The document discusses several issues related to outsourcing healthcare jobs overseas:
- WellPoint and other healthcare companies have moved hundreds of clinical and customer service jobs overseas, primarily to India and the Philippines, in order to cut costs by 30%. This includes tasks like pre-service nursing and medical transcription.
- There are concerns about patient privacy and quality of care when sensitive healthcare decisions and data are handled abroad. Licensing and language barriers may also pose issues.
- However, proponents argue that overseas outsourcing allows companies to tap global talent and efficiencies to reduce costs for consumers. Critics worry about job losses in the US and foreign companies making healthcare decisions.
- As electronic records grow and financial pressures
How health tech is redefining the future of biopharma and care deliveryΔρ. Γιώργος K. Κασάπης
Tech is making itself felt in every sector of health care. Companies like Google, Apple, Amazon, and Microsoft, and emerging players from the U.S. to China, are poised to transform everything from health care delivery to drug discovery. In this latest eBook STAT has curated a selection of stories that track these developments and examine their impact on hospitals, patients, and the bottom lines of companies around the world.
How health tech is redefining the future of biopharma and care deliveryΔρ. Γιώργος K. Κασάπης
Tech is making itself felt in every sector of health care. Companies like Google, Apple, Amazon, and Microsoft, and emerging players from the U.S. to China, are poised to transform everything from health care delivery to drug discovery. In this latest eBook STAT has curated a selection of stories that track these developments and examine their impact on hospitals, patients, and the bottom lines of companies around the world.
Do you as a doctor see yourself as a technologist? You’re already a card-carrying scientist, surrounded by the tools of your trade; scales, centrifuges, and the age-old sphygmomanometer.
Visit Our Website: www.CaptureBilling.com/
Please follow instructions carefully. Thank you so kindly. Ass.docxmattjtoni51554
Please follow instructions carefully. Thank you so kindly.
Assignment 1 “Changes in Human Resource Management (HRM) and Employment Law" Please respond to the following: 1 and ½ half pages with references
· Based on the assigned chapters this week, identify three (3) key changes that have advanced HR and provide a justification to support your selection.
· From this week’s assigned reading, choose one (1) historical government HR regulation enacted and elaborate on how this new mandate affected all stakeholders involved. Recall stakeholders in any industry, and cover those directly involved and their communities.
Assignment 2 "Human Resources Activities and Relationships" Please respond to the following:
1 and ½ half pages with references
· Considering the services provided by a hospital HR department, how do most HR specialists deal with employee scarcity like nursing shortages when trying to hire the best professionals?
· What leadership and management skill sets are useful for retaining good employees and deferring employee turnover?
Assignment 3
Job Descriptions and Employee Training and Development" Please respond to the following:
2 pages with references
· Go to the Joint Commission’s Website located at http://www.jointcommission.org/standards_information/jcfaq.aspx. At “Standards FAQs,” select a field-related manual category from the drop-down list, type in “human resources” in the “Optional Keyword” box, and then click the “Go” button. Next, provide an example of how the Joint Commission has influenced a specific function of HR in a healthcare organization.
· Recommend a specific employee training method that you think would be most effective for a healthcare organization, and determine one advantage and one disadvantage of your chosen training method. Provide support for your rationale.
The New Focus on Quality and Outcomes
Introduction
In 1999, the Institute of Medicine (IOM) published a groundbreaking analysis of the impact of medical errors on the health care delivery system and the patients it serves. The analysis, published as "To Err is Human: Building a Safer Healthcare System," concluded that medical errors resulted in up to 98,000 patient deaths in American hospitals every year. This report hit the national press and participants in the health care system and the political system with the force of a large bomb. Since that time, hospitals and other health care entities have refocused their attention on quality, errors, and patient safety in an unprecedented way, urged on by public outcry and by federal and state efforts to compel improvements in the health care system. Such entities as the Institute for Healthcare Improvement (www.ihi.org) the National Quality Forum (www.qualityforum.org), and the Institute of Medicine (www.iom.edu) have all emerged as champions of quality and safety initiatives, offering training, resources, access to best practices, and data collection strategies to move the cause of quality.
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Real-World DecisionsHRM350 Version 21University of Phoe.docxcatheryncouper
Real-World Decisions
HRM/350 Version 2
1
University of Phoenix Material
Real-World Decisions
Read the following scenarios, which represent real-world decisions, and respond to each in 150 to 200 words.
Scenario One
You are the director of production at a multinational company. Your position is in Tokyo, Japan. Recently, this division experienced production quota problems. You determine that you must identify a team leader who will lead the work team to tackle the problem. You identify several possible team leaders, including Joan, a manager who is an expatriate US citizen and has recently arrived in your company’s Japanese office. You are also aware of Bob, a European national who has worked at the facility for about a year. His experience includes reengineering production processes at one of the company’s production facilities in Europe. The final candidate is Noriko, a Japanese national who has been at the facility for several years.
Questions
The team you assemble is composed of American expatriates and Japanese nationals. Compare the three candidates for the position. Based on cultural norms and traditions, what cultural factors and management styles may benefit or present obstacles for others on the team? Explain.
Response
Scenario Two
You have been assigned to an overseas position with your company. The local government of the host country offers gifts periodically to senior management as a way of thanking them for opening a facility and employing locals. These gifts include cash or merchandise into the thousands of dollars. Typically, to refuse a gift is considered an insult. Your country’s policy is to prohibit employees from accepting anything from clients and customers of more than $50. Your employer values its relationship with the host country and government officials, and it intends to continue operating in the venue.
Questions
How would you address a situation where you are presented with a gift of more than $50? Explain your rationale. How could your actions affect your company? How could your decision affect your working relationship with your company’s and the host country’s officials?
Response
Scenario Three
Christine, the leading expert in information technology (IT) organizational design, works for a large consulting firm and has been asked to work on a temporary assignment in Saudi Arabia. One of her firm’s biggest revenue-generating customers is embarking on an initiative to redesign the IT structure to improve efficiency and effectiveness, and to align the business unit’s output with the organization’s strategic objectives. The customer has read research reports and articles Christine has published, and the chief executive officer has asked Christine to handle this project. She is excited about the professional challenge of the assignment, but she is unsure of adopting customs and practices in a Muslim country.
Questions
Discuss the ethical considerations for Christine and her company. What implications m ...
FACTORS THAT AFFECT US HEALTH CARE IN THE FUTURE 9
The factors that may affect US health care in the future
Jack Alcineus
PM 730
Long Island University
Dr. Simone Martin
Introduction
The global health care industry has been growing fast in recent years, and the trend seems to go on perpetually. In the United States, expenditure on health care is in excess of 15% of the national gross domestic product (GDP). This, according to Deloitte, is the highest amount of expenditure on health care the world over. Further, the United States has a large population of people under insurance where only 15% do not have insurance. To be sure, an American either has private insurance or is covered by government-funded programs like the one fronted by the Affordable Care Act (ACA). This is quite necessary for a country where a single major medical bill is enough to send one into personal bankruptcy.
Interestingly, most of the American population is entering the geriatric phase of life fueled by the aging baby boomers. Further, Ikegami (2015) wrote that the US health care system is in the process of shifting from the situation where only the volume of patients treated mattered. This system relied on fees for service and which gave healthcare providers the revenue incentive to reach more patients. To be sure, the healthcare sector is shifting a value-based system where the value delivered to the patient will take center stage (Burwell, 2015).
Therefore, it is apparent that the healthcare sector will experience fundamental changes in terms of quality of service, a volume of people accessing healthcare services and the general healthcare situation across all the 50 states. In this light, this paper intends to highlight factors that will affect healthcare in the future and in what direction will these factors move the sector in general.
Demographic and social factors
The US might be among the developed economy countries that are aging the slowest but the population is still graying. In 2010, Pew Research Center said that 13% of Americans were 65 years of age or older. At the same time, the firm projected that this cohort would grow up to take up 18% of the American population by 2030 (Cohn & Taylor, 2014, April 10). Once people get older, their productivity drops significantly and they begin to experience a lot more medical complications than before.
To be sure, the aging population will add a huge strain to the healthcare sector in terms of geriatric care as well as complications tied to old age. Once a nation has a huge population of old people, there will be a high demand of healthcare services which, basically, imply that healthcare providers will be on high demand (Keehan, Stone, Poisal, Cuckler, Sisko, Smith... & Lizonitz, 2017). Interestingly, the increased demand will also lead to a higher demand for labor force in the sector to carry out duties like geriatric care, to provide physical therapy and other tasks like providing aid for ol.
Medical TourismMedical tourism is a much more common practice toAbramMartino96
Medical Tourism
Medical tourism is a much more common practice today for receiving affordable health care services. As the cost of health care continues to rise in the United States, increased numbers of potential patients are flocking to other countries to receive affordable health care services. While medical tourism might affect the financial posterity of your health care organization, it too might be a reflection of an industry's commitment to fostering increased access to affordable health care services. From your perspective as a current or future health care administration leader, is medical tourism a social good?
For this Discussion, reflect on the media pieces in this week's resources, which highlight medical tourism. Consider the potential benefits and consequences of medical tourism from both a consumer and a health care administration leader's perspective.
With these thoughts in mind:
Post an explanation of how the role of medical tourism might relate to social change. Be specific, and provide examples for both the consumer and the health care administration leader.
Discussion
Continue the Discussion and respond to your colleagues' posts (250 words or more), suggesting one challenge your colleague should consider in addressing medical tourism for his or her health care organization.
Colleague
As a healthcare administrator, I will have to consider the potential physical and mental risks first of medical tourism for consumers. I have looked for enough evidence-based research to help me to decide that this would be a choice that I would recommend. However, I did not find what I was looking for to say that I would without reservation and good judgment recommend a client to fly to India or Costa Rica for major surgery. I understand that the cost is so much less for various surgeries and companies and clients can save tons of money (ABC News (Producer), 2013).
I understand that this country’s expensive healthcare prices are driving patients and companies to participate in traveling outside of the country for medical procedures. “Organization for Economic Co-operation and Development (OECD) put the price of a knee replacement in the U.S. at $48,000. Travel to India and the same operation will cost $8500, more than 80% cheaper. A heart bypass that costs $113,000 in the U.S. can be bought for just $3250 in Mexico, while operations in Malaysia are typically 65-80% cheaper” (Lunt, Smith, Exworthy, Green, Horsfall, & Mannion, 2011). So, I see that the cost of healthcare is causing many Americans to file bankruptcy and America pays too much for a healthcare system that is not working. Also, companies who are not at the Fortune 500 status would like to find a way to save money on employee benefits.
Therefore, I would say my thoughts on getting on board with this would be when another country has a life-saving procedure that cannot be performed in this country for various reasonings like a personal moral view of a political party in charge ...
Do you as a doctor see yourself as a technologist? You’re already a card-carrying scientist, surrounded by the tools of your trade; scales, centrifuges, and the age-old sphygmomanometer.
Visit Our Website: www.CaptureBilling.com/
Please follow instructions carefully. Thank you so kindly. Ass.docxmattjtoni51554
Please follow instructions carefully. Thank you so kindly.
Assignment 1 “Changes in Human Resource Management (HRM) and Employment Law" Please respond to the following: 1 and ½ half pages with references
· Based on the assigned chapters this week, identify three (3) key changes that have advanced HR and provide a justification to support your selection.
· From this week’s assigned reading, choose one (1) historical government HR regulation enacted and elaborate on how this new mandate affected all stakeholders involved. Recall stakeholders in any industry, and cover those directly involved and their communities.
Assignment 2 "Human Resources Activities and Relationships" Please respond to the following:
1 and ½ half pages with references
· Considering the services provided by a hospital HR department, how do most HR specialists deal with employee scarcity like nursing shortages when trying to hire the best professionals?
· What leadership and management skill sets are useful for retaining good employees and deferring employee turnover?
Assignment 3
Job Descriptions and Employee Training and Development" Please respond to the following:
2 pages with references
· Go to the Joint Commission’s Website located at http://www.jointcommission.org/standards_information/jcfaq.aspx. At “Standards FAQs,” select a field-related manual category from the drop-down list, type in “human resources” in the “Optional Keyword” box, and then click the “Go” button. Next, provide an example of how the Joint Commission has influenced a specific function of HR in a healthcare organization.
· Recommend a specific employee training method that you think would be most effective for a healthcare organization, and determine one advantage and one disadvantage of your chosen training method. Provide support for your rationale.
The New Focus on Quality and Outcomes
Introduction
In 1999, the Institute of Medicine (IOM) published a groundbreaking analysis of the impact of medical errors on the health care delivery system and the patients it serves. The analysis, published as "To Err is Human: Building a Safer Healthcare System," concluded that medical errors resulted in up to 98,000 patient deaths in American hospitals every year. This report hit the national press and participants in the health care system and the political system with the force of a large bomb. Since that time, hospitals and other health care entities have refocused their attention on quality, errors, and patient safety in an unprecedented way, urged on by public outcry and by federal and state efforts to compel improvements in the health care system. Such entities as the Institute for Healthcare Improvement (www.ihi.org) the National Quality Forum (www.qualityforum.org), and the Institute of Medicine (www.iom.edu) have all emerged as champions of quality and safety initiatives, offering training, resources, access to best practices, and data collection strategies to move the cause of quality.
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Real-World DecisionsHRM350 Version 21University of Phoe.docxcatheryncouper
Real-World Decisions
HRM/350 Version 2
1
University of Phoenix Material
Real-World Decisions
Read the following scenarios, which represent real-world decisions, and respond to each in 150 to 200 words.
Scenario One
You are the director of production at a multinational company. Your position is in Tokyo, Japan. Recently, this division experienced production quota problems. You determine that you must identify a team leader who will lead the work team to tackle the problem. You identify several possible team leaders, including Joan, a manager who is an expatriate US citizen and has recently arrived in your company’s Japanese office. You are also aware of Bob, a European national who has worked at the facility for about a year. His experience includes reengineering production processes at one of the company’s production facilities in Europe. The final candidate is Noriko, a Japanese national who has been at the facility for several years.
Questions
The team you assemble is composed of American expatriates and Japanese nationals. Compare the three candidates for the position. Based on cultural norms and traditions, what cultural factors and management styles may benefit or present obstacles for others on the team? Explain.
Response
Scenario Two
You have been assigned to an overseas position with your company. The local government of the host country offers gifts periodically to senior management as a way of thanking them for opening a facility and employing locals. These gifts include cash or merchandise into the thousands of dollars. Typically, to refuse a gift is considered an insult. Your country’s policy is to prohibit employees from accepting anything from clients and customers of more than $50. Your employer values its relationship with the host country and government officials, and it intends to continue operating in the venue.
Questions
How would you address a situation where you are presented with a gift of more than $50? Explain your rationale. How could your actions affect your company? How could your decision affect your working relationship with your company’s and the host country’s officials?
Response
Scenario Three
Christine, the leading expert in information technology (IT) organizational design, works for a large consulting firm and has been asked to work on a temporary assignment in Saudi Arabia. One of her firm’s biggest revenue-generating customers is embarking on an initiative to redesign the IT structure to improve efficiency and effectiveness, and to align the business unit’s output with the organization’s strategic objectives. The customer has read research reports and articles Christine has published, and the chief executive officer has asked Christine to handle this project. She is excited about the professional challenge of the assignment, but she is unsure of adopting customs and practices in a Muslim country.
Questions
Discuss the ethical considerations for Christine and her company. What implications m ...
FACTORS THAT AFFECT US HEALTH CARE IN THE FUTURE 9
The factors that may affect US health care in the future
Jack Alcineus
PM 730
Long Island University
Dr. Simone Martin
Introduction
The global health care industry has been growing fast in recent years, and the trend seems to go on perpetually. In the United States, expenditure on health care is in excess of 15% of the national gross domestic product (GDP). This, according to Deloitte, is the highest amount of expenditure on health care the world over. Further, the United States has a large population of people under insurance where only 15% do not have insurance. To be sure, an American either has private insurance or is covered by government-funded programs like the one fronted by the Affordable Care Act (ACA). This is quite necessary for a country where a single major medical bill is enough to send one into personal bankruptcy.
Interestingly, most of the American population is entering the geriatric phase of life fueled by the aging baby boomers. Further, Ikegami (2015) wrote that the US health care system is in the process of shifting from the situation where only the volume of patients treated mattered. This system relied on fees for service and which gave healthcare providers the revenue incentive to reach more patients. To be sure, the healthcare sector is shifting a value-based system where the value delivered to the patient will take center stage (Burwell, 2015).
Therefore, it is apparent that the healthcare sector will experience fundamental changes in terms of quality of service, a volume of people accessing healthcare services and the general healthcare situation across all the 50 states. In this light, this paper intends to highlight factors that will affect healthcare in the future and in what direction will these factors move the sector in general.
Demographic and social factors
The US might be among the developed economy countries that are aging the slowest but the population is still graying. In 2010, Pew Research Center said that 13% of Americans were 65 years of age or older. At the same time, the firm projected that this cohort would grow up to take up 18% of the American population by 2030 (Cohn & Taylor, 2014, April 10). Once people get older, their productivity drops significantly and they begin to experience a lot more medical complications than before.
To be sure, the aging population will add a huge strain to the healthcare sector in terms of geriatric care as well as complications tied to old age. Once a nation has a huge population of old people, there will be a high demand of healthcare services which, basically, imply that healthcare providers will be on high demand (Keehan, Stone, Poisal, Cuckler, Sisko, Smith... & Lizonitz, 2017). Interestingly, the increased demand will also lead to a higher demand for labor force in the sector to carry out duties like geriatric care, to provide physical therapy and other tasks like providing aid for ol.
Medical TourismMedical tourism is a much more common practice toAbramMartino96
Medical Tourism
Medical tourism is a much more common practice today for receiving affordable health care services. As the cost of health care continues to rise in the United States, increased numbers of potential patients are flocking to other countries to receive affordable health care services. While medical tourism might affect the financial posterity of your health care organization, it too might be a reflection of an industry's commitment to fostering increased access to affordable health care services. From your perspective as a current or future health care administration leader, is medical tourism a social good?
For this Discussion, reflect on the media pieces in this week's resources, which highlight medical tourism. Consider the potential benefits and consequences of medical tourism from both a consumer and a health care administration leader's perspective.
With these thoughts in mind:
Post an explanation of how the role of medical tourism might relate to social change. Be specific, and provide examples for both the consumer and the health care administration leader.
Discussion
Continue the Discussion and respond to your colleagues' posts (250 words or more), suggesting one challenge your colleague should consider in addressing medical tourism for his or her health care organization.
Colleague
As a healthcare administrator, I will have to consider the potential physical and mental risks first of medical tourism for consumers. I have looked for enough evidence-based research to help me to decide that this would be a choice that I would recommend. However, I did not find what I was looking for to say that I would without reservation and good judgment recommend a client to fly to India or Costa Rica for major surgery. I understand that the cost is so much less for various surgeries and companies and clients can save tons of money (ABC News (Producer), 2013).
I understand that this country’s expensive healthcare prices are driving patients and companies to participate in traveling outside of the country for medical procedures. “Organization for Economic Co-operation and Development (OECD) put the price of a knee replacement in the U.S. at $48,000. Travel to India and the same operation will cost $8500, more than 80% cheaper. A heart bypass that costs $113,000 in the U.S. can be bought for just $3250 in Mexico, while operations in Malaysia are typically 65-80% cheaper” (Lunt, Smith, Exworthy, Green, Horsfall, & Mannion, 2011). So, I see that the cost of healthcare is causing many Americans to file bankruptcy and America pays too much for a healthcare system that is not working. Also, companies who are not at the Fortune 500 status would like to find a way to save money on employee benefits.
Therefore, I would say my thoughts on getting on board with this would be when another country has a life-saving procedure that cannot be performed in this country for various reasonings like a personal moral view of a political party in charge ...
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
1. HLT308 PU Healthcare Issues Questions
DQ1 Adrienne Brock 1 posts Re: Topic 2 DQ 1 Many things in the world are becoming
computerized instead of controlled by a person. I think this is sad because it is taking jobs
away from people. There are pros and cons to these self-help machines. Some pros are there
is more patient privacy, decreased data errors at check in, and decreased wait time at check
in. Some cons found that the kiosk was not equipped with foreign language, not good for the
visually impaired, and wheelchair patients had a hard time reaching it. The biggest issue
with these kiosks is the cyber threat (Shuman, 2014). No matter how good the hospitals
cyber security is cyber thieves are out there trying to steal information. The hospitals found
that they still had to have staff available to assist patients that needed help with the kiosk.
Employees I am sure are scared for their jobs but hopefully this will just take some of the
pressure off their workload. I am not sure this will really reduce staffing because patients
will still need help with it but maybe in the future it will reduce the number of staff needed.
Shuman, E. (2014, June 04). Medical kiosks raise security flags.
https://www.healthcareitnews.com/news/medical-kiosks-raise-security-flags DQ2 Grace
Philips 1 posts Re: Topic 2 DQ 1 Technology has had a huge impact on recent changes in the
last decade of healthcare. We rely on technology for many things such as charting, retrieving
vitals, and easy communication between staff memebers. Self help kiosks and new apps are
being developed to create a quick and easy way for the general public to get medical
consultation without the worry of a bill for visit by their primary care physician. Although
for small things such as sore throat and chornic nausea, this may be beneficial. Physicians
are quickly able to assess their patients and determine the acuity of their illness. There are
many benefits to having technology such as time saving measures, easier communcation
and so on. There are also red flags that develop. Not only does technology completely
erradicate human interaction, and that feel of comfort and safety, there are things that
human beings can do that robots just aren’t capable of. On top of that, human to human
interaction decreases mistakes, as sometimes robot technology may have a hard time
determining information being given. This can potentially delay care and cause greater risks
for the patient if it is an urgent matter. As written in an article recently about healthcare and
the advantage and disadvantage of technology, machines are still far from replacing many
kinds of tasks that people are good at or tasks that require creativity, innovation, or
empathy (Hyacinth, 2018). A threat to employment also is hieghtened because the
production of more innovative technology will eventually lead to decreased need for people,
and eventual job loss. References Hyacinth, B. (2018). Will Robots Take Your Job In
2. Healthcare? Retrieved from:
https://healthmanagement.org/c/healthmanagement/issuearticle/will-robots-take-your-
job-in-healthcare DQ3 Kecia Edwards 2 posts Re: Topic 2 DQ 1 – Interesting Perspective
Hello Class, As I read this question I thought about a conversation I had with a colleague
who informed me that United Healthcare is sending a great deal of jobs overseas. Please
share your thoughts on this blog. Worries grow as healthcare firms send jobs overseas
Some healthcare companies are starting to shift clinical services and decision-making on
medical care overseas, primarily to India and the Philippines. By Don Lee for the Los
Angeles Times – WASHINGTON — After years of shipping data-processing, accounting and
other back-office work abroad, some healthcare companies are starting to shift clinical
services and decision-making on medical care overseas, primarily to India and the
Philippines. Some of the jobs being sent abroad include so-called pre-service nursing, where
nurses at insurance firms, for example, help assess patient needs and determine treatment
methods. Outsourcing such tasks goes beyond earlier steps by healthcare firms to farm out
reading of X-rays and other diagnostic tests to health professionals overseas. Those
previous efforts were often done out of necessity, to meet overnight demands, for instance.
But the latest outsourcing, which have contributed to the loss of hundreds of domestic
health jobs, is done for financial reasons. And the outsourcing of nursing functions, in
particular, may be the most novel — and possibly the most risky — of the jobs being shifted.
At the forefront of the trend is WellPoint Inc., one of the nation’s largest health insurers and
owner of Anthem Blue Cross, California’s biggest for-profit medical insurer. In 2010,
WellPoint formed a separate business unit, Radiant Services, aimed at advancing
outsourcing and other cost-saving strategies. WellPoint has eliminated hundreds of jobs in
the U.S. over the last 18 months as it has moved jobs overseas, a company spokeswoman
acknowledged. The spokeswoman, Kristin Binns, said WellPoint’s shifting of clinical jobs
overseas was a small part of the outsourcing and being done through Radiant because it has
the technical expertise and can ensure compliance with laws. Nursing organizations,
however, were cautious. “It’s obviously a very disturbing trend,” said Chuck Idelson, a
spokesman for the California Nurses Assn. “There are serious questions if you’re talking
about utilization reviews … and making recommendations on procedures.” Nursing experts
said there also may be licensing issues as states generally require certification for those
practicing and dispensing health information. Current and former Radiant executives
declined to comment or weren’t available. It’s not clear how many other U.S. healthcare
firms have contracted with Radiant or other outsourcing specialists, but industry experts
said companies were increasingly looking at more healthcare tasks that could be
outsourced globally as they face greater cost pressures and sweeping changes in how they
do business. Aetna Inc.has an arrangement with EXL Service, a U.S.-based company with
operations in Manila, to provide “targeted care-management support,” spokeswoman
Cynthia Michener said. Health Net Inc., which is laying off dozens of information technology
and accounting workers whose jobs are being sent to India, said its outsourcing has
generally been confined to administrative and IT functions. UnitedHealth Group, the
nation’s largest health insurer, didn’t respond to inquiries. Outsourcing jobs out of the
country has become a hot issue in the presidential campaign: President Obama is pounding
3. Republican challenger Mitt Romney for his private equity firm’s involvement with
companies that sent jobs abroad. Although such outsourcing has been going on for years,
American manufacturers in recent years have brought some jobs back to the U.S. as labor
costs have risen in China and elsewhere. Some experts argued that sending jobs abroad
could help U.S. companies by enabling them to tap global talent and efficiencies, making
them more profitable. When U.S. companies are stronger, the thinking goes, it creates more
opportunities for American workers. Also, shifting operations to lower-wage countries can
help consumers by holding down prices. Outsourcing jobs to places such as the Philippines
can save U.S. healthcare firms 30% in labor costs, according to experts. But the practice
remains controversial, especially with the U.S. unemployment rate hovering above 8%.
Patient advocates worry about crucial decisions involving a patient’s care being in the
hands of foreign insurance adjusters. Analysts said there was another concern as well:
patient privacy. Even something as straightforward as medical transcription can raise
questions, said Uwe Reinhardt, a healthcare economist at Princeton University. Over the last
year, Iowa Health System and hospitals in Utah and Washington state have joined other
medical centers that have outsourced the transcribing of doctors’ notes and other records.
“Suppose I’m an AIDS patient,” Reinhardt said. “That person in India would know — and
[the information] could be valuable to someone…. For the U.S., there’s nothing more
personal than healthcare.” Dr. Kaveh Safavi, head of the North American health practice for
Accenture, a major consulting and outsourcing firm that has partnered with WellPoint’s
Radiant, said nearly all countries have laws for protecting patient privacy. And to safeguard
patients’ records, he said, healthcare companies store and maintain their records locally. As
for outsourcing services that are more clinical in nature, he said, “People are looking at all
the tasks that can safely and responsibly be moved. It’s still an emerging market. We’re still
trying to understand the market’s tolerance for it.” In general, hospitals are moving more
slowly than health insurers to send jobs overseas. But with financial pressures intensifying
and the uptake of electronic record-keeping accelerating, analysts and industry people see
more consolidation and outsourcing ahead. “When you have people’s medical, billing and
other records kept electronically, then it opens it up to establishing a call center virtually
anywhere,” said Steve Trossman, a Los Angeles spokesman for the Service Employees
International Union, which represents hospital workers. “There is no longer a reason for it
to be physically in the same place as the paper records.” Moreover, the healthcare reform
law could prod insurers to move more jobs to cheaper-wage countries. The new law
requires companies to spend 80% to 85% of premiums on medical care, limiting the
amount available for administrative expenses. Few have been as aggressive as WellPoint,
which made a profit of $2.65 billion last year on revenue of $60.7 billion. WellPoint’s total
employment at the end of last year was 37,700, down from 40,500 two years earlier. In one
of its recent efforts, WellPoint laid off pre-service nurses in Colorado and Nevada so the
work could be done in Manila, according to a Labor Department filing by a WellPoint human
resource manager in Denver. WellPoint spokeswoman Binns said none of the decisions that
involve denial of procedures or treatment for patients are made overseas. Overall, Binns
said, fewer than 2.5% of the 37,000 employees, or at most 925 workers, had lost jobs in the
last 18 months as a result of work sent overseas. Only about 50 of those positions involved
4. clinical management of care, she said. WellPoint’s “sourcing strategies have enabled us to
make our services more effective, accessible and affordable to our customers, while
allowing us to expand our programs and maintain our service levels,” she said. WellPoint’s
offshoring covers a wide range of departments and tasks involving claims, enrollment,
billing, postservice clinical claims review, utilization management and pre-service nursing,
according to filings made by company managers and state government officials. Both were
helping secure federal trade-assistance benefits for WellPoint workers who have lost jobs
because of outsourcing or import competition. Shannon Cunningham of Columbus, Ohio,
who processed medical claims for WellPoint, was laid off last month after a colleague went
to the Philippines to train people to do her job. Cunningham, 43, said she received eight
weeks of severance pay. She and others working in medical claims earned $30,000 to
$40,000 a year with health benefits, she said. “I know other countries need work,” said
Cunningham, a company employee for three years. But “I just felt like it wasn’t fair. We’re
having a rough time too.” Reference Retrieved from https://www.healthcare-
now.org/blog/worries-grow-as-healthcare-firms-send-jobs-overseas/ DQ4 Jenna Raila 1
posts Re: Topic 2 DQ 1 Technology plays a huge role in health care and is constantly
improving and changing our practice. We use technology for charting, surgeries, lab work
and more. Recently there has been a rise in the use of technology for the purpose of
telemedicine. Telemedicine allows patients to see and speak with providers through video
chat on a phone, computer or tablet. There are both advantages and disadvantages to
telemedicine. Some advantages include improved access to information; provision of care
not previously deliverable; improved access to services and increasing care delivery; and
reduced health-care costs. (Hjelm, 2005). Additionally, with COVID-19 this provides patient
with a safe way to receive care without possibly exposing themselves to the disease. Some
disadvantages include a breakdown in the relationship between health professional and
patient; issues concerning the quality of health information; and organizational and
bureaucratic difficulties. (Hjelm, 2005). The introduction of telemedicine allows for less
staff required for facilities which poses a benefit to them but can be seen negatively from a
patient perspective as they do not receive one on one, in person care, creating a more
distant and distrusting relationship between providers and patients. Telemedicine cannot
be a full replacement for traditional medicine, as we sometimes need to see the patient, in
person, in order to give them the best quality care however, telemedicine is a great resource
and option for many situations. Reference: Hjelm, NM. (2005). Benefits and drawbacks of
telemedicine. Retrieved from https://pubmed.ncbi.nlm.nih.gov/15829049/ DQ5 Grace
Philips 1 posts Re: Topic 2 DQ 2 Health care administrators than run an HR department face
many challenges when dealing with a large group of people in a healthcare setting. One of
those issues is compensation for employees and determining fair wages. One challenge HR
departments face is staying in communcation with the employee whena in incident arises.
There are multiple departments and people that have to go through an employees pay
history and compensation paperwork for issues. Mistakes can be made with too many
people in the line of communcation. Administrators also need to communicate in a way that
employees are able to understand, as they often don’t deal with the grammatics on a
financial level. As far as someone who is nonmanagement, I think there is greater risk of
5. being able to reach certain departments and take care of the problem quickly and
effectively. Administrators have a line of command and are able to report the issue, whereas
a nonmanagement staff member may face more challenges in connecting with the right
person. By creating an incentive system, or something that would benefit the staff of a
heatlhcare organization could potentially help to earn additional compensation for
physicians, staff, and the hospital, and also can create cost effective care that improves
patient outcomes (Hanchack, 1996). References Hanchak, N. (1996). US Healthcare Quality
Based Compensation Model. Retreived from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193601/ DQ6 Read Chapters 21-23 in
Legal and Ethical Essentials of Health Care Administration. URL:
https://www.gcumedia.com/digital-resources/jones-and-bartlett/2013/legal-and-ethical-
essentials-of-healthcare-administration_2e.php Read “Considering Potential Benefits and
Consequences of Hospital Report Cards: What Are the Next Steps?” by Schold and Nicholas,
from Health Services Research (2015). URL:
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true
&db=ccm&AN=10376910 6&site=ehost-live&scope=site Read “Taking the Pulse of Health
Care Risks,” by Mahoney and Harrison, from Business Insurance (2015). URL:
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true
&db=bth&AN=11090456 0&site=ehost-live&scope=site Read “Cultural Events Provided by
Employer and Occupational Wellbeing of Employees: A Cross-Sectional Study Among
Hospital Nurses,” by Tuisku, Pulkki-Raback, and Virtanen, from Work (2016). URL:
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true
&db=bth&AN=11842021 9&site=ehost-live&scope=site Read “Good Background Screening
Crucial to Avoiding Liability,” from Healthcare Risk Management (2017). URL:
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true
&db=ccm&AN=12654091 4&site=ehost-live&scope=site Read “Four Main Components for
Effective Outlines,” located on the Purdue Online Writing Lab (OWL) website. URL:
https://owl.purdue.edu/owl/general_writing/the_writing_process/developing_an_outline/i
ndex.html