Agency's thirty (30) regional
offices. Also, the problem is that the spreadsheet does not allow space for more specific data to be
entered that is considered pertinent to the case (See Attachment

Outline Of An Educational Module Essay
This report is plan to outline an educational module where an association talk about the
comprehension of how to advance a superior administration quality. This is the individual report
which is in view of the thoughts of how to advance a superior administration quality to the staff.
This social insurance association has history of over 40 years giving solid environment to the
clients. We have 10 movement chiefs working in diverse ranges, 18 human services experts, and 15
enlisted attendants. Association basically concentrates on the better quality where now a days,
quality is being diminished step by step. As a recently selected administration chief, it is the
obligation of administration supervisor to pick up a beneficial and solid environment by making
some new corrections to that region which needs great quality administrations and utilizing different
models and idea.
A newly appointed service manager in an organization will promote following services based on
quality and profit of organization
Service quality is defined as the procedure where an organization meets the customers/clients
expectations and challenges. This step is taken by the company to improve the quality and needs of
customers.
Any health care organisation focuses on various quality dimensions to promote customer
satisfaction and customer loyalty.
Few dimensions which our health care organizations want are :
1. Availability & Appropriateness : The accessibility of a required test, strategy, treatment or

Biography on Dr Kaoru Ishikawa
Biography on Dr. Kaoru Ishikawa
Dr. Kaoru Ishikawa was born in Tokyo in 1915, he was the oldest of the eight sons of Ichiro
Ishikawa, in 1939 he graduated from the University of Tokyo with a engineering degree in applied
chemistry, his first occupation was as a naval technical officer from 1939 to 1941, then he
proceeded onward to work at the Nissan Liquid Fuel Company until 1947. Dr. Ishikawa might now
begin his profession as a cohort educator at the University of Tokyo, in 1949 Dr. Ishikawa joined the
Japanese Union of Scientists and Engineers quality control examination bunch, it was his aptitudes
at activating huge assemblies of individuals towards a particular regular objective that was generally
answerable for Japan's ... Show more content on Helpwriting.net ...
Ishikawa was constantly mindful of the significance of top administration help, the kind of help
from the top management is a key component in Japan's all–enveloping quality technique that Dr.
Ishikawa named, "broad quality control", Dr. Ishikawa has worked with all top management and the
lower management and including the whole administration team to teach quality control to secure
they were able to give the best customer service as possible to their customers, and in the late 50's
and in the early 60's, he created quality control courses for executives and for top directors, he
additionally helped launch the Annual Quality Control Conference for top administration in 1963.
As a part of the panel for the Deming Prize, Dr. Ishikawa created the thorough review framework
that figures out if organizations meet all requirements for the prize, that review requires the interest
of the organization's top executives, as stated by Dr. Ishikawa, that animated obvious support as
opposed to the praise that runs with the prize is the greatest profit a champ gets.
Throughout his career, Dr. Ishikawa worked on terribly sensible matters, however continually at
intervals a bigger philosophical framework, also in its broadest sense, Dr. Ishikawa's work was
supposed to supply what he known as a "thought revolution" from new ideas regarding the quality
that might revitalize trade. The wide acceptance of the many of Dr. Ishikawa's ideas, and the many
honors he

Education As A Core Element Of Generating Quality Human...
Sociopolitical context Education is acknowledged to be one of the seven priorities of "Kazakhstan –
2030" Strategy. As it is particularly stated in state policy documents, the common goal of education
reforms in Kazakhstan is to adapt the education system to global socio–economic environment
(State Program on Development of Education in the Republic of Kazakhstan for 2011–2020).
Kazakhstan is on the way of its transformation to be one of the 50 most competitive countries in the
world. To achieve this ambitious goal, the country is overhauling its educational system to be able to
produce quality human capital as it will significantly result in benefit for economy and society
(Bhuiyan, 2011). Therefore, gifted education is considered to be a core element of generating
quality human capital; hence, a great deal of resources has been investing into education in order to
implement strategies to provide a high quality education for gifted children (Hernandez–Torrano &
Abisheva, 2013). There are a lot of issues beyond gifted education in terms of identifications,
perceptions, teaching methods, peculiarities and etc. Nowadays, different ways of supporting and
organizing gifted children's activities are being discussed by the majority of scholars. For instance,
according to Kazakhstani scholars (Damitov et al., 2006; Damitov et al.,2009) the importance of
practical activities, scientific and educational research is prioritized in several policy documents
such as:

The Man Who Helped Shape The World
The father of quality evolution, the man who helped shape the world, William Edwards Deming,
was born on the month of October 14, 1900 in the city of Sioux, Iowa. His family raised him in this
city until they moved in Polk City, Iowa when he was four years old. After two years of living in
Polk City, the family again moved to Cody, Wyoming. Then, There was a homestead program that
gave out a free land in 40 and 80 acres plots as part of a major irrigation project in Powell,
Wyoming. They had to move again, after two years, for this reason. At that time, the first four years
living at a tarpaper shack was a struggle for them to live life and move on with their daily tasks
because of the tough situation that they are facing. Deming started working odd jobs as young boy
in order for him to save up money for the everyday expenses of the family.
In 1917, W. Deming was a student who attended the University of Wyoming (UW), finishing
engineering major. Few years after, he finally earned his Bachelor's degree in 1921 by supporting
himself and doing all kinds of work, such as janitorial work, working in a dry cleaner, a soda jerk at
a local drug store, and several other jobs. After graduation, Deming stayed in UW to teach
engineering while studying mathematics at the same time. In 1922, he became an assistant professor
in Physics at the Colorado School of Mines. During summertime, he took classes at the University
of Colorado for his Master's degree in Mathematics and Physics that he

Quality Management Essay
Quality Management
QUALITY MANAGEMENT
MID TERM EXAM
Question You are a project management consultant assigned to a small manufacturing firm that has
been experiencing a myriad of problems. After conducting interviews and fact–finding with key
managers, you have observed the following:
Company revenues and profits have fallen dramatically over the previous 12 months, along with a
drop in market share Customer complaints have reached an all time high
Employee morale is at an all time low
The company has no formal quality program in place
No employee training program exists
High employee turnover continues unabated
Non–conformance costs are skyrocketing
After analyzing your data, you are now prepared to present your ... Show more content on
Helpwriting.net ...
External customer requirements may be gathered and transformed into specific, actionable process
improvements using quality function deployment, a well– structured product development process
which dictates what the market requires into a program to create, manufacture, and deliver it.
However, teams should collaborate to arrive at a common understanding of the customer needs and
determine the appropriate technical requirement of each stage. As soon as customer expectations are
met, customer satisfaction will improve, resulting in a take–back of market share and an increase in
revenue.
Customer complaints have reached an all time high
Solution:
At first "X" company has to conduct a SWOT analysis, which provides data for an organization to
create strategic plans, appropriating resources and developing tools or actions to bring about
continued success to analyze the organization. Once the SWOT analysis has been completed, the
organization is able to create the mission and vision statements. In addition to what was said before,
customer satisfaction should be one of if not the main objectives. To understand the level of
customers' satisfaction, and desires "X" should implement surveys called "customer satisfaction

survey." These surveys will be sent to new and old customers during certain times a year. E–mail
surveys also have to be provided for all customers. The surveys will

Donabedian Model
Bullet point format plan
–The aim of this essay is to critically evaluate a chosen counselling service.
–Briefly description of the counselling service, outlining its aims and objectives.
–Using Donabedians (1980) model, the essay will go on discussing and critically evaluating the
structure, process and outcome of the service which will be backed up by relevant supporting
evidence.
–Following a final conclusion the essay will end with a personal reflective analysis.
–Newton (2002) suggests that 'it is important for counsellors to evaluate their work as an ongoing
process through evaluation, in which the client participates, to understand where their interventions
are appropriate or where a different approach may be more ... Show more content on
Helpwriting.net ...
Structure
–According to Donabedian (1980), structure refers to the 'physical, human and financial resources
available' within the service. This includes location, car parking facilities, disabled access, staff, etc.
Process
–Process looks at how the service is being delivered, for example how referrals are carried out,
client assessments, models of therapy used etc.
–Donabedian (1996) believed that the first step in the process of quality assurance is

Sigma And The Cost Of Quality
Introduction
"Six Sigma" and the "Cost of Quality" to a manufacturing company is a systematic approach that
increases profits and improves customer satisfaction rates by eliminating the root cause for defects
or errors in all processes, by creating new and more effective processes. To the health care company,
"The Cost of Quality" may look and feel slightly different, yet in many ways both are the same.
Both companies may operate and produce different products, and operate in two different market
segments, both are concerned with delivering customer driven quality products or services in the
most cost effective manner. Therefore, if we use a comparative analysis and the Six Sigma standard
problem solving methodologies and apply it to the "Costs of Quality", "Six Sigma Project Selection"
and the role of "The Green Belt" we know that each looks to eliminate the root cause of defects and
poor customer satisfaction scores. We will discuss these similarities and the differences in
manufacturing and in health care and the importance of determining who the "Voice of the
Customer" (VOC) is, to responding quickly to any sudden market change or in customer driven
demand changes and for each current customer, lost customer, or any future customers.
Similarities in "The Cost of Quality"
The cost of quality in a manufacturing company versus a health care company is identifying the
areas of similarities and differences in their use of a cumulative cost of a quality measurement
system.

Supplier Selection
Introduction
The evaluation and selection of suppliers, structuring the supplier base is an important task in any
organization. It assumes utmost importance in the current scenario of global purchasing. Every
Organization especially manufacturing organizations need to have a Supplier evaluation matrix or
model in place. This paper tries to bring in a typical
Supplier Evaluation Framework, which blends with company's basic values, and help in establishing
a Strategic sourcing policy. It also outlines ways and means to reward a supplier and establish long–
standing relationships with suppliers.
Vendor selection range of criterions
Today's consumers demand cheaper, high quality products, on–time delivery and excellent after–
sale ... Show more content on Helpwriting.net ...
* Ability to meet current and potential capacity requirements, and do so on the desired delivery
schedule. * Financial stability. * Technical support availability and willingness to participate as a
partner in developing and optimizing design and a long–term relationship. * Total cost of dealing
with the supplier (including material cost, communications methods, inventory requirements and
incoming verification required). * The supplier 's track record for business–performance
improvement. * Total cost assessment.
Now when the agreement on the business and vendor requirements had been compiled, the team
now must start to search for possible vendors that will be able to deliver the material, product or
service. The larger the scope of the vendor selection process the more vendors you should put on the
table. Of course, not all vendors will meet the minimum requirements and the team will have to
decide which vendors you will seek more information from.
Vendor evaluation range of criterions
The areas that company chooses to measure and manage and the criteria used will be a direct result
of the company 's goals and strategy and the objectives for the supplier performance management
program. There are a wide variety of areas of supplier performance that may be measured. It is
important to select the ones that are

Toyota Supplier Relations: Fixing the Suprima Chassis
Toyota Supplier Relations: Fixing the Suprima Chassis Toyota faced a challenge related to the poor
visibility and low quality of a supplier for the Suprima model. The Japanese brand, being related to
a top quality product and a Just in Time manufacturing scheme could not afford to have stock out
problems nor not meeting consumers' demand for quality.
One of the main errors leading to this situation was the fact that ChassisCo didn't follow on the
Toyota principle of giving the bad news up front. Toyota stated with every supplier that they
expected a swift alert in case any risks were to arise, in order to tackle root causes and diminish the
problems right away. On the same line, Toyota knew that the manufacturing process for the ... Show
more content on Helpwriting.net ...
On the side of ChassisCo, they faced two issues, namely the fact that their most experienced people
had all been reinstated across different geographies and therefore, their know–how was decreased.
Second, ChassisCo had a rise in demand created by new launches form a set of different customers.
This caused their efforts to mitigate in different projects, creating a capacity gap.
In order to speed up the process, Toyota could give a chance to the process manager to make
changes to the attachment methods and quality test them. If successful, this could increase the daily
yield of parts per day, helping towards the goal.
Also, rotating the engineering team that had the most developed relations with ChassisCo was a
significant mistake, since were key people to escalate problems and seek for solutions.
Making the switch from manual welding process to an automated one actually had a negative
impact on productivity. Perhaps the root cause of this was the fact that they needed more space to
install the additional capacity, but instead they decided to go for a higher plant density. Also, that
they preferred the lowest bids from parts suppliers, seeking to meet the aggressive Toyota price, but
instead might had jeopardized the quality of the supplied parts.
In contrast to ChassisCo's practices, Toyota actually invested time in going to the suppliers and
assessing their capability. Although, by

Frankenstein: The Qualities That Make Us Human
Qualities That Make Us Human
From the moment of birth, humans possess so many amazing qualities. However some qualities
make us more human than others. If one were to read the astonishing tale of Frankenstein's monster,
would one be able to recognize these qualities, if any in the monster? Throughout the story, people
constantly run at the hideous sight of the monster without even discovering what qualities the
monster possesses. Does Frankenstein's monster possess any of the qualities that make us human?
We as humans are the most astounding creatures on the face of the Earth. Humans have so many
qualities that solely make us human. We have positive and negative qualities that seem to counteract
and balance our life. Interestingly enough,

Kant elucidate the meaning of human good by talking about...
Kant elucidate the meaning of human good by talking about three qualities: power, pleasure and
dignity. By reading each of the philosopher's text individually, the reader is able to recognize which
quality is most imperative to each philosopher. Additionally, each philosopher illuminates the
importance of that certain good and provides a feasible reason for their choosing by presenting
general ideas that enables the reader to gain a meticulous understanding of their subjective meaning
of each good and its importance.
First and foremost is Hobbs. He makes it obvious that the paramount good is power by labeling
power as a man's natural condition. Man, overall, is a social animal that has a global goal in life, that
is to obtain power. Man ... Show more content on Helpwriting.net ...
Mill states that the "utility or the greatest happiness principle holds that actions are right in portion
as they tend to promote happiness...by happiness is intended pleasure" for "pleasure and freedom are
desirable ends" (Mill, 7) He talks more about the utilitarian perspective, that is, we increase the
levels of happiness for others. Following this logical equation, when pleasure is achieved it
increases the intensity of happiness that was intended for others which constructs man's dignity as a
caring human being. Additionally, we attain the internal pleasure that renders power.
Kant focuses on the importance of dignity which is the quality that is rendered by an individual's
overt actions. Additionally, internal joy is constituted by how one treats another as a human, not an
implement used for one's self–preserved motive. Kant believes that "In the kingdom of ends
everything has either a price or a dignity. Whatever has a price can be replaced by something else as
its equivalent; on the other hand, whatever is above all prices, and therefore admits of no equivalent,
has dignity." (Kant, 40) Basically, he explains that man is more than just an object of inclination
implemented to abide to ones propositions to attain a certain desire. Man is someone that is priceless
that is above all prices and has dignity, and should be treated in a way that conveys that.
Additionally, this

Chapter II : Literature Review
Chapter II: Literature Review
Company XYZ's die converting production area has experienced waste due to scratching and
delamination which cause scrap. Parts being scraped cause a reduction in profits and a decrease in
production capacity for the company. The study leveraged Six Sigma techniques to pinpoint and
address the waste created in the manufacturing process and will propose solutions to the
manufacturing system. The primary manufacturing processes in the privacy filter manufacturing
operation included steel rule die converting, sacrificial premask removal, and manual inspection.
Based on the production methods listed, the literature was reviewed on manufacturing, six sigma,
DMAIC, root cause analysis, and waste.
Manufacturing
The die converting department produces privacy filters that are sold to the customers of Company
XYZ. Company XYZ has introduced a range of laptop and desktop computer privacy filters which
address managers' mounting information security concerns, particularly as more and more people
use company laptops while travelling, or in public places (Filters shield sensitive on–screen data
from prying., 2006). Manufacturing industry is in constant search of improvement and companies
continuously aim for producing outstanding products that differentiate their offer from other
competitors (Myklebust, Eleftheriadis, & Capellan, 2014). Manufacturing drives quality and process
improvements as a function of decreasing costs and increasing profits.
An

Circuit Board Fabricators Case Summary
Circuit Board Case Study
Circuit Board Fabricators, Inc. is a circuit board manufacturer based in California. They produce
circuit boards to large organizations like Apple and Hewlett–Packard. The large computer
companies hire Circuit Board Fabricators, Inc. (CBF) to make to circuit boards for the large
companies new prototypes. CBF implements a large automated process that follows standard codes
to produce these circuit boards efficiently and with above average customer service; however,
recently CBF has been experiencing losses. CBF believes that the loss 's the company is facing is
due to the current automated system used. The CBF process engineers designed the plant has the
capacity to produce 1,000 circuit boards per day; however, ... Show more content on
Helpwriting.net ...
Establish Performance Requirements
In order for CBF to produce high quality circuit boards, the following requirements to establish
performance are recommended:
– Extended hours of operation
– Additional Machinery
– Decrease initial inspection time
If the company were to extend production hours to 12 hours a day with an addition of a machine, the
production and production cost would increase but so would the number of produced circuit boards.
In addition, if the factory could shorten the initial inspection process time, this would allow for more
boards to be produced and lessen the bottle neck affect the company currently faces.
Process Improvement Opportunities
After a full examination of the case study, the top three process improvement opportunities include:
As examined, the top three process improvement opportunities include:
1. Increase the factory's hours of operations to 12 hour days
2. Increase machinery to reduce human error
3. Create a new initial inspection process to decrease time
Final Recommendation
My current workplace is not in the manufacturing industry. The only improvement that my company
does currently implements is increased hours of operation. This increases the cost of operations;
however, creates potential through availability to earn capital. Our company cannot add machinery,
but does use other non–human resources to aid in the decreased risk of human error through
programs

Animal Experiments And Its Effects On Human Suffering And...
Some people support animal experiment and believed the results of those testings can ease human
suffering and improve the quality of human life (Kruse, 2001). Many medical achievements in the
past century have depended directly or indirectly on animal researches. The develop of the treatment
of diabetes, leukaemia and heart surgery transplants have been made possible largely through the
use of animals in scientific researches. And 90% of the public accepted the need for the use of
animals when certain research conditions were met, including no unnecessary pain and suffering of
animals, the research is for serious medical or life–saving purposes, and there is no reliable and
informative alternative to the testing. All researches needed to ... Show more content on
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Also, using animals in research may wasting money and resources. According to the Cruelty Free
International, 95% of drugs fail in human trials despite promising results in animal tests which
suggest the results from animal testing may unreliable, and the US drug industry invests 50 billion
US dollar per year in research, but the approval rate of new drugs is the same as it was 50 years ago.
Beside these, animals have a physiologically different with humans, they do not get some of the
diseases that human do, for example Parkinson's disease, major types of heart disease, many types
of cancer, Alzheimer's disease, HIV and schizophrenia. And using animals in medicine research may
caused fatal dangerous. For example, Vioxx (drug used to treat arthritis) was tested on monkeys and
five other animal species and found to be safe, but has been caused around 320,000 heart attacks
and strokes, and 140,000 deaths worldwide.
Because of the different perception on support or refuse animal experiment, conflict happened
between organisations, people and government (Cruelty Free International).
Most animal welfare groups willing to work with researchers to improve the conditions for animals
in laboratories and to promote animal right concept with gentle action, for example peaceful
demonstrations

Human Factors Influencing Quality and Safety in Healthcare
Human Error Theory: Human Factors influencing Quality and Safety in Healthcare
Name
Instructor's Name
Course
Date
Abstract
Human error theory explores human factors and ergonomics, which contribute to the
implementation and design of health and safety measures in healthcare. The theory identifies the
effect of medical errors by healthcare providers cause significant risks to the health and safety of
patients. It explains human errors in terms of contributory factors that prevail in a person's
performance, immediate environment, and the broader organizational level. Human errors that
influence performance are identified in broader categories of lapses, mistakes, or slips. To mitigate
this, the research identifies the establishment of safety and health standards in organizational culture
and structure to change individual behavior and organizational behavior.
Human Error Theory in Healthcare
Human error theory in healthcare has different aims and roles. One of these is the provision of
meaningful structure for explaining, describing, and understanding events and analyzing incidents
and near misses (Armitage, 2009a). Human error theory explores human factors and ergonomics,
which contribute to the implementation and design of health and safety measures in healthcare. It
also provides design of useful and usable health information technologies in healthcare. Human
error theory is used in healthcare management following an increase in focus on patient safety
especially

Prejudice Is An Innate Quality Of Humans
For years now, understanding prejudice has been one of human's greatest challenges. Prejudice can
be described as an unfavourable, negative attitude towards a social group and its individual
members. On the surface this may not seem like a significant issue, however, it can become
associated with dehumanisation and violence. It is suggested that every human is prejudice; people
make assumptions based on characteristics such as age, sex, and ethnicity. There are many
explanations of prejudice, however, there has never been an internationally accepted theory. In early
20th Century, Prejudice was considered an innate quality of humans, and instinctive response to
certain characteristics of a person. Other psychologists may argue that prejudice is an attitude that is
acquired over time, catalysed by social agents. There are multiple theories and explanations as to
why prejudice occurs, the main four being Psychodynamic, Cognitive, Acquisition theory and
Intergroup relations. The psychodynamic theory leans heavily on the Oedipus complex, and the
psychosexual stages of development, Freud 1905. The theory suggests, that as the children age, they
channel the hostility towards their parents, into their unconscious, and they show love and affection.
A charismatic, powerful leader arouses similar feelings to those experienced towards parents. Unity
as a group arises from members adopting their leader as a part of their superego, and therefore all
sharing common feelings towards the

Human Properties And Qualities Of A Substance
Descartes explains "substance" as being something that exists by itself, as it does not require
anything for its existence. With substance he also talks about "modes" being another element that
exists for various things. Modes are what he considers the physical properties and qualities of a
substance. An example of what modes are can be imagined by thinking of the color, the texture, or
the size of a red ball, as these features are what Descartes would consider modes of the ball
(substance). With knowing what substance is, Descartes further distinguishes infinite and finite
substance, along with perfect and imperfect substances. Asking the question of what is a substance,
Descartes claims that god is a substance because god exists without requiring anything. Next
considering that god exists, anything which god creates can also be a substance because, as god is a
substance, his creation is also a substance, however, with a lesser degree of existence making it both
finite and imperfect because they required god. Understanding what substance is, it is important to
note, that Descartes considers god, the mind, and body as the only three substances that exist. 1
The mind and body for Descartes are two forms of substances that he distinguishes as being separate
from one another in operations. Descartes theory for this comes from his isolation from everything
he has known including his physical body. Keeping in mind that everything is an illusion, Descartes
tells himself if he is

SWOT Analysis: Identifying Quality and Shortcomings Essay
SWOT investigation is a fundamental, clear model that gives guidance and serves as a premise for
the advancement of promoting arrangements. It finishes this by surveying an associations qualities
(what an association can do) and shortcomings (what an association can't do) notwithstanding open
doors (potential ideal conditions for an association) and dangers (potential unfavorable conditions
for an association). SWOT investigation is a paramount venture in arranging and its esteem is
regularly disparaged in spite of the effortlessness in creation. The part of SWOT dissection is to take
the data from the natural investigation and separate it into inward issues (qualities and
shortcomings) and outer issues (open doors and dangers). When this ... Show more content on
Helpwriting.net ...
Furthermore, a concentrate on a company's qualities in promoting is advancement is vital to expand
mindfulness in ranges that a firm exceeds expectations in. This technique not just inspires a positive
reaction inside the personalities of the shopper, however pushes the shortcomings further from the
choice making methodology (Promoting Procedure, 1998).
Shortcomings ought to likewise be considered from an interior and outside perspective. It is
essential that posting of a company's shortcomings is truthful so they may be overcome as fast as
would be prudent. Deferring the disclosure of shortcomings that as of now exist inside an
organization will just further damage the firm. A decently created posting of shortcomings ought to
have the capacity to answer a couple of inquiries. What could be moved forward? What is carried
out crudely? What ought to be evaded (PMI, 1999)?
The part of the inward parcel of SWOT is to figure out where assets are accessible or needing so
that qualities and shortcomings could be distinguished. From this, the advertising chief can then
create showcasing systems that match these qualities with open doors and accordingly make new
capacities, which will then be a piece of ensuing SWOT investigation. In the meantime, the
administrator can create techniques to defeat the association's shortcomings, or discover approaches
to minimize the negative impacts of these shortcomings (Showcasing Method,

Human Service Qualities
From my experience and what I learn from the book, the most important topics is characteristic of
the helper, ethical practices, problem solving, and communication. The first topic is characteristic of
the helper. A helper is an individual who assists others. Some qualities of a righteousness helper is
ability to listen and communicate well. The helper allows the client to make up their own minds
regarding a decision, let the client be aware of confidentiality and make the agency a warm–
welcoming place. The helper should also not discriminate the client based on their behavior or the
way the client dresses. As I volunteer at Grace Place I saw the employers to have skills of
communication and listening. It was very important to the workers their ... Show more content on
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The nonverbal message allows the helper to understand how the client feels based on the person
body language. and the verbal message help the helper understand how the person feels about his or
her day. The ability to listen to the client is crucial in building a helping relationship, in the book it
talks about SOLER approach to listen to a client. The S stands for Sqaurely meaning to face the
client, O means open for posture, the L stands for lean forward sometimes, the E maintain eye
contact, and the R stands for relaxed. This approach show how you are listening to client and care
about their feelings. The communication skills how nonverbal and verbal skills we have will
determine how much the client will cooperate towards us. Grace Place director repeatedly told her
workers that communication is very important and help them practice their communication skills to

Manual vs. Automated Statistical Process Control: Food...
Israel Ortega–Ramos
The Prime Example
Our recent visit to a food packaging plant in New Jersey highlighted the inconsistent results of
statistical process control routinely faced by Quality Control Managers. Product weight readings
were taken from the manufacturing floor, entered into an Excel spreadsheet and analyzed. The
results produced no predictable under or over filling trend despite the fact that the same people used
the same scales at the same time of day. The problem is simple and fundamental. Human error is an
inevitable part of the process of collecting statistical data. This is consistently overlooked in
companies that utilize manual SPC[1] (statistical process control) for their manufactured goods. To
ensure the ... Show more content on Helpwriting.net ...
The scale will then calculate the statistical data after the last product is placed on the scale and store
this data in a password–protected memory for collection by the Quality Manager. This statistical
data can then be sent wirelessly to a spreadsheet, printed on a label to accompany the sampled
product, or simply viewed on the scale interface. The flow diagram below shows the improved SPC
process.
Companies can also utilize various connectivity and software options that can integrate filling
machines to automated SPC scale systems. This means that fill volumes based on trends calculated
by the scale can be adjusted via an automated system. Quality Control Managers and Plant
Managers can also connect all the SPC scale systems in a factory via a central control computer that
will provide easy access to "real–time" data. Integrating an automated SPC Scale System into a
manufacturing environment will have the following advantages over the older manual SPC systems:
Upgrading outdated manual SPC processes is the first step to improve overall quality, efficiency,
and trace ability. This can be accomplished with as little as $5,000 in capital investment. Quality
Control Managers and Plant managers have to take a hard look at how their product samples are
being weighed and how these measurements are turned into results that can improve production line
efficiency. It is now time for

Qualities Of Being Human In Lord Of The Flies
In film, the scene that best describes the first characteristics of being human which is that we are
created in the image and likeness of God, is when Simon says God has a plan for him and that God
had made him the way he is, he explains this during reverend russel's service. Simon believes he is
special and god has a job for him he must complete. In the last scene, at near end Simon fulfills
God's intentions by helping others. He steps in and helps everyone escape the sinking bus. he risked
his life saving the last kid on the bus out of the goodness of his heart . By doing that, his brave
actions are what God would have done.
The second trait of being human which is that Humans are called to happiness and holiness when
Simon helped Joe find ... Show more content on Helpwriting.net ...
He would not let the reverend doubt his belief and faith in God's work. In the scene, where
Rebecca's passes away, Simon cries and begs for forgiveness. Joe shows frustration when he finds
out that mr. Baker is not his father, he cries out "It's not fair." This trait is also shown where Joe tells
Simon that he loves him and that he is his best friend, in the end Simon passes away and Joe cries
by his side.
The Sixth trait of being human is that humans are blessed with a conscience is shown when Simon
releases the emergency exit and escorts everyone out of the bus, I think that in his mind God was
telling Simon to do the right thing and save the children after the bus driver left. Also when simon
found out that the reverend was Joe's father because it was the righthting to do and it had to be said
right away. During those scenes it shows that humans have conscience to listen to the voice God,
who will guide us into making good decisions that will benefit the common good, for instance The
children on the bus and

Reflective Journal
Topic 1:
Meeting the customer requirements (Oakland 2003) is a reasonable definition of quality.
Meeting the Customer's requirements is a tough challenge as the requirements of customer are like
the water of a tide; it's likely to change at any point of time. So identifying the expectations of the
customer and performing service in accordance to it is a task that requires great skill. But at the end
of the day if customer's expectation is met and the customer is satisfied with the product, we could
say that quality has been achieved.
For example; A Customer wanting a house to be built for him had come to my uncle's construction
company. Based on his expectations and the trend that was in style during that time, our civil
engineers ... Show more content on Helpwriting.net ...
Explaining my plans to the guide helped me get constructive ideas from him. It also helped me
understand the priorities of my project better and define it clearly.
The second type of communication in this scenario is operational communication. This involves
communicating about the progress of the project; passing information about its development and if
there are any changes in priorities. During this stage, my customer (guide) was regularly informed
about my progress. He would then suggest particulars that increased the overall quality of my work
and made it a better product.
Through such communication, my project was successfully completed on time in the way my guide
preferred. Excellent communication had become my key to increased quality, which in turn taught
me how vital it was for the success of any given project.
Reference: Jussi Aromaki, 2011, Tips for successful communication with suppliers, ICT Standard
Forum, , accessed 30 August 2013
Topic 3:
All employees must be committed to quality in order for an organisation to achieve sustained
improvement (Oakland 2003)
Quality work and commitment from every single employee plays an important role in the growth of
the company. An Organisation being well managed or having a constant improvement is the result
of each and every employee attaining the quality level. On the other hand, lack of commitment from
an individual employee could actually disturb the proper functioning of an

Corrective Action Research Paper
Purpose
The Purpose of document Control is to establish and maintain procedures within document control.
All documents that relate directly to iso90001 will be considered appropriately actioned.
Scope
All documents handles within the project will undertake all the below methods of procedure to
ensure that high quality and certainty is maintained throughout the projects.
Definitions
Please see below a list of definitions for your reference:
Document– "a piece of written, printed, or electronic matter that provides information or evidence
or that serves as an official record." http://www.oxforddictionaries.com/definition/english/document
Monitoring– "observe and check the progress or quality of (something) over a period of time; keep
under systematic review.
http://www.oxforddictionaries.com/definition/english/monitor ... Show more content on
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The corrective action will be entered on the Corrective and Improvement Action Database.
All action that has to be corrected will be raised by the principal, completed and then finally
returned after it has been given to ABC constructions.
Preventative Action
Suitable analysis of the non–conformance and the implemented corrective action will be undertaken
by site management to determine appropriate measures that could be implemented to prevent a
repeat of the non–conformance.
Review of Non–Conformances
Each non–conformance and the corrective measure implemented to control the non–conformance
will be reviewed at a suitable time, where possible no more than seven days after the non–
conformance has occurred. Only when the nonconformance has been dealt with appropriately can
the case be closed.
Corrective Action Register
The Corrective or Improvement Action database will keep a record of all the non–conformances and
in which manner they were dealt

The Case Of Goldberg V. Kelly
In March of 1970, in the case of Goldberg v. Kelly, the US Supreme Court confirmed that
individuals who are denied certain government benefits have a constitutional right to a fair hearing
before an impartial decision–maker. In accordance with the Mississippi Code § 43–13–116,
individuals are allows the opportunity to request in writing a fair hearing in order to appeal
decisions of denial, termination, suspension or reduction of eligibility and covered services.
A designated office within the state agency is responsible for coordinating, scheduling, and
facilitating appeals for Medicaid beneficiaries. All appeals are heard by an impartial hearing officer
employed by or on contract with the Agency. The designated office handles the appeals process
from receipt of the request from a beneficiary/client through the final administrative decision.
During the hearing process, the designated office is responsible for ensuring that the use or
disclosure of beneficiary information is in compliance with federal law (HIPAA), state law and
Division of Medicaid policies, and procedures regarding the safeguarding of beneficiary
information.
Assessment of Problem: Clearly describe the problem in your work unit and your plan to solve the
problem.
The problem within the work unit where I am employed is that we tend to be complacent and lack a
futuristic vision. The Agency's mission is "To responsibly provide access to quality health coverage
for vulnerable Mississippians."

RTT1 Essay
RTT Task 2 The provided scenario gives an account of a busy emergency department with
competent staff, and the multiple errors that led up to the most severe error possible in healthcare,
unnecessary death of a patient. A root cause analysis (RCA) can be utilized to help understand the
systems at fault within the facility so that improvements can be determined and implemented to
prevent any future occurrences (Cherry, 456). RCAs focus on systems rather than blaming
individuals involved, therefore they are only appropriate in cases where there has been no willful
negligence or criminal acts (Huber & Ogrinc, 2014). The overall purpose of RCAs is to find out the
causes of the adverse event and determine how to keep similar errors from ... Show more content on
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These statements link the cause to its effects and then back to the main event that promoted the root
cause analysis (Huber & Ogrinc, 2014). Guidelines for writing causal statements include the need
for clarity in the relationship, statements should use neutral language and not imply blame, cause
should be given for any human error, and any violation of procedure should also have a preceding
cause (Huber & Ogrinc, 2014). Recommendations for interventions for change must next be made
for the process improvement process to be successful. Recommendations should meet the following
criteria; they should be clearly linked to the identified root causes, recommendations should address
all of the root causes, be designed to reduce the likelihood of reoccurrence and severity, and be clear
and concise (Huber & Ogrinc, 2014). The acronym SMART is also helpful: Specific, Measurable,
Achievable, Realistic, and Time measured. Once recommended changes are agreed upon the team
can use the concept of change theory to decrease the likelihood of recent sentinel events similar to
the example given. The IHI gives this definition on change theory "A change concept is a general
notion or approach to change that has been found to be useful in developing specific ideas for
changes that lead to improvement (IHI, 2004)." Recommended categories for change theory include
simplification, elimination of waste, improve workflow, manage time, and change the work

Verizon Six Sigma
Introduction/Background
Six Sigma is a process improvement initiative developed by Motorola that assist organizations in
identifying and reducing defects and inefficiencies within their existing business processes. The
quality management system is a project–oriented system that drives cost savings and increases
firm's profitability by reducing variation in firm's processes, products and services. (Russell, 2011).
The process begins with four steps align, mobilize, accelerate and govern. Companies begin
aligning by constructing company–wide metrics surrounding financial and strategic goals of the
organization. These metrics are used to determine the area of the business that requires the most
improvement and would have the largest financial ... Show more content on Helpwriting.net ...
The full population of a given metric is obtained and sample sizes are selected based on the size of
the population to determine the defect rate. The steps includes: 1) determining the number of defect
opportunities per unit 2) determining the number of units processed 3) determining the number of
defects made 4) Calculating the defects per opportunity using the DPO formula 5) Calculating the
Yield 6) Looking up the Sigma in the process Sigma table. Based on the results of the calculation,
ratings scales are used to understand the financial impact the defects can have organization and the
severity of occurrence. The financial impact of the project is reviewed by Finance for approval and
the team is responsible for determining key controls that can prevent/detect these defects going
forward. Once all work is documented and completed the VLSS team produces a rolling action item
list (RAIL) in which the organization leader impacted is responsible for implementing required
systems, controls and processes in order to monitor the process moving forward and to properly
track results against the

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